Essay Question One (minimum 2 pages)
Oral health and systemic health are dependent upon one another. A pilot project was developed to provide oral health promotion to children between the ages of 6 to 15 months of age. The target population was children in this age range who had at least one tooth or the eruption of the tooth was eminent, participated in Medicaid, had no other health conditions, and were enrolled patients in a comprehensive pediatric primary care clinic. Caregivers were asked about child dietary practices and home care practices. At each subsequent primary care visit the children’s oral health was assessed using microbial screening, child’s diet, home health practices and visualization of caries. Each child was allowed to participate for 24 months.
As an advance practice nurse:
1.) a. How would you evaluate the effectiveness of this program?
(choose either RE-AIM model or three dimensional “cube” model. Elaborate what the model is and how it will be used to monitor effectiveness)
b. Describe how you can use both formative and summative evaluation methods that are measurable? (give examples of EACH)
2.) Identify appropriate health disparities this population may experience and provide evidenced data to support.
3.) a. Where do you anticipate the fidelity of this project may not be met and
b. What would you recommend to mitigate this potential failure?
Essay Question Two (minimum 2 pages)
1.) Discuss a prioritized health issue of LGBT (lesbian, gay, bisexual, trangender) population (support its priority by discussing: the magnitude, permanence, stakeholders involved, effectiveness of interventions, and/or feasibility of implementation of intervention(s)).
a. Magnitude of health issue:
b. Permanence:
c. Stakeholders involved:
d. Effectiveness of interventions:
e. Feasibility of implementation of interventions to help resolve these health issues:
As the advance practice nurse,
2.) How would you determine this population’s readiness to maintain their health at a higher level? Select ONE theoretical framework (Diffusion of Innovation Theory, Transtheoretical Model (TMM), Social Epidemiology Framework or Expanded Chronic Care Model) and
a. Elaborate the theory
b. Different phases of the theory
c. What phase would patient present with
d. How this theory can help patients maintain their health and sense of well-being
3.) Discuss which aspects of the framework you would examine to ensure your clients within the population find the change acceptable, affordable, accessible, and/or appropriate(4A’s). Please elaborate on all of the 4 A’s above and give EXAMPLES of each.
a. Acceptable
b. Affordable
c. Accessible
d. Appropriate
