health promotion in rural setting

Post 1 (DB HP)

When the master’s prepared nurse is designing a health promotion program in the rural community, he/she must give careful consideration to different factors and resources affecting the delivery of healthcare services to the population. It is important to identify their culture assumptions, level of education, genetic predispositions, accessibility to healthful food choices, and access to health promotion services (Raingruber, 2017, p. 221). It is vital to include different stakeholders for a health promotion model to be successful. Partnership with different health care organizations, schools, and community associations can help develop a more personalized health promotion model for that specific rural population (Coe & de Beyer, 2014). Different health promotion and disease-prevention models have been utilized in order to eliminate disparities by using different behavioral frameworks. The Social Ecological Model (SEM) can be utilized by the master’s prepared nurse as a health promotion and disease prevention model to help redesign the health care needs of America.
The Social Ecological Model (SEM) most commonly used was authored by Urie Bronfenbrenner (1979) and is also called Ecological System Theory (Raingruber, 2017, p. 62). Bronfenbrenner had a deep influence by Kurt Lewis, he thought that everyone’s behavior is connected to different levels such as the individual, and their physical and social environment; examples include residential, educational, occupational, recreational, religious, and healthcare environments (Raingruber, 2017, p. 61). The different levels of the Social Ecological Model have a multifactorial influence so they all influence each other and work together. For this health promotion program to be successful, it does need to target all these levels of the SEM in order to be accomplished. This model highlights a behavioral framework. It consists of implementing different changes at various levels and shows how different factors improve or affect behavior and health care results. The Social Ecological Model provides a very useful theoretical framework for linking the reciprocal relationship between the individual and its environment (Salihu, Wilson, King, Marty, & Whiteman, 2015).

Post 2 (DB HP)

Small town, rural communities are often tightly woven in the social aspect of life. This is one of the reasons why health promotion in rural settings should be tempered and germinated with the use of social connections (Raingruber, 2017). The Risk Reduction Behavioral Change Model implements alterations of behaviors to reduce the risk of disparities and disease by three steps which include identifying a risk, dedicating to change, and adopting change. This model should be accompanied by the supportive resources of the community, specifically, the family unit and social network (Raingruber, 2017).
Health promotion involves incorporating the many facets of a community in order to infiltrate and impact people’s perceptions of healthy behaviors and practices (Morton, 2013). Advanced practice nurses (APNs) must be considerate of the rural culture, socioeconomic median, and common beliefs and trends, and also avoid marginalizing or generalizing in order to be effective in health promotion strategies (Raingruber, 2017). The Risk Reduction Behavioral Change Model allows for autonomy and for personal selections and achievements, which is important for eradicating specific illnesses from disease-prone areas. Education is always paramount but should be based on inherent disease factors as well as cultural assumptions and environmental factors (Raingruber, 2017). The patient-centered approach is bound by community and self-empowerment, therefor, the community defines their own health education needs and the APN delivers an approach that facilitates successful outcomes (Morton, 2013).
The implementation of narrative strategies and storytelling is an indefatigable mechanism of connection between people and their lives and it can be utilized to achieve health goals in the rural environment. Applying life narrative interviewing can supply the APN with a greater depth of understanding of how people relate to their health and how they exercise their education to stay healthy or gain health at times of sickness (Raingruber, 2017). After all, listening, connecting, and interpreting are the foundation of patient care and the nurse-patient relationship (Corbally & O’Neill, 2014). Listening practices honed by the nurse assist in identifying vital influences that shape patients’ perceptions and views on health care and changes necessary for health living (Corbally & O’Neill, 2014). APNs can gain insight into what motivates a small population to change and how to apply that in education and implementation. Insight into patient experience, coping strategies, religious beliefs, cultural practices, and personal perspectives offers APNs an advantage when introducing innovative practices and guidelines via a behavioral change model designated for a rural group (Corbally & O’Neill, 2014).



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