I have considered how leadership through empowerment influences disease management and helps manage the expected changes during the implementation of the intervention. Leadership is central to successfully managing healthcare interventions that require a change of behavior. Successful change in population behavior, the system, and its operations require promoting behaviors and system-wide practices that align with the changes. Firstly, leaders ensure that infrastructure supports coalitions, collaborations, and pooling of aid necessary to address health disparities that impact health (Domínguez et al., 2020). Additionally, leaders support changes in health systems during difficult times (Sriharan et al., 2022). Leaders promote effective communication and positive attitudes for developing a healthy environment supporting change (Robbins & Davidhizar, 2020). In this case, to improve heart disease outcomes in the Black American community, I will promote and motivate the desired changes across the patient group. Evidence shows that health-promoting leadership initiates and motivates changes that grow an individual’s health awareness, health motivation, development of values and behaviors for health, and help remodel and manage behaviors for sustainable well-being (Yao et al., 2021).

Role of Nursing Ethics in Informing the Development of Proposed Intervention

Nursing actions and interventions are guided by the principles of ethics, which include autonomy, beneficence, justice, and non-maleficence. Nurses must align the delivered care and interventions with these principles and base their decisions on ethical dilemmas (Yıldız, 2019). Ethics in nursing help recognize that each individual has their own beliefs, values, views, preferences, and concerns about health that guide health decisions (Haddad & Geiger, 2022). In consideration, nursing ethics dictate that nurses must allow patients to make decisions regarding their health and healthcare plans based on their personal systems of belief, values, and wishes. This means that regardless of the proposed intervention’s expected effectiveness if implemented, it must be developed on the basis of the Black community’s beliefs and values to help understand and overcome dilemmas and make the right judgments and decisions to help achieve the intervention’s goals.

Proposed Intervention as a Solution

I have proposed a program that focuses on lifestyle change as an intervention solution to heart disease among Black Africans. Through the lifestyle change program, I will focus on teaching a group of patients on approaches to making healthy changes as an intervention to reduce the impact of heart disease while preventing new cases. I will use a narrated PowerPoint presentation for patient education purposes. Other materials to promote a healthy lifestyle will include handouts and brochures. I will also organize the patients at the facility to have a support group within the hospital and in the community to discuss and develop solutions to overcoming their lifestyle change challenges. In the lifestyle change program, I also include physical activity, improving the consumption of nutritious foods, reducing the consumption of processed foods, and reducing the consumption of foods with high sodium content. I will also use technology, including social media, telehealth, and live podcasts, to improve care coordination and collaboration between the team members, including the healthcare professionals, the patients, and the community members.


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