America Needs Nurse Practitioners to Advocate.docx

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America Needs Practitioners to Advocate for Social Justice
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actions they take will have a significant impact. The nurses should come together and address the
barriers that racism has caused in our society to ensure there is a change in the health sector and
all sectors.
The need to have open discussions is also a very thoughtful idea; when a burning issue
such as this one regarding real people's opinions tends to rise to bring change. Many people can
reason according to the circumstances presented to them and come up with different solutions.
Earlier it has been a norm to issue statements of how people should conduct themselves, but now
actions should speak louder than words. Ways of how people violate the rules should be stated
clearly and adhered to accordingly to ensure that people will embrace the change.
Nurse practitioners should take the lead in dismantling racism-supporting measures, and
the greatest thing is that they have advice on how to do so. With the assistance of the code of
ethics, which encourages nurses to take the lead on public issues and collaborate to reform
inequitable systems, they can commence what all people, white or black, deserve.
In conclusion, nurse practitioners are very important individuals who can ensure that the
health system is racism-free. They should ensure that they push necessary reforms to ensure that
all individuals receive equal treatment, even though the employer may be against it to ensure that
we live in a healthy nation that respects everyone's rights.

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Reference
Russell Naila, (2020). America Needs Practitioners to Advocate for Social Justice. The Journal
for Nurse Practitioners

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Module 1 Discussion Health Policies Lillian Wald and Mary Brewster took cogent leaps in the progression of nursing influence, with the development of The Henry Street Settlement in 1893 (Mason, Gardner, Outlaw, O’Grady 2016). This action paved the way for the evolution of better health care policy, centered around community needs. Now, health policy is influenced by research, media, politics, lobbyists, and much more; based on community values. The Structure of health care policy is yet complicated, with the basis of core determinants of health that influences policy. Said determinants are comprised of factors such as gender, education and literacy, physical environment, culture, and not to say the least, social status. (Policies and Politics, page 3). Social status stands out, as it is a headline issue with health care coverage. Oppressed communities are at stake, as they have exhausted even the thought of better health access due to low literacy, no access to good jobs, and poor nutritional standards. The process of health care policy has substantial dependency on nurse leadership. Meaning, nurses who understand how policy drives coverage and care should advocate for the community. Not many nurses want to approach the frontlines to tackle the many challenges in this specific side of the industry. However, one must understand the sources of health care policies and their effect on society to generate change. According to an article written by Susan Taft and Kevin Nanna of Kent State University, public sources are the core influence of governmental bodies constructing policies. Meaning a vast existence of public education should be available to communities that do not quite understand the process. Together, Taft and Nanna broke down the Ways to Influencing Public Policy. This included significant points such as media impact by writing letters and getting headlines. The same tactic is seen by many politicians during the elections; designed to stir the emotions of voters. Another is to join an organization that believes in and is driven by advocacy. Consistent research is necessary to be in-tuned with public issues, which can help in every aspect of said suggestion to create power in numbers. With the focus on public health, the Affordable Care Act and its purpose contributed greatly to the influencing of certain health policies; so that more people could afford care. Such policies included safe health practices by health institutions, which lead to care improvement by placing penalties on readmission less than thirty days. But, at the same time, provided funding for improved outcomes driven by the implementation of new policies. However, coverage impacted by zip code is certainly a topic where more nurse leaders are needed to address. We are talking about a level of nursing leadership that could shift the issues affecting upstream factors. Kohnke's philosophy of functional advocacy speaks volumes, in.

Module 1 DiscussionHealth Policies Lillian Wald and .docx

audeleypearl

CHAPTER 7 The policy process Eileen T. O’Grady “There are three critical ingredients to democratic renewal and progressive change in America: good public policy, grassroots organizing and electoral politics.” Paul Wellstone Nurses can more strategically and effectively influence policy if they have a clear understanding of the policymaking process. Conceptual models can help to organize and interpret information by depicting complex ideas in a simplified form; to this end, political scientists have developed a number of conceptual models to explain the highly dynamic process of policymaking. This chapter reviews two of these conceptual models. Health policy and politics Health policy encompasses the political, economic, social, cultural, and social determinants of individuals and populations and attempts to address the broader issues in health and health care (see Box 7.1 for policy definitions). A clear understanding of the points of influence to shape policy is essential and includes framing the problem itself. For example, if nurses working in a nurse-managed clinic are troubled by staff shortages or long patient waits, they may be inclined to see themselves as the solution by working longer hours and seeing more patients. Defining and framing the problem is the first step in the policy process and involves assessing its history, patterns of impact, resource allocation, and community needs. Broadening and framing the problem to influence or educate stakeholders at the local, state, or federal level could include advocating for better access or funding for nursing workforce development (see Box 7.1). BOX 7.1 Policy Definitions Policy is authoritative decision making related to choices about goals and priorities of the policymaking body. In general, policies are constructed as a set of regulations (public policy), practice standards (workplace), governance mandates (organizations), ethical behavior (research), and ordinances (communities) that direct individuals, groups, organizations, and systems toward the desired behaviors and goals. Health policy is the authoritative decisions made in the legislative, judicial, and executive branches of government that are intended to direct or influence the actions, behaviors, and decisions of others (Longest, 2016). Policy analysis is the investigation of an issue including the background, purpose, content, and effects of various options within a policy context and their relevant social, economic, and political factors (Dye, 2016). The next step is to bring the problem to the attention of those who have the power to implement a solution. Other key factors to consider include generating public interest, the availability of viable policy solutions, the likelihood that the policy will serve most of the people at risk in a fair and equitable fashion, and consideration of the organizational, community, societal, and political viability of the policy solution. Public interest is a fascinating dynamic ...

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Running Head: SOCIOLOGY IN NURSING 1 SOCIOLOGY IN NURSING 2 Sociology in nursing: A look from different perspectives Name Institution Introduction Health literacy is the acquisition and application of knowledge to daily practices for the improvement of the general health of an individual as well as the community. This influences the response to symptoms of illness, approach to treatment and preventive measures. While it may seem like common knowledge, the difference in the cultural and social background comes into play during the stated health literacy skills. Nurses are tasked with the provision of elementary care to culturally diverse communities and thus necessitating cultural competency. Different concepts exist with regard to cultural composition and diversity in the community under evaluation. Singleton & Krause (2009) identify these to include: Magico-religious, biomedical and deterministic concepts. These concepts are always evolving with arising situations. Regular training on cultural competence is recommended as it is considered a threat to patients (Kaihlanen, Hietapakka & Heponiemi, 2019). This paper will look at nursing from different sociology perspectives to demonstrate the need for training. Health literacy from sociological perspectives Functionalist perspective Health concepts are shared among a group of people sharing in other aspects of life as well. This is a source of continuity in identity recognized from doing things in a certain way. This is well demonstrated in Mayhew (2018), where an initial visit to a health facility, the nurse provides treatment options, which is met by indecisiveness, which turns around on the second visit following consultation with family members on the best course of action (Mayhew, 2018) for the ailing family member. The consultation gives the young mother confidence and a sense of unity in the family due to their collectivist approach. The institution of marriage is revered as well as nursing, as the mother takes time to understand all that pertains to the provided options. Conflict perspective Cultural diversity presents different approaches to decision making on health issues. Despite expert knowledge, a nurse must operate under ethical codes by respecting the patient's autonomy. This means that the decision reached, and failure thereof, must be upheld. For instance, a magico- religious culture may bar ailing members from procuring blood transfusions, even though their condition may only be helped by one. A nurse, while offering this option to them, can only do so much but respect this culture. Conflict may also arise when actions taken in an emergency situation, maybe in opposition to patient beliefs, such as first aid to the opposite sex. Symbolic interactionism perspective This perspective demonstrates the difference in dialects and jargon used by different societies. Nursing uses professional language and jargon, which patients may not decipher. Equally, nurses are fac.

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1 day ago Jessica Dunne RE: Discussion - Week 10 COLLAPSE Top of Form NURS 6050C: Policy and Advocacy for Improving Population Health INITIAL POST Resource Allocation for an Aging Population Technological advances in medicine and preventative care means that Americans are living longer lives than ever before. Hayutin, Deitz, and Mitchell (2010) assert that by the year 2030 Americans over the age of 65 will account for 20% of the population. There will soon be more elderly Americans than children, and the number of working adults is expected to decrease concurrently. This shift in the population will yield significant economic, political and social challenges. Healthcare needs are also changing. Death and disability rates are declining, yet the incidence of chronic illness within the elderly population continues to rise (Hayutin, Deitz, & Mitchell, 2010). Crippen and Barnato (2011) contend that 20% of the population assume 80% of all healthcare-related costs. As much as 75% of these costs are attributable to chronic diseases (Crippen & Barnato, 2011). Revenues for healthcare are projected to decrease while expenditures are expected to increase. Healthcare providers, policymakers, and industry experts need to work towards solutions that will optimize healthcare dollars and create sustainability for future generations. Ethical Considerations The dynamics of healthcare are complicated; financial resources seem insignificant when making life and death decisions. Nonetheless, resources are finite, and therefore, distribution and allocation of funds must be ethical. According to Craig (2010), the theory of distributive justice requires that people with the same health needs have equitable access to all available resources. However, distributive justice also requires that the associated costs also be shared equitably. Fairness is another ethical principle that should be applied in the allocation of healthcare resources. Policies that are fair must be transparent, understandable, and there must be regulatory process to address complaints and resolve conflicts. The idea that healthcare is a human right is outlined in the declaration of independence which guarantees citizens the right to life, liberty, and the pursuit of happiness. The need of the patient should also be considered. A burn patient needs plastic surgery more than a patient that wants rhinoplasty (Craig, 2010). Nurses provide the best possible care to every single patient regardless of gender, ethnicity, sexual orientation, ability to pay, or age. The American Nurses Association (2012) provides ethical guidelines for nurses to employ in their practice. Provisions one, two, and three promote the principle of beneficence, and the obligation nurses have to advocate for the best interests of their patients. Provisions seven, eight, and nine focus on providing social justice for clients through practice and policy (American Nurses Association, 2012). Nurses should also promote aut.

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· Write a response as directed to each of the three case studies and save the document. 1- Analyze the ethical implications of a community health initiative to decrease the rate of teenage pregnancy by means of health education in the public schools. This community takes pride in its schools and is comprised of multiple ethnic, immigrant, religious and social groups. Use the following ethical principles in your analysis: autonomy, beneficence, nonmaleficence and justice. Egalitarian • The view that everyone is entitled to equal rights and equal treatment. Ideally, each person has an equal share of the goods of society, and it is the role of government to ensure that this happens. The government has the authority to redistribute wealth if necessary to ensure equal treatment. Thus egalitarians support welfare rights—that is, the right to receive certain social goods necessary to satisfy basic needs. These include adequate food, housing, education, and police and fire protection. Both practical and theoretical weaknesses are inherent in egalitarianism. Libertarian • The libertarian view of justice advocates for social and economic liberty. While egalitarianism lacks incentives for individuals, libertarianism emphasizes the contribution and merit of individuals (Beauchamp & Childress, 2013). • Limited role of government Liberal democratic Attempts to develop a theory that values both liberty and equality • Based on Rawl’s Theory of Justice and the “veil of ignorance.” Behind this veil, people (or their representatives) are unaware of social position, race, culture, doctrine, sex, endowments, or any other distinguishing circumstances (Rawls, 2001). This is known as the original position and is an exercise to address the inequalities and bargaining advantages that result from birth, natural endowments, and historical circumstances. Without these inequalities, all people are free and equal and can work together as citizens to decide what is fair and therefore just. Once impartiality is guaranteed, Rawls suggests all rational people will choose a system of justice containing the following two principles: • Each person has the same claim to a fully adequate scheme of equal basic liberties, and this scheme is compatible with the same scheme of liberties for all. • Social and economic inequalities are to satisfy two conditions: first, they are to be attached to offices and positions open all under conditions of fair equality of opportunity; and second, they are to be to the greatest benefit to the least advantaged members of society (the difference principle). Box 7.2 Ethical Principles Respect for autonomy: Based on human dignity and respect for individuals, autonomy requires that individuals be permitted to choose those actions and goals that fulfill their life plans unless those choices result in harm to another. Nonmaleficence: Nonmaleficence requires that we do no harm. It is impossible to avoid harm entirely, but t ...

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2 Complete Assignment Student’s Name Institutional Affiliation Professor’s Name Course Name Due Date This research problem meets the litmus test because it is researchable and has not yet been studied comprehensively. It is an essential issue with potential implications for policy and justice. The research gap in this topic is that no existing research looks explicitly into the psychological effects of the death penalty in Texas. To better reveal this gap, further research can be conducted better to understand the psychological impacts of the death penalty. This research could include qualitative interviews with those affected by the death penalty in Texas, such as family members of those on death row, legal professionals, and mental health professionals (Paul & Criado, 2020). In order to expertly respond to the qualitative checklist for Chapters 1 through 3, I will need to master a range of skills and subject matter areas. Most importantly, I will need to understand the research topic in depth, including the relevant literature, current debates, and potential implications. Additionally, I will need to become proficient in qualitative methods, such as conducting interviews, analyzing data, and writing results. Furthermore, I will need to thoroughly understand the research process, including creating a research question, developing a research design, and presenting the results (Paul & Criado, 2020). To build upon the research conducted thus far, a research question I could develop throughout the rest of this course is: What are the psychological effects of the death penalty in Texas on those affected by it? This question could be explored through qualitative interviews with those affected by the death penalty in Texas. This could include the family members of those on death row, legal and mental health professionals. Through these interviews, I could gain insight into the psychological effects of the death penalty in Texas and how it has impacted those involved. This research could help inform better policies and practices related to the death penalty in Texas (Paul & Criado, 2020). References Paul, J., & Criado, A. R. (2020). The art of writing literature review: What do we know and what do we need to know?. International Business Review, 29(4), 101717. PEER RESPONSES FOR Patient Outcomes and Sustainable Change Assessment Description Reflecting on the "IHI Module TA 102: Improving Health Equity," describe two causes of health disparities in the United States, or in your local community, that lead to health inequity. What ethical issues inhibit access and quality for care for these issues? Outline an initiative, integrating your faith and ethical principles surrounding practice, to reduce these health inequities and sustain the change within the health care system. Veronica Montemayor Orji & Yamashita (2021) noted that greater cancer-related mortality rates among racial or ethnic minority women .

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1 Identifying the Vulnerable Learning Objectives After reading this chapter, you should be able to: • Explain the concept of vulnerable populations. • Discuss how the theories of common good and individual rights contribute to the cre- ation of public policy in health care. • Determine how the concept of resource availability relates to one’s health. • Examine the aggregate statistical data on the number and growth of identified vulnerable populations. • Identify the vulnerable populations in the United States. Courtesy of Chris Bett/fotolia bur25613_01_c01_001-038.indd 1 11/26/12 10:32 AM CHAPTER 1Introduction Introduction Two women enter the hospital with pneumonia. They are similar in age, but of dif-ferent races. One patient has private health insurance; the other is on Medicaid. One patient recovers quickly while the other languishes. What can be surmised from the differences in the two patients? Thinking on this and asking the right questions allows health care providers to create patient care plans that better meet each patient’s needs. Providing better health care to all patients requires awareness of environmental factors that may prohibit timely recovery and put the patient at risk for secondary and repeat infections. Environmental factors such as finances, family, and education all affect a person’s vulnerability, or risk level. Understanding statistical data on vulnerable populations will help you interpret patient information. This allows easier identification of those who are at risk, so that providers may plan care accordingly. Addressing the needs of at-risk populations leads to faster patient recovery, thereby lowering the cost of patient care. Lowering health care costs is important for the patient, the care provider, and the whole country. Nonprofit organizations and government agencies work to identify and help at-risk groups. This activity affects both government and organizational policy among health care providers. This text investigates the statistical data and indicators of vulnerable populations in American health care. It also covers the causes of vulnerability and the prevailing ideolo- gies on dealing with at-risk populations. We will also discuss what is currently being done through policymaking and program implementation to address the needs of vulnerable populations and what the future looks like for at-risk groups. This chapter focuses on identifying vulnerable populations. The relationship between resource availability and health is an important part of recognizing at-risk groups. Finally, we will look at statistical data concerning the at-risk groups identified in the book. Critical Thinking The text states, “Addressing the needs of at-risk populations leads to faster patient recovery, thereby lowering the cost of patient care.” How does addressing the needs of at-risk populations lead to faster patient recovery? bur25613_01_c01_001-038.indd 2 11/26/12 ...

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Running Head: ENVIRONMENTAL HEALTH 1 ENVIRONMENTAL HEALTH 8 Environmental Health Student Name: Kusum Syangbo Instructor Name: Elizabeth Wachira Course no: HHPH- 382-01W Date: April 5, 2020 Texas A&M University, Commerce Abstract Environmental health is both a public health and social justice issue. This paper will describe how environmental health is both a public health and social injustice issue and some of the environmental injustices in the United States. It will also explain the functions of environmental health movements in the US. Finally, the paper will describe some of the intervention opportunities in curbing environmental injustices including health education, advocacy, policy, leadership opportunities, and community focus and give my future leadership role as far as environmental health is concerned. Keywords Environmental health, public health, social injustice, minority groups Section 1: Topic Description The topic that I chose is Environmental Health. This topic is a public health issue because the environment in which we live in shapes our health every moment of every day. Our health can be affected by what we eat, where we live, and how we interact with the world around us. That is where environmental health professionals, programs and policies, all come into play. Environmental health is a large field in public health because of the numerous ways exterior factors can impact how we live, grow and, even eat. These factors concern how we address our natural environment like sanitation and clean water, but they are also the consequences of our actions as human beings (Krometis et al, 2017). Environmental Health is also a social justice issue because all the conversations about protecting habitats, mitigating climate change and recycling are not just about saving and protecting the earth, they are more about the struggle for protecting and providing basic human rights to good health. Every human being is entitled to quality air, clean water, and sanitation (Marmot, 2017). Section 2: Social Injustice Two Environmental Social Injustices One major environmental social injustice is the disproportional placing of dangerous waste amenities in poor and largely ethnic and racial minority localities. Research shows that there are ethnic and racial discrepancies in the locations of dangerous waste across the United States. As a result of these injustices people living in such an environment have developed diseases like cancer. Another social injustice is the environmental influence on healthy eating, physical activity, and obesity in ethnic and racial minority communities with low income. The principal concern here is the deprivation amplification such that in locations where have little individual resources, the local amenities that help people to live healthily, are poorer than those in non-socially and non-impoverished deprived places. Research has shown that t.

Running Head ENVIRONMENTAL HEALTH1ENVIRONMENTAL HEALTH8.docx

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Module 4 Discussion Population and community health are extremely important for the well being of our population. Healthcare providers play important roles in improving population health and are also the health educators for their community. Population health is the outcomes of a group of individuals, including the distribution of such outcomes within the group. Community health is a branch of public health which focuses on people and their role as determinants of their own and other people’s health in contrast to environmental health, which focuses on the physical environment and its impact on people’s health. All healthcare professionals can take many actions to promote population and community health. There are many ideas about actions that need to be taken to improve the health among the population in Miami and the communities within the city. I went to Broward College for my BSN and the last class we had to take before graduate from the program was community health. The purpose of this class was to integrate us as healthcare provider in the community which allowed us to help the less fortunate people or the vulnerable population. A group of us chose to complete the class with the homeless population in Broward county. We went to the homeless shelters to provide primary care to the homeless individuals by taking their blood pressure, blood sugar, and so on. We literally had an open clinic at each of the homeless shelters. We had doctors and nurse practitioners that volunteer to provide care to them. It is extremely important for healthcare professionals to promote community health to the homeless population because it can help decrease illnesses and many diseases among them. According to Tsai, Jenkins, & Lawton (2017), individuals who are homeless represent the most vulnerable, indigent group in the United States and thus may have great medical needs that must be addressed to prevent sicknesses and illness. A few studies have shown access to healthcare can improve the health and lives of various patient populations (Tsai et al, 2017). Lack of access to healthcare or lack of health insurance is one of the major issues in the United States. The homeless population is among the vulnerable populations that suffer more due to their lack of healthcare coverage. By volunteering to help, healthcare providers can improve their quality of life. These individuals are not able to purchase or pay for the most basic health insurance and will not be able to get any treatment without us (healthcare providers) volunteering to help at their shelters. According to Bernstein, Meurer, Plumb, & Jackson (2015), reported rates of diabetes and hypertension in the homeless population range from 2% to 18% for diabetes and 18% to 41% for hypertension. The percentages of homeless individuals being diagnosed with diabetes and hypertension will continue to increase because they do not have access to healthcare. there is also a growing consensus that the adult home.

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