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    Course Project Milestone 3 Overview


    1. Welcome to the Milestone 3 tutorial.
    2. For the final assignment, Milestone 3: Intervention and Evaluation, you will create a PowerPoint. This PowerPoint outlines your intervention and evaluation plan and could be presented to community leaders in hopes of gaining their support to carry out this intervention.
    3. Be sure to follow the guidelines carefully, and identify your role in this intervention, such as the school nurse, public health nurse, or other community nursing role.
    4. Begin by introducing the, and provide data that shows why this is concerning in your area. You can use some of the most important data from Milestone 2.

    Discuss your proposed nursing intervention, including all the points required on the guidelines. Be sure this is something a community health nurse would typically address. This section covers the who, what, how, and where of your intervention. You also need to discuss whether this is primary, secondary, or tertiary prevention.

    Next, justify why this intervention is important. Discuss information from two scholarly journal articles that support this rationale. Cite these references on the slide with author and date, and then include the complete reference on the reference slide.

    1. In the next section, discuss how you would evaluate this intervention to see if it worked. This section is worth 70 points, so don’t skimp here. Explain what you would measure to show that your intervention is working. Include how and when you would measure these items. Then discuss the short and long term impact of your intervention if it was successful.

    On a summary slide, review your problem and the intervention, and thank your audience for their support.

    Finally, include a reference slide with the full references of any sources you cited within the PowerPoint.

    Remember, PowerPoints should have short bullet phrases, not long sentence or paragraphs. You can add more detail in the speaker notes at the bottom of each slide if necessary, for clarification. Use an interesting colored template, and include graphics, such as clip art or pictures to add interest.

    1. Thanks so much for your time. Just a few last words of wisdom—be sure to ask your instructor questions using the Q & A forum or via e-mail. Read all announcements that are posted. Follow your guidelines closely because they are your road map. Finally, enjoy planning this presentation for your community.

    [End of Transcript]


Subject Nursing Pages 9 Style APA




By: (Name)



Proposed Nursing Interventions

Intervention Justification

Proposed Evaluation




Population under study is the Bakersfield City community.

The main health problem in the community is: Increasing obesity in the population.

This presentation proposes a number of interventions, justifies the interventions and evaluates the intervention to illustrate how progress can be determined.

Intro. continuation

Findings demonstrating problem:

  1. Both children (Under 18 years) and adults (over 18 years) in the community are obese (Health Kern County, 2016).
  2. There is an increase in obesity related conditions like coronary heart disease and obesity (Health Kern County, 2016).
  3. Demand for treatment of obesity related conditions has increased (Health Kern County, 2016; Windshield Survey).
  4. Community welfare programs for the obese are increasing (Windshield Survey).
  5. Few obese people are utilizing the set community programs to manage their weight (Windshield Survey).

Proposed Interventions

The main intervention approach proposed is case management (Neis & McEwen, 2015, p.14)

Foundations of case management:

  1. Optimize self-care capabilities of individuals and families.
  2. Increase capacity of systems and communities to co-ordinate with individuals and families.
  3.  Increase capacity of systems and communities to provide services.

Target population: Children (ages 15years and below) and adults (16years and over).

Intervention location: Bakersfield City community.

Interventions Cont..

Mode of application: Repetitive on a quarterly basis.

Reaching out to the population:

  1. Door-to-door sensitization.
  2. Advertising in social gatherings like sports and other community gatherings.
  3. Supplying brochures across the city.
  4. Posting adverts in hospital notice boards.
  5. Announcements through radio stations.
  6. Visiting institutions like schools and churches and speaking to the populations about these programs.
  7. Inviting target populations to workshops and seminars relating to the problem.
  8. Organizing fun family activities across the city and informing them of the programs.
  9. Using advertising billboards in parks and commercial centers.

Interventions Cont..

Roles of the Community health nurse in intervention:

  1. Sensitize community on the importance of weight management initiatives.
  2. Encourage participation on initiatives.
  3. Develop alternatives for improvements of programs.
  4. Participate in creation of obesity management curriculum and activities for community training.
  5. Evaluate the progress of the interventions.

Other collaborators include:

  1. Kern County Health Department (Volunteer participation)
  2. School and Church (Synagogue) administrators (Volunteer basis)
  3. Hospitals and clinics (Paid and volunteer nurses)
  4. Local community volunteers.

Levels of Prevention by the intervention: Both secondary and tertiary. Secondary since obesity already exists and this approach aims at reducing its impact and tertiary as it will help the obese manage this condition.

Intervention Justification

Warin et al (2015) noted:

  1. Overemphasis on future interventions limit the success of obesity management in societies.
  2. Attention to local problems and challenges leads to innovative outcomes.
  3. Future is constrained by deprived material circumstances.

NOTE: Warin et al (2015) feel that interventions have to focus on the local and current challenges in the society and generate interventions for this challenges not for expected future challenges.

Bonney et al (2015) posited:

  1. Interventions for obesity management have to be based on area-level interventions.
  2. Socioeconomic factors have a link to obesity and thus should be given much attention when developing interventions.

NOTE: Interventions will have to be developed based on the socioeconomic factors of the community.

Intervention Justification cont..

Based on Warin et al (2015) and Bonney et al (2015) , the proposed Case management will therefore allow:

  1. Focus on socioeconomic factors of Bakersfield community leading to objective interventions.
  2. Development of weight management curriculum that can be effectively be performed by the residents.
  3. Optimization of weight management resources available in the society due to the clear understanding of the city’s resources.
  4. Effective coverage of the obesity management program as it would be easier to distribute functions and choose facilitators for various locations.
  5. Allow and enhance the ability to reach more people in the community as the study area can be clearly mapped.
  6. The evaluation of outcomes within the study area as the initial understanding of the local area allowed the establishment of target areas and populations to receive the interventions.
  7. Accountability in the process as the improved outcomes can clearly be illustrated and the interventions can be tested and utilized as exemplars for future interventions.

Proposed Evaluation Methods

Qualitative Evaluation Method will be used in the following ways:

  1. Opinions of both children and adults will be collected prior to the intervention and after the intervention programs to determine their perception about eating diets and health.
  2. Opinions of community health workers and volunteers will also be determined prior and after the interventions to describe the efficiency of the management program and recommend any changes.
  3. Observations will be made generally to determine whether the community has responded positively to the interventions.

Evaluation Methods Cont..

Desired outcomes that would be tracked throughout the interventions are:

  1. Population of children and adults who participate in the interventions at the start and end of program.
  2. Geographical areas that were able to access the interventions.
  3. Rates of decline in the weights of targeted obese populations.
  4. Levels of awareness on the interventions across the target populations.
  5. Population perceptions about their health and feeding habits.
  6. Number of initiatives started to reduce obesity in the community.
  7. Number of successful centers that have been able to contribute to the interventions.
  8. Consistency in the implementation of interventions across the community.
  9. Hospital and clinical feedback on weight levels and need for care in related conditions.

Evaluation Methods Cont..

This intervention has both short-term and long-term benefits if successful.

In the short-term:

  1. The population is able to understand whether one is obese or not and this will allow early interventions.
  2. The population is able to adopt positive feeding habits.
  3. The obese are able to shift focus to interventions as opposed to the risks.

In the Long-term:

  1. Reduction of the obese population.
  2. Increased awareness on obesity leading to increased prevention measures.
  3. Continued management practices across the community.
  4. Proper feeding habits and health awareness.
  5. Reduced expenditure on obesity management programs as most people become aware of weight management programs and take effective measures to manage weight.
  6. Better monitoring of the obese population
  7. Reduction in obese related conditions like heart diseases and diabetes.
  8. Reduced mortality rates on obesity related conditions.
  9. General well being of society leading to better economic outcomes as more people are able to work effectively and the health budget reduced.


Bakersfield city community has one major health problem: Obesity among both children and adults.

The problem is enhanced by the limited programs on weight management and low participation on existing programs.

Based on the two problem statements, it is important for our community to use a case management intervention in order to manage the obesity levels in the community and promote proper feeding habits based on healthy lifestyles. Thank you for your consideration.


Bonney, A., Mayne, D. J., Jones, B. D., Bott, L., Andersen, S. J., Caputi, P., & … Iverson, D. C. (2015). Area-Level Socioeconomic Gradients in Overweight and Obesity in a Community-Derived Cohort of Health Service Users – A Cross-Sectional Study. Plos ONE, 10(8), 1-13. doi:10.1371/journal.pone.0137261

Healthy Kern Counties (2016): Mortality Rates. Accessed from: http://www.healthykern.org/index.php?module=InitiativeCenters&func=display&icid=4

Warin, M., Zivkovic, T., Moore, V., Ward, P. R., & Jones, M. (2015). Short horizons and obesity futures: Disjunctures between public health interventions and everyday temporalities. Social Science & Medicine, 128309-315. doi:10.1016/j.socscimed.2015.01.026

Q & A



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