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Health program planning, implementation, and evaluation : creating behavioral, environmental, and policy change
A time-tested, landmark approach to health promotion and communication projects and everything that goes into making them successful. For more than 40 years, the PRECEDE-PROCEED model, developed in the early 1970s by Lawrence W. Green and first published as a text in 1980 with Marshall W. Kreuter, Sigrid G. Deeds, and Kay B. Partridge, has been effectively applied worldwide to address a broad range of health issues: risk factors like tobacco and lack of exercise, social determinants of health such as lack of access to transportation and safe housing, and major disease challenges like heart disease and guinea worm disease. In Health Program Planning, Implementation, and Evaluation, Green and his team of senior editors and chapter authors combine their expertise to offer a high-level guide to public health programming. This guide aligns with foundational public health competencies required by increasingly rigorous certification and accreditation standards. Driven by the coronavirus pandemic and a looming climate crisis, the book addresses the rapid changes in modern-day conceptions of disease prevention and health promotion. Today's public health practitioners and researchers are often called upon to address a complex web of factors, including population inequities, that influence health status, from biology to social and structural determinants. Program and policy solutions to population health challenges require systematic planning, implementation, and evaluation. Providing students with knowledge, skills, and a range of tools, the book recognizes new approaches to communication and fresh methods for reaching a greater diversity of communities. The authors highlight the importance of starting the population health planning process with an inclusive assessment of the social needs and quality-of-life concerns of the community. They explain how to assess health problems systematically in epidemiological terms and address the behavioral a ...
eBook
Maximizing Their Educational Opportunities for Advanced Degrees: A Grounded Theory Analysis of Service Member Pathways
The purpose of this study was to explore student veterans’ educational paths that guided them to maximize their military education assistance by saving their GI Bill for graduate education. The research questions for this study were: 1) How do student veterans’ motivation to join the military guide their educational paths from high school through a graduate degree? 2) How do student veterans learn about and use military education assistance to move them towards their goals to obtain advanced degrees? 3) How do student veterans use resources to make decisions towards their goals to obtain advanced degrees? Schlossberg’s Transition Theory provided the theoretical background and a starting point for this grounded theory study. It aided in explaining environmental and social aspects of student veterans’ transition in higher education and in conceptualizing the motivations and experiences of service members that lead them to learn about, and strategize, how to use military education assistance for their higher education goals. Results of this study provided insights for the development of future resources and programs as well as to the individuals creating and providing top quality support services, particularly in-service, to this student population. By learning more about the experiences that led student veterans to graduate education post military, and the resources along their educational path, both the military and higher education institutions can provide timely support to prepare student veterans for maximizing their educational opportunities before, during, and after military service. This research also filled gaps in information available and the messages being communicated to student veterans during critical points within the military and higher education.
Dissertation
Partnership Between a Federal Agency and 4 Tribal Nations to Improve COVID-19 Response Capacities
Upon request from tribal nations, and as part of the Centers for Disease Control and Prevention’s (CDC’s) emergency response, CDC staff provided both remote and on-site assistance to tribes to plan, prepare, and respond to the COVID-19 pandemic. From April 2, 2020, through June 11, 2021, CDC deployed a total of 275 staff to assist 29 tribal nations. CDC staff typically collaborated in multiple work areas including epidemiology and surveillance (86%), contact tracing (76%), infection prevention control (72%), community mitigation (72%), health communication (66%), incident command structure (55%), emergency preparedness (38%), and worker safety (31%). We describe the activities of CDC staff in collaboration with 4 tribal nations, Northern Cheyenne, Hoopa Valley, Shoshone-Bannock, and Oglala Sioux Tribe, to combat COVID-19 and lessons learned from the engagement.
Journal Article
How to Choose or Change an Electronic Health Record System
Nurse practitioners across the United States use or are about to use electronic health record (EHR) systems while having minimal input into EHR purchase decisions. The EHR system can affect provider and patient satisfaction, reimbursement, and other aspects of practice. Most EHR planning tools focus on hardware and software needs, rather than the process used to identify the right product; however, the EHR may fail if an inappropriate process is used. Ten elements essential to purchase and implement an EHR system and the steps to take if the current EHR does not meet practice needs are reviewed.
•Failure of electronic health record (EHR) systems is a common problem; over half of EHR purchases are replacements for products that did not meet the needs of the practice or facility.•Excellent information is available online from government and professional sources to help nurse practitioners achieve appropriate informatics competency.•A basic understanding of project management methods and techniques is necessary for nurse practitioners before EHR selection and implementation.•Once the EHR product choice has been determined, the practice should hire an attorney with EHR contract experience to assist with contract preparation.•Advanced practice nurses should be an integral part of every step of EHR implementation and use and should stand out as experts in health care informatics.
Journal Article
Food and nutrient intake in low-income families : a comparative study
This thesis aims to gain a greater understanding of nutritional health in 19th-century England to facilitate a critical analysis of modern food policies in the UK. By identifying changes to nutritional health both beneficial and detrimental in the past, the factors involved in those changes can be explored as potential methods by which modern diet-related health can be improved. However, before any inferences can be drawn from 19th-century dietary sufficiency, the realities of nutrient intake for wealthy and low-income families in England during that century must first be established, an area of research which has received limited attention. As a result, this thesis is centred heavily on historical and archaeological methods and evidence. Through this research, four main areas were highlighted from the historical and archaeological evidence as approaches which could improve current diet-related health concerns in the UK. The first is diet during childhood with a focus specifically on breastfeeding practice and its promotion to all citizens of the UK, including school children. The second is the regulation and protection of school meals available to children in the UK, most importantly the continuation of free school meals for low-income and \"just about managing\" families. The third is a new and carefully addressed reduction of sugar in all processed food and drink products, with attention paid to closing the \"loop holes\" introduced with new policies. The fourth is a new approach to the development and management of policies concerning health in the UK, where new plans include targets, methods of measuring success, and both accountability and transparency.
Dissertation
Tourism-led development and backward linkages
In what is recognised as a seminal article in tourism scholarship relating to the Global South, sixteen years ago, Brohman (1996) highlighted a suite of emerging problems surrounding the adoption of outward-oriented neoliberal development strategies. The appearance of this analysis was timely as in the context of existing development discourse tourism was increasingly touted as an important source of outward-oriented growth in many parts of developing Africa, Asia and Latin America (Telfer 2002). During the 1990s, international tourism garnered widespread currency in development literature as one of an array of new 'growth sectors' believed to exhibit much promise in developing countries based upon their so-termed 'comparative advantages' (Telfer and Sharpley 2008). Nevertheless, the development literature pointed also to several inherent dangers that accompanied the embrace of neoliberal planning strategies. Past export-oriented development models had often been associated with vicious cycles of polarisation and repression. During the 1980s, dependency theories showed the existence of high rates of leakage associated with international tourism in developing countries (Britton 1982). The appearance of such dangers highlights that national governments and policy makers must proceed cautiously with tourism-led development strategies, more especially if growth in the volume of international tourism is 'not to be accompanied by many of the problems historically linked with outward-oriented development strategies' (Brohman 1996: 50).
Book Chapter
