NRS 429 Topic 4 Health Promotion in Minority Populations Assignment

What are the methods a nurse can use to gather cultural information from patients? How does cultural competence relate to better patient care? Discuss the ways in which a nurse demonstrates cultural competency in nursing practice.

A Sample Answer 3 For the Assignment:  NRS 429 Topic 4 Health Promotion in Minority Populations Assignment

Title: NRS 429 Topic 4 Health Promotion in Minority Populations Assignment

What are the methods a nurse can use to gather cultural information from patients? How does cultural competence relate to better patient care? Discuss the ways in which a nurse demonstrates cultural competency in nursing practice.

Our populace has become assorted with a wide range of societies. As medical caretakers, we must get this and what this can mean for how we assemble data and instruct. To teach patients viably and enable them to advance their well-being, the medical caretaker should ultimately draw in with them and become accustomed to their particular necessities (Falkner, 2018). Medical caretakers are frequently the main contact line with a patient, and we should advocate for well-being fairness. Each little paying mind to race, religion, orientation, pay, sexual direction, or social conditions merits the fantastic chance to carry on with a long, sound life. Medical attendants can accomplish this by social occasion social data by knowing the inquiries to pose to decide the suitable requirements and intercessions of the populace being served. Madeleine Leininger’s way of life care hypothesis directs social ability, which guides social appraisal. A few instances of socially proper inquiries that medical caretakers can use to acquire socially delicate data are:

When do you look for treatment from others when you are sick?

How treat dread most with regards to your disorder or turning out to be sick?

What kinds of medicines are adequate for you?

How would you feel your sickness influences you in your day to day existence (Falkner, 2018)

This is the initial move towards social capability. Well-being convictions can vary by culture, and all essentially affect patients, generally speaking, well-being and what medicines and schooling they will acknowledge. It is additionally critical to survey the patients living climate and monetary status. The more well-being experts comprehend an individual/culture, the more touchy they will be to the particular requirements. Also, as the specific requirements are given consideration, the patient will acquire trust and be more adept at heeding the guidance of the medical services experts. This will prompt better constant reflection.

Social capability is only one part of giving incorporated medical care, which incorporates treating the patient in an all-encompassing way that tends to all their psychosocial and actual medical care needs (Falkner, 2018). Medical attendants are not relied upon to be specialists in each culture, yet to know about the distinctions and put their convictions and predisposition to the side to change the consideration likewise. Madeleine Leininger’s culture care hypothesis can assist medical attendants with perceiving the elements that impact a patient’s prosperity and help them utilize them to change the arrangement of care. The more a medical attendant comprehends the patient’s way of life, the more all-encompassing they can be in care conveyance.

Brian Neese sums up it well in this illustration:1 Cultural mindfulness includes self-assessment of inside and out an investigation of one’s social and expert foundation. This part starts with a knowledge of one’s social, medical services convictions and qualities. A social mindfulness appraisal apparatus can be utilized to survey an individual’s degree of social mindfulness.

Cultural information includes looking for and acquiring a database on various social and ethnic gatherings. This part is extended by getting to data presented through sources, for example, diary articles, classes, reading material, web assets, studio introductions, and college courses. Cultural expertise includes the medical attendant’s capacity to gather important social information concerning the patient’s introducing issue and precisely play out a socially explicit appraisal. The Giger and Davidhizar model deal with evaluating patients’ social, racial, and ethnic contrasts. Cultural experience is characterized as the cycle that urges attendants to straightforwardly take part in multifaceted communications with patients from socially assorted foundations. Attendants increment social capability by straightforwardly collaborating with patients from various social foundations. This is a continuous cycle; creating social skills can’t be dominated. Cultural desire alludes to the inspiration to be socially mindful and look for social experiences. This part includes the eagerness to be available to other people, acknowledge and regard social contrasts, and gain from others.

References;

Falkner, A. (n.d.). Cultural Awareness. Retrieved from Health Promotion: Health & Wellness Across the Continuum: https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/3

Neese, B. (2016, July 22). A Guide to Culturally Competent Nursing Care. Retrieved 2018, from https://online.alvernia.edu/culturally-competent-nursing-care/

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A Sample Answer 4 For the Assignment:  NRS 429 Topic 4 Health Promotion in Minority Populations Assignment

Title: NRS 429 Topic 4 Health Promotion in Minority Populations Assignment

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!

The U.S. is a land of diverse cultural backgrounds and heritage with many different types of people based on their racial composition, beliefs, social statuses and views. The minority races are projected to become the majority in the next twenty years based on figures from federal agencies. As such, the increased diversity implies that healthcare providers and organizations must develop strategies focused on health promotion to reduce the overall healthcare cost in the country (Velasco-Mondragon et al., 2017). The diverse minorities have different cultural perspectives that affect accessibility, affordability, and quality of care provided. Therefore, health promotion can help minority populations lower cost of care and increase accessibility. As such, the paper compares and contrasts the health status of the Hispanic American population to the national average by looking at different components that define health and related services.

Description of the Ethnic Minority & Current Health Status

The Hispanic population comprises of individuals that have ancestry or origin in Cuba, Mexico, South and Central America, Puerto Rico and other Spanish cultures and background. The Census Bureau estimates that there are close to 60 million Hispanic or Latino people in the country. Imperatively, Hispanic is the largest racial minority group in the country as it constitutes about 19% of the general population. Again, it is projected that by 2060, Hispanics living in the U.S. will account for about 28.6% of the total population (Census Bureau, 2019). The Latino population is concentrated in ten states with most of them having over one million people of this minority group. These ten states include California, Arizona, New Mexico, Colorado, Georgia, Florida, Illinois, Texas, New Jersey and New York. Hispanics have a rich cultural background in food and value family life and are fluent Spanish speakers (HHS, 2020). Their cultural practices are heavily influenced by the Spanish culture.

Health Status

The health status of this population can be evaluated through different aspects that include uptake of medical or health insurance, access to health services and prevalence of lifestyle conditions among other socioeconomic determinants of health. Hispanics have limited insurance coverage compared to the general population. Hispanics constitute the highest number of uninsured individuals in the country. Figures from the Census Bureau show that in 2017, only 49% of Latino Americans had private insurance compared to the white Americans where close to 75% had medical covers. The Bureau also shows that more Hispanics depend on public health coverage than their non-Hispanic white counterparts (Census Bureau, 2019). About 17.8% of Hispanics did not have health insurance compared to about 6% of the non-Hispanic whites. These figures show that a majority of Hispanics struggle to access health services, especially preventive care.

Studies show that Hispanics are likely to suffer from, and die of, lifestyle conditions like diabetes and heart diseases as well as cancer compared to the general population (Velasco-Mondragon, 2017; Suarez-Balcazar et al., 2018).  The health of Latino Americans is impacted by different factors that include limited or lack of access to preventive care services, language barrier, and cultural issues. As indicated, a majority of this population do not have health insurance coverage. The Centers for Diseases Control and Prevention (CDC) asserts that Hispanics are susceptible to diabetes due to cultural factors (CDC, 2020). They are also susceptible to stroke, asthma, obesity, liver disease, and suicide as well as HIV/AIDS. These factors lead to increased health disparities between the Hispanic population and the general population.

Health Disparities and Nutritional Challenges of the Hispanic Ethnic Group

Health disparities are the variations and variables that contribute to inequalities or unequal distribution of healthcare resources among various demographics and population. Disparities also include preventable differences in disease burden, injury and violence or chances to attain optimal health which disadvantaged groups encounter. Specifically, disparities are associated with socioeconomic and environmental conditions of certain populations, especially among groups in racial and ethnic minorities. The Hispanic population faces income disparities leading to high rates of uninsured individuals compared to the general population (Suarez-Balcazar et al., 2018). Hispanics have increased health risk because of limited access to health care services and are 35% more likely to have heart diseases, 50% more likely to have diabetes, and 49% likely to suffer from cancer than the non-Hispanic white counterparts. The Hispanics are 23% more likely to have obesity and 23% less likely to go for colorectal cancer screening (Velasco-Mondragon et al., 2016). These statistics imply that the Hispanic population faces nutritional challenges. The nutritional challenge that exposes the population to a host of lifestyle conditions include having a diet with less recommended amounts of vegetable, whole grains and fruits and high amounts of sodium, sugar and saturated fats way beyond the recommended amounts.

Barriers to Health for Hispanic Population

Hispanic population faces significant barriers to health stemming from culture, socioeconomics, education and sociopolitical aspects. Hispanics are more unlikely to afford the cost of care and access healthcare services due to cultural issues like language barrier. Nurses can only offer effective care if a patient understand the language used by these healthcare providers. For instance, a good number of Hispanics do not understand English and many do not complete their high school education. Hispanic cultural beliefs are diverse as each group among this racial diversity has different cultural cues that nurses and other healthcare providers must understand.

Socioeconomic barriers among the Hispanics entail poor living conditions, low income and high poverty levels than the national average. For instance, one in every four Hispanics does not have a high school certificate (Velasco-Mondragon et al, 2016). The unhealthy lifestyles of the Hispanics increase the risk for developing chronic conditions. Low educational attainment means that an individual cannot be employed in a better workplace environment. Besides not being insured, they face barriers that impact their ability to access better health care services as they cannot afford to pay hospital bills out of pocket.

The sociopolitical factors affecting Hispanics entail changing immigration laws. Recent suggestions by the Trump administration to deport millions of illegal Hispanic migrants may have made many to fear accessing health care services or taking medical insurance (Velasco-Mondragon et al., 2016). The hundreds of undocumented Hispanics in the country increases barriers to better healthcare access as they have to give false information which makes it difficult for health care providers to monitor them closely. The Hispanics fail to return for reviews, making it difficult to provide effective services to them.

Health Promotion Activities Practiced by Hispanics

Health promotion activities are essential in preventing disease conditions in populations. Improving access to affordable services is critical to this population that does not seem to practice effective health promotion activities. Health promotion among the Hispanic should focus on reducing the high disease risk that include hypertension, obesity, and diabetes. Among the activities the population practices to promote health is creation of awareness about the effects of lifestyle conditions like diabetes and obesity. The population also focuses on movement strategy that aims at promotion of physical activity among the people (Avilés-Santa et al., 2017). These health promotions demonstrate the need for the population to increase the drive for more individuals to get medical insurance coverage.

Approach in Health Promotion

An effective health promotion model would be a focus on family and educating members about the need to prevent diabetes and obesity. The nurse should include the patient’s entire family into the plan of care. Diabetes is prevalent in the Hispanic culture and the primary level would entail giving basic information to patients on diet and blood sugar control. The nurse should provide an explanation to the patient about a healthy diet, especially one with low sodium, low sugar and low levels of saturated fats. The provider can teach the family how to check for blood sugar levels to ensure that it is at the normal rate. A secondary level model would entail teaching Hispanics with diabetes how and where to be screened for the condition. The healthcare provider should discuss the symptoms and signs of the condition (Avilés-Santa et al., 2017). At the tertiary level, the patients should be taught that untreated hypo and hyperglycemia leads to increased complications and possible hospitalization. The provider should ensure that patients understand the working of their medications to maintain their blood sugars to the appropriate range.

Conclusion

Health promotion is essential, especially among minority populations that experience increased health disparities and barriers. As demonstrated, health care providers and organizations in the country should ensure that they have cultural competencies to develop effective strategic models to promote quality care outcomes among the minority populations.

References

Avilés-Santa, M. L., Heintzman, J., Lindberg, N. M., Guerrero-Preston, R., Ramos, K., Abraído-

Lanza, A. L., … & Papanicolaou, G. (2017, October). Personalized medicine and Hispanic health: improving health outcomes and reducing health disparities–a National Heart, Lung, and Blood Institute workshop report. Biomedical Central, 11(11): 1-12. doi: 10.1186/s12919-017-0079-4

Centers for Diseases Control and Prevention (CDC) (2020). Health of Hispanic or Latino

Population. Retrieved on December 4, 2020 from https://www.cdc.gov/nchs/fastats/hispanic-health.htm

Health and Human Services (HHS) (2020). Profile: Hispanic/Latino Americans. Retrieved on

December 4, 2020 from https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=3&lvlid=64

Suarez-Balcazar, Y., Mirza, M. P., & Garcia-Ramirez, M. (2018). Health disparities:

Understanding and promoting healthy communities. Journal of Prevention & Intervention in the Community, 46(1): 1-6. https://doi.org/10.1080/10852352.2018.1386761

Velasco-Mondragon, E., Jimenez, A., Palladino-Davis, A. G. Davis, D. & Escamilla-Cejudo, J.

10. (2016). Hispanic health in the USA: a scoping review of the literature. Public Health Reviews, 37(31). https://doi.org/10.1186/s40985-016-0043-2

U.S. Census Bureau (2019 August 20). Hispanic Heritage Month 2019. Retrieved on December

4, 2020 from https://www.census.gov/newsroom/facts-for-features/2019/hispanic-heritage-month.html

Sincerely,