Foreseeable Implementation Issues
For the implementation stage of my project, I can foresee three main practical problems. The first problem involves the ability to trace the patients consistently. Treatment for tuberculosis takes an elongated time, yet the residence of homeless people varies depending on seasons. It might be hard to locate the patients more so during extreme weather. The second implementation problem is limitation of funds. Instead of having an ideal project, I might end up having a project limited to available funds, which might compromise the outcome. The final potential issue is lack of cooperation by homeless patients. For example, the patients will need to avoid some substances such as alcohol and hard drugs during treatment (Choi et al., 2016). Some of the patients might be unwilling to adhere to instruction or even chose to avoid treatment instead of staying off addictive substances.
Stakeholders that Could Assist
The project to treat homeless TB patients benefits several stakeholders making the potentially willing to assist. For a start, there are the social workers under whose dockets the welfare of the homeless lies (Nandi et al., 2016). Social workers can assist in tracing homeless TB patients and in convincing them to accept treatment. Organizations that run homeless shelters are keen to avoid communicable disease outbreaks in their centers. Such organizations would also be willing to assist in convincing patients to adhere to prescriptions. Public health officials are also essential stakeholders concerning infectious diseases. Such officials can help in convincing obstinate patients to accept medication, including through threats of incarceration.
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Theoretical Frameworks or Models that Could Help
I would consider transformational theories of leadership as the most suitable approach for the instant project. The focus of the project is homeless Americans who also suffer from tuberculosis. Such need treatment and healing and even a change of lifestyle. Transformational leadership theories involve identifying the areas of need to change (McCaffrey & Reinoso, 2017). The theories then address how to establish such changes effectively. Such an approach goes beyond fighting against TB and into ensuring lifestyle changes that prevent the recurrence of the situation facing the patients.
References
Choi, H., Chung, H., Muntaner, C., Lee, M., Kim, Y., Barry, C. E., & Cho, S. N. (2016). The impact of social conditions on patient adherence to pulmonary tuberculosis treatment. The International Journal of Tuberculosis and Lung Disease , 20 (7), 948-954.
McCaffrey, R., & Reinoso, H. (2017). Transformational leadership: A model for advanced practice holistic nurses. Journal of holistic nursing , 35 (4), 397-404.
Nandi, P., Worrell, M. C., Andrews, T., Sales, R. M., McMichael, J., Hampton, K. H., & Goswami, N. D. (2016). Engaging homeless service providers in educational efforts during a tuberculosis outbreak in Atlanta. Journal of the Georgia Public Health Association .