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NUR 550 Discussion: Components of Effective Population-based Health

NUR 550 Discussion Components of Effective Population-based Health

The oral health issue is among the significant health burdens in Alaska. The prevalence of oral health issues among children in the state is almost five times the national statistics. The survey conducted by the Indian Health Service indicated that about 50% of the adult populations in the region had untreated tooth decay. The prevalence of dental diseases among the elderly population is also high. Most of the oral health issues are self-limiting and so do not lead to mortality. The high rates of oral health problems among the populations in the state are attributed to their health beliefs. According to Tynan et al. (2020), indigenous people suffer significant oral health issues compared to the other population groups. Similarly, the study indicates that poor oral health among the population is complicated by the profound social concern provenances, including poor economic status and low social capital. The current study explores the burden of oral health issues among the American Indian population and the possible interventions to address the issue.

Descriptive epidemiological and demographic data on mortality/morbidity and risk

The prevalence of untreated oral health issues among the populations globally is estimated at 35%, with more than 50% of the adult American populations having periodontitis Adolph et al. (2017). Similarly, Adolph et al. (2017) indicated that oral care is linked to mortalities among individuals with tooth loss. Most of the moralities are associated with oral cancer. The study estimated a mortality rate of 0.5%, which is low. However, there is a need to respond to the oral health issues urgently because of the high morbidity rates among the U.S.


The goal of the HP2020 is to prevent oral and craniofacial diseases and ensure that the affected individuals have access to preventive and dental care. Therefore, in addressing the health issue, there is a need to create awareness of the importance of oral health, increase the acceptance and adoption of preventive measures, and reduce the disparities in access to healthcare services. Healthy People 2020 aims at eliminating oral health issues among both adults and children. Similarly, there is a need to introduce a monitoring and surveillance system to identify and respond to various oral health issues, including the cleft palate.

Population-Based Health Promotion

According to Niranjan et al. (2017), oral health promotion uplifts community health. On the other hand, a majority of the people in the indigenous communities are unaware of the best oral health practices. Therefore, the education will focus on helping the community understand the importance of oral health and the risks associated with its failure. The key areas to be addressed in oral health promotion will include the need for healthy eating, oral hygiene methods, access to preventive oral health services, and promotion of the topical fluoride application. The education will be administered through direct interaction with the targeted populations. Also, printed posters with adequate information on oral health will be made available to the population. The approach will help ensure that the targeted population is constantly aware of the need to change their behavioral practices and reduce the risks of oral health issues.


Finally, oral health is one of the neglected sectors in health delivery because of the low mortality rates. However, the findings in this study indicate that the burden and risk for morbidity are significantly high. Health promotion measures should be developed, especially those targeting indigenous populations, to reduce the risk for oral health issues. The burden of oral health is high among the indigenous populations in Alaska because of the beliefs and perceptions on oral health. The health promotion should target creating awareness on the preventive measures and the availability of the health facilities offering dental care.





2017 Profile of American Indians and Alaska Natives Age 65 and Over (n.d.). ACL Administration for Community Living. https://acl.gov/sites/default/files/Aging%20and%20Disability%20in%20America/2017OAProfileAIAN508.pdf

Adolph, M., Darnaud, C., Thomas, F., Pannier, B., Danchin, N., Batty, G. D., & Bouchard, P. (2017). Oral health in relation to all-cause mortality: The IPC cohort study. Scientific Reports7(1). https://doi.org/10.1038/srep44604

Niranjan, V. R., Kathuria, V., J, V., & Salve, A. (2017). Oral health promotion: Evidence and strategies. Insights into Various Aspects of Oral Healthhttps://doi.org/10.5772/intechopen.69330

Tynan, A., Walker, D., Tucker, T., Fisher, B., & Fisher, T. (2020). Factors influencing the perceived importance of oral health within a rural Aboriginal and Torres Strait Islander community in Australia. https://doi.org/10.21203/rs.2.19642/v3

 Topic 7 DQ 2


 Select an effective current health policy that focuses on or affects population health. What components of this policy make it effective? Conduct research on its history and the factors that influenced its development.


The purpose of this assignment is to write a review of the research articles you evaluated in your Topic 5
“Evidence-Based Practice Project: Evaluation of Literature” assignment. If you have been directed by your instructor to select different articles in order to meet the requirements for a literature review or to better support your evidence-based practice project proposal, complete this step prior to writing your review.

A literature review provides a concise comparison of the literature for the reader and explains how the research demonstrates support for your PICOT. You will use the literature review in this assignment in NUR-590, during which you will write a final paper detailing your evidence-based practice project proposal.

In a paper of 1,250-1,500, select eight of the ten articles you evaluated that demonstrate clear support for your evidence-based practice and complete the following for each article:

1. Introduction – Describe the clinical issue or problem you are addressing. Present your PICOT statement.
2. Search methods – Describe your search strategy and the criteria that you used in choosing and searching for your articles.
3. Synthesis of the literature – For each article, write a paragraph discussing the main components (subjects, methods, key findings) and provide rationale for how the article supports your PICOT.
4. Comparison of articles – Compare the articles (similarities and differences, themes, methods, conclusions, limitations, controversies).
5. Suggestions for future research: Based on your analysis of the literature, discuss identified gaps and which areas require further research.
6. Conclusion – Provide a summary statement of what you found in the literature.
7. Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

 MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing

 3.2: Analyze appropriate research from databases and other information sources to improve health care practices and processes.

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Select an effective current health policy that focuses on or affects population health. What components of this policy make it effective? Conduct research on its history and the factors that influenced its development.

Re: Topic 7 DQ 2

Obesity, or having too much body fat, can be a complex health issue. It can lead to numerous other health conditions including type

NUR 550 Discussion Components of Effective Population-based Health

NUR 550 Discussion Components of Effective Population-based Health

two diabetes, high blood pressure, cardiovascular disease and stroke. The increasing rates of obesity has led to an epidemic in the United States and globally. In fact, since 1975, the obesity count has nearly tripled (National Institute of Health [NIH], 2021). Obesity has been found to be caused by poor dietary habits and lack of physical activity. Many restaurants cook with a lot of oil and butter, which makes the food delicious. However, Americans, may not be aware of all the fat that is really in the foods at their favorite restaurants. Therefore, we have implemented the food menu labeling law that requires restaurants to list calories and other nutritional information on their menus (U.S. Food & Drug Administration [FDA], 2020). This provides the public knowledge about the food they are intaking so Americans can make informed decisions with their dietary habits.


National Institute of Health. (2021, March 23). Obesity. National Institute of Environmental Health Sciences. Retrieved July 27, 2021, from https://www.niehs.nih.gov/health/topics/conditions/obesity/index.cfm

U.S. Food & Drug Administration. (2020, April 1). Menu labeling requirements. U.S. Food and Drug Administration. Retrieved July 27, 2021, from https://www.fda.gov/food/food-labeling-nutrition/menu-labeling-requirements




I agree with you that obesity is one of the major health concerns in the US that is associated with many comorbidities, among them stroke, heart failure, type 2 diabetes and a number of cardiorespiratory conditions (Ward et al., 2019). Over the years, there has been major emphasis to American population to adopt healthy lifestyles. These involves reduced consumption of junk foods, reduced intake of alcohol and cigarrete smoking. Community Health Nurse or Public Health Nurse have continued to experience an expanded role that helps in promoting better health outcomes within the population. The role of the community health nurse covers a broad scope of practice but to a specific group of patients within the community such as in a school setting. They do help in educating the members of the community on health promotion measures and formulation of policies that are meant to enhance quality healthcare, however, the responsibilities vary depending on the health needs of the community at a particular time (National Academies of Sciences, Engineering, and Medicine et al., 2017).


National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Population Health and Public Health Practice, in, Baciu, A., Yamrot Negussie, Geller, A., & Weinstein, J. N. (2017, January 11). Partners in Promoting Health Equity in Communities. Nih.gov; National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK425859/

Ward, Z. J., Bleich, S. N., Cradock, A. L., Barrett, J. L., Giles, C. M., Flax, C., Long, M. W., & Gortmaker, S. L. (2019). Projected U.S. State-Level Prevalence of Adult Obesity and Severe Obesity. New England Journal of Medicine, 381(25), 2440–2450. https://doi.org/10.1056/nejmsa1909301

Re: Topic 7 DQ 2

According to Eyler, Et. Al. (2016) by changing public policies we can effectively affect public health. I chose the current policies related to the public health achievement of motor vehicle safety (Eyler, Et. Al, 2016). By looking at the related public strategies to achieve this by requiring safety belts and child safety seats; requiring motorcycle helmets; and programs for decreased drinking and driving (Eyler, Et. Al, 2016).

So, our goal with the population is to make it safer to do one of the most dangerous things that you can do, driving. Let’s start with why to wear a seatbelt as an adult. Millions of adults admit to not wearing a seatbelt, in 2016 almost half of the people who died in a car accident were not wearing a seat belt, motor vehicle accidents are the leading cause of death among Americans aged 1-54, ejection from a vehicle makes it 20x more likely to end in a fatality (Kailee Mills Foundation, 2020). Now on to why we should put our children into safety seats until they properly fit a seat belt. Car accidents are the leading cause of death in children in the US, by just putting a child into a proper safety seat it reduces serious and fatal injuries by up to 80% (Child Passenger Safety, n.d.). If a person riding a motorcycle decides to wear a helmet while riding their risk of head injury is reduced by 69% and risk for death by 42% (Kennedy, 2020). Also riders are twice as likely to have a cervical spine injury when not wearing a helmet (Kennedy, 2020).

Eyler, A. A., & Brownson, R. (2016, January). The Power of Policy to Improve Health. Oxford Medicine Online. https://oxfordmedicine.com/view/10.1093/med/9780190224653.001.0001/med-9780190224653-chapter-1

Kailee Mills Foundation. (2020, September 15). Seat Belt Safety | Kailee Mills Foundation | Texas Charityhttps://www.kaileemillsfoundation.org/seat-belt-safety/?gclid=Cj0KCQjw6ZOIBhDdARIsAMf8YyENuWKlTbxcL2ZHAfGPREQitnwA6B9999Gkll27nMWRi6VBf8NDvtMaAmD7EALw_wcB

Child Passenger Safety | Motor Vehicle Safety | CDC Injury Center. (n.d.). CDC.Gov. Retrieved August 1, 2021, from https://www.cdc.gov/transportationsafety/child_passenger_safety/index.html

Kennedy, A. (2020, February 18). Motorcycle Helmets. Advocates for Highway and Auto Safety. https://saferoads.org/issues/motorcycle-helmets/#:%7E:text=Motorcycle%20helmets%20reduce%20the%20risk,disability%20in%20America%20%E2%80%94%20head%20injuries.


  1. Identify major policy issues affecting the state of health care delivery and population health
  2. Analyze the components of effective population-based health
  3. Discuss the impact of population health policies and initiatives on advanced nursing

Advanced Practice Nursing: Essential Knowledge for the Profession


Read Chapter 9 in Advanced Practice Nursing: Essential Knowledge for the Profession.

Population Health: Creating a Culture of Wellness


Read Chapter 7 and review Chapter 10 in Population Health: Creating a Culture of Wellness.

Evidence-Based Practice in Nursing and Healthcare


Review Chapter 19 in Evidence-Based Practice in Nursing and Healthcare.

Health Policy and Health Services Delivery


Read “Health Policy and Health Services Delivery,” by Tullai-McGuinness and Reimer, from Encyclopedia of Nursing Research(2017).

The Untapped Potential of the Nurse Practitioner Workforce in Reducing Health Disparities


Read “The Untapped Potential of the Nurse Practitioner Workforce in Reducing Health Disparities,” by Poghsyan and Carthon, from Policy, Politics, and Nursing Practice (2017).

How to Write a Literature Review in 30 Minutes or Less


View “How to Write a Literature Review in 30 Minutes or Less,” by Taylor, located on YouTube (2017).

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