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.
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.
My group of focus with regard to heart disease is the Black American population. Communicating and collaborating with the local community is essential to successfully implementing the proposed intervention. First, gathering input from the population group is important as it ensures the nurses remain accountable to the local community. I will collect data and input from the target group to help me meet the intervention’s information needs, understand the health needs of the community, their preferred channels of communication, health beliefs, health views, existing community-level risk factors for heart disease, and their experiences with heart disease, the available resources within the community, and the existing difficulties to access care and other resources necessary for managing and preventing heart disease among the Black American community. Community input will also help me gather first-hand input to support decision-making for improving the intervention, care, and community outcomes related to heart disease. I have selected strategies to facilitate communication and collaboration with Blacks in the U.S. by creating an environment that supports open communication with opportunities for giving and receiving feedback. The intervention will also employ technology to improve communication and facilitate multiple lines of communication. Evidence from the use of technology in managing the COVID-19 pandemic proved to be useful in communication and contact tracing (Alo et al., 2021). Additionally, technology, when used as an alternative channel for communication, has been found to improve the efficiency of communication and overcome complex communication needs during emergencies (Light et al., 2019).
The State Board of Nursing Practice and governmental standards guided the development of the intervention. I considered three policies during the development of the intervention for heart disease among the Black American population: the Nursing Practice Act (NPA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) privacy act, and the Affordable Care Act (ACA). I will use the NPA to ensure that I assign the nurses roles that are in line with their level of education and competence to avoid errors or role conflicts. I will also use the HIPAA to ensure that I maintain the privacy and confidence of patients during and after implementing the intervention and ensure that all activities an