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What would be necessary to include in your proposal to assure stakeholder buy-in?Running head: NURSING
Maybelis Garcia
Florida National University
MSN Capstone Project
Professor: Carmen Lazo
One strategy that may be used to reduce smoking among pregnant women is the
implementation of health education programs using online channels (Garzillo et al., 2022). In
addition, it is of the utmost importance to give some serious consideration to the possibility of
working together with local stakeholders to advocate for the establishment of a smoking
cessation program that is expressly geared at assisting expectant mothers in breaking the habit
(Vu et al., 2020). One of these programs is the Baby-Free Nicotine Program, and it helps
expecting moms stop their nicotine addiction for good by relying on approaches that have been
validated by scientific research. If a pregnant woman passes a nicotine test, this program will pay
for her diapers for up to a year, as an incentive for her to finally kick the habit of smoking while
she is pregnant.
It is typically suggested that pregnant women abstain from nicotine entirely; nevertheless,
the hazards and benefits of smoking during pregnancy might vary depending on how a woman
smokes while pregnant (Bafunno et al., 2020). The many components of nicotine each contribute
their own unique set of defects to the developing fetus. Regardless of how the nicotine got into
the mother’s blood, the damaging effects of nicotine on the fetus were still there in the blood of
the mother (Khan et al., 2021). It is important to note that prenatal exposure to nicotine and
nicotine components is directly associated with an increased chance of having a child with a
birth defect.
The practice change
The practice change is in the community. The ability to adapt is one that is developed via
interaction with other people. The use of tobacco products is the main cause of mortality that
may be prevented around the globe, this is very important (McGushin et al., 2023). People don’t
give the possible repercussions of smoking nearly enough consideration, despite the fact that
there are various ways to avoid its occurrence. Finally, smoking while pregnant is connected to a
wide variety of other factors of a woman’s life, including the amount of schooling she has, the
number of children she has previously had, the amount of alcohol she consumes, and the
influence her family has on her (Khan et al., 2021). Regardless, the authors of the study proposed
that there should be some kind of intervention in order to promote cigarette smoking during
pregnancy due to the negative impact that smoking has on both the mother and the unborn child’s
Implementing and accessing the change
Implementation will be done by analyzing the improvement on pregnant women smoking
outcomes. This will be achieved by collaborative efforts across providers, especially those
working in mental health. An evaluation will be carried out after the program’s allotted time of
six months has passed (Khan et al., 2021). The same preventative measures are being taken by
clinicians in a range of specialties, including family members, obstetrics, and gynecology, as
well as nurses and workers in public health, in order to address the problem of smoking during
pregnancy (Garzillo et al., 2022). One such intervention is the awareness method, which, while
only taking a few minutes to complete, has the potential to enhance the health outcomes for both
the mother and the child by persuading pregnant smokers to give up the habit.
One of the challenges is that there is a shortage of both time and manpower. Clinics serve
as an essential protective factor at the community level because they offer pregnant smokers in
remote regions programs, services, and resources including information, education, counseling
interventions, guidance, support, and smoking cessation (Garzillo et al., 2022). In addition,
clinics also provide pregnant smokers with smoking cessation services.
Evaluation of the change process
Evaluation will be done by analyzing the rates of smoking among pregnant women after
the program was put into effect provide very helpful information for determining whether or not
the intervention was successful. In order to be successful, it is essential to determine the most
significant risk and protective factors that contribute to the region’s disproportionately high rates
of adverse health outcomes (Khan et al., 2021). These factors may be broken down into two
categories: risk factors and protective factors. In this context, lower levels of maternal education
have been associated to larger rates of fetal tobacco exposure among pregnant women living in
rural areas
Change and implementation
It is essential for a leader to have the ability to motivate their team members in order to
ensure the successful completion of the project. The capacity to negotiate, communicate, listen,
exert influence over others, and build a powerful team are all vital leadership traits; nevertheless,
these abilities are only valuable to the extent that they contribute to the overall improvement of
the team’s performance (Khan et al., 2021). If the necessary precautions are not taken, it is a
given that the costs associated with healthcare will go up as a result of the accumulation of a
number of issues. Abnormalities in the fetus and potential health problems later in life may
follow (McGushin et al., 2023). Therefore, utilizing education programs in combination with
other types of measures leads to a change in behavior, which in turn reduces the likelihood that
infants born to mothers who smoked during pregnancy may have health problems later in life.
Who will be invited to the proposal?
The people who will be invited to the proposal include patients, health and wellness
doctors, fitness experts, nutritionists, government officials, medical professionals, funding
agencies, and management. The stakeholders will be asked to give their view on the proposal so
as to ensure inclusivity (Diamanti et al., 2019). Before conducting a presentation, Email is one of
the most often used communication channels when it comes to reaching out to various
stakeholders (McGushin et al., 2023). It has a lot of benefits, some of which include immediate
delivery of information, proof that the message was sent, streamlined management of
connections with each stakeholder, and the opportunity to measure engagement and open rates.
Bafunno, D., Catino, A., Lamorgese, V., Del Bene, G., Longo, V., Montrone, M., … & Galetta,
D. (2020). Impact of tobacco control interventions on smoking initiation, cessation, and
prevalence: A systematic review. Journal of Thoracic Disease, 12(7), 3844.
Diamanti, A., Papadakis, S., Schoretsaniti, S., Rovina, N., Vivilaki, V., Gratziou, C., &
Katsaounou, P. A. (2019). Smoking cessation in pregnancy: An update for maternity care
practitioners. Tobacco induced diseases, 17.
Garzillo, E. M., Monaco, M. G. L., Corvino, A. R., Giardiello, A., Arnese, A., Napolitano, F., …
& Lamberti, M. (2022). Smoking Habits and Workplace Health Promotion among
University Students in Southern Italy: A Cross-Sectional Pilot
Investigation. International Journal of Environmental Research and Public
Health, 19(17), 10682.
Khan, A., Green, K., Khandaker, G., Lawler, S., & Gartner, C. (2021). How can a coordinated
regional smoking cessation initiative be developed and implemented? A programme logic
model to evaluate the ‘10,000 Lives’ health promotion initiative in Central Queensland,
Australia. BMJ open, 11(3), e044649.
McGushin, A., de Barros, E. F., Floss, M., Mohammad, Y., Ndikum, A. E., Ngendahayo, C., …
& Abelsohn, A. (2023). The World Organization of Family Doctors Air Health Train the
Trainer Program: lessons learned and implications for planetary health education. The
Lancet Planetary Health, 7(1), e55-e63.
Vu, G. V., Ngo, C. Q., Phan, P. T., Doan, L. P. T., Nguyen, T. T., Nguyen, M. H., … & Ho, C. S.
(2020). Inadequate knowledge, attitude and practices about second-hand smoke among
non-smoking pregnant women in urban Vietnam: the need for health literacy
reinforcement. International journal of environmental research and public
health, 17(10), 3744.

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