NURS11168 : Determinants of Health and Primary Health Care Case Study

Learning Outcomes Assessed

1. Discuss the relationship between health inequities, health literacy, and health outcomes
2. Explain the importance of immunisation in communities and the role of health care professionals in vaccination
3. Outline the role of the primary health care nurse within a

Aim

• The aim of this assessment is for you to demonstrate your knowledge of health literacy, health inequities, the public health service of immunisation to improve community health outcomes and the role of health professionals in delivering primary health care services to promote health outcomes for individuals, families and communities.

Instruction

Please follow the steps below to complete this assessment task.

• You are writing an academic essay.
•  Answer the following three questions:

1. Discuss the tips to guide the immunisation conversations you would provide to the parents stated above (approximately 550 words).
2. Nurses are important in promoting and delivering immunisation programs to individuals, families and communities. Describe the role of registered nurses in promoting and delivering immunisation programs as part of the primary health care to communities. Provide an example of a vaccination strategy that has made an impact other than SKAI (approximately 400 words).
3. Explain the interplay between health literacy, health inequities and health outcomes in any Australian healthcare context (approximately 550 words).

Case Study

The National Centre for Immunisation Research and Surveillance in Australia (NCIRS) made a media release on 14th December 2023 on the declining vaccination coverage among Australian children. See media release here or https://ncirs.org.au/vaccination-coverage-children-continues-decline-following-easing-pandemic-related-restrictions

One strategy to address declining childhood vaccination coverage is the creation of a sharing knowledge about immunisation (SKAI) in collaboration with the relevant stakeholders. You are a registered nurse working in the SKAI team, and you are required to talk with parents who are hesitant to vaccinate their children.

Literature and References

In this assessment, use at least 12 contemporary references (seven years or less) sourced from the CQUniversity library to support your discussion. You may also use seminal scholarly literature where relevant. Suitable references include peer-reviewed journal articles as well as textbooks and credible websites. When sourcing information, consider the five elements of a quality reference: currency, authority, relevance, objectivity, and coverage. Grey literature sourced from the internet must be from reputable websites such as government, universities, or peak national bodies, for example, the Australian College of Nursing, the Australian Bureau of Statistics and the Australian Institute of Health and Welfare. Note that websites such as StatPearls, Life in the Fastlane, and Wikipedia are not suitable for this assessment task. Lecture notes are not primary sources of evidence and should not be used in this assessment.

Requirements

• Use a cover page for your assignment that includes the following order:
  • Student name
  • Student number
  • Unit code and name
  • Assessment type
  • Due date
  • In-text word count
  • Centred
  • Use of Gen AI: Gen AI agent XX has been used for editing and proofreading this assessment (insert or delete as applicable).
• Use a conventional and legible size 12 font, such as Times New Roman, with double line spacing and 2.54cm page margins (standard pre-set margin in Microsoft Word).
• Include page numbers on the top right side of each page in a header.
• Indent the first line of each paragraph 1.27cm (standard pre-set indent in Microsoft Word).
• An introduction and conclusion are not required for this assessment.
• All questions in the instructions of this assessment must be attempted and clearly answered to pass this assessment task.
• Write in the third-person perspective.
• Use formal academic, discipline specific, professional and inclusive language.
• Use Microsoft Word English (Australia) spelling and grammar checker.

Summary of Assessment Requirements

The assessment focuses on demonstrating knowledge and understanding of health literacy, health inequities, immunisation, and the role of primary health care nurses in improving community health outcomes. Key requirements include:

1. Assessment Type: Academic essay, written in a professional and formal style, using third-person perspective.

2. Questions to Address:

   • Tips for guiding immunisation conversations with hesitant parents (~550 words).

   • The role of registered nurses in promoting and delivering immunisation programs, including an example of an impactful vaccination strategy (~400 words).

   • The interplay between health literacy, health inequities, and health outcomes in an Australian healthcare context (~550 words).

3. Case Study Context: Students act as a registered nurse in the SKAI team addressing declining childhood vaccination coverage, using evidence-based strategies.

4. References: Minimum of 12 contemporary references (within seven years), including peer-reviewed articles, textbooks, and credible grey literature from authoritative sources. Lecture notes or unreliable websites are not acceptable.

5. Formatting Requirements:

   • Cover page with student name, ID, unit, assessment type, due date, and in-text word count.

   • Times New Roman, 12-point font, double-spaced, standard 2.54 cm margins.

   • Page numbers top right, first-line paragraph indent 1.27 cm.

   • Use Australian English and professional, inclusive language.

   • Gen AI use must be disclosed if applied for editing/proofreading.

The assessment aims to ensure that students can critically engage with health literacy, immunisation practices, and nursing roles, applying evidence-based strategies to improve individual, family, and community health outcomes.

Assessment Approach by Academic Mentor

The Academic Mentor guided the student through the assessment in a structured, step-by-step manner:

Step 1: Understanding Assessment Objectives

• Explanation: The mentor clarified the learning outcomes, including the relationship between health literacy, health inequities, and health outcomes, and the importance of immunisation in community health.

• Guidance: The student was advised to focus on evidence-based strategies and real-world nursing practice examples.

• Outcome: The student developed a clear understanding of what each essay question required.

Step 2: Case Study Analysis

• Explanation: The mentor introduced the NCIRS media release and SKAI initiative context.

• Guidance: Students analysed the scenario to understand the target audience (hesitant parents) and relevant health communication strategies.

• Outcome: The student could frame essay responses around practical nursing interventions.

Step 3: Literature Review and Evidence Gathering

• Explanation: The mentor instructed the student to source at least 12 contemporary references using CQUniversity library databases and credible grey literature.

• Guidance: Emphasis was placed on evaluating sources for currency, authority, relevance, objectivity, and coverage.

• Outcome: The student gathered relevant, high-quality references to support all three essay sections.

Step 4: Structuring the Essay

• Explanation: The mentor advised on organising responses clearly for each question, maintaining word count and professional tone.

• Guidance: Students were coached to use headings, subheadings, and evidence integration while adhering to academic writing conventions.

• Outcome: The student prepared structured drafts addressing all questions without needing an introduction or conclusion.

Step 5: Writing and Editing

• Explanation: Guidance focused on third-person perspective, formal language, and correct referencing (APA style).

• Guidance: The student applied Gen AI tools only for proofreading and language refinement, disclosing its use appropriately.

• Outcome: The essay maintained professional clarity, discipline-specific language, and accurate in-text citations.

Step 6: Final Review and Formatting

• Explanation: Mentor reviewed the essay for compliance with formatting requirements (font, spacing, margins, page numbers, paragraph indentation).

• Guidance: Students checked word counts per question and overall adherence to assessment instructions.

• Outcome: The essay met all submission criteria, ensuring readiness for assessment.

Outcome Achieved and Learning Objectives Covered

The student successfully completed the assessment by:

• Demonstrating strategies to guide immunisation conversations with hesitant parents.

• Explaining the role of registered nurses in delivering immunisation programs and providing an example of an impactful vaccination strategy.

• Discussing the relationship between health literacy, health inequities, and health outcomes in the Australian context.

• Integrating evidence-based references and maintaining professional academic writing standards.

Learning Objectives Covered:

1. Understanding the impact of health literacy and health inequities on community health outcomes.

2. Knowledge of immunisation programs and the nurse’s role in primary health care.

3. Ability to provide evidence-based recommendations for health promotion strategies.

4. Competence in professional academic writing, research, and referencing.

5. Application of critical thinking to analyse case studies and propose solutions.

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