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DQ: Identify a population that you will likely serve as an advanced registered nurse that you think is particularly vulnerable to issues of health disparities/inequity

Psychiatric-mental health nurse, the population I serve is vulnerable to issues of health disparity/inequity due to the nature of their illness. The illness of the population often is associated with the following factors:

socioeconomic

limited access to care

cultural differences

sexual orientation, etc

The socioeconomic factors have been linked to suicide, but little research has explored the effects of these determinants on suicide risk in US populations (DeBastiani et al., 2019).

In this population, most of the patients are of African American background with a record of more than five million (17.3 percent) (Murray, 2022) with limited education and access to quality health care in comparison to their Caucasian counterparts. In addressing the problems, an APRN needs to first and foremost create awareness of these issues, educate, and improve access to health care services for this vulnerable population. These are and will continue to be my specialty to health promotion and disease prevention for this population.

 

The Christian worldview principle strives for equality, that all humans are created in God’s image, equal, and should be treated with the principle of justice, compassion, and helping one another especially, those in need/vulnerable. Mental illness is a stigma among the patients which is why the population needs ultimate support, reduced stigma, education, and encouraging open communication to foster early intervention are some effective measures in preventing mental health issues.

 

Homicidal and suicide prevention is the focus of this population which involves strategies like access to treatment, access to resources, healthy lifestyle like balanced nutrition, exercise, sufficient sleep, reduced stress, housing, financial stability, good relationships, connection to a healthcare professional, and social connections. Advocating social justice, educating, and reducing stigma, and individual treatment plans are crucial in promoting and preventing social among the mental health population. As reported in their article, Erlangsen et al., (2023) that dedicated interventions are needed to achieve significant suicide reduction. Factor impacting representation of this population is their unwillingness to participate in research and with understanding that cognitive behavioral therapy is a commonly used evidence-based treatment ((Murray, 2022).

 

NUR 513 Topic 3 Discussion 1

DQ Identify a population that you will likely serve as an advanced registered nurse that you think is particularly vulnerable to issues of health disparities inequity

As an informatics nurse, my target population would be pediatrics. Children have been deemed a vulnerable population in our healthcare system because they cannot consent on their own and must deal with circumstances beyond their control (economic, financial, access to healthcare, abuse, exploitation, etc.). Because of the factors mention, there is an increased health risk associated with the lack of pediatric research (Presidential Commission for the Study of Bioethical Issues, 2016). Pediatric populations are understudied because of the legality of consent, the willingness to participate in research, and being able to have the cognitive ability to understand any perceived risk associated with the research. Health determinates and measures of health within a population are critical indicators of how healthcare needs to evolve in terms of preventative measures and education (DeNisco & Barker, 2016). This makes the quantification of the effectiveness of preventative health measures, programs, and education necessary (DeNisco & Barker, 2016). An informatics nurse can play a significant role in quantifying data, the improvement of technologies, and the distribution of health services (AMIA, 2020).

In terms of diversity and the global perspective, the United States continues to experience population growth and increasing diversity due to immigration. I work in California and predominantly work with Hispanic/Latino, Asian, and Middle Eastern ethnic minorities.

DQ Identify a population that you will likely serve as an advanced registered nurse that you think is particularly vulnerable to issues of health disparities inequity
DQ Identify a population that you will likely serve as an advanced registered nurse that you think is particularly vulnerable to issues of health disparities inequity

I’m sure we’ve all experienced how this can create barriers to access to health care and how we deliver nursing care. DeNisco and Barker point out that minorities who are low income and/or have language barriers often have less access to healthcare and have poorer health outcomes (2016, p.580). Health disparities among minorities become an even bigger issue when dealing with the already vulnerable pediatric population. In terms of health equity, we have made strides with things like the Affordable Care Act to help eliminate some disparities, but unfortunately, we have a long way to go. Western medicine is very focused on the physician model of care, where everything is diagnosis-driven. However, as our nation evolves, it speaks to the greater need for cultural competence and sensitivity and caring for the patient as a whole, including cultural and spiritual needs, not just their diagnosis (Watson, 2008).

References

American Medical Informatics Association (AMIA). (2020, April 14). Nursing informatics in the times of COVID-19: Achievements, challenges, and new ideas. AMIA COVID-19 Webinar series. https://www.amia.org/sites/default/files/AMIA-COVID19-Webinar-Series-NIWG-ANI-Clinical-Informatics-3.pdf

DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Jones & Bartlett Learning.

Presidential Commission for the Study of Bioethical Issues. (2016). Vulnerable populations in safeguarding children: Pediatrics medical countermeasure research.https://bioethicsarchive.georgetown.edu/pcsbi/sites/default/files/6%20Vulnerable%20Populations%20Safeguarding%20Children%209.30.16.pdf

Watson, J. (2008). Nursing: The philosophy and science of caring (Rev. ed). Boulder, CO: University Press of Colorado.

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This is insightful, Gina; nurse informatics play significant roles in the management of pediatric care. Given that children are vulnerable to diseases and different complications, there is always the need to rely on the previous data and information to initiate effective care (American Nurses Association, 2015). Additionally, given that children cannot provide consent to the treatment processes, there is always the need to help them deal with circumstances beyond their control. Children often need quality care, and this calls for specialized interventions coupled with research and evidence-based practices. Therefore, informatics nurses, with their high-level technical roles, are able to use data and technology to monitor, the program carefully, and develop effective patient care initiatives to enhance treatment and general care for the patients (Grover, Sharma, & Mehra, 2020). Pediatric studies are critical, especially when it comes to the enhancement of primary care. However, in reality, pediatric populations are understudied due to the legality of consent and lack of cognitive abilities to understand any form of perceived risk associated with the research processes.

References

American Nurses Association. (2015). Nursing informatics: Scope and standards of practice. Retrieved from: http://mtshohoe.edu.gh/library/index.php?p=show_detail&id=855&keywords=

Grover, S., Sharma, N., & Mehra, A. (2020). Stigma for Mental Disorders among Nursing Staff in a Tertiary Care Hospital. Journal of neurosciences in rural practice11(2), 237–244. https://doi.org/10.1055/s-0040-1702916

The population that is vulnerable to issues of health disparities that I would like to focus on is patients with mental health disabilities. As an advanced registered nurse focusing on health care quality and patient safety, it is my duty to address mental issues related to safety in the same degree as physical ailments. There are a lot of patients with mental illness that do not seek medical care because of fear of rejection. Among the various factors, which influence help seeking, stigma, discrimination, social prejudice, and negligence are considered to be important factors which prevent mental health care and treatment (Grover, et al., 2020).

In order to address the health promotion and disease prevention for this population, it is important to first eradicate the stigma towards them. Stigma toward mentally ill people not only originates in general public but also among health care professionals (Grover, et al., 2020). An example is when we had a homeless patient come in the hospital frequently asking for anxiolytics to help calm down. Some staff thought of this person as “drug-seeking”, but in reality, he suffered from anxiety disorder and PTSD from a prior traumatic experience. This is a common misconception among psychiatric patients. In order to prevent worsening of symptoms, he should receive the appropriate care that he deserves. Incorporating quality of service such as medical screening evaluation performed by a qualified provider, educating him about his medical problems and prescribing medications appropriate for his symptoms and diagnosis are forms of health promotion. Prevention in this case includes suicide risk screening and providing resources for support groups.

 

Health equity should be globally addressed because every human deserves quality care and treatment. Though there may be diversities in socio-economic status, cultural background, religion, and ethnicity, there should be no room for inequity. It is every one’s fundamental right to achieve health and wellness. This requires removing obstacles to health such as poverty, discrimination, and their consequences, including powerlessness and lack of access to good jobs with fair pay, quality education and housing, safe environments, and health care (Braveman, et al., 2017).

 

References

 

Braveman, P. (2017). What is health equity? Robert Wood Johnson Foundation. https://www.rwjf.org/en/library/research/2017/05/what-is-health-equity-.html

Grover, S., Sharma, N., & Mehra, A. (2020). Stigma for Mental Disorders among Nursing Staff in a Tertiary Care Hospital. Journal of neurosciences in rural practice11(2), 237–244. https://doi.org/10.1055/s-0040-1702916

This is insightful, Maria; there are increased cases of mental illnesses in the healthcare systems. In the United States, one in five adults suffers from mental health problems; in other words, over 43.8 million people are diagnosed with mental health problems every year (Hai et al., 2020). There are also serious cases of mental health problems where one in twenty-five people are affected in a given single year. Also, there are many patients with mental illness who do not seek medical care because of fear of rejection. Advanced registered nurses, with their research skills, are able to undertake evidence-based practice processes to identify the best strategies that can be employed to enhance the management of patients suffering from mental health problems. Also, advanced registered nurses have the capability of reducing the stigma associated with mental health problems. Stigma toward mentally ill people not only originates in the general public but also among health care professionals (Shim & Compton, 2018).