Sep 27, 2021










To apply concepts you have learned about health promotion concepts and strategies, enhance your written communication skills, and demonstrate a beginning understanding of cultural competency.


COURSE OUTCOMES This assignment enables the student to meet the following course outcomes.


CO #1 Discuss the professional nurse’s role in health promotion activities. (PO #1 & 2)


CO #3 Discuss health promotion, illness prevention, health maintenance, health restoration, and rehabilitation in relation to the nurse’s role in working with various populations. (PO #1 & 2)


CO #7 Identify health promotion strategiesthroughout the life span. (PO #1 & 2) DUE DATE The Health Promotion Project (RUA) is due in Unit 5. However, refer to the Course Calendar for variations in campus requirements and details. The Late Assignment Policy applies to this assignment.




1. Identify a health problem or need for health promotion for a particularstage in the life span of a population from a specific culture in your area (this might include age and gender population as well). Choose one of the Leading Health Indicators(LHI) priorities from Healthy People 2020 (see the Healthy 2020 Leading Health Indicators website link in the Assignment section for Unit 2 under “Web Links). Studentsin a cultural concentration will use that specific cultural focus to complete this assignment.


2. Research a topic related to health and wellness associated with one of the Healthy People 2020 topic areas. Studentsin a cultural concentration will use that specific cultural focus to complete this assignment.


3. Submit your topic to the instructor for approval at least 2 weeks prior to the assignment (during Unit 3) but earlier if desired. All topics must be approved.


4. You will develop an educational health promotion project addressing the population/culture in your area. For or example, if you are in the Hispanic concentration, your project might be educational interventionsto address how food choices are related to the high rates of diabetes among Latinos; or, a community project that addressesthe statistic that Hispanics experience new HIV infections at more than twice the rate of whites; or, finding opportunitiesto intervene with Puerto Ricans, a Hispanic subculture, who suffer asthma at twice the rate of the general population (2020 LHI Topic Three: Environmental Quality: (see the Healthy 2020 Leading Health Indicators website link in the Assignmentsection for Unit 2 under “Web Links).


5. General expectations  All articles must be from nursing or scholarly journals and should include health promotion and wellness content. Articles must be published within the last five (5) years. If you are unsure whether the article is appropriate, ask your instructor. You could lose significant points if the article is not from a scholarly source and/or appropriate to the topic.  Please ask questionsif you need clarification.


6. Make sure to cite your sources




NR222 RUA Health Promotion Project Guidelines.docx Revised 06/2016 psb 2 PREPARING THE ASSIGNMENT


1. Writing the Paper: You will explore the topic and explain the information in writing a 3‐4 page APA formatted paper.


a.    Select a minimum of three (3) scholarly nursing or research article (published within the last 5 years) related to your topic that include health promotion and wellness content. Studentsin a cultural concentration will select at least one article specifically related to the cultural focus for this assignment. You may need to evaluate several articles before you find appropriate selections. For more information on how to choose a scholarly article, open the “Course Resources” tab under the “Course Home” Menu to the left of your Learning Studio (eCollege) course page and open “What Is a Scholarly Source.”


b.    Write a 3‐4 page paper (excluding the title and reference pages) using the following guidelines:


 Write brief introduction of the topic and describe why it is important to health promotion in the specific cultural population in your area.


 Include a description of the topic and the targeted sub-culture or population (include statistics).


 Explain how the project relates to the Healthy People 2020 topic area you have chosen.


 Summarize the articles; include key points or findings from the articles.


 Discuss how you used the information from the articles for your Health Promotion Project. Provide specific examples.


 Describe the approach/approaches you developed to educate the target population about the topic. Include specific ways to promote lifestyle changes within the specified population relative to your specific culture. The approach should be appropriate for your cultural concentration.


 Write your conclusion and summary. c. Your paper must follow APA format. Include a title page and a reference page. Use 12‐point Times New Roman font and include in‐text citations (use citations whenever paraphrasing, using statistics, or quoting from the article). Please refer to your APA manual as a guide for in‐text citations and sample reference pages. d.    Use TurnItIn in time to make any edits that might be necessary based on the Similarity Index prior to submitting your paper to your instructor. Consult with your instructor about the acceptable Similarity Index for this paper.




NR222 RUA Health Promotion Project Guidelines.docx Revised 06/2016 PSB 3




Assignment Criteria Points % Description Articles and Turn It In Submission 5 5%


 A minimum of three (3) scholarly articles is used as sources.


 Articles meet criteria of being from scholarly journals and include health promotion and wellness content. Students will select at least one article specifically related to the cultural focus for this assignment.


 Submitted paper to TurnItIn; Necessary/Appropriate revisions made based on originality report. Introduction and Conclusion 15 15%


 Establish the purpose of the paper


 Create an effective conclusion that identifies the main ideas and major support points from the body of your report. Minor details are left out. Relate Topic to Target Population 25 25%


 Description of topic and targeted cultural population.


 Relationship to the Healthy People 2020 topic area.


 Statistics to support the significance of the topic. Summary of Articles 20 20% Summary of articles include:


 Key points and findings of the article.


 Discussion of how information from the articles is used in your Health Promotion Project (give specific examples). Health Promotion Project Discussion 25 25%


 Description of approaches to educate the target cultural population about the topic


 Specify a culturally sensitive approach to promote lifestyle changes within the specified population. APA Style and Format 10 10% APA Style (Writing)


 Correct use of Standard English grammar and sentence structure.


 No spelling or typographical errors.


 Organized around required components.


 Information flows in a logical sequence that is easy for the audience to follow. APA Format


 All information taken from another source, even if summarized, must be cited and listed on the Reference page using (APA 6th ed.)


 Document setup: Title and Reference pages; Margins; Spacing; Use of Headers


 Citations in the text and reference page






Physical Activity and Obesity



The Hispanic community located in the United States faces numerous significant health dangers due to the continuous educational level barriers and economic disparities. The Centre of Disease Control estimates that 41% of the respective population drops out of high school and thus increases the educational discrepancy in comparison to other ethnicities (CDC, 2013). Moreover, they tend to have certain cultural practices that predispose them to various illnesses. The topic under discussion is the creation of awareness around physical activity and obesity through the utilization of the various aspects of health promotion. To guarantee the effectiveness of the process, it is essential to understand the population’s perspectives, and the disparities they experience: socio-economic, language, educational and cultural barriers.  Thus, this procedure will require a multi-faceted approach.



Physical activity refers to body movements that require energy expenditure with numerous health benefits. Compared to decades ago, these activities have gradually declined due to social alterations, economic growth, and technological advancements. In America, in comparison to the 1950s, high activity occupations have dropped to 22%, while the low-activities have increased to 41%, driving vehicles has risen to 88%, and school children utilizing buses has risen to 87% (Page-Reeves et al, 2013). This has resulted in a heightened percentage of engaging in sedentary activities such as using computers, watching televisions, and playing video games; and hence leads to rapid weight gain. Obesity is a medical condition that results from an excess accumulation of body fat in the body; energy imbalance. Generally, too many calories and very few are burned.  According to statistics, the prevalence of obesity is 39.8% and has affected approximately 93.3 million of the adult population. The estimated yearly medical rates of this issue are about $150 billion dollars with obese individuals spending $1,429 more than the ordinary healthy people.  However, it is fundamental to note that Hispanics and the black population have 47% increased risk of age-adjusted obesity as compared to their white and Asian counterparts, who have a 37.9% and 12.7%, rates respectively. The prevalence rate among the young adults demographic aged between 20 – 30 years old is 35.7%, 40 – 59 years is 42.8%, and 60 years and above is 41%; thus depicting the varying age-dependant statistics.

Health promotion refers to the procedure of enabling individuals to increase actual control over the primary determinants of health and hence improving their health (De Heer et al, 2011). These decisive factors in relation to health include the physical environment, individual characteristics and behaviors, and the economic and social environment. This can be achieved through the utilization of health education that involves a combination of learning experiences designed to assist people and communities in order to improve their well being through the increase of their knowledge or influencing their attitudes. There is a distinct association between physical activity, obesity and the social status of individuals: educational levels, income, ethnicity, and gender. People who have attained a high level of education tend to have a decreased rate of attaining the illness. Moreover, the prevalence rates of obesity are greatly reduced in lower income generating groups in comparison with their middle-income counterparts and are especially the highest in the highest income group. This pattern is particularly rampant in the Hispanic and black community and specifically in the male population. In regard to the female demographic, the opposite is recorded with the majority of the affected individuals being in the middle and lower income generating groups.

There are six primary forms of approaches that can be utilized in order to guarantee a successful health promotion process: educational, medical, behavior change, client-centered, societal change, Tannahill’s model (De Heer et al, 2011).  The population under discussion is the Hispanic people since obesity is an important health concern and tends to affect a vast majority of the population. Based on their culture, economic status, level of education, and mannerisms, the first primary combination of health promotion approaches are the behavior alteration and educational model that involves mainly behavioral alterations through knowledge. It is composed of six fundamental steps: pre-contemplation, contemplation, preparation, action, maintenance, and termination (De Heer et al, 2011). These methods would be especially fundamental and effective since they involve the utilization of educational material and persuasion to raise awareness and influence lifestyle change (De Heer et al, 2011). The above method lays more emphasis on prevention rather than cure and aids in the promotion of engaging in more high-intensity physical activity and better diets for both the youth and adults. It is a more effective approach that involves motivation, communication, and decision-making; might be slow but it is permanent with the major aspect being the influence of lifestyle changes regardless of the socio-economic status. In addition to that, the provision of information will enable individuals to make informed decisions regarding their health. This method is especially important since it first explores the population’s attitude and values and from the analysis, establishes an appropriate teaching method; thus guaranteeing the intended results.

The secondary approach would be the medical approach that involves focusing on the physical and biological aspects of the ailment. This is the second management method that involves diagnosis, treatment, cure, or managing the disease; obesity and other health-related issues. Hence lessening the impact of the problem in the respective community and making it a lesser health concern.



Proper nutrition and physical activity results in a healthy body weight and thus prevents or manages chronic and serious cardiovascular diseases, stroke, heart disease, high blood pressure, cancers, sleeping problems, lung issues, osteoporosis, diabetes, and mental health.  The above health promotion plan is effective but is also affected by the access to health care facilities, healthy foods, and little income. Nonetheless, the above approaches are very instrumental due to the fact that they provide preventive programs, do not impose medical bills on the population, and tend to provide free educational material; thus promoting health literacy.






Centers for Disease Control. (2013, November 21). MMWR Supplements: Past Volume (2013). Retrieved April 10, 2016, from

De Heer, H., Koehly, L., Pederson, R., & Morera, O. (2011). Effectiveness and Spillover of an After-School Health Promotion Program for Hispanic Elementary School Children. American Journal of Public Health, 101(10), 1907-1913.

Page-Reeves, J., Niforatos, J., Mishra, S., Regino, L., Gingrich, A., & Bulten, J. (2013). Health Disparity and Structural Violence: How Fear Undermines Health Among Immigrants at Risk for Diabetes. Journal of Health Disparities Research and Practice, 6(2), 30-48.





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