Prevention of influenza among the population

PREVENTION OF INFLLUENZA AMONG TARGETED POPULATON CAPSTONE COMMUNITY PROJECT South University RN to BSN Program NSG 4076 Holistic Professional Nursing Fred Montrose & Anniel Charles Topic Overview • Annual epidemics of influenza occur during late fall through early spring. • Influenza viruses cause diseases among persons of any age group • Immunization is the key to prevent influenza • Targeted population – Adults Haitian • Influenza causes illnesses and death among persons of any age. • People with chronic diseases are at higher risk to develop complications Healthy People 2020 Framework for Building the Community Project • • Healthy People is a platform that sets goals and objectives to improve health Designed to provide good quality care • Eliminate health disparities and improve health of every citizens • Foster conditions that promote good environment • Our topic objectives: 1. Reduce, eliminate, or maintain elimination of cases of vaccine-preventable diseases 2. Increase the percentage of noninstitutionalized high-risk adults aged 18 to 64 years who are vaccinated annually against seasonal influenza 3. Increase the percentage of noninstitutionalized adults aged 65 years old 4. Increase the number of adults who are vaccinated annually against seasonal influenza • • ( Office of Disease Prevention and Health Promotion [ ODPHP] , 2018 ) ALIGNING OUR PROJECT WITH HP 2020 Healthy People2020 objectives for prevention of influenza and vaccination • IID-12.7Increase the percentage of noninstitutionalized adults aged 65 years and older who are vaccinated annually against seasonal influenza • IID-12.6Increase the percentage of noninstitutionalized high-risk adults aged 18 to 64 years who are vaccinated annually against seasonal influenza • IID-12.10Increase the percentage of pregnant women who are vaccinated against seasonal influenza Archived Introducing MAPIT framework • A framework builds by Healthy People 2020 • Proposed steps to shape and implement community projects • Steps include Mobilize, Assess, Plan, Implement and Track. ❑ ( ODPHP, 2018 ) MAPIT Mobilize: Group Members and Responsibilities • Fred Montrose: Anniel Charles: • Contacting the community group Develop a teaching Plan and • Make phone calls to the church strategy based on HP2020 committee Research the topic • Conducting a Windshield Survey Ordering needed resources for • Assessing the community Presentation (ODPHP, 2018) MAPIT Mobilize: Project Goals • Educate targeted population of Haitian Adults in the community on prevention of influenza • Education about infection control during a flu season • Increase the number of Haitian adults who are vaccinated each year during a flu season • Monitor and follow progress status of targeted community • ( Maranatha Church of God, 2018 ) MAPIT Mobilize: Strategies • Researching data bases on current literature • Assess local Haitian community needs in Riviera Beach • Keep in touch with the church members • Plan for the presentation • Researched websites on influenza for signs and symptoms • Brainstorming on how to encourage the Haitian community to receive the flu shot • • MAPIT Mobilize: Opportunities and Barriers Opportunities: Barriers: Haitian Adults community show interest Not welcome change • Open-minded Pastor Traditionally using home remedies • Welcoming population • Able to receive education in their own language • Flexible time • Lack of trust in vaccination (Rhineheart, 2016) • MAPIT Mobilize: Partners and Stakeholders • Stakeholders: Participants/ Haitian adults of Maranatha Church of God, extended family • Partners: Pastor Jean Enald Sylvain • Church Committees MAPIT Assess: Community Health Assessment • Total population in Riviera Beach :34,244 • Of that population 15.7% are 65 and older • Averages out to 5,338 elderly • Heart disease and diabetes are most prevalence in Riviera Beach. • Riviera Beach has a crime rate of 477 per 1000 from the 1000 9 murders, 23 rapes, 56 robbery and 389 assaults • In Riviera Beach 23.6% of the population lives below poverty line (Riviera Beach, 2017-2018) • MAPIT Assess: Windshield Survey Riviera Beach indicator select ages info Alchange Counts Single All Age-Adjusted Alachua l 2017 Race/Gender Year andcause rates Estimates are that between 15% and 40% of the population will develop illness from influenza every year. An average of about 36,000 people per year in the United States die from influenza, and 114,000 per year have to be admitted to the hospital as a result of influenza infection A total of 244 deaths registered in the State of Florida among the adults population from influenza virus, a total of 233 children died from influenza virus and 30 pregnant women died from influenza in the State of Florida (Florida health ,2017-2018) MAPIT Assess: Affected Population • Located in Riviera Beach Florida . The main reason this group selected this specific group was because they have been identified as potential risk for the influenza virus • In Riviera Beach 96.5% of participants did not receive the flu vaccine in the previous season • From 35 participants only 10 of them received Flu Vaccine ( OPPHP, 2018) MAPIT Plan: Project Goal • Increase flu vaccinated rates among Haitian Population in this area • Teach the importance of influenza vaccine • Discuss benefits and consequences MAPIT Assess: Needs of the Community • Riviera Beach has areas where low income and dilapidated housing is a major concern. • High crime areas prevent locals to attend many community functions. • Riviera Beach has few hospitals and Urgent care clinics with easy access.. • Resources are available but language barriers and cultural skepticism prevent the Haitian Community from benefitting. • A mobile vaccination unit during peak months of the flu season is warranted. (Company, 2018). MAPIT Plan: Project Objectives Following the teaching session the participants will : • State three ways to prevent influenza • Differentiate signs and symptoms of influenza versus common cold • List two benefits of receiving the flu vaccine MAPIT Plan: Teaching Strategies • Assess understanding of the flu preventions in the audience • Use visual aides in clarifying importance • Lecture on vaccination and importance of immunization • Small group discussion • Prevention of influenza among the population

Practice with masks, hand sanitizers and needles • Question and Answer session • MAPIT Plan: Instructional Materials . Poster Board . Supplies . Pictures . Handouts MAPIT Plan: Time Frame • Opening with introduction of topic 5 minutes • Demonstration of using protective mask 10 minutes • Visual aide 20 minutes • Lecture on importance of vaccination 30 minutes • Q&A session 15 minutes MAPIT Plan: Evaluation and Tracking • Re-evaluation of progress within community in 3 months at that time re-assessment will be implemented. • Track number of people who get a flu shot this season among participants • Meet in three weeks for assessment MAPIT Implement: Logistics Place: Maranatha Church of God • Date: November 4, 2018 • Time: Afternoon • Town: Riviera Beach MAPIT Implement: Participants • Maranatha Church of God’s adults group • Pastor Jean Enald  • Committee members and church members MAPIT Implement: Interactions Presented influenza awareness (Topic) Showed pictures, statistics on board. Provided hands on demonstration (use of sanitizer) • Showed audience needle demonstration. • Audience was given protective masks and showed how to use them. • Questions & Answers • Refreshment served MAPIT Implement: Outcomes • Higher percentage of community was vaccinated • Positive response from participants • Agree to follow through information provided during session. • Able to diminish some skepticism about influenza vaccine among participants. • Goal met MAPIT Tracking: Learning Objectives • At the end of the presentation the participants will state • Three ways to prevent influenza • Two benefits and consequences of influenza vaccine • The upcoming of the flu season vaccination MAPIT Tracking: Feedback Results • The participants were pleased of the presentation • Several questions were asked on how to prevent influenza virus • Demanded for us to come back • Participants stated, “ we will not neglect to take our flu vaccines next season MAPIT Tracking: Future Suggestions • Encourage community leaders to educate other people. • Implement a program prior to flu season to bring influenza awareness. • Present the topic to different ethnic group CONCLUSION • Influenza is a serious concern nationally, locally and statewide • It has caused a major concern within the Haitian American community • Our mission is to increase the number of people to be vaccinated every year through education and community action References Centers for Disease Control and Prevention. (2010, August 06) . Influenza Virus. Retrieved from http://www.cdc.gov/influenza/strategies/index.html Company, G. B. (2018). City of Riviera Beach Redevelopment. Retrieved November 20, 2018, from https://www.google.com/search?q=apa free citation generator & oq=apa free cition &aqs=chrome.2.69i57j0l5.6983j0j7&sourceid=chrome&ie=UTF-8 Data Access and Dissemination Systems (DADS). (2010, October 05). American Factfinder – Community Facts. Retrieved from https://factfinder.census.gov/faces/nav/jsf/pages/community_facts.xhtml?src=bkmk Florida Health, November 14. Influenza. Retrieved November 20, 2018, from http://www.floridahealth.gov/diseases-andconditions/influenza/index.html Healthy People 2020 About Healthy People. (2010). Retrieved from https://www.healthypeople.gov/2020/tools-andresources/Program-Planning …