NUR 513 Topic 3 DQ 1 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

Grand Canyon University NUR 513 Topic 3 DQ 1 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-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University NUR 513 Topic 3 DQ 1 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 assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NUR 513 Topic 3 DQ 1 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                       

Whether one passes or fails an academic assignment such as the Grand Canyon University NUR 513 Topic 3 DQ 1 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 depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NUR 513 Topic 3 DQ 1 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                       

The introduction for the Grand Canyon University NUR 513 Topic 3 DQ 1 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 is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NUR 513 Topic 3 DQ 1 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                       

After the introduction, move into the main part of the NUR 513 Topic 3 DQ 1 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  assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NUR 513 Topic 3 DQ 1 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                       

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NUR 513 Topic 3 DQ 1 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                       

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer For NUR 513 Topic 3 DQ 1 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

Health disparity refers to a higher burden of illness, injury, disability, or mortality experienced by one group relative to another. It is the differences between groups in health insurance coverage, access to and use of care, and quality of care. 

The population that is vulnerable to issues of health disparities that I would like to focus on is patients with mental health problems. 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 illnesses 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 the 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 towards 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 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 provision of resources for support groups. 

Health equity should be globally addressed because every human being deserves quality care and treatment. Though there may be diversities in socioeconomic status, cultural background, religion, and ethnicity, there should be no room for inequity. It is everyone’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 environment, and health care (Braveman, 2022)

Sample Answer for NUR 513 Topic 3 DQ 1 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 Included After Question

NUR 513 Topic 3 DQ 1 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

NUR 513 Topic 3 DQ 1

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. Discuss the contribution of your particular specialty to health promotion and disease prevention for this population. How do issues of diversity and global perspectives of care contribute to your understanding of health equity as it relates to this population?

Re: Topic 3 DQ 1

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. 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.

RESPOND HERE (150 WORDS, 2 REFERENCES)

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 practice, 11(2), 237–244. https://doi.org/10.1055/s-0040-1702916

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Re: Topic 3 DQ 1

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 practice, 11(2), 237–244. https://doi.org/10.1055/s-0040-1702916

  I agree that the elderly population is at a particular disadvantage when it comes to receiving the care they need, especially in rural areas such as where you are located. Since starting this class, we have focused on the expanding roles for advanced practice registered nurses, and I believe that nurse educators have a unique role in providing education within organizations as well as to healthcare providers to bridge the gap between the care management of patients and achieving best patient outcomes. Telemedicine and virtual appointments might be one solution in the chain of missing links for elderly patients to receive routine health screenings and follow-up care, in addition to in-home services. For example, I work at Mayo Clinic, and they have a program called Mayo Clinic Advanced Care at Home which provides patients who would otherwise be admitted to the hospital, in-home, virtual care. The service includes around-the-clock access to the care team, vital signs monitoring equipment, meal delivery, medication oversight, home visits by an advanced practice provider, labs, infusions, and internet accessibility (Mayo Clinic Health System, n.d.). The advantage of this type of service allows the patient to stay in the comfort of their own home while still receiving high-quality care to manage their acute and chronic illnesses.

Becoming an APRNs at a time when health care is rapidly progressing allows us to be at the forefront of cutting-edge technologies and systems of care deliverance. Nurse educators provide specialty knowledge to assist nurses and providers in sharing information and training for the future, especially for the aging population.

References

Mayo Clinic advanced care at home. (n.d.). Mayo Clinic Health System. Retrieved December 3, 2023, from https://www.mayoclinichealthsystem.org/services-and-treatments/advanced-care-at-home

RESPOND  HERE (150 WORDS, 2 REFERENCES)

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).

NUR 513 Topic 3 DQ 1 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

References

Hai, A. H., Lee, C. S., Oh, S., Vaughn, M. G., Piñeros-Leaño, M., Delva, J., & Salas-Wright, C. P. (2020). Trends and correlates of Internet support group participation for mental health problems in the United States, 2004–2018. Journal of psychiatric research, 132, 136-143. Retrieved from: https://www.sciencedirect.com/science/article/abs/pii/S0022395620310153

Shim, R. S., & Compton, M. T. (2018). Addressing the social determinants of mental health: If not now, when? If not us, who?. Psychiatric Services, 69(8), 844-846. Retrieved from: https://ps.psychiatryonline.org/doi/full/10.1176/appi.ps.201800060

Re: Topic 3 DQ 1

The United States’ current focus in healthcare continues to be the curative model; one focused on disease treatment and cure of illness. This tends to be a physician-taught acute care approach to addressing the health of humans. Adjusting the perspective, the holistic model provides a balanced approach to considering the mental, social, spiritual health of a person in addition to the physical health.

Naturally, this leads the holistic practitioner to include preventative and maintenance care to the individual in addition to the curative portion of healthcare (Barker and DeNisco, 2016). One population that suffers tremendously from the curative approach is the uninsured population, which ranges from older adults to adolescents and newborns.

Due to the scarcity of health insurance as it relates to one’s ability to spend money on this economic “good”, the uninsured populations of our nation do not always have access to the best medical treatment, be it preventative, curative or maintenance (Barker and DeNisco, 2016). This vulnerable population in the acute care arena is certainly worthy of much deep consideration and thoughtful, strategic planning to ensure access to health care services when the inequalities of the uninsured sometimes feel insurmountable.

For the advanced practice registered nurse (APRN) who is a nurse administrator in the acute care arena, the uninsured patient population is a common customer in the hospital. With chronic conditions such as diabetes, heart failure and renal disease on the rise, and in turn, claiming the prize as the leading causes of death in the United States, nurse administrators are called to action now more than ever in effort to advocate and provide equitable care for these populations whilst maintaining a successful business model for the hospital to remain open and available to the public (Barker and DeNisco, 2016).

To successfully promote health and wellness as well as disease prevention to the uninsured, the nurse administrator must not only address the acute needs of patients entering their facility, but plan for preventing these sometimes acute-on-chronic conditions prior to their arrival.

According to the Office of Disease Prevention and Health Promotion (ODPHP), uninsured populations vary in age, race, and socioeconomic status. Still, this vulnerable population is more likely to make repeated visits to the emergency department, die prematurely, and have overall poor health status (2021). The nurse leader’s role is to advocate for medical provider accessibility for this population by ways of collaboration with policymakers, preventative services, and emergency medical services.

Though access to care is often rooted in deeper disparities such as residential location, the nurse administrator may advocate for an innovation like telehealth visits, with hopes to remove barriers preventing quality care from being provided (ODPHP, 2021).

Issues of diversity and global perspectives of care contribute to my understanding of health equity as it relates to the uninsured population in many ways. First, the concept of social justice on an international level views access to all areas of healthcare as a social resource that is a right to all humans. This includes a social approach to addressing the skyrocketing costs of medical care, using public health problem-solving measures to combat widespread chronic health conditions, and at its core, a collective agreement to work toward the greater good of our society (Barker and DeNisco, 2016).

Moving a step forward, emphasis on curative treatment and inpatient care does not impact total community health in a significant way, and therefore, a collaborative approach that involves all stakeholders – inpatient leaders, community health leaders, public policymakers, local leadership, and federal leadership – to come to the table repeatedly to discuss and execute the most meaningful way to improve the community’s quality of life, improve overall health and remain responsible stewards of fiscal resources (Barker and DeNisco, 2016).

REFERENCES

DeNisco, S. M. & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Burlington, MA: Jones & Bartlett Learning. ISBN-13: 978-1284072570

Office of Disease Prevention and Health Promotion (2021). Access to health services. https://www.healthypeople.gov/2020/topics-objectives/topic/Access-to-Health-Services

RESPOND  HERE (150 W0RDS, 2 REFERENCES)

This is insightful, Kristi; the uninsured population often has difficulties in accessing quality medical services. In most cases, they have to pay more for the services being delivered to them. Health insurance is essential as it gives an individual opportunity to plan for their treatment plans. In the United States, most uninsured populations have atleast one worker in their families. Also, families with low incomes are most likely to be uninsured (Van Der Steen et al., 2015). Given that medical plans do not favor other populations, it is always necessary to develop new strategies on how to ensure that different populations are covered in the insurance plans.

Advanced registered nurses, with their advanced skills and knowledge in healthcare processes, are able to determine the best strategies on how to manage the population of uninsured patients. The uninsured populations vary in age, race, and socioeconomic status (Wouk et al., 2020). Still, this vulnerable population is more likely to make repeated visits to the emergency department, die prematurely, and have overall poor health status.

References

Van Der Steen, A., Knudsen, A. B., Van Hees, F., Walter, G. P., Berger, F. G., Daguise, V. G., … & Lansdorp‐Vogelaar, I. (2015). Optimal Colorectal Cancer Screening in States’ Low‐Income, Uninsured Populations—The Case of South Carolina. Health services research, 50(3), 768-789. Retrieved from: https://onlinelibrary.wiley.com/doi/abs/10.1111/1475-6773.12246

Wouk, K., Morgan, I., Johnson, J., Tucker, C., Carlson, R., Berry, D. C., & Stuebe, A. M. (2020). A Systematic Review of Patient-, Provider-, and Health System-Level Predictors of Postpartum Health Care Use by People of Color and Low-Income and/or Uninsured Populations in the United States. Journal of Women’s Health. Retrieved from: https://www.liebertpub.com/doi/abs/10.1089/jwh.2020.8738

Beginning a new journey to obtain your MSN is exciting! Yet, it can be stressful and at times overwhelming. This week I invite you to reflect on Bible verses and their application to your journey towards your MSN degree. I hope that this allows you to reflect a little and find peace and joy as you continue through this first class. The following activity is not required, but substantial responses will count towards participation.

Review the following two Bible verses. Please apply at least one of these to your personal process of beginning your education journey and/or your role as an advanced professional nurse. If these two verses do not relate to you please feel free to share one that does and describe how it has impacted you.

Isaiah 28: 9-10 “Whom shall he teach knowledge? ……For precept must be upon precept, precept upon precept; line upon line, line upon line; here a little and there a little”

Matthew 7: 7 “Ask, and it shall be given you; seek and ye shall find; knock, and it shall be opened to you”

I look forward to reading your responses.

Unread

You have a great response and input role as an APRN. As an Advanced Practice Nurse, I will strive to impact health promotion and disease prevention in racial and ethnic minorities, especially from rural areas in the community. I will work towards addressing cultural differences between patients and healthcare providers that can result in holistic care to diagnose and treat patients while improving the patient’s compliance.

Holistic care includes treating patients’ physical, mental, and cultural or ethnic parts of their health (cultural sensitivity) through awareness of patients’ differences that exist without assigning value to them (Tucker et al., 2019).

REPLy

Matthew 7: 7 “Ask, and it shall be given you; seek and ye shall find; knock, and it shall be opened to you”

I love this Bible verse as it gives me strength and courage in my day-to-day life. This Bible verse always reminds me to continue trying to reach my goal. As it says prayer is a continuous process, it is not like you stop praying once you get your answer. This Bible verse related to my life because when I had obstacles immigrating to this country I never gave up, I seek and tried to pass those obstacles.

I failed many times, and I already knew this Bible verse. So, it gave me strength and courage and I believed that God would help me to reach my goal. God always sees our challenging work and struggles but it is not necessary to get the answer right away if you wait and try increasingly, you will find the way. Thank You.

REPLY

Unread

My choice to return to school and pursue my Master’s degree was prompted by my desire to do more for the health and healing of people of all ages. While I know that I have an impact on patients’ lives in my current role as a bedside nurse, I feel a responsibility to do more and contribute to improving our health care system as a whole.

I take motivation from Phillipians 2:4, “Do not merely look out for your own personal interests, but also for the interests of others”. This verse motivates me in the same way as a quote by Roman philosopher Marcus Tullius Cicero, “Not unto ourselves alone are we born”. With this motivation in mind, I believe that I will persist in my endeavor to complete this program and balance it with my work schedule in order to meet my responsibility to others.

REPLY

Unread

Philippians 4: 13 I can do all things through him who strengthens me.

This is one of my favorite verse from the Bible and I find my self reciting it daily in my head and out loud at times for it gave me confidence and assurance that everything will be ok no matter what the situation is. Coming to America with no family or close relatives to rely on was full of heartache and disappointment . Had to fend for myself as best as I possible could. Eventually with many nights of prayers I got settled and went back to school to peruse a new career path in nursing.

Working full time, going to school and balancing a family with three small children was no easy task with much trials and tribulations i graduated from nursing school. Soon after graduation i began working in the emergency room as a brand new nurse it was very challenging however i was able to over come all obstacles just by believing I can do all things through him who strengthens me.

Topic 3 DQ 1: Vulnerable Populations 

Advanced registered nurses serve many populations with varying needs. As professionally obliged, advanced registered nurses should explore different populations’ health and social needs and ensure they are adequately addressed. Vulnerable populations are unique since they are more susceptible to health disparities/inequities. Their healthcare issues and challenges experienced when seeking care are usually exacerbated by social factors.

Among many vulnerable populations, I am likely to serve the LGBTQ+ in routine care. Casey et al. (2019) found that approximately one in six LGBTQ adults avoid seeking health care services due to anticipated discrimination. The anticipation stems from the challenges they face due to their sexual orientation, including violence, sexual harassment, and slurs. There is also a lack of adequate resources and health professionals that specifically deal with the health care needs of sexual minorities. 

The routine role of an acute care nurse practitioner involves providing care for patients with aggravated chronic conditions or sudden illnesses and injuries. The fear of seeking medical assistance at the right time and the lack of adequate illness prevention programs targeting LGBTQ+ increase the risk of chronic conditions and intensify their severity (Kates et al., 2018). Such illnesses include obesity and cardiovascular disease.

Stigmatization also increases depression rates and susceptibility to substance abuse. As a result, acute care nurse practitioners must understand the barriers to care and implement evidence-based strategies and support to enhance healing and prevent disease progression to unmanageable states. They also need to design appropriate follow-up plans to promote adherence to medication and medical advice. 

Diversity issues and global perspectives of care contribute significantly to my understanding of health equity as it relates to LGBTQ+. In agreement with Sklar (2018), nurse practitioners must understand that health equity is not primarily achieved by treating illnesses. It is beyond and encompasses adopting interventions that address physical and social environments shaping health behavior. From a global perspective, LGBTQ+ is a unique population whose diversity should be respected. At all levels, nurses should adopt health prevention and treatment plans that promote respect, dignity, and equality without any regard for a patient’s sexual orientation. 

References 

Casey, L. S., Reisner, S. L., Findling, M. G., Blendon, R. J., Benson, J. M., Sayde, J. M., & Miller, C. (2019). Discrimination in the United States: Experiences of lesbian, gay, bisexual, transgender, and queer Americans. Health Services Research, 54, 1454-1466. https://doi.org/10.1111/1475-6773.13229 

Kates, J., Ranji, U., Beamesderfer, A., Salganicoff, A., & Dawson, L. (2018). Heath and access to care and coverage for lesbian, gay, bisexual, and transgender (LGBT) individuals in the U.S. KFF. https://www.kff.org/report-section/health-and-access-to-care-and-coverage-lgbt-individuals-in-the-us-health-challenges/ 

Sklar, D. P. (2018). Disparities, health inequities, and vulnerable populations: Will academic medicine meet the challenge?. Academic Medicine, 93(1), 1-3. doi: 10.1097/ACM.0000000000002010 

Interestingly, I have never been asked about my worldview. I realize with this discussion that I have been considering what my worldview is all along. The big questions, who am I, what is my purpose, and am I a good person, are all things that I reflect on regularly. A blog by Brandon Clay, titled What is a Worldview and Why it Matters? (2019) illustrates 8 different areas that compose a worldview. Those interrelated components are God, origin, knowledge, humanity, morality, salvation, meaning, and destiny (Clay, 2019). A person’s worldview is their fundamental beliefs that influence their decision-making and actions. It helps you to interpret life in specific ways by affecting thoughts, feelings, and how you live from day to day. (Impact 360 Institute, 2014).  

A coworker of mine and I share the same religion. We believe in the same God; we agree that Jesus is our Lord and Savior and have had conversations about Christianity and the Church. However, when expressing religion or letting our beliefs influence behaviors and decisions, we could not be more opposite. This coworker has difficulty working with many people on the unit, of various roles and titles. They often use the bible verses as weapons against people they do not agree with. An example of this behavior would be earlier in the year when they wrote a verse from the book of Deuteronomy and listed every coworker’s name, they believed to be wicked. This list of the “wicked” was left in a communal area for all staff to see.  

This action incontestably resulted in tension within the unit. The coworker who created the list was reassigned to other units for some time. Upon her return, tensions had not decreased. After a couple of days, I spoke to my coworker about the event. She said the list was a prayer list for her. She intended on taking the paper home and praying for the individuals she deemed wicked. I explained to her how it was hurtful for staff to see their names on a list with that bible verse. We spoke about giving people grace and that most people are inherently good. She said that she understood, but in the following months continued to bully others. When interacting with this coworker today, I remain kind. I understand that people face battles we cannot see and do not always know about. It is important to show that you can be religious without imposing on others, and you can stand firm in your beliefs while being respectful of those with opposing views. 

The population that I will likely serve in my future role as an advanced practice nurse is the African American populations. According to evidence, African Americans are highly predisposed to health issues of disparity than any other ethnic minority group in the US. The high predisposition of African Americans to health disparities or inequity is attributed to the influence of factors such as their socioeconomic status and racial profiling in the state. The risk of health conditions such as heart disease and depression among the African Americans is also significantly high (Colen et al., 2018). Therefore, I believe that I will contribute to addressing the health inequalities facing African Americans in a number of ways. Firstly, I will advocate the provision of equal opportunities that enhance their access to health. I will ensure that African Americans have enhanced access to healthcare that they need through enrolling them to the Affordable Healthcare Plans and ensuring that policies that are implemented in the state promotes their health. I will also engage in the provision of health education to this population to address the health disparities affecting them (Taylor, 2019). The health education will target at creating awareness among them on the health risks they are predisposed to and ways of preventing or minimizing them.

The issues of diversity and global perspectives of care contributes to my understanding of health equity as it relates to the African Americans. The diversity and global perspectives provides me with enhanced understanding of the effective interventions that can be used to address the issue of health equality. It also informs my understanding of the roles that advanced practice nurses play in promoting equity in health (Colen et al., 2018). Lastly, the issues inform my understanding about the efficient allocation of scarce resources to meet the diverse needs of the vulnerable populations in our societies.

References

Cone, P. H., & Giske, T. (2018). Integrating spiritual care into nursing education and practice: Strategies utilizing Open Journey Theory. Nurse Education Today, 71, 22–25. https://doi.org/10.1016/j.nedt.2018.08.015

Taylor, J. (2019). Racism, inequality, and health care for African Americans. https://dataspace.princeton.edu/handle/88435/dsp01ng451m58f