Sleep Health Miami: This plan must be specific for the role of Advance Practice Nurses (APN) with evidence base practice included for Family Nurse Practice. Clearly state interventions (which are measurable – for evaluation purposes) from Healthy People 2020 and any other credible resourses.

1. The health promotion issue is, "SLEEP HEALTH, WITH A FOCUS ON SLEEP HYGIENE STRATEGIES." This is the focus for your project. Please see attach for previously done and ongoing of this Health Promotion Project.

2. Review of literature to help better explain the health promotion problem. Please expand on, “Sleep Health, with a focus on sleep hygiene Strategies.” From what is written in the attachment and incorporate evidence base practice.

3. This Health Promotion Project Should Post analytical report on the health status of (Miami-Dade County in the state of Florida) incorporating Sleep Health from credible sources and illustrate – MIAMI a tourist town with PLENTY Night-Life and How Sleep Health, with a focus on sleep Hygiene strategies for night shift working class may balancing health for example “circadian sleep rhythm.” This needs to be done in a Word document.

You will focus and incorporate on articulating the “health promotion theory” (SEE BELOW) best supports the changes needed to support the health promotion Project. As you synthesize this information, you will also identify a POTENTIAL INTERVENTION and resolutions that are evidence base practice for Advance Nurse Practitioners, which can be used to further explore the health promotion problem.

Rubric:
a. Summarize the literature review From below and incorporate "SLEEP HEALTH, WITH A FOCUS ON SLEEP HYGIENE STRATEGIES." See attachment.
b. Define the health promotion theory identified BELOW NOTE: also references are needed to support evidence base practice incorporated below and demonstrate its applicability to the health promotion project.
c. Select one intervention and provide a DETAILED rationale.
d. Create an in-depth plan for interventions including depression and cardiac related issues specifics concerning all 24hr activities (Hospital/Police/paramedics), audience (Tourism and Night-Shift Workers) and (City of Miami-Dade) setting.
e. Summarize how the intervention is appropriate for the identified advanced practice role.
f. Followed APA guidelines

Below is the Health Promotion Theory to be incorporated into this project.

Theory vs. Practice: Health Promotion and Disease Prevention
Ever since the inception of HealthyPeople, the importance of health protection and promotion has been reiterated by all members of the healthcare industry. Prior experience with illnesses and disabilities shows that all information gained through past programs, or vicarious learning, can help promote the mission and goals of HP.
Health promotion is the science and art of moving in the direction of optimal health, which includes a fine balance of physical, mental, social, spiritual, and intellectual factors. How will you create healthy people in healthy communities?
An advanced practice nurse addressing major healthcare challenges must have a thorough understanding of health promotion theories to best promote healthier behaviors and implement policies and programs to prevent illness, disability, and premature death.

Theories of Health Promotion

Theories of health promotion help to predict outcomes from therapeutic interventions. Some theories focus on the individual or intrapersonal level while others look at the interpersonal or community level. The ecological perspective is a more contemporary approach to designing health promotion interventions and includes approaches that
focus on the individual and the environment in which they live. The environment includes individuals, genetic and individual risk factors, living conditions, neighborhoods, institutions, and social and economic policies.

After an evaluation of the community has been performed and the health promotion area identified, theories of health promotion can guide a group into deciding their course of action.

Theories Focusing on Individuals

Health Belief Model: This model focuses on individual health promotion and helps us predict an individual’s health behaviors based on his or her belief patterns. It was developed in the 1950s and was one of the first theories to be used in understanding an individual’s response to both health promotion and illness treatment. This model is based on the premise that an individual’s readiness to act is dependent upon his or her perceptions such as susceptibility, severity of consequences, potential benefits, and the cost of taking action. Subsequent interventions can then be planned on the basis of the
individual’s responses to these concepts. One of the main limitations of this model is that it does not take into consideration other aspects of the individual, such as the environment in which they live.

Transtheoretical Stages of Change Model: This theory helps us to see individual behavior changes as a result of a process rather than a series of isolated events. The individual goes through five stages—precontemplation, contemplation, preparation, action and maintenance—which are different areas on which the intervention can focus. It is important to remember that people may cycle back and forth through these stages as it mirrors typical non-linear progression.

This model helps us understand change from a different perspective—something akin to thinking outside the box. Often, our own perceptions may cloud our perspective of change in others. This theory helps us to understand the natural history of change in behaviors.

The Ontario Ministry of Health has used this theory in a cigarette smoking cessation program. The program reveals how in each stage of this model, the individual has to grapple with a different set of issues and tasks related to the person’s smoking behavior.1

Social Cognitive Theory: This interpersonal level theory contends that a person’s behavior is based on three factors: human behavior, environment, and personal factors. The probability that a person’s behavior will change is dependent upon the person’s level of self-efficacy, goals, and outcomes expectations. Potential strategies for change include the use of role models, rewards and incentives, and environmental adjustments.

Theories Focusing on Communities

Community level theories seek to explain how social systems function and change and to discover the best approaches to stimulate involvement of the community members.

Community Organization Model: In this model, members of a community identify areas of health promotion that require intervention. These community groups can better organize resources, mobilize individual efforts, and develop strategies for successful implementation. This approach is similar to the ecologic approach in which a problem is examined from a more comprehensive perspective.
Various strategies such as developing social networks, developing leadership skills, and improving communication flow among the community groups can be used to execute
this model.

Planning Models: Planning models help to turn knowledge of the community’s demographics into an implementation plan. One commonly used model is the PRECEDE-PROCEED model.

Description of the Model: PRECEDE – the first 5 phases
Phase 1 – Social Diagnosis

Phase 2 – Epidemiological Diagnosis

Phase 3 – Behavioral & Environmental Diagnosis Phase 4 – Education & Organizational Diagnosis Phase 5 – Administrative & Policy Diagnosis

PROCEED – the second 4 phases

Phase 6 – Implementation Phase 7 – Process Evaluation Phase 8 – Impact Evaluation Phase 9 – Outcome Evaluation 2

Use the Internet to locate information on how this theory is used at the University of South Florida. Many universities and both local and state governments follow this model. Follow the plan given in the model, to assess the community in which you live and to develop a program to intervene on a specific health concern in your community. In addition to these, there are many other examples that you will find on the Internet.

Reflection: Which of these frameworks will you adopt to realize the goals of health promotion and disease prevention in your community?