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Health disparities literature review
Health disparities literature review
Health disparities literature review
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As a future Family Nurse Practitioner it is very important for me to provide health care services to the underserved population. During my undergrad studies at Lehman College, I was required to research a community to analyze its access to healthcare. In my findings, this particular community lacked primary care providers, over utilized the emergency room as a means of accessing health care services and had a higher mortality rate of preventable diseases compared to several communities with similar demographics. Working for New York City Health and Hospital Corporation will enable me to provide primary and preventative health care services to this community. Within five years of becoming a Family Nurse Practitioner, I plan to take on an additional
I plan to pursue a career in nursing as a Family Nurse Practitioner. This career take many steps to complete. But it is different routes you can take and different programs you can enroll in for this profession. Family Nurse Practitioners can prescribe medication and diagnose patients and give treatment. They can work either in hospitals and or clinics as a primary healthcare provider. They can also order specific x-rays and test that need to be done for a patient. The nurse practitioners interact with less patients in a clinic than in a hospital. Np’s have privileges to prescribe medications in every state.
Health care providers not knowing their surrounding community impacts the way they provide health care to a patient. I hope to use my background in community work with underrepresented populations and the qualities I gained to hopefully reduce and someday diminish the concern that health care isn’t keeping up with the demographics of the surrounding community. The third health care concern I will talk about is another near and dear to me which is the severely low quality health care women in developing countries receive.
The Robert Wood Johnson Foundation (RWJF), a philanthropy organization, has been involved in health matters facing Americans for over 40 years with focus to child and family wellbeing, health coverage, health leadership and workforce, health systems improvements and healthy weight. Since its inception in 1972, RWJF support has grown and is now the largest philanthropy body devoted exclusively to health in the nation (RWJF, 2015). In this paper, the author discusses the RWJF Committee initiatives and their effect on nursing education, nursing practice and nursing workforce development, the role of action based coalition and expound on the state of Oklahoma Campaign team report.
As a health care provider Advanced Practice Registered Nurses (APRNs) should be actively involved in working towards eliminating disparities. APRNs should conduct research to determine the health disparities in their community by utilizing the state and local database for the Department of Health. The APRNs need to report the findings to local health care providers, and political leaders, then initiate change based on the findings.
Every individual in the world deserves to enjoy health and wellness. Maintaining or achieving proper health needs enables individuals to be productive at work and leisure. Traditionally, many people have had barriers obtaining adequate healthcare due to economic constraints or personal inconveniences. Despite impressive technological advances in medicine, the challenge of delivering quality healthcare to the Americans continues to be debated amongst the nation’s political and healthcare leaders. The aging baby-boomers and the increased number of uninsured people add to the equation of population growth which results in limited access to primary healthcare for the entire public. On the other hand, this has ignited the need for advanced practiced registered nurses to unveil the profession’s fullest potential. Nurse practitioners have been called to the public to meet the demand for safe and convenient healthcare. These academically and clinically well prepared nurse practitioners demonstrate their knowledge, skill and leadership in the communities (Hansen-Turton, Miller, Nash, Ryan, & Counts, n.d.). Due to the magnified concerns for additional access to healthcare, ANA has supported nurse practitioners’ ongoing work in retail-based health clinics to reflect a positive movement towards accurate, quality medical care for all citizens.
It is no secret that the current healthcare reformation is a contentious matter that promises to transform the way Americans view an already complex healthcare system. The newly insured population is expected to increase by an estimated 32 million while facing an expected shortage of up to 44,000 primary care physicians within the next 12 years (Doherty, 2010). Amidst these already overwhelming challenges, healthcare systems are becoming increasingly scrutinized to identify a way to improve cost containment and patient access (Curits & Netten, 2007). “Growing awareness of the importance of health promotion and disease prevention, the increased complexity of community-based care, and the need to use scarce human healthcare resources, especially family physicians, far more efficiently and effectively, have resulted in increased emphasis on primary healthcare renewal…” (Bailey, Jones & Way, 2006, p. 381). The key to a successful healthcare reformation is interdisciplinary collaboration between Family Nurse Practitioners (FNPs) and physicians. The purpose of this paper is to review the established role of the FNP, appreciate the anticipated paradigm shift in healthcare between FNPs and primary care physicians, and recognize the potential associated benefits and complications that may ensue.
Health care spending consumes a significant proportion of the national budget. As a result, good management practices should be part of providing cost-effective care to the community. The nursing profession is effective in providing primary care to the community. Even though the practice dates to the 19th century, its significance emerged in the previous decade as a result of changing demographics and global environment. It compliments health care policies through comprehensive nursing assessment, monitoring progress and early intervention. Additionally, it facilitates referrals and social support services such as education to promote self-reliance among people at risk. It combines biophysical, psychological, social knowledge and experience to develop capacity in health care provision. Therefore, the role of public health nursing is changing from contemporary generalist services to specialized and advanced roles in dealing with shifts in demographics, sociological and cultural factors that affect the health of the community.
My recent experience as an emergency room nurse and post- surgical nurse has influenced me to pursue my licensure as a family nurse practitioner. Even though I have worked in an acute care setting, I would like to practice in a non-emergent setting such as community or public health. The majority of patients that I see in the emergency room receive treatment for conditions that are preventable. For my advanced practice, I would like to work in a public health clinic specifically with patients with newly diagnosed disease process, and low-income families and provide patient education and treatment. In my experience in the emergency room, people seek treatment in the emergency room because they have no insurance and do
Many communities, regions, and states are working together to create the culture of health by redefining the meaning of getting heathy and staying healthy. These communities, regions and states are addressing the social, physical, economic environment that people live in. The Americans can overcome the multitude of disparities and creates equalities with the help that directs resources, research, compassion and community involvements (Maughan, 2014). Health disparities are not just a health issue, it is a combination of financial issues, racial issues, education issues and others. Nursing leaders can address these health disparities differently. For example,
Being a Nurse Practitioner takes more than just wanting to earn a pay check. It takes compassion, knowledge, and the want to help others. You can change lives on a daily bases. It’s a great responsibility that should be taken head on. It all started when Nurse Practitioners become in demand in the 1960s due to the increasing need for nurses. The first program to become an NP started at the University of Colorado by Dr. Henry Silver and Dr. Loretta Ford. (Historical) By the 1970s the programs increased to about 65 nationwide. The numbers of programs has helped increased the numbers of NPs to 195,000 in the U.S. as of 2014. (Historical) Being a Nurse Practitioner is truly a profession.
Patient-Centered Care is a vital step for the underserved populations. In the clinical practice attention, and focus should be priority for these disadvantage patients. As a nurse educator, I should take a proactive role to to improve the health of America's underserved populations. participating in support group will enhance the care to serve the underserved population. In United states there is a disparity in the health of racial , ethnic groups, minorities, and African Americans. Most of the underserved population lives in underserved rural areas. These population lack access for health care, because their poverty, low income, and less access to transportations. Serving in shortage area is sacred mission for health care provider. Nursing role in the underserved areas has a dominant factor to reduce children mortality rate, and reduce elderly diseases. It is an opportunity to address all the barriers that prevent this special group for health care access. It is the real challenging for nurses to use the utmost knowledge, and explore new ideas that need further investigations.
During one of my undergraduate courses, “Community and Population Health”, I completed a paper on my community and access to healthcare. During the research and community outreach performed to meet the goals of the paper, my eyes were opened to the plight of small communities in regards to access to quality healthcare. This plight has become my passion, and has formed the basis for my vision of the Family Nurse Practitioner role.
Now that I have this class behind me, I am so fulfilled to convey that this course was so different from the previous. Throughout this class, I turned to deep analysis of major forms of reimbursement, equity and affordability in healthcare delivery, healthcare policy, finance, and regulatory environment including local, state and national healthcare development. Affordable Care Act support nurse’s central role in cost control, care quality, and patient safety increasing the chances for nurses to make care as healthier as possible. The social environment, political and economic impact cultural worries of current economic impact of health care reform, health insurances coverages and payments. A collaboration among health staff and nursing advocacy
By focusing on the extensive understanding of community health nursing and foundational nursing concepts I have been opened up to new perspectives throughout this term. Through concentrating on foundational nursing topics taught in Nursing 285, 287, 288, and 289 I have gained the tools needed to critically reason and examine situations in my life and actively practice and incorporate the knowledge I have learned. The Public Health
I choose to be a Family Nurse Practitioner. In many ways, it has also chosen me. I was twelve years old when I first thought of becoming a nurse. I was spending time with my elderly neighbor who was like a grandmother to me, and she had an accident. She was mortified. I ran over and got something to clean it up and started to wipe up the mess without thinking about it. “We all have accidents,” I said. After she got changed she said, “You were meant to be a nurse. Some day you will be, I just know it.” She passed away later that year and I have never forgotten that moment.