Facilitators and Barriers Associated with Implementation of a Menopausal Medical Ministry in a Faith-Based Organization

Transcription

1 Facilitators and Barriers Associated with Implementation of a Menopausal Medical Ministry in a Faith-Based Organization Wanda Hoggard MSN MHA RN FNP-C Doctor of Nursing Practice Program Chamberlain College of Nursing

2 This program has been developed solely for the purposes of describing the level of nurse practitioner (NP) knowledge regarding facilitators and barriers associated with implementation of a menopausal medical ministry in a faith-based organization, before and after participation in an online educational intervention with a one-month practicechange follow-up. The program is posted as a part of this project s educational intervention and is intended only for such use. The study has been approved for this purpose by the Chamberlain College of Nursing Institutional Review Board. Please find the link to return to the survey at the end of the slides.

3 Objectives By the conclusion of this presentation, participants will be able to: 1. Describe facilitators associated with implementation of a menopausal medical ministry in a faith-based organization 2. Discern barriers associated with implementation of a menopausal medical ministry in a faith-based organization 3. Identify potential for improved access to healthcare with implementation of a menopausal medical ministry in a faith-based organization

4 Purpose To describe the level of nurse practitioner (NP) knowledge regarding facilitators and barriers associated with implementation of a menopausal medical ministry in a faith-based organization.

5 Practice Implications To improve/increase the level of nurse practitioner (NP) knowledge regarding facilitators and barriers associated with implementation of a menopausal medical ministry in a faith-based organization

6 Rationale The emergence of the faith-based organization (FBO) and associated population health efforts is a strategy worthy of attention among initiatives to improve healthy outcomes (Baruth, Wilcox, & Saunders, 2013; Bopp, & Fallon, 2011; Bopp, Webb, & Fallon, 2012). Meanwhile, the controversy as to whether hormone-replacement therapy is a boon or bane ranges on (Canderelli, Leccesse, Miller, & Davidson, 2007). The wide range of evidence regarding the use of estrogens to non-hormonal treatment options has left menopausal women searching for better directions (Cheema, Coomarasamy, & El- Toukhy, 2007; Holloway, 2008; Sassarini, & Lumsden, 2010). The situation is compounded by the plethora of complementary and alternative therapies (CAT) for menopause (Kupferer, Dormire, & Becker, 2009; Shou, Li, & Liu, 2011), resulting in further consumer confusion. For many reasons, a NP-based strategic initiative that might result in a population-focused intervention that accounts for unique racial and ethnic differences is warranted (Alexander, & Moore, 2007; Livaudais et al., 2012).

7 Menopause Menopause is the natural phenomenon that every woman experiences that is often referred to as the change of life. This occurs because as women get older the ovaries make less estrogen and progesterone then the cessation of menses comes to pass. With improved healthcare and increased life expectancy, women spend a considerable length of their lives (30 years on average) after the menopause.

8 Menopause At present, more than 30% of women in the UK are over 50 years of age. It is estimated that approximately 75% of women will experience some symptoms related to estrogen deficiency during the menopausal transition, and 40% will seek medical advice for the management of menopausal symptoms, including hot flushes, night sweats, vaginal dryness and sleep disturbances. Hot flushes are the most common menopause-related symptoms (Cheesm et al., 2007).

9 Menopause With this occurrence, some women may also experience other symptoms such as insomnia, depression, and mood swings. This experience is different for every woman. Therefore, the importance of having access to information regarding available resources for relief of these miserable symptoms is always reassuring.

10 Non-hormonal Treatment Options Alternatives to synthetic hormone replacement therapy are a hot topic among women experiencing menopausal symptoms. Many women have concerns with the risks associated with hormone replacement therapy to treat their menopause symptoms and resort to alternative treatment remedies for relief. Most providers today do not usually discuss alternative treatment because they lack the knowledge of what is available as an alternative for menopause symptom treatment. Increasing awareness of available alternative treatments would give the nurse practitioner (NP) the knowledge to discuss this sensitive subject matter competently with women who have concerns about the risk of synthetic hormone treatment.

11 Non-hormonal Treatment Options Include Prescribed Alternatives Progestogens Diet and Lifestyle Alternatives and Complementary Therapies

12 Prescribed Alternatives Clonidine Works as a centrally active a2 adrenergic agonist Selective Serotonin Reuptake Inhibitors Works to decrease the chemical reaction involving serotonin

13 Progestogens Megace Gabapentin

14 Diet and Lifestyle Good Healthy Eating Regular Exercise

15 Alternatives and Complementary Therapies Acupuncture and Acupressure Alexander technique concentrating on body posture and breathing Aromatherapy Cognitive Behavior Therapy (CBT)

16 References Alexander, I., & Moore, A. (2007). Treating vasomotor symptoms of menopause: The nurse practitioner's perspective. Journal of the American Academy of Nurse Practitioners, 19(3), Baruth, M., Wilcox, S., & Saunders, R. (2013). The role of pastor support in a faith-based health promotion intervention. Family and Community Health, 36(3),

17 References Bopp, M., & Fallon, E. (2011). Individual and institutional influences on faith-based health and wellness programming. Health Education Research, 26(6), Bopp, M, Webb, B. L., & Fallon, E. A. (2012). Urban-rural differences for health promotion in faith-based organizations. Online Journal of Rural Nursing & Health Care, 12(2),

18 References Canderelli, R., Leccesse, L. A., Miller, N. L., & Davidson, J. U. (2007). Benefits of hormone replacement therapy in postmenopausal women. Journal of the American Academy of Nurse Practitioners, 19(12),

19 References Cheema, D., Coomarasamy, A., & El- Toukhy, T. (2007). Non-hormonal therapy of post-menopausal vasomotor symptoms: A structured evidence-based review. Archives of Gynecology and Obstetrics, 276(5), Holloway, D. (2008). Non-hormonal treatment options during the menopause. Nurse Prescribing, 6(11),

20 References Kupferer, E., Dormire, S., & Becker, H. (2009). Complementary and alternative medicine use for vasomotor symptoms among women who have discontinued hormone therapy. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 38(1), Livaudais, J. C., Li, C., John, E. M., Terry, M. B., Daly, M., Buys, S. S., Habel, L., Thompson, B., Yanez, N. D., & Coronado, G. D. (2012). Racial and ethnic differences in adjuvant hormonal therapy use. Journal of Womens Health, 21(9),

21 References Polit, D., & Beck, C. (Eds.). (2011). Nursing research: Generating and assessing evidence for nursing practice (9 th ed.). Philadelphia, PA: Wolters Kluwer, Lippincott, Williams, & Wilkins Publishers. Sassarini, J., & Lumsden, M. A. (2010). Hot flashes: Are there effective alternatives to estrogens? Menopause International, 16,

22 References Shou, C., Li, J., & Liu, Z. (2011). Complementary and alternative medicine in the treatment of menopausal symptoms. Chinese Journal of Integrative Medicine, 17(12), Reavy, K. & Tavernier, S. (2008). Nurses reclaiming ownership of their practice: Implementation of an evidence-based practice model and process. The Journal of Continuing Education in Nursing, 39(4),

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