Perceptions Trauma Patients Acceptability -Myassignmenthelp.Com

Question: Discuss About The Perceptions Trauma Patients Acceptability? Answer: Introduction Like other health systems, New Zealand (NZ) health system also faces challenges due to substance abuse, burden of chronic illnesses and ageing population. With this view, NZ government has initiated the New Zealand Health Strategy in 2016 for guiding the change in the system. This strategy will lead to the implementation of a better healthcare system that supports the health and wellbeing of New Zealanders. This strategy has two parts: Future Direction and Roadmap of actions 2016 and 5 themes as initiatives. Therefore, the following essay involves the understanding of health promotion among Maori community in NZ in terms of alcohol cessation. Key aspects of strategy The key aspect of NZ Health Strategy: Future Direction is high-level direction for NZ health system from 2016 to 2026. The challenges and opportunities that the system is facing is outlined in this aspect and describes the future directions that underpins the values and culture of the community. This strategy is aimed at addressing the significant demands and pressure on the healthcare services and health budget. The changing health priorities and fiscal budgets are addressed in this key aspect encouraging innovation and creation of communication, information and medical technologies (Ministry of Health, 2016). Five strategic themes are mentioned in this key aspect for guiding the health system towards the future. The five-year signposts for the year 2020 are wide range of tele-health services that will prioritize the service designing by healthcare professionals, partnership between healthcare professionals for early intervention and respond to long-term health conditions. The third aspect is performance management and commissioning so that there are better service user and patient experiences. The fourth aspect is capacity building where management work in collaboration in finding the best practice. The fifth aspect is smart system where the processes of identification, assessment, prioritization and procurement of new technologies are well understood and for its smooth functioning. Similarly, NZ Health Strategy: Roadmap of actions is aimed at providing best health for the New Zealanders especially Maori and other disadvantaged population. Collaborative health promotion, equitable and tim ely access to comprehensive healthcare services and active partnership between healthcare teams who work beyond the narrow definitions for achievement of health and wellbeing for every New Zealanders is the roadmap for this strategy (Ministry of Health, 2016). Priority Area Alcohol consumption among the Maori population is the key priority area and major health concern. It is one of the major reasons for the significant mortality and morbidity among the Moari. However, this community drink less as compared to other ethnic groups; it has reported high alcohol related harm among them. There is aggressive episodic drinking among the Maori during adolescence that is carried through adulthood. Due to binge drinking among Maori, there are high risk for stroke, heart and liver disease and certain cancers. Moreover, heavy alcohol consumption among the Maori also contributes to disability and death though injuries, accidents, homicide, violence and suicide (Ministry of Health, 2016). According to Ministry of Health, 2013 there is hazardous drinking pattern among Maori and incidence has increased to 80% since 2012. There is high alcohol consumption among Maori aged 15 years where one in three adolescents is engaged in heavy drinking. As compared to other population, Maori experience more cases of cardiovascular diseases (CVDs) due to heavy drinking that is affecting the overall quality of Maori community. In NZ, more than half of males die because of alcohol-related deaths (52%) and (25%) among females due to injuries caused by heavy drinking (Ministry of Health, 2016). This statistics shows that heavy drinking among Maori is a key health priority concern that requires strategies and interventions that help in alcohol cessation among this community. Taking this priority health concern into consideration, the NZ Health Strategy key themes or initiatives will be used for designing a health promotion among Maori for alcohol cessation. Principles of Health Promotion The principle of health promotion is outlined in The Ottawa Charter for Health Promotion (1986) that comprises of ecological and social determinants of health and comprises of basic prerequisites; advocate, enable and mediate. Advocate focuses on good health that is a major resource for economic, social and personal development and dimension of quality of life. Enable focuses on health promotion where there is equity in health that is aimed at reducing the disparities in health and ensure to provide equal opportunities to every individual for the achievement of best of health. Mediate greatly focuses on coordinated action between government, healthcare professionals, organizations, local governments, media and industry. For health promotion, there is need for local community capacity building that take cultural, social and economic systems into consideration (World Health Organisation, 2017). There are five action areas in Ottawa Charter that includes; building of healthy public policy, creation of supportive environment, strengthening of community actions, and development of personal skills and reorientation of health services to meet the needs of the population. Interestingly, the above five action areas can be linked to NZ Health Strategy for attaining Aotearoa health goals. As per the first action area, there is need to develop policies, rules and regulations and promote equity in NZ healthcare. There is also need to overcome barriers in funding and shortage of health services that is important for successful health promotion in NZ. The delivery of quality healthcare to New Zealanders can be promoted through policy development in Aotearoa and fulfils the value for money theme in NZ Health Strategy. The second area is creation of supportive environments that denotes enhancement of ecological and social approach to health. It is well known that health is related to his or her surrounding environment that should be safe and creative for promoting their health and wellbeing. A supportive and caring environment where individuals feel safe and included as delivery at home can promote their health and wellbeing (World Health Organisation, 2017). Strengthening of community is important as outlined in third area as creation of healthy organizations and capacity building can be helpful in effective health decision-making and empowering clients. Similarly, Aotearoa have initiated the concept of one team where multi-disciplinary teams work in collaboration with community members and local populations for attaining health benefits of the population. The fourth area comprises of delivery of services through development of personal skills such as health education, knowledge and competencies that are required for building self-esteem, self-assurance and self-management of disease conditions. This involves the empowerment of people theme that aligns with making people get access to healthcare services, technology and information so that the take an active part in their health decisions. The last area involves the reorientation of health services that focuses on accountability of government and regulation of bodies for positive health outcomes of New Zealanders. In Aotearoa, it ensures to provide equal access to healthcare and equity in services. The prevailing health inequalities in NZ can be attained through this strategy area (World Health Organisation, 2017). Literature review It has to be mentioned in this context that intrinsic health issues are very common in the indigenous communities, as there are many socio-economic disadvantages and discrimination issues that this backward and socially disadvantaged groups have to face. And hence the importance of different health preventative and promotional behaviours is often either misinterpreted or misunderstood when it comes to the indigenous community, such as the Maori community. This is the main contributing factor behind the most of the health behavioural issues that the underprivileged Maori communities face, such as inadequate mental health, scarce aged care and heavily addiction problem. Binge drinking and alcohol addiction is one of the greatest concerns for overall health and welfare of the Maori communities, and the issue of alcoholism has targeted both younger and older age groups with respect to Maori communities. Now it has to be mentioned that there has been many strategic interventions aimed at the improving the alcohol addiction problem; however not all the strategies have been helpful with respect to Maori communities (Kool, Smith, Raerino Ameratunga, 2014). It has to be mentioned that the overall health promotional strategies often do not reach the indigenous communities as effectively as the rest of the mainstream society. Hence in most cases, in order for a health promotional and preventative strategy to be optimal for these communities, there is need for a more targeted and intrinsic strategic action. For instance, it has to be mentioned that the first key theme NZ health promotion strategy, the most effective criteria is to fund inclusive and intrinsic initiatives that are driven by the disadvantaged groups themselves for their own cumulative benefit. For instance, in the article by Hamerton et al. (2012), the awareness regarding health promotional behaviours such as healthy eating has been facilitated by taking the assistance of a intrinsic intervention including the different members of the indigenous community and utilized their understanding of the cultural values and principles helped to generate improved awareness among the co mmunity. It has to be mentioned that the cultural difference often has a great impact on the compliance and reception to the health promotional initiatives. It is important for the health strategies to focus on the aspect of cultural competence so that the indigenous individuals can both relate t it and can feel inclusive, which has been attempted by this initiative effectively. For any care strategy to be effective for any indigenous community, it is very important for the health promotional strategy to be optimally accessible to the different indigenous communities. According to the second theme of the New Zealand health strategy, in order to improve health outcomes for the Maori communities it is very important to provide a care strategy that is closer to their homes. The primary motive behind this strategy principle is the fact that the success of these initiatives is crucially dependent on the accessibility and participation of entire Maori communities. It has to be understood that on case of alcohol addiction and related health disorders such as alcohol poisoning and alcohol derived depression is better treated with immediate and home based acre interventions. Similarly for better accessibility and in order to understand the basic issues and challenges experienced by the Maori communities or indigenous communities in general, the care providers will ne ed to take into consideration the local environment of the communities and how it impacts the health outcomes and the addiction problem (Maniapoto, 2012). According to the article by Li-Chin Shih Michelle Honey (2011) explains how the effectiveness of the home-based dialysis provided to the Maori communities helped in achieving the intervention goals and outcomes more efficiently and effectively. In this article, the Maori individuals residing in the rural communities were exposed to a interpretative approach to home based care that helped not only providing a more outcome oriented and targeted care. It also helped to discover the individual experience grievances of the patients and the external and internal factors that may have a direct or indirect impact of the success of the therapeutic intervention. This home based interpretive care approach can be utilized to design a support strategy for the alcohol addiction prevalent in the Maori communities. It will not only help in providing immediate and home based primary care for the alcohol induced poisoning and related health deterioration but a closer to home care program will help in understanding the contributors pushing the Maori men and women to addiction and will help in designing and delivering more outcome oriented therapeutic interventions. It has to be mentioned that the financial burden of lower income and lesser employment opportunities often hinder the Maori communities from availing or seeking out the care that they need, and along with that, often are not able to avail the care facilities that are either too expensive. Furthermore, it has to be mentioned that for the individuals that are already addicted to alcohol already are living under tremendous financial constraints hence, the health care promotional strategies will need to be based on optimization of funding and be cost effective so that the indigenous addicts can afford it easily. According to the Wilson et al. (2013), the non-communicable diseases are a great burden on the indigenous communities worldwide, and in this paper the use of an optimization of funding and low cost dietary pattern change strategy had been implemented in the indigenous community to improve the incident rate of non-communicable diseases in the target population. On a more elaborati ve note, it has to be mentioned that the success of this intervention strategy us closely dependent on the element of cost effectiveness. Here the optimization of funds in regards to mixing the different nutrient supplements for the dietary pattern of the different individuals. Comparatively lower cost based intervention effectively improved the dietary patterns of the Maori individuals and eventually resulted in better health outcomes. This can be used effectively in the priority areas selected in this assignment as well; a low cost or cost-optimized options prostatic intervention can help the Maori individuals overcome addiction to alcohol in an efficient and effective manner without affecting the financial condition they live with. The fourth theme is one team where it demands for a more cohesive and integrated system that help to put people and their families at the centre of care. For this, the healthcare system has to work as one team where every member is aware of his or her roles and responsibilities. The whole-of-system view is maintained by Ministry of Health that bring leadership and community building into the picture. In a study conducted by Berndt et al., (2016) illustrated the effectiveness of intervention that supported people to quit smoking. Nicotine patches were given were given to patients who were admitted to hospitals for heart diseases. The allocation was done through telephone or face-to-face counselling supporting patients involving collaboration between cardiologists, nurses and counsellors. This shows team based capacity building and One Team strategy where healthcare professionals worked together in making people giving up smoking. This strategy can also be implemented in NZ where adole scents are involved in heavy drinking. Through tele-health support systems and face-to-face conversations, the young people The last theme is use of smart system and technology in healthcare. The use of innovative strategies and technological research can aid in quality sharing of health information and promotion of collaborative health initiatives with government sectors for health promotion. A paper published by Klasnja Pratt, (2012) highlighted the fact that mobile phones can be used for heath interventions delivery. The interventions like healthy diets, physical activity and symptom monitoring in heart disease and asthma, patient appointments and supporting smoking cessation can be implemented through mobile phones. The features of mobile phones are beneficial for promoting health interventions in different health conditions. Similarly, this business can be implemented in NZ for alcohol cessation among Maori using mobile phones like reminders for counselling sessions and upcoming appointments and supporting alcohol cessation. The adolescents are addicted to mobile phones and therefore, this strategy can be helpful in implementing health interventions for Maori population. The mobile apps can be used to promote alcohol reduction interventions among Maori SMS-based alcohol and diet interventions for reducing the mortality and morbidity among high-risk age group adolescents. Therefore, through this technology use and online health system, individuals can interact with healthcare professionals and peers in sharing information, counselling participation and alcohol cessation programs. Application of the initiative to the New Zealand priority area: Addiction to alcohol is one of the most important Public Health priority in case of New Zealand, and the prevalence rate of alcohol addiction is high in almost all age groups starting from young students to elderly men and women. There are strong connections with lower socio- economic background and cultural norms with the predominance of alcohol addiction in these communities. It has to be mentioned that schemes of the New Zealand health strategy if incorporated effectively can help not only eradicate the prevalence of addiction to alcohol among this community but also can improve the health outcomes of already addicted individuals (McTavish, Chih, Shah Gustafson, 2012). First, it has to be mentioned that for a strategy to target health priority as influential as alcohol addiction in case of Maori community, it is very important for the strategy to be inclusive and respectful of the cultural traditions and lifestyle in factors of these people. As explained in the literature review, the implementation of intervention strategies that are intrinsic and inclusive of the Maori community members will be helpful to generate awareness about alcohol addiction and its impact on the health and welfare of the different individuals. This will not only help get the attention of these individuals but will also make them feel valued eventually facilitating better participation and compliance to the strategy. The importance of a care program that is targeted for them and is easily accessible will be more beneficial for the Maori communities as well. It will help them hem access the care program easily and care providers will also be able to understand the different factors associated with the prevalence of addiction (Lowry Dorris, 2011). For these individualssimilarly, the cost effectiveness and optimization of fund to facilitate better outcome and lesser financial constraint on the indigenous individuals are also a very important factor of this promotional program. On a more elaborative note, any counseling program provided free of cost to the Maori individuals will be better reciprocated and will receive more interest from the target population than when given a cost based care program. The face-to-face help facility given by the aid of tele-health technology will generate a simple and easy one-team approach for the Maori community as well. In addition, using the Smartphone based apps to aware the young generation regarding binge drinking and its risks will help in generating a healthy and aware community with future that is free of the grasp of addiction and alcoholism. Conclusion From the above discussion, it can be concluded that health priority areas outlined in Aotearoa can align with global Ottawa Charter health promotion program. It is important that to make a influential change, a better healthcare system is needed. Various health initiatives are undertaken across the globe for health promotion and these strategies can be adopted by NZ in promoting health and wellbeing of every New Zealander. The effective delivery of healthcare services, use of technology, multidisciplinary team capacity building, home-based care and cost-effective strategies can be used in promoting health, alcohol cessation among Maori population. Therefore, by implementing these strategies, NZ can bring about change in the healthcare service delivery and reduction in morbidity and mortality rates due to heavy drinking. References Berndt N, Lechner L, Mudde A, De Vries H, Bolman C. (2016) Feasibility and acceptability of a telephone- and face-to-face-delivered counseling intervention for smoking cessation in Dutch patients with coronary heart disease. Res Nurs Healthcare. 115. Doi: 10.1002/nur.21810 Hamerton, H., Mercer, C., Riini, D., Mcpherson, B., Morrison, L. (2012). Evaluating M?ori community initiatives to promote healthy eating, healthy action.Health promotion international,29(1), 60-69. Doi: 10.1093/heapro/das048 Klasnja, P., Pratt, W. (2012). Healthcare in the pocket: mapping the space of mobile-phone health interventions.Journal of biomedical informatics,45(1), 184-198.Doi: https://doi.org/10.1016/j.jbi.2011.08.017 Kool, B., Smith, E., Raerino, K., Ameratunga, S. (2014). Perceptions of adult trauma patients on the acceptability of text messaging as an aid to reduce harmful drinking behaviours.BMC research notes,7(1), 4. Doi: 10.1186/1756-0500-7-4 Li-Chin Shih RN, M. N., Michelle Honey, R. N. (2011). The impact of dialysis on rurally based Maori and their whanau/families.Nursing Praxis in New Zealand,27(2), 4. Retrieved from https://search.proquest.com/openview/007771e4a43934758273be6cd6d5aa75/1?pq-origsite=gscholarcbl=646371 Lowry, M., Dorris, M. (2011).The challenge of fetal alcohol syndrome: Overcoming secondary disabilities. University of Washington Press. Retrieved from https://books.google.co.in/books?hl=enlr=id=P9YHCwAAQBAJoi=fndpg=PP1dq=overcoming+alcohol+addiction+ots=wbgTLuHVz1sig=z763ymNbN0qHJ2CVmZaXBchV35oredir_esc=y#v=onepageq=overcoming%20alcohol%20addictionf=false Maniapoto, M. (2012). Maori expressions of healing in just therapy.Discursive perspectives in therapeutic practice, 212. Rertrieved from https://books.google.co.in/books?hl=enlr=id=CkUwr9RY2XQCoi=fndpg=PA212dq=overcoming+alcohol+addiction+maoriots=pR_fFA1E6Csig=B2mR_hOVFriA5TeMtLICDvSevV0redir_esc=y#v=onepageqf=false McTavish, F. M., Chih, M. Y., Shah, D., Gustafson, D. H. (2012). How patients recovering from alcoholism use a smartphone intervention.Journal of dual diagnosis,8(4), 294-304. Doi: 10.1080/15504263.2012.723312 Ministry of Health. (2016). New Zealand Health Strategy: Future direction. Wellington, New Zealand: psychology. Retrieved from https://www.health.govt.nz/system/files/documents/publications/new-zealand-health-strategy-futuredirection-2016-apr16.pdf Ministry of Health. (2016). New Zealand Health Strategy: Roadmap of Actions. Wellington, New Zealand: Author. Retrieved from https://www.health.govt.nz/system/files/documents/publications/new-zealand-health-strategy-roadmapofactions-2016-apr16.pdf Wilson, N., Nghiem, N., Mhurchu, C. N., Eyles, H., Baker, M. G., Blakely, T. (2013). Foods and dietary patterns that are healthy, low-cost, and environmentally sustainable: a case study of optimization modeling for New Zealand.PloS one,8(3), e59648. Doi: 10.1371/journal.pone.0059648 World Health Organisation. (2017). The Ottawa Charter For Health Promotion 1986. Geneve, Switzerland: WHO. Retrieved from https://www.who.int/healthpromotion/conferences/previous/ottawa/en/