Native Americans’ substance misuse is a serious health concern that necessitates focused treatments to address its complex issues. Moreover, this demographic has a high rate of substance misuse due to several variables, such as low resources, cultural isolation, and historical trauma. To reduce substance abuse in Native American communities, this study suggests an intervention that emphasizes leadership, teamwork, communication, change management, policy, patient safety, quality of treatment, costs, technology, care coordination, and community resources.
The high rate of drug misuse in Native American societies is the patient, family, or population issue that this intervention aims to address. Intergenerational difficulties are caused by past trauma, cultural alienation, and restricted resource availability. In addition to posing serious health hazards, substance addiction plays a role in the persistence of health inequalities in this group (Skewes et al.,2019). Because Native Americans have particular sociocultural circumstances that affect their health, it is critical to treat drug misuse in a way that respects their cultural identity and historical background.
The decision was made to focus on this issue because of its complexity and the pressing need to address health inequalities in Native American communities. The historical background of cultural repression forced displacement, and colonialism has had a long-lasting effect and raised the prevalence of drug addiction (Valdez et al.,2020). In this context, taking care of drug misuse fits well with more significant initiatives to support culturally competent treatment and health fairness. Furthermore, this intervention seeks to address the underlying cause of several health problems in Native American communities by concentrating on drug misuse, hence promoting general well-being.
In addition to being morally right, treating drug misuse in Native American communities also complies with the values of patient advocacy and cultural competency for healthcare workers. The distinct historical and cultural elements that lead to drug misuse in this community must be acknowledged and understood. The issue pertains to my line of work because it highlights the need for medical professionals to acknowledge the variety of patient experiences and abandon a one-size-fits-all strategy. In keeping with professional norms that strongly emphasize providing patient-centred treatment, the intervention acknowledges cultural competency’s significance (Blue et al.,.2020). Furthermore, the intervention addresses drug misuse and advances a holistic approach to healthcare that recognizes the interdependence of social, emotional, and physical well-being.
Role of Leadership and Change Management
In order to treat drug misuse in Native American communities, leadership is essential in both developing and putting the suggested intervention into practice. As part of the intervention, a culturally competent instructional leaflet about drug misuse and services is being created. In order to create a vision for change, rally support, and successfully negotiate the challenges of putting the intervention into action, leadership is essential.
Change management tactics have been included in the intervention’s development to facilitate the smooth transition from present practices to the suggested solution. Since resistance to change is sometimes experienced, successful change management fosters a positive atmosphere, outlines the intervention’s advantages, and includes essential stakeholders in the decision-making process. The strategy is crucial for winning over community leaders, healthcare professionals, and participants, all of whom will increase the intervention’s likelihood of success.
Influence of Nursing Ethics
Nursing ethics had a significant influence on how the suggested intervention was developed. The intervention was designed with beneficence, non-maleficence, autonomy, and fairness to adhere to ethical norms. During the development process, cultural competency and respect for Native American people’s autonomy were crucial.
A comprehensive understanding of the historical trauma and cultural background of Native American communities was used in the formulation of the intervention. According to nursing ethics, the intervention could not support prejudices or stigmatize those who are battling drug addiction (Purnell & Fenkl,2019). Instead, it strongly emphasizes empowerment, respect, and teamwork, which reflects the moral need to provide care sensitive to cultural differences and considers the population’s particular needs.
Copy of the Intervention: Culturally Sensitive Educational Brochure Attached
Explanation of the Intervention
The brochure is an eye-catching and culturally appropriate teaching tool. To establish resonance with the community, Native American art, symbolism, and language are included. The material is delivered understandably and straightforwardly, including the effects of drug addiction, the services that are accessible, and the steps involved in getting assistance.
How Leadership and Change Management Strategies Influenced Development:
A visionary leadership approach that recognized the need for a tool sensitive to cultural variations guided the development of the brochure. Leaders pushed for arming Native American communities with the knowledge and resources they needed to fight drug abuse.
Change management strategies included the use of inclusive decision-making processes. Leaders met with members, medical experts, and community leaders to gather information, work out problems, and include other points of view in the design of the intervention. Furthermore, leadership and change management strategies emphasized the need for good communication. Leaders ensured they favoured the intervention and that stakeholders were informed of the brochure’s objectives, benefits, and cultural sensitivity.
Leadership and change management are crucial components in the treatment of drug abuse in Native American communities. The intervention is a culturally sensitive educational brochure demonstrating the strength of inclusive decision-making, inspiring leadership, and clear communication. Nursing ethics, founded on cultural competence and respect for autonomy, further guided the development process to ensure that the intervention conforms to ethical principles.
The identified patient, family, or group in the context of drug misuse treatment in Native American communities includes a wide range of stakeholders, such as members of the community, leaders, healthcare professionals, and pertinent persons. The intervention acknowledges the value of inclusion in ensuring a thorough understanding of the particular difficulties encountered by this demographic. Getting feedback from these stakeholders is beneficial when modifying solutions to match unique requirements and promoting cultural relevance. Participation from the community increases the chance of effective implementation by empowering people and fostering a feeling of ownership.
The intervention has integrated best-practice tactics from the literature to promote efficient communication and teamwork. Listening sessions and community forums provide venues for candid discussion and active engagement, facilitating sharing of opinions and preferences. Community leaders or cultural liaisons serve as intermediaries, ensuring that information is communicated courteously and culturally appropriately. By using oral presentations, textual materials, and visual aids as well as multimodal communication channels, the community’s knowledge and engagement are improved and varied learning styles are catered to.
The American Nurses Association (ANA) Code of Ethics and the Substance Abuse and Mental Health Services Administration (SAMHSA) guidelines have mainly served as a framework for creating the suggested intervention. The ANA Code of Ethics emphasizes the significance of delivering patient-centred, culturally competent care while forming the intervention to conform to ethical norms. It is ensured that the intervention respects the cultural subtleties of the Native American community by including the SAMHSA standards on cultural competency, which promotes an atmosphere of trust and understanding.
The development process has been greatly aided by research demonstrating how these standards and regulations might improve the situation of drug misuse in Native American communities. Research suggests that culturally competent interventions boosted participation in drug usage prevention initiatives, underscoring the need to adhere to moral principles (Skewes & Blume,2019). Furthermore, treatment results and satisfaction among Native Americans seeking drug misuse treatment have been linked to SAMHSA’s cultural competency standards, indicating the importance of these policies in developing successful interventions (Blue et al.., 2020). By incorporating these guidelines and rules, the suggested method is made to be both morally and empirically sound, which increases the likelihood that it will have a beneficial effect on the problems related to drug usage in Native American communities.
Improving Quality of Care, Enhancing Patient Safety, and Reducing Costs
The suggested intervention aims to improve patient safety, quality of treatment, and cost-effectiveness. It is a culturally aware instructional pamphlet that addresses drug misuse in Native American communities. Research indicates that culturally appropriate treatments enhance participation and health outcomes for specific communities (Purnell & Fenkl.,2019). Such results are supported by this intervention, which guarantees patient-centred, culturally competent treatment, raising the standard of care.
The brochure enhances patient safety by offering vital information on preventing drug addiction and the services that are accessible. By enabling people to make knowledgeable choices about their health, it encourages early intervention and lowers the possibility of unfavourable outcomes related to drug usage.
According to studies, preventive actions may save costs over the long run by lessening the need for comprehensive treatment and the financial strain on people and the healthcare system (Blue et al.., 2020). The brochure seeks to lower the total costs of drug addiction for both people and the healthcare system by offering readily available information and options for prevention. Moreover, utilizing benchmark data on costs, patient safety, and care quality is crucial to assessing the intervention’s success. Reports from SAMHSA, the Centers for Disease Control and Prevention (CDC), and research published in respectable medical publications are pertinent sources. These resources include thorough information on the incidence of drug addiction, healthcare outcomes, and economic effects.
Applying Technology, Care Coordination, and Community Resources
The suggested intervention aims to combat drug misuse in Native American communities by using technology, care coordination, and community resource usage. Utilizing telehealth technology, outreach is made easier by giving community members a way to get information, assistance, and direction from a distance. This expands the intervention’s reach and is consistent with technology’s growing influence in healthcare provision.
The emphasis on care coordination is placed on working with support networks, community groups, and healthcare practitioners. Coordinated actions provide a smooth continuity of treatment, making it easier for people to understand and deal with the intricacies of the healthcare system. This cooperative strategy creates a network of resources and support that increases the intervention’s overall efficacy. To use community resources, one must reach out to leaders in the community, support systems, and tribal organizations that already exist. These tools provide continuing support, direction, and cultural understanding and are essential to maintaining the intervention’s effect.
Generally, the Culturally Competent Drug Abuse Awareness Campaign for Native American Communities addresses the widespread problem of drug usage in a comprehensive and culturally aware manner. Based on nursing ethics, leadership, and change management, the intervention highlights how important it is to protect Native American cultural identity. The educational brochure is a practical instrument to increase patient safety, improve the quality of treatment, and save money. The intervention aims to improve Native American communities’ quality of life and promote a more culturally appropriate and healthy future using technology, care coordination, and community resources.
References
Blue Bird Jernigan, V., D’Amico, E. J., Duran, B., & Buchwald, D. (2020). Multilevel and community-level interventions with Native Americans: Challenges and opportunities. Prevention Science, 21, 65-73.
Purnell, L. D., & Fenkl, E. A. (2019). Handbook for culturally competent care (pp. 1-6). Springer International Publishing.
Skewes, M. C., & Blume, A. W. (2019). Understanding the link between racial trauma and substance use among American Indians. American Psychologist, 74(1), 88.
Skewes, M. C., Hallum‐Montes, R., Gardner, S. A., Blume, A. W., Ricker, A., & FireMoon, P. (2019). Partnering with Native communities to develop a culturally grounded intervention for substance use disorder. American journal of community psychology, 64(1-2), 72-82.
Valdez, E. S., Skobic, I., Valdez, L., O Garcia, D., Korchmaros, J., Stevens, S., … & Carvajal, S. (2020). Youth participatory action research for youth substance use prevention: a systematic review. Substance use & misuse, 55(2), 314-328.
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