OverviewDevelop a 57-page proposal for a wellness education program for a specific population. Integrate aspects of culture, CAM and spirituality, and linguistics into the program. Explain how to market the program to the population, and explain the ethical, legal, and economic factors that can affect the health of the population.Note: The assessments in this course build upon each other, so you are strongly encouraged to complete them in sequence.SHOW LESSHealth care initiatives focus on changing demographics and emerging health problems. Among the challenges faced by health care professionals are cultural and linguistic competence and the role they play in the ability to provide effective care. Health care professionals need to develop skills in conducting gap analyses within their own communities, design effective health education and wellness programs to address those gaps, and remain mindful that effective care depends on the ability to build trust within the community being served.By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:Competency 1: Explain the principles and concepts of disease prevention and health promotion for diverse and vulnerable populations.Explain strategies for educating a population about health promotion and disease prevention.Explain the benefits of a health and wellness plan for a population.Competency 2: Develop evidence-based health promotion and disease prevention initiatives for diverse and vulnerable populations.Integrate cultural considerations into an evidence-based wellness plan for a population.Integrate CAM, traditional medicine, holistic health, and spirituality into an evidence-based wellness plan for a population.Integrate linguistic considerations into an evidence-based wellness plan for a population.Competency 4: Examine the ethical, legal, and economic factors related to health disparities in diverse and vulnerable populations.Describe the ethical principles that can affect preventative care and health promotion.Explain how local laws, federal laws, and the Affordable Health Care Act can affect preventative care and health promotion.Explain the economic impact of clinical prevention and health promotion related to health disparities for a population.Competency 5: Communicate in a manner that is scholarly, professional, and consistent with expectations for members of the health care professions.Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.Correctly format paper, citations, and references using APA style.ContextWith a growing diverse population, cultural and linguistic competence should be incorporated into the planning, implementation, and evaluation of health education and promotion programs. “In this process, it is essential to employ theoretical models that describe and explain culture and related concepts (Pérez & Luquis, 2014, p. 165). Cultural constructs need to be applied to all health education, promotion, and prevention interventions targeting diverse communities (Pérez & Luquis, 2014).SHOW LESSGiven the widespread and important issues concerning ethical, legal, and economic principles related to vulnerable and diverse populations, what can be done? Ethical principles of justice and respect demand health care for all. However, to eliminate health disparities, laws and economics play a pertinent role in access to care. When looking at health care issues in vulnerable and diverse populations, one must examine the economic impact when access to preventative care is not available and compare to the inevitable results of acute and chronic conditions requiring more financial resources. The Affordable Care Act now provides options for all citizens to obtain some form of health care coverage. However, consideration must be given to how those considered vulnerable and diverse access these resources.ReferencePérez, M. A., & Luquis, R. R. (2014). Cultural competence in health education and health promotion (2nd ed.). San Francisco, CA: Jossey-Bass.Assessment InstructionsPreparationYour team has succeeded in demonstrating the need for a health promotion and disease prevention initiative for the population identified by your Windshield Survey assessment. Now you need to develop a proposal for a wellness education program that will help bridge the gaps in health care service delivery.Use the Capella library and the Internet to find scholarly and professional resources that will help you propose a wellness education program for the health concern of your population. Find at least four resources to use in this assessment. You may also want to review the previous assessments you completed in this course.RequirementsBased on your Windshield Survey and Organizational Evaluation assessments, complete the following:Design an evidence-based wellness program to address the primary health concern of the population that integrates:Cultural considerations: Will you need to consult with someone from the population on how to approach the delivery of your program?CAM, traditional medicine, holistic health, and spirituality considerations.Linguistic considerations: Will you need interpreters or translators for either written or oral presentations?Educational considerations: What will be the best way to educate the population?Describe how you will market or advertise the wellness program.What are the benefits the program offers the population?Will you need incentives to ensure participation and completion of the program?Explain the ethical, legal, and economic factors that impact the health and wellness of the population. For example:The ethical considerations (such as justice, non-malfeasance, and duty) that can affect preventative care and health promotion.Local laws, federal laws, and the Affordable Health Care Act that can affect preventative care and health promotion.The potential economic impact of clinical prevention and health promotion related to health disparities of your population.The format for this assessment should be a professional proposal. If possible, ask about the format used for proposals in your organization and follow that. Follow APA formatting for your in-text citations and references.Additional RequirementsInclude a title page and reference page. The completed assessment should be 57 pages in length, not including a title page and a reference page.Reference at least four current scholarly or professional resources.Use current APA format for citations and references.Use Times New Roman font, 12 point.Double space.Suggested ResourcesInternet ResourcesAccess the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have either been granted or deemed appropriate for educational use at the time of course publication.Centers for Disease Control and Prevention. (2015). CDC wonder. Retrieved from http://wonder.cdc.gov/U.S. Department of Health and Human Services. (n.d.). Healthy people 2020. Retrieved from http://www.healthypeople.gov/2020/default.aspxWellness Education Program Proposal Scoring GuideCRITERIANON-PERFORMANCEBASICPROFICIENTDISTINGUISHEDIntegrate cultural considerations into an evidence-based wellness plan for a population.Does not integrate cultural considerations into an evidence-based wellness plan for a population.Integrates cultural considerations into a wellness plan, but the cultural considerations are not specific to any population or the plan is not supported with evidence.Integrates cultural considerations into an evidence-based wellness plan for a population.Integrates cultural considerations into an evidence-based wellness plan for a population, and shows a clear relationship between the considerations and the population.Integrate CAM, traditional medicine, holistic health, and spirituality into an evidence-based wellness plan for a population.Does not integrate CAM, traditional medicine, holistic health, and spirituality into an evidence-based wellness plan for a population.Integrates aspects of CAM, traditional, medicine, holistic health, and spirituality into an evidence-based wellness plan, but the aspects are not specific to any population.Integrates CAM, traditional medicine, holistic health, and spirituality into an evidence-based wellness plan for a population.Integrates CAM, traditional medicine, holistic health, and spirituality into an evidence-based wellness plan for a population, and explains how it will promote positive outcomes.Integrate linguistic considerations into an evidence-based wellness plan for a population.Does not integrate linguistic considerations into an evidence-based wellness plan for a population.Integrates linguistic considerations into an evidence-based wellness plan, but the linguistic considerations are broad and not specific to any population.Integrates linguistic considerations into an evidence-based wellness plan for a population.Integrates linguistic considerations into an evidence-based wellness plan for a population, and shows how errors in communication can negatively impact the health of a population.Explain strategies for educating a population about health promotion and disease prevention.Does not explain strategies for educating a population about health promotion and disease prevention.Identifies strategies for educating a population about health promotion and disease prevention.Explains strategies for educating a population about health promotion and disease prevention.Explains strategies for educating a population about health promotion and disease prevention, and identifies ways to market an education plan to the population.Explain the benefits of a health and wellness plan for a population.Does not explain the benefits of a health and wellness plan for a population.Lists the benefits of a health and wellness plan for a population.Explains the benefits of a health and wellness plan for a population.Explains the long-term and short-term benefits of a health and wellness plan for a population.Describe the ethical principles that can affect preventative care and health promotion.Does not describe the ethical principles that can affect preventative care and health promotion.Lists the ethical principles that can affect preventative care and health promotion.Describes the ethical principles that can affect preventative care and health promotion.Describes the ethical principles that can affect preventative care and health promotion in both positive and negative ways for the organization and the population.Explain how local laws, federal laws, and the Affordable Health Care Act can affect preventative care and health promotion.Does not explain how local laws, federal laws, and the Affordable Health Care Act can affect preventative care and health promotion.Explains how local laws or federal laws or the Affordable Health Care Act can affect preventative care and health promotion, but not all three.Explains how local laws, federal laws, and the Affordable Health Care Act can affect preventative care and health promotion.Explains how local laws, federal laws, and the Affordable Health Care Act can affect preventative care and health promotion in both positive and negative ways for the organization and the population.Explain the economic impact of clinical prevention and health promotion related to health disparities for a population.Does not explain the economic impact of clinical prevention and health promotion related to health disparities for a population.Explains the economic impact of clinical prevention and health promotion related to health disparities for a population, but omits key elements.Explains the economic impact of clinical prevention and health promotion related to health disparities for a population.Explains the economic impact of clinical prevention and health promotion related to health disparities for a population in terms of both positive and negative aspects for the organization and the population.Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.Does not write content clearly and logically, with correct use of grammar, punctuation, and mechanics.Writes content clearly and logically, but grammar, punctuation, and mechanics have frequent errors.Writes content clearly and logically, with correct use of grammar, punctuation, and mechanics.Writes clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics; and uses relevant evidence to support a central idea.Correctly format citations and references using APA style.Does not correctly format citations and references using APA style.Inconsistently formats citations and references using APA style.Correctly formats citations and references using APA style. Citations contain few errors.Correctly formats citations and references using APA style. Citations are free from all errors.
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Running head: WELLNESS EDUCATION PROGRAM
Wellness Education Program Proposal
Health Promotion and Disease Prevention in Vulnerable and Diverse Populations
Wellness Education Program Proposal
Copyright ©2017 Capella University. Copy and distribution of this document are prohibited.
WELLNESS EDUCATION PROGRAM
Wellness Education Program Proposal
In the United States, vulnerable populations such as Hispanics are more likely to face
difficulties while accessing health care than less vulnerable populations. Many factors such as
low income, lack of insurance, lack of education, and lack of English and Spanish language
proficiency contribute to this disparity in accessing health care. This language barrier can prevent
Hispanics from accessing important health education material and prevent health care workers
from providing regular medical care. This proposal focuses on the importance of developing a
wellness education program for health promotion and disease prevention among Hispanics.
Problems and Needs
To address the health care disparities, a holistic wellness education plan needs to be
developed for Hispanics taking into consideration their affinity to complementary and
alternative medicine (CAM) and spiritual care. It is also necessary to be aware of the positive
and negative aspects of the ethical, legal, and economic principles of health promotion and
disease prevention while developing the wellness education plan.
An ideal wellness education plan for Hispanics would integrate the elements of
culture, language, CAM, and spiritual care for addressing the health care disparities faced by
them. Integrating these elements would help them receive a more holistic health care as their
physical and mental states are taken into consideration while devising the plan.
WELLNESS EDUCATION PROGRAM
Cultural Considerations in the Wellness Education Plan for Hispanics
Delivering culturally competent health care with knowledge about the cultural beliefs of
patients from diverse populations assures good health service delivery. In keeping with this
belief, Dr. Marilyn A. Ray, a renowned nursing educator and researcher, developed a program
called the Transcultural Caring Dynamics in Nursing and Health Care Model. This model helps
nurses clarify queries pertaining to patients from diverse cultural backgrounds and helps them
understand the processes that affect nursing from a transcultural perspective, which will enable
better health care.
This model has four major concepts: (a) the essence of caring, which includes various
concepts of love, empathy, attention, availability, and communication; (b) the transcultural
caring ethics dynamic, which includes respect, trust, commitment, autonomy, impartiality,
human rights, and cultural rights; (c) the transcultural context component, which takes into
consideration the personal beliefs, attitudes, and cultural values of people; and (d) universal or
spiritual resources, which include spiritual traditions and prevailing religious ceremonies that
impact transcultural caring experiences centered around spirituality and religion (Bailey, 2015).
Elements of Complementary and Alternative Medicine, Traditional Medicine, Holistic
Health, and Spirituality in the Wellness Education Plan for Hispanics
Hispanics are avid users of CAM because of their lack of accessibility to conventional
forms of health care and their belief in spirituality. CAM is defined by the National Center for
Complementary and Alternative Medicine (NCCAM) as the medical and health care practices
and systems that are not included in conventional, Western medicine (Pérez & Luquis, 2013, p.
90). Integration has led to the emergence of TM and CAM therapies. TM and CAM therapies are
considered prescription based if minerals, herbal medicines, or homeopathic remedies are used
WELLNESS EDUCATION PROGRAM
for treatment. These procedures can include acupuncture; manual therapies such as exercises,
massages, and chiropractic; and yoga, qigong, tai chi, spiritual, or meditation practices. Some of
the features that attract people to TM and CAM therapies include flexibility, diversity, greater
acceptance in developing countries, and lesser need for modern technology. TM and CAM
therapies have led to a lot of positive outcomes. Some of them are as follows:
Accessibility and affordability: TM and CAM therapies have led to greater accessibility
to health care among low-income populations primarily because they are affordable and
easily available than conventional therapies.
Perceived safety: A major positive outcome from TM and CAM therapies is that they are
considered to have a lower rate of adverse effects than normal pharmaceutical therapies.
Integration of Linguistic Considerations into the Wellness Education Plan for Hispanics
Language is a reflection of the culture of a population and has specific meaning to that
population. In case of Hispanics, it is necessary to develop a Spanish-speaking wellness health
program as it will reduce health disparities in the community and minimize miscommunications
between health care workers and patients (Pérez & Luquis, 2013).
One of the most prominent Spanish-speaking wellness programs is the Tomando Control
de su Salud [Spanish Chronic Disease Self-Management Program]. This is a community-based
program that is conducted once a week, for six weeks, for various Spanish-speaking people with
different chronic health issues.
WELLNESS EDUCATION PROGRAM
Strategies for Implementing Wellness Education Plans for Health Care Among Hispanics
To ensure the effective implementation of health care plans in the Hispanic population,
health care workers need to implement certain strategies that will educate and market their
wellness education plans to the Hispanic population. A few such strategies are as follows:
Media and advertisement: Information about education plans and health promotion
can be communicated and marketed through television and radio advertisements.
Language sensitivity: Another strategy that health care professionals can implement is
being sensitive to the language of the Hispanic community. Spanish is an important
marker of social, personal, and political identity among Hispanicseven for those
who can speak fluent English.
Community outreach activities: By coordinating community outreach activities
through trusted organizations such as Promotoras, health care professionals can share
information about health promotion and disease prevention with Hispanics and also
market the wellness education plan.
Being aware of the habits and preferences of the Hispanic population can help tailor
messages for this audience and can also create a wellness plan that benefits Hispanics over a long
and short time period. (CDC, n.d.).
Benefits of the Wellness Education Plan for Hispanics
The health and wellness plan comes with many short-term and long-term benefits. Some
of the short-term benefits are that it ensures a healthier lifestyle by providing easy and immediate
access to preventive measures, regular doctors, and early interventions. Short-term benefits of
Comment [A1]: Good number of
WELLNESS EDUCATION PROGRAM
conducting the health and wellness program for health care organizations include the ability to
provide more culturally sensitive care (Pereyra & Meth, 2012)
Some of the long-term benefits of participating in the health and wellness program will
be greater access to health care organizations and improvement in behavior when coping with an
illness. It also saves costs by minimizing visits to the emergency room. In the long run, health
care organizations can customize their wellness plans for diverse populations based on their
interaction with these populations and provide quality care (Pereyra & Meth, 2012).
Impacts of Ethical Principles on Preventative Care and Health Promotion
Before implementing a health care plan, health care professionals must consider the
ethical principles that can affect preventative care and health promotion. Some of these
principles are as follows:
Autonomy: This principle requires patients to make their own health care decisions
without coercion. It has a positive impact on Hispanics as they value autonomy and see it
as a way to maintain control (Kreling, n.d.).
Beneficence and non-maleficence: This principle requires that all procedures be
conducted only for the good of a patient. Patients should not be harmed in any way while
they are undergoing treatment procedures. This principle has a positive impact on
patients as they feel protected from harm. It has a negative impact only on health care
organizations. Patients may autonomously choose a treatment that a practitioner believes
would not be beneficial to them.
Ethical transparency is an extremely relevant aspect in health promotion. It will have a
positive impact on health care organizations as it will help foster a greater sense of accountability
Comment [A2]: Good
WELLNESS EDUCATION PROGRAM
to the communities these organizations serve and can also increase the effectiveness of
communicating the different risks involved in a treatment (Coleman, Bou?sseau, & Reis, n.d).
However, an ethical issue that has arisen in health promotion is the question of the extent to
which public health authorities should interfere with personal choice on healthparticularly if
they are caused by behaviors such as smoking. This has led to the need for certain health-related
laws to be developed (Carter et al., 2011).
Impacts of Local and Federal Laws and the Affordable Care Act
Besides ethical principles, various local and federal laws will also impact health care
plans in many ways. One of the key health care laws implemented by the U.S. government has
been the Affordable Care Act (ACA), a comprehensive health care act that aims to make
affordable health insurance available to more people.
Some of these positive impacts are as follows: (a) the ACA enables Hispanics to save
millions on preventative health care services that are now available free of cost; (b) on 2014,
more than 2.3 million Hispanics who were small business owners or self-employed became
eligible to buy affordable health care coverage through an insurance exchange. This gave
employers the chance to select more affordable health care; (c) over a third of the 2.5 million
Hispanic youth are insured under the Acts new dependent coverage provision, which allows
them to remain under their parents insurance policy until the age of 26 (Pereyra & Meth, 2012).
Regardless of some minor negative impacts, new health care laws at the local and federal
level have a positive impact on everyone. The Supreme Court upholds tax credits for small
businesses that want to provide health insurance for their families. This mandate ensures
insurance coverage for everyone in the United States and makes insurance coverage much easier
to finance for small business owners (Kruse, 2015). However, the growing need for staff and
Comment [A3]: Good job on ethics!
WELLNESS EDUCATION PROGRAM
infrastructure has had a relatively negative economic impact on clinical prevention of various
diseases and health promotion.
Comment [A4]: Very good!
Economic Impact on Clinical Preventive Services and Health Promotion
Clinical prevention and health promotion play a key role in improving the United States
health and keeping rising health costs under control. However, organizations face a negative
impact because of the need for more staff and resources, which leads to an increase in health care
costs. Prevention policies and programs of various illnesses such as diabetes are often costeffective. They improve productivity and reduce health care costs. The following benefits
explain why prevention is a good economic solution in health care: (a) in case of Hispanics,
prevention lowers health care costs. HIV is prevalent among Hispanics. For every HIV infection
prevented, an estimated $355,000 is saved by avoiding the cost incurred on lifetime HIV
treatment; (b) in case of organizations, prevention increases productivity..
Comment [A5]: Good!
Health care disparities still persist in the United States among Hispanics. However, over
the past decade, there has been a focus on reducing disparities through the implementation of
various wellness programs, which take cultural and linguistic differences into account. There
have also been efforts to address clinical prevention and health promotion at the federal, local,
and organizational level as the ACA includes additions that attempt to reduce disparities between
Hispanics and the rest of the American population. The existing health disparities present among
Hispanics makes it necessary to address all facets of the social, economic, and legal principles of
health care. This will definitely lead to wider health care coverage for all (Artiga, 2016).
Comment [A6]: Very nice job on
this assessment ?
WELLNESS EDUCATION PROGRAM
Artiga, S. (2016). Disparities in health and health care: Five key questions and answers.
Retrieved from http://kff.org/disparities-policy/issue-brief/disparities-in-health-andhealth-care-five-key-questions-and-answers/
Bailey, D. N. (2015). Mitigation of transcultural clinical barriers in a health and wellness
program: A transcultural caring approach for vulnerable migrant backstretch
workers. Clinical Nursing Studies, 3(3). https://doi.org/10.5430/cns.v3n3p34
Benjamin, R. M. (2011). Economic benefits of preventing disease. National Prevention
Strategy: Americas Plan for Better Health and Wellness (p. 51). DIANE Publishing.
Retrieved from https://surgeongeneral.gov/priorities/prevention/strategy/report.pdf
Carter, S. M., Rychetnik, L., Lloyd, B., Kerridge, I. H., Baur, L., Bauman, A., & Zask, A.
(2011). Evidence, ethics, and values: A framework for health promotion. American
Journal of Public Health, 101(3), 465472. https://doi.org/10.2105/ajph.2010.195545
Centers for Disease Control and Prevention. (n.d.). Cultural insights: Communicating with
Hispanics/Latinos. Retrieved from
Coleman, C. H., Bou?sseau, M. C., & Reis, A. (n.d.). The contribution of ethics to public
health. World Health Organization, 86. Retrieved from
Kreling, B. (n.d.). Latino families and hospice. Retrieved from
Latino Families and Hospice
Kruse, G. (2015). Healthcare laws and positive impact. CBS Small Business Pulse. Retrieved
WELLNESS EDUCATION PROGRAM
Pereyra, L., & Meth, M. (2012). 7 ways the Affordable Care Act helps Latinos. Retrieved from
World Health Organization. (2012). Traditional and complementary medicine policy. Retrieved
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