Hepatitis B: Prevention and Health Promotion Strategies Essay

Introduction

Regardless of multiple attempts to address the issue and resolve the problem, Hepatitis B remains a relevant health issue. For this reason, the offered paper focuses on the in-depth analysis of the health condition, including its epidemiology, evaluation, and possible strategies for intervention aimed at reducing incidence rates and promoting better outcomes. The research determines the importance of nursing planning and interventions to attain the existing goals and how they can influence communities and populations’ health. In general, the investigation promotes a better understanding of Hepatitis B, its influence on populations, and how the problem can be addressed by using available resources.

Rationale

The choice of the topic is justified by several factors. First of all, statistics prove that Hepatitis B remains a severe challenge for the healthcare sector. About two billion people have the virus globally, while 1.5 million become newly infected every year (Tu et al., 2020). Moreover, 300 million have chronic forms of the given disease, which increases the scope of the problem (Tu et al., 2020). Another critical problem is that only 10% of all people with the disease are diagnosed, which results in 820,000 deaths every year associated with hepatitis B (Tu et al., 2020). Under these conditions, it becomes critical to address the problem.

Second, the relevance of the issue under discussion is justified by its significant influence on communities’ health. The virus can be spread in several ways, including sharing personal care items, making the risks more significant. The increased number of new cases every year means that communities’ health reduces. At the same time, hepatitis B spread is associated with low awareness and health literacy, meaning that interventions aimed at promotion and prevention might be an effective tool to address the problem (Soriano et al., 2020). For this reason, the significance of the topic and the necessity to address it impacted the choice.

Background

Prior to discussing the chosen health condition, it is critical to acquire its improved understanding. Hepatitis B is a severe infection resulting in serious inflammation, leading to liver damage if left untreated (Chen, Hsieh and Wu, 2021). The virus spreads the disease, which can be transmitted in several ways, making the threat more significant. Thus, the complications linked to the condition include liver cancer, cirrhosis, severe tissue damage, and even death (Chen, Hsieh and Wu, 2021). For this reason, hepatitis B is viewed as one of the complex infectious diseases requiring immediate treatment and specific measures to stop its further spread.

The disease has two forms, acute and chronic hepatitis B. The first one occurs during the first stages of being infected. During the first six months, a patient can clear their bodies and recover using specific treatment and methods recommended by a specialist (Sadlier et al., 2017). However, in numerous cases, hepatitis B becomes chronic, leading to severe inflammation and liver cancer. Appropriate care can slow down the development of the infection and increase the chances of surviving (Sadlier et al., 2017). In this regard, the disease is a critical concern influencing the population’s health and their chances for well-being.

Epidemiology

Hepatitis is one of the most common infections in the world. Statistics show about 350 million chronic cases of the virus. It is transmitted from mother to child during delivery, through contacts with blood or other body fluids during sexual contact with infected partners or unsafe injections (WHO, 2021). The major risk groups include people working in healthcare, individuals with numerous sex partners, children born from infected mothers, drug-addicted persons sharing needles, or groups living in areas with poor sanitation (Public Health England, 2017). In such a way, hepatitis B has several ways of transmission, making it more dangerous for different cohorts.

At the same time, several risk factors might simplify being infected with hepatitis B. These include diabetes or HIV infection, resulting in weakened immunity and reducing a person’s chance for successful recovery. Moreover, health workers providing care to infected patients are also at high risk (MacLachlan and Cowie, 2015). Finally, the lack of awareness and health literacy promotes the higher risks of being infected because of the lack of knowledge of how the disease is transmitted and how to protect themselves from it. These factors influence the high incidence rates, about 1,5 million new cases every year (WHO, 2021). For this reason, it is critical to address the problem.

Assessment

Regarding the relevance of the outlined problem, it is vital to possess the necessary information to address it. It means that assessment acquires the top priority as one of the tools helping to perform the task. In the nursing practice, it means collecting and evaluating data pertaining to a particular condition to acquire a holistic understanding of existing clients’ needs and risk factors (Maniago et al., 2020). Regarding hepatitis B, a health worker should focus on working with patients to realise the challenges they face and possible facilitators of the further disease’s spread. It would lead to better virus control and improved outcomes.

Hepatitis B can be discovered by collecting information about specific changes in the functioning of the body and paying attention to the main symptoms. Thus, fever, fatigue, and loss of appetite are one of the first signs signalising problems with the liver and the necessity to address the doctor (de Mendoza et al., 2019). Furthermore, vomiting, abdominal pain, and dark urine will also help to conclude the existence of the virus (de Mendoza et al., 2019). Collecting this sort of information, a nurse, or a patient, can discover hepatitis B at early stages and prevent its development and transformation into a chronic condition. It means that assessment plays a critical role.

Finally, the diagnosis can be proven by several lab tests that should be done on a patient. First of all, the blood test will provide a clear answer whether the hepatitis B virus is present in the body and there is a need to start treatment (de Mendoza et al., 2019). Second, therapists can make a liver ultrasound to investigate the current state of the liver and conclude about the severity of liver damage (de Mendoza et al., 2019). The given tests, as well as assessment procedures, will help to diagnose the condition and prescribe an on-time and effective treatment leading to significant improvement of clients’ states and their recovery.

Goals

The importance and scope of the selected health condition demand introducing clear goals to improve the situation. They provide the direction for planning specific interventions and serve as the criteria needed to evaluate the current progress (Murdaugh Parsons and Pender, 2018). Speaking about hepatitis B, it is vital to focus on such promotion activities as the improved knowledge of the major symptoms, the increased awareness of the prevention mechanisms and prophylactic measures, better knowledge of vaccination’s effectiveness and access to it (Pattyn et al., 2021; Roade et al., 2021). Under these conditions, it is possible to formulate the following health promotion goals:

• By the end of the intervention, to improve knowledge of hepatitis B symptoms among specific populations and risk groups.
• By the end of the intervention, to enhance health literacy regarding the disease’s transmission and ways to avoid it.
• To attain an improved understanding of vaccination effectiveness by community members and increase its accessibility by the end of the intervention.

The given goals are vital for the health promotion activities as their achievement will establish a healthier environment and improve communities’ well-being.

Interventions

The information above shows that hepatitis B remains a critical concern influencing numerous population groups globally. For this reason, numerous international health agencies, such as WHO, or national bodies, such as British Department for Health, are interested in establishing a practical paradigm to address the condition and reduce the number of new cases annually (WHO, 2021). Under these conditions, health promotion, as the process of enabling people to control and improve their health, acquires the top priority (Freeland et al., 2021). It helps to focus on individuals’ behaviours and provide them with methods and tools to monitor their health and ensure better outcomes. For hepatitis B, health promotion is viewed as one of the major methods to ensure the reduced number of chronic cases per year and the more effective treatment of acute forms (Freeland et al., 2021). Nurses, as the specialists directly interacting with clients, become the central care providers responsible for final success.

Thus, the goals introduced previously can be attained by using several specific nursing interventions and health promotion strategies. First of all, the lack of knowledge about hepatitis B among populations should be addressed. Nurses should be central actors engaged in the process and responsible for outcomes. One of the first essential interventions implies direct collaboration with patients belonging to risk groups or problematic communities (Freeland et al., 2021). Health workers should educate populations about the major symptoms associated with the health condition and the importance of regularly self-assessment. It will help to determine the disease at its early stage and ask for assistance (Nankya-Mutyoba et al., 2019). Moreover, statistics show that the disregard of the early symptoms, along with the inability to recognise them, is one of the most common causes for transforming acute hepatitis B into a chronic one (Potvin and Jourdan, 2021). For this reason, the offered intervention will help to address the problem directly and improve the current situation.

The second measure is linked to the first one and implies sharing knowledge about hepatitis B prophylactics and prevention. According to WHO (2021), the higher risk of becoming infected is peculiar to people living in areas with poor sanitation. The disregard of the principal rules, such as access to clean water, regular hand washing, and safe food, results in the emergence of a threat of further virus spread (Potvin and Jourdan, 2021). Moreover, poor knowledge of how hepatitis is transmitted also becomes a factor promoting the increased incidence and the worsening of the problem (Nankya-Mutyoba et al., 2019). For this reason, nurses should focus on explaining to patients the major prophylactic measures that might help to avoid being infected and remain healthy. At the same time, it will help to align the enhanced collaboration between a care provider and a client, which is vital for outcomes and health promotion.

The second goal, increased health literacy and awareness, can also be attained using specific nursing interventions. Thus, the employment of available community resources is one of the effective ways to achieve the purpose and promote success. A nurse is responsible for outcomes and the gradual improvement of communities’ states, meaning he/she should be ready to collaborate with local authorities and outline the necessity to support clients. It implies using schools, health facilities, and other public organisations as the platform for sharing knowledge and providing individuals with materials improving their health literacy and helping to acquire new information about hepatitis B, its epidemiology, and how the virus is transmitted (Nankya-Mutyoba et al., 2019). Employment of community resources is a potent intervention available to nurses as a part of health promotion incentives and helping to create the basis for future improvement and increased well-being.

The third goal implies promoting enhanced knowledge about vaccination and its importance in struggling against hepatitis B. Thus, WHO (2021) outlines several barriers to increasing the number of vaccinated people, including poor knowledge about this measure and limited access to required health care. For this reason, the nursing intervention to achieve the goal should focus on these two issues. One of the possible ways is to cooperate with local health facilities and care providers (Bridges et al., 2019). In numerous cases, vaccines are available to individuals, but they are not willing to be vaccinated because of the lack of understanding of the scope of the issue (Tian et al., 2019). In such a way, a nurse should engage in direct interaction with local health facilities to ensure its workers support the idea of vaccinating people and are ready to provide various resources to support the incentive (Jelsoe et al., 2018). Furthermore, regular screening and blood tests should be offered to clients from risk groups to reduce Incidence rates and assist in struggling against further hepatitis B spread.

The choice of the given measures is explained by several factors. First, effective health promotion implies using community resources to increase the effectiveness of selected interventions and ensure they are available to clients. For this reason, local authorities and agencies should be engaged in health promotion activities as a collaborative effort will help to enhance outcomes and reduce incidence rates. At the same time, educational activities aimed at cultivating awareness and health literacy among risk groups and community members demonstrate the levels of effectiveness (Potvin and Jourdan, 2021). Under these conditions, it is possible to focus on these interventions and align the close cooperation between nurses and clients to guarantee positive outcomes.

Altogether, nursing interventions aimed at health promotion and improving communities’ states acquire the top priority regarding the struggle against hepatitis B. The scope of the problem and its relevance require immediate and effective action to ensure the public health is improved and individuals can benefit from the improved quality of life. For this reason, community involvement and closer cooperation between nurses and clients will help to address the problem and attain success in reducing the incidence rates. It becomes vital to achieve the outlined goals by using offered interventions.

Evaluation

It is expected that the outlined measures and interventions will help to attain the major goals and improve the state of the health issue. However, it is vital to track the progress and introduce necessary changes if needed. For this reason, evaluation becomes a significant aspect of nursing care planning. It implies a continuous activity of monitoring and documenting the patients’ or clients’ status and overall progress towards achieving the goals of the introduced interventions (Murdaugh, Parsons and Pender, 2018). It means a nurse should be responsible for observing the effects promoted by the strategies implemented regarding health promotion activities and introducing necessary changes. Otherwise, there is a high risk of unexpected outcomes and deterioration of the situation.

The evaluation process should also be applied to the proposed intervention to determine whether it is effective or not. Thus, it means that a nurse should use the previous experience and information about a client or community, as well as the condition, to determine whether the plan works and the goals are achieved. Regarding hepatitis B and health promotion activities, several major factors should be addressed. First of all, the number of new cases can be monitored (Nankya-Mutyoba et al., 2019). The reduction in incidence will indicate the program’s effectiveness and its contribution to promoting better well-being. Second, the overall level of health literacy can be monitored by communicating with clients. It will help to reveal remaining gaps and address them by offering new interventions. Finally, official health statistics related to the area should be reviewed to acquire credible data. It will help to determine the effectiveness of the planned intervention and its influence on the community’s health.

However, health promotion activities should be continuous, meaning there is a need for maintenance and improvement. That is why it is essential to create the basis for improving and achieving long-term goals. First, educational activities should be available during the prolonged term and should not be stopped. Better health literacy and awareness are the core components of health promotion as they enable clients to make informed decisions about their conditions (Patrick and Kingsley, 2019). It will guarantee that the intervention will remain active, and individuals will acquire relevant information about the disease (Freeland et al., 2021). Moreover, it is vital to ensure that local authorities are involved, as it is a key to better cooperation at different levels and the ability to resolve topical issues (Stanhope and Lancaster, 2021). By making these steps, the program can be maintained, and desired outcomes can be achieved.

At the same time, continuous enhancement is vital for attaining planned goals. For this reason, it can be recommended to add new information to provided guidelines. WHO (2021) and other international agencies update their recommendations regarding new methods of struggling against hepatitis B. Adding these concepts to already existing plans, it is possible to ensure better outcomes. Another recommendation implies the creation of supportive environments and strengthening community action (Melnyk and Fineout-Overholt, 2018). It means that individuals should be ready to engage in a collaborative effort to resolve relevant problems linked to hepatitis B and help each other to stop its spread (Melnyk and Fineout-Overholt, 2018). It will help to address the major determinants of health and ensure they are on the desired level.

Improvement of used measures remains a critical step vital for attaining outlined goals. The planned activities can be enhanced if additional resources are available. For instance, the lifestyle changes programs for drug-addicted individuals might be added to the existing approach as it will help to reduce incidence rates (Raingruber, 2016). Moreover, the importance of safe sex regarding the high rates of hepatitis B spread through unprotected sexual acts should be emphasised (Edelman and Connelly, 2017). It will also help to address the problem and minimise the risks of being infected with the virus.

Altogether, evaluation and improvement should be two basic components of the offered health promotion program. The constant analysis and monitoring of the current situation will provide specialists with data to implement necessary changes to make the intervention more effective. Moreover, assessing results, nurses might outline enhancement areas necessary for attaining long term goals and reducing the burden of hepatitis B for communities and the healthcare sector. For this reason, the health promotion activities should be supported with practical monitoring practices to ensure no failures occur and established goals are achieved.

Conclusion

Altogether, hepatitis B remains a significant concern affecting the health of the nations. The official statistics show that about 1.5 million people become newly infected every year. For this reason, there is a critical need for health promotion activities aimed at reducing the incidence and guaranteeing people are provided with the knowledge necessary for resisting the threat. The outlined goals for planned interventions imply enhancing health literacy, improving access to health care, and strengthening community response by increasing awareness and mutual support. They can be achieved by educating individuals about hepatitis B epidemiology, prophylactics, and measures that can be used to attain desired outcomes. The paper shows the critical importance of health concerns for the heal of the nation and the necessity to address the most nagging issues to ensure people have more chances for better well-being and can enjoy a high quality of life, which is one of the fundamental goals of the healthcare system.

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