PROMOTING POSITIVE HEALTH BEHAVIOR 5
Promotingpositive health behaviors
Inthe article "Improving Female Preventive Health Care Deliverythrough Practice Change," the authors highlight some of theissues of which affect several screening practices for differentconditions. They specifically look at the screening practices ofseven primary caregivers around the U.S. These researchers recommendseveral measures that must be taken in order to increase theeffectiveness of screening program.
Theabove researchers first looked at the success rate of astate-sponsored screening programs dubbed "Every Woman Matters(EWM)" in its endeavor to bring down cervical and breast cancerprevalence rates (Backer et al., 2005). This particular program isdesigned to promote public awareness on the importance of screeningespecially for breast and cervical cancer. However, the researchersreckon that the program has not had much success in promotingscreening within its areas of operation. In their opinion, some ofthe factors that have led to the low success rate of EWM programinclude physician and practice behavior. While this information hasbeen in the public domain, it has been difficult to correct the same.The complexity of EWM system has made the program more difficult toimplement, thus explaining the perennial failures. Other reasonswhich have reduced the success rate of EWM program also include thecontextual factors such as the prevalent system, as well as theattitude of the members of staff. For instance, while the initialgoal of EWM project is to provide cost effective screening servicesfor the masses, some members of staff consider this as an opportunityto rake in some significant income (Backer et al., 2005).
Theissue of team work is also another factor that contributes to thefailure of EWM program. Most of the health institutions do notoperate as a team thus making the program a huge flop. Lack ofenthusiasm is also another significant factor which has led to thefailure of EWM program. This makes it impossible to effectivelyimplement the program. Additionally, lack of limited resourceshindered the effective implementation of EWM project. Adequateresources are an essential factor for the success of any screeningprogram regardless of other factors that may come into play. Apartfrom resources, there is also the issue of limited financial fundingamong some of the hospitals that implement the EWM program. Thismeans that such medical institutions were operating beyond theircapacity thus making it quite difficult to make the program asuccess. Lastly, the struggle with the issue of institutional inertiaalso makes it difficult for the different hospital to successfullyimplement the EWM program.
Notall screening and disease prevention programs register the same levelof success. This can be easily seen in the implementation of EWMprogram by the different institutions, each experiencing its fairshare of challenges. However, there are other screening programswhich have been quite successful in terms of service delivery andpublic awareness. There exist a number of cancer screening programsin the U.S that have registered quite a huge success in the recentpast. For instance, in the U.S, there are more than 120 programs thathave shown their effectiveness in cancer screening. For instance,cancer screening program at California state women`s prison hasreported very good progress for the last five years (Magee, Hult,Turalba & McMillan, S. (2005). Such cancer screening andprevention programs have shown similar characteristics that have madethem quite successful. These programs have been approached in asystematic manner, with much focus on the factors that affecteffective screening within a given population. Although the programsdiffered in certain elements such as staffing system and workflowdimensions, they exhibited similar characteristics that explain theirhuge success. First, there is an element of clear direction.Successful programs are the ones that clearly put forward what theyneed to achieve within a given period. This responsibility lies withthe leadership position in any cancer screening program, as theydetermine the aims and objectives of the program. This can be donethrough the development of an aim statement, as well as an aimstatement checklist. Careful development of the above tools makes iteasier for the implementing institution to assess what is feasibleand what is not. Another characteristic of successful cancerscreening programs is functional infrastructure for theimplementation of the program. Functional infrastructure entailsseveral components such as quality development teams, physical toolsand resources, as well as aggregated efforts. Lastly, commitment ofthe leadership also determines whether a cancer screening program issuccessful or not.
Asa nurse leader in charge of "Every Woman Matters Program,"there are several measures that I would take to ensure that theprogram is successful. First, I would create a calendar system whichcan be used to notify patients about the next date of screening.Secondly, I would create a chart flow sheet which could be used bythe members of staff of medical institutions to know when the nextscreening period will be. This will enable the institution toeffectively follow up on the patients who take part in the screeningprogram and make it more successful.
Backer,E. L., Geske, J. A., McIlvain, H. E., Dodendorf, D. M., & Minier,W. C. (2005). Improving female preventive health care deliverythrough practice change: an Every Woman Matters study. TheJournal of the American Board of Family Practice,18(5),401-408.
Magee,C. G., Hult, J. R., Turalba, R., & McMillan, S. (2005).Preventive care for women in prison: A qualitative community healthassessment of the Papanicolaou test and follow-up treatment at aCalifornia state women’s prison. Americanjournal of public health,95(10),1712.