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Summarize the Patient, Family, or Population Problem.

Teenage pregnancy is regarded as one of significant public health issues but is it highly

preventable. The problem is common and leads to negative sequelae for the teenagers and their

children. The consequences associated with teen pregnancy possess serious public health

problems such as disruption of educational ambitions, economic stress, medical complications,

mental health difficulties and reduced chances of access employment opportunities. The

population affected by this health issue is the adolescents at the ages of 15 to 19 or even girls at

the age of 10. Teenage pregnancy rate different country-wise due but US rates has been declining

and the record was 16.7 per 1000 females as of 2019 (Sharma et al., 2021). The challenges

associated with teenage pregnancy demands careful consideration to establish effective

preventive measures.

I chose this problem because it is associated with heightened number of maternal as well

as child mortality linked to pregnancy complications. Pregnancy and childbirth complications is

one of the leading death causes for teenage girls between the age of 15 and 19 globally (Kiani et

al.,2019). At teenage, bodies are immature and adolescents encounter several health risks that

complicate their chances of having successful pregnancies. This topic is relevant to my

profession due to the roles that nurses play in reducing teenage pregnancy rates. Healthcare

professional and organizations can be instrumental in inspiring the community efforts to deal the

issue by providing services and educational resources.

Define the role of Leadership and Change Management in Addressing the Problem.

Good leadership is crucial in handling teen pregnancy problem by influencing the establishment

of suitable healthcare policies, encouraging collaborating and networking and engaging in

appropriate decision making. Leaders must take action that will positively influence the efforts of
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solving the problem by using their competence to address the complex healthcare systemic

demands. Change management can assist in installing a great management team and approaches

that will handle the problem of teen pregnancy in a better way than before.

How nursing ethics informed the development of your proposed intervention

Nursing ethics guides all actions to ensure the patients’ rights and dignity is protected.

Additionally, ethical values ensure that fairness, accountability, faithfulness and other moral

traits influenced the interventions. The interventions were provided in a better care for the group

involved while ensuring there were no signs of discrimination or negligence of peoples’ needs

and preferences. All the three major interventions were check to ensure they adhered to NASW

nursing code of standards that guides nursing practice.

Copy of the intervention/solution

1) Creation of community-based approach that involves church and community groups to

teach school sex education.

2) Enhance teenage knowledge concerning contraception

3) Provide assistance for teenage mothers, fathers and their family in form of counselling,

medical aid, nutritional education and other issues such as ways to deal with school

dropout cases.

Strategies for communicating and collaborating with the group and family

Strategy 1: provide information to the public while targeting the youths and families through

mass media utilizing different channels to reach many people and reinforce the intended

message. Mass media is considered one of the easiest ways to

Strategy 2: Linking messages and information to key community events to target the relevant

population. With different events that are held in communities, nurses should collaborate with

those in charge of such events and ensure they are given chance to give information concerning

Cite the Standards and/or policies that Guided My Work.

Nursing practice is guided by several standards including legal, moral and ethical values.

In preparation of the interventions to be used in dealing pregnancy, I was guided by the nursing

code of ethics and the need to ensure that costs, safety and quality of life was improved by the

intervention proposed. Solutions to nursing or public health issues should ensure the patient’s

access to healthcare is made less costly, safer and of enhanced quality. Liaising with community

event organizers, churches, schools and other willing participants, it will be easy to reach large

group of adolescents and pass the intended details.

The state board standards were effectively checked and evaluated against the procedures

established to ensure they were a good fit in this project. The nature of solutions proposed were

informed by evidence-based practice research to ensure chances to biasness were diminished.

Additionally, other factors that could lead teens to engage in risky behaviors such as risky sex

behavior such as usage of drugs and poverty were considered in the creation of the proposed

strategies.

Description of Research that has tested the effectiveness of these standards and/or policies

in improving outcomes for this problem.

A study by Kantor et al., (2021) investigated the effectiveness of education on teen

pregnancies by comparing different countries. The findings state that there is substantive

evidence to indicate that comprehensive sex education (CSE) can bring a positive impact of

prevention of unplanned teen pregnancies and its associated consequences such as increased
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infection with sexually transmitted diseases. The study points to other literature that have similar

information such as Goldfarb and Lieberman to add to its credibility. Sex education include

providing details about use of contraception, importance of delaying engagement in sexual

intercourse, reducing sex frequency and safety techniques to avoid behaviors that can lead to

unwanted sex or pregnancy.

Another study by McClellan et al (2018) states that use of long-acting reversible

contraception is one of the effective preventions of teen pregnancy but education is also needed

to ensure the instructions are followed. Such education should be spread to community and

parents on how contraceptives such as intrauterine devices and other recommended methods can

be used effectively by teens in combination with other methods. Considering hindrances to

access and adverse effects, everyone should understand details associated with each control

technique before accepting to use it.

How Technology, Care Coordination, and the Utilization of Community Resources can be

Applied in Addressing the Problem

Ensuring interventions work effectively requires a combination of different techniques

including use of appropriate technology, proper care coordination and use of community

resources. In this project, technology can be used to reach the targeted population and educate

them on appropriate ways to avoid teen pregnancy. There are millions of teenage who have

access to internet and social media platforms hence targeting them by spreading information

through those arenas can assist in improving the efforts of communicating the message.

Examples of digital communication sites applicable include facebook, twitter, Neflix ,Youtube,

Instagram and Tiktok. Additionally, using gaming apps to spread message that targets youths and
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adults with detailed concerning teen pregnancies and prevention methods can assist in adding to

efforts applied elsewhere.

References

Kantor, L. M., Lindberg, L. D., Tashkandi, Y., Hirsch, J. S., & Santelli, J. S. (2021). Sex

education: Broadening the Definition of Relevant outcomes. Journal of Adolescent

Health, 68(1), 7-8.

Sharma, B. M., Sáňka, O., Kalina, J., & Scheringer, M. (2019). An overview of worldwide and

regional time trends in total mercury levels in human blood and breast milk from 1966 to

2015 and their associations with health effects. Environment international, 125, 300-319.

McClellan, K., Temples, H., & Miller, L. (2018). The latest in teen pregnancy prevention: long-

acting reversible contraception. Journal of Pediatric Health Care, 32(5), e91-

e97.https://doi.org/10.1016/j.pedhc.2018.02.009

Kiani, M. A., Ghazanfarpour, M., & Saeidi, M. (2019). Adolescent pregnancy: a health

challenge. International Journal of Pediatrics, 7(7), 9749-9752.