how can you advocate for this identified vulnerable population within your community

How can you advocate for this identified vulnerable population within your community? 

List and discuss at least three ways in which you can advocate.

Healthy People 2020 defines a health disparity as “a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage” (Healthy People 2020, n.d.). Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial or ethnic group, religion, socioeconomic status, gender, age, mental health, cognitive, sensory, or physical disability, sexual orientation, or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion.  The United States has seen extraordinary advances in medicine, public health and technology that allow people to live longer, healthier, and more productive lives (Pound, W. T. (Ed.). (2017, June). While health has improved for most Americans, some groups and communities are not experiencing the same gains. Although many gaps have narrowed in recent years, racial, ethnic, and income-related disparities in access persist. Health care in the United States is among one of the greatest in the world if you can access it (Latino health disparities, n.d.).

As a Latina women born and raised in the U.S by immigrant Latino parents who worked two jobs as janitors and childcare providers my family was off and on state assistance throughout my childhood. The community my family settled in was predominantly Latinos, comprised of business, schools and resource centers that spoke Spanish. The neighborhood continues to be a community of low socioeconomic status where households have little income or wealth and are characterized by multiple physical and psychosocial stressors (Davila, Reifsnider, & Pecina, 2016). Data has proven that people of low-income households are more likely to have worse self-reported health, lower life expectancy and suffer from more chronic conditions when compared to those of their counterpart. It has been my firsthand experience that cultural competence is imperative in order to decrease the gap between health disparities and achieving good health. Three ways in which I plan to advocate for my Latino communities is by improving communication and decreasing language barriers, understanding, and incorporating “Familismo” (familism) and the cultural expectations of “el doctor” (the doctor).

1: Language Barriers

Language barriers exist between Spanish-speaking patients and English-speaking medical providers in all areas across the medical profession (Pérez-Stable, 2017). Statistics have shown there has been a plateau in medical school minority admissions in the past decade and it is unlikely that Latino physicians will increase in the next 25 years (Pound, W. T. (Ed.). (2017, June). Like many other cultures, Latinos search for familiarity and someone who they can understand. It has been my experience that compliance stems from proper communication. I would like to help create programs in underserved communities where patrons can be trained as an interpreter to work in these predominantly Spanish speaking health centers. It will not only help bridging the communication gap but also help employ Latinos who are not financially stable. This RN believed that communication in a native tongue and allowing ample time for patient and families to ask questions.

how can you advocate for this identified vulnerable population within your community? List and discuss at least three ways in which you can advocate.

2: Being culturally aware of Familism

To decrease health disparities in minority communities, health care providers need to understand the culture of the community that they are working for. To understand Latinos is to be culturally literate to the term “Familismo” or familism (Pérez-Stable, 2017). Familism is a is a family structure where culture value comes from respect, support, and obligation to family. In layman’s terms, loyalty to the extended family ranks above individual needs. Familism can work in the providers favor when encouraging a patient to make a life-style changes by persuading the patient to stop doing something because it would benefit others (Davila, Reifsnider, & Pecina, 2016). To be successful in treating Latino families a non-Latino health care provider needs to respect the male dominant hierarchy. Many Latino men are hesitant to seek help for any medical issues because they are portrayed as being weak and helpless. They also tend to be more hesitant to make lifestyle modifications when it comes to nutrition, habits, and limitations (Ayón, Arsiglia, & Bermudez‐Parsai, 2018). To be successful, Latino patients need to have a support system that is based on family. The Latina women is considered the dominant role of caretaker and the primary source of health information to the family. As an APRN, with a Latin background and experience with the family structure, patient education will be comprised of the patient and supportive family members that play a major role in patient everyday life.

3: The Latino/a expectations of a doctor figure

Latino patients see their doctors as important authority figures with rank on the level of priest (Pérez-Stable, 2017). Although authoritative, Latinos also want a friend that can talk to as their provider. When treating Latino patients, it is goof to keep in mind that they seek a “formal friendliness” and any impersonal characteristic that accompany modern medicine are not acceptable in the Latino culture (Pérez-Stable, 2017). First impressions are important because the Latino patient will decide if they like you or not based on the verbal communication and not their training or medical history. My goal as an APRN is to make patients feel comfortable enough to tell me their problems honestly and to understand that their health is important to me and the community. If a patient is happy with their care, they will be more compliant with the plan of care.

References

Ayón, C., Marsiglia, F. F., & Bermudez‐Parsai, M. (2018). Latino family mental health: Exploring the role of discrimination and familismo. Journal of community psychology, 38(6), 742-756.

Davila, Y. R., Reifsnider, E., & Pecina, I. (2016). Familismo: influence on Hispanic health behaviors. Applied Nursing Research, 24(4), e67-e72.

Disparities. Disparities | Healthy People 2020. (n.d.). https://www.healthypeople.gov/2020/about/foundation-health-measures/Disparities.

Latino health disparities. LULAC. (n.d.). https://lulac.org/programs/health/health_disparities/.

Pérez-Stable E. (2017). Issues in Latino health care. The Western journal of medicine, 146(2), 213–218.

Pound, W. T. (Ed.). (2017, June). State Approaches to Reducing Health Disparities. National Conference of State Legislatures. https://www.ncsl.org/Portals/1/Documents/Health/HealthDisparities_2017_31448.pdf.

Poghosyan, L., & Carthon, J. (2017). The Untapped Potential of the Nurse Practitioner Workforce in Reducing Health Disparities. Policy, politics & nursing practice, 18(2), 84–94. https://doi.org/10.1177/1527154417721189

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed
• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• Student paper example
• Citing Sources
• The Writing Center is a great resource

NU 629 Week 2 Discussion 1: Cultural Competency Caring for a Vulnerable Population in My Own Community

Value: 100 points

Due: Initial post by Day 3, Response by Day 7.

Grading Category: Discussions

Overview

Cultural Respect & Competency—Caring for a Vulnerable Population in My Own Community

Effective health communication is as important to health care as clinical skill. To improve individual health and build healthy communities, providers need to recognize and address the unique culture, language, and health literacy of diverse consumers and communities. As Advanced Practice Nurses, we must be knowledgeable but also culturally savvy and understand the nuances of the populations that we serve.

Prior to writing this week’s discussion post, first, complete the self-assessment checklist, reflect upon the information you learned about yourself, and then review the following learning material:

1. Cultural Competence Self-Assessment Checklist (PDF)
2. National Institutes of Health: Cultural Respect
3. Health Resources and Services Administration: Cultural Language and Health Literacy
4. Effective Communication Tools 2016 (YouTube)

• Effective Communication Tools 2016 (YouTube) video transcript

Initial Post

For this discussion, identify a vulnerable population in your own community. Describe the characteristics of this group—what makes them vulnerable—and utilize at least three scholarly resources to answer one of the following questions for your initial post.

1. Paraphrase concepts/theories specific to healthcare disparities as related to vulnerability; provide at least three applications of concepts/theories that could be implemented within your community.
2. As an APRN, how can you advocate for this identified vulnerable population within your community? List and discuss at least three ways in which you can advocate.
3. How does what you learned about your own cultural competency affect how you might approach your role as an advocate? Did you find that you had bias? Were you aware of your bias prior to this exercise?
4. As an APRN, how will you strive to be culturally competent and respectful to those you serve? List and discuss at least three behaviors/characteristics of a culturally competent and respectful APRN.

Note: Evaluate your APA proficiency and make sure you address each of the required elements for this discussion. Utilizing headings for each aspect of the question is a great way to know that you covered the elements of the question. As you continue to move through this course and our program, expectations related to APA, grammar, professional writing, and assessment instructions will encourage you to stretch and push yourself, ensuring you are producing graduate-level academic work that you can be proud of.

Reply Posts

Reply to at least two of your classmates that answered different questions than you did. The replies should be well thought out with strong paragraph development (minimum of five to six sentences each), citations, and APA formatting. Note: The expectation is not that you “agree” or “disagree” with your peers but that you develop a conversation with information that is validated via citations to encourage learning and to bring your own perspective to the conversation.

In one of your reply posts, compare and contrast your vulnerable community’s characteristics or conditions, or even your own bias, with those of your peers in relationship to the question your peer answered. For your second reply post, discuss the pros and cons of an interdisciplinary approach to advocacy; evaluate the focus of team members and how they might benefit your peer’s vulnerable population in relation to the question that they chose to answer.

Please refer to the Grading Rubric for details on how this activity will be graded. Reply to at least two of your classmates on two separate days (minimum) utilizing at least two scholarly references per peer post.

how can you advocate for this identified vulnerable population within your community? List and discuss at least three ways in which you can advocate.

Posting to the Discussion Forum

1. Select the appropriate Thread.
2. Select Reply.
3. Create your post.

As an APRN, how can you advocate for this identified vulnerable population within your community List and discuss at least three ways in which you can advocate.

Select Post to Forum.

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Discussion Question Rubric

Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.

Note: The value of each of the criterion on this rubric represents a point range. (example: 17-0 points)