Sample Nursing Research Paper on Health Initiatives

Health Initiatives

Currently, there are a number of health promotion initiatives that are being implemented around the county. These initiatives are meant to eradicate or reduce the problem caused by HIV in the target population. This report synthesizes the promotional initiative carried out to improve response to this health issue that is becoming a great concern. The report outlines the prevention and mitigation initiatives that the organization is undertaking to promote awareness among teens, families and the community. It clearly outlines how the organization is making progress by improving service delivery as a mitigation technique to improve healthcare towards the prevention and eradication of HIV, by forming partnerships in order to help address the issue.

HIV continues to be a health issue in the community of St Oregon. Current statistics indicate that the largest population is affected by the disease. In order to address the health issue, the organization has developed several health promotion initiatives to control the spread of HIV and subsequent infection. In the current setup, the initiatives are bearing fruit with great impact being made over the past two weeks .This is as a result of team work and coordination between state agencies to ensure that the initiatives are considered and implemented with the set timelines. This has brought about accountability and transparency due to the effective coordination in terms of finances, operations hence maintaining service delivery to promote disease prevention, management and treatment initiatives. In this particularly as a counter-measure in reducing the spread of the Human Immunodeficiency Virus (HIV), the organization has an intention to strategize on the management of HIV Aids by targeting individuals, workers and the community as a whole.

The main aim of this is to ensure that there are no new cases of infection in the community and that disease awareness is created at every level within the community such as the sub head community level. This is the level that is headed by a community mobilizer, who then reports to a community head. This is because it is easier to mobilize the community from the highest office.

In rolling out the initiative, there are a number of benefits to the community. One of them is that it will be possible to contain the spread of HIV among the different groups of people living in the community. This will be made possible as a result of a health campaign that will be mounted on sign boards, billboards creating awareness on the ways that HIV is spread. This will impact the community as people will be conscious about such behaviors that may lead to HIV infection.

It will therefore also help the organization to implement strategic response measures aimed at curbing the spread of HIV among teens, families and the population pre-disposed to the disease. In so developing the strategic tool, the institution will help reduce the spread of HIV within the community. In as much as there will be HIV awareness, the organization also plans to create cultural change programs which will be rolled out in the community. For instance, the community living in the area is known to practice female genital mutilation and male circumcision. These cultural activities are carried out with wrong perceptions, where they believe that male circumcision reduces the spread of HIV. This is because there are no scientific evidences supporting the claim and continued practice of such cultural activities may influence people’s perceptions, increase bad behavior among the youth hence pre-dispose them to HIV.

In addition to this, female genital mutilation may help the spread of HIV aids especially where such activities are done in secret as the County law prohibits the same. Therefore, the cultural change programs and awareness will help reduce such practices spreading HIV in the community.

The initiatives have been implemented according to plan; however it is important to note that various interventions have helped improve HIV prevention and eradication in the community. The county assembly consisting of political parties from the state of Oregon for instance played a commendable role in advocating for changes in the County healthcare Act, through various provisions allowing public entities to partner with private agencies such as donors for increased donor funds in the health promotion initiatives. This was an important area that can be attributed in having involved the political office of the County. The achievement is commendable, mainly due to teamwork, between the community county representative, partner institutions and the County clerk, including the entire county assembly, a political office within the state.

In order to understand their roles in advocating and pushing for the organizations agenda, the community’s county representative helped in gathering the support of the assembly. In addition to this, the county assembly clerk helped in fronting the idea in the assembly to enable the county assembly endorse the initiative and make changes to the healthcare provisions of the state. These have increased cooperation in terms of partnerships, with donors, state agencies coming on board to help the initiative and to assist in developing resources to maintain the program. This is because the laws are strict, and prohibit involvement and integration of certain health programs in the community without the involvement of the county health advisory board.

Inasmuch as progress has been reported, there have been numerous instances where the initiative had to be defended to help gather the support of the county assembly. In relation to legal issues, the health reform and justice committee had to be convinced that the legal elements would not be violated by implementing the health promotion initiative. In order to successfully assist in the implementation of the project, facts had to be substantiated and clarity concerning legal matters involved made to ensure that no single violation of the law occurs upon rolling out the initiatives.

In an effort to justify the position, their view was that conflicts would arise between the state’s laws on healthcare and the county’s, which would cause a legal deadlock. Their concern was the interpretation of some healthcare clauses. This is because they seemed broad and needed deep understanding and interpretation. This would have caused a deadlock to the implementation of the health initiatives. In response to the above, some legal case studies in the past had to be analyzed and taken into account to help defend the initiative before the legal committee. Secondly, an ethical issue such as unauthorized access to patient information was the difficult point to clarify. This is because there was need to clarify issues around the sharing of health data and information, especially where there would be instances of closed monitoring and evaluation for transparency and accountability of the health promotion initiative. Their concern was that the right to privacy would be violated, especially in schools where a large number had been targeted since a majority suffers from HIV. The legal committee had reservations on privacy issues and that a violation of the same was prohibited in the State’s healthcare law, and that initiatives and institutions involved in such schemes were expected to maintain privacy of shared information.

The healthcare promotion initiative focused on promoting measures to reduce the spread of HIV, it is important to introduce new models of service delivery by focusing on early disease prevention, analysis and strategic mitigation to reduce the spread of disease (Helbing et al, 2015). There is also the need to embrace change and new methods of service delivery, such as approaching patients for health related data, with such methods known to increase patients experience (Landiorio, 2016). This strategy is important since most patients would feel separated especially when symptoms appear on their bodies. This would necessitate the creation of an atmosphere to help them open up on behavior trends causing disease infection. This type of atmosphere would include personalized evaluations and care, to help mitigate further alienation of patients in homes.

In addition to these, it is important to use predictive systems to help understand a given population, in terms of analyzing factors promoting the spread of a disease and control methods to reduce such instances (Skillman et al, 2017). This would be a game changer to HIV mitigation since such behaviors can be addressed early enough to reduce secret infections and transmission of the virus. In this present day, systems and change management can be used as strategies by organizations to tactfully handle health problems as well as track and monitor susceptibility in different age groups (Fair & Rivas, 2015). This can also help an organization to better manage disease management initiatives aimed at controlling the spread of HIV.

These strategies improve the image and resonate well with the target population, where its uptake would help appeal to donors, partners in the initiatives so as to better reduce the HIV menace. However, as organizations continue in such initiatives, there are opportunities in business and challenges. This may affect the operations in terms of service delivery and accomplishment of goals. In terms of strengths, the institution has been able to deliver its goals,

thus appealing to partner institutions and donors therefore sustaining the existence of the organization. Its weakness has mainly been in implementing solutions to reduce HIV spread among the married couples. Additionally, the organization has been able to meet its objectives, hence appealing and resonating well with donors and institutions as financial use is transparent.

There is much to learn from such health promotion initiatives. This is because such initiatives need to have a positive impact on the population. In as much as initiatives are laid down, it is important to assess such initiatives, in order to understand whether they are improving lives. Apart from monitoring, a culture of change has to be promoted within the healthcare sector to ensure that organizations prepared in this world where change is inevitable.

In regards to this, there is need for nurses to adopt a culture of change that will help future disease prevention, mitigation and promotion. This is because such an approach, especially going after the sick and isolated in the community can be effective in terms of providing healthcare services in a community. In addition to this, teamwork being critical in great organizations, there is need for nurses to cultivate a culture of teamwork to help instill cohesion and to improve service delivery, for the betterment of healthcare organizations, people, families and the community as a whole.      


Fair, J. M., & Rivas, A. L. (2015). Systems Biology and Ratio-Based, Real-Time Disease Surveillance. Transboundary & Emerging Diseases, 62(4), 437-445. doi:10.1111/tbed.12162

Helbing, D., Brockmann, D., Chadefaux, T., Donnay, K., Blanke, U., Woolley-Meza, O., & … Perc, M. (2015). Saving Human Lives: What Complexity Science and Information Systems can Contribute. Journal Of Statistical Physics, 158(3), 735-781. doi:10.1007/s10955-014-1024-9

Iandiorio, M. J., Fair, J. M., Chatzipanagiotou, S., Ioannidis, A., Trikka-Graphakos, E., Charalampaki, N., & … Rivas, A. L. (2016). Preventing Data Ambiguity in Infectious Diseases with Four-Dimensional and Personalized Evaluations. Plos ONE, 11(7), 1-19. doi:10.1371/journal.pone.0159001

Skillman, M., Cross-Barnet, C., Singer, R. F., Ruiz, S., Rotondo, C., Ahn, R., & … Moiduddin, A. (2017). Physician engagement strategies in care coordination: Findings from the centers for medicare & medicaid services’ health care innovation awards program. Health Services Research, 52(1), 291-312. doi:10.1111/1475-6773.12622