Date of Award

4-2020

Degree Name

Nursing (D.N.P.)

Department

College of Nursing

First Advisor

Dr. Joy Turner Washburn, EdD, RN, WHNP-BC

Second Advisor

Dr. Marie Vanderkooi, DNP, MSN, RN-BC

Third Advisor

Dr. David E. Langholz, M.D., F.A.C.C.

Abstract

A growing body of scientific literature suggests that even at low levels, lead is an important, but often overlooked risk factor for cardiovascular disease mortality in adults. Through an initial literature review and organizational assessment, the DNP student was able to identify a potential gap between current research and policy guidelines related to adult lead exposure screening in the state of Michigan. The purpose of this policy analysis project was to examine current literature and policy guidelines related to lead exposure screening in the adult population in order to identify and analyze a potential gap that may be amenable to future policy changes. Using the Bardach Eightfold Path Model, the project aimed to answer the following clinical question: Will a policy analysis on lead exposure research and screening guidelines, compared with the absence of a policy analysis, initiate interest among health policy advocacy groups such as the American Heart Association (AHA) regarding a policy or guideline change with respect to lead exposure screening in the adult population? Semi-structured interviews with key stakeholders, including members of the AHA, as well as a review of policies related to lead exposure screening in Michigan and in surrounding states, were completed. The results of the project implementation and the completed policy analysis process revealed that the most appropriate course of action to addressing the identified problem is for continued research and dissemination efforts aimed at building a stronger literary consensus and increasing the awareness of policymakers, health advocacy groups, and the general public.

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