NUR 550 Topic 8 DQ 2
A state with “health equity” has no widespread health inequities. Because inequalities are entrenched and may be impossible to eradicate, this state is typically described in aspirational terms. Moving toward health equity, on the other hand, includes efforts to reduce health inequities to a bare minimum. As a result, it is a “politicized” field of study and “an ethical idea anchored in the distributive justice principle.” The ability of advocacy to advance laws that promote health equity is well known. To address SDH, these policies either provide services to everyone as part of efforts to improve the health of underserved groups, or they “level up” the health of underserved groups in society. Over the last two decades, national policies have been implemented in stages with the goal of reducing and eliminating health disparities and, more recently, achieving health equity across all demographic groups in America (Williams et al., 2015).
I want to use my advanced registered nurse experience to persuade policymakers and other stakeholders to support or implement health equity policies. A lack of representation and the difficulty in convincing decision-makers of the existence or seriousness of specific health disparities are two potential barriers. Adoption and enforcement of human rights legislation would provide “legislative hooks” for advocacy campaigns to latch onto in national and international legislatures. Job shadowing could also help politicians and researchers communicate better. Such activities would increase interactions and foster collaborative relationships between policymakers and researchers, assisting in the more effective use of research evidence in decision-making processes, educating policymakers about science and evidence reliability, and educating researchers about the policymaking world’s “messy and nonlinear” processes and data requirements (Farrer et al., 2015).
As an advanced registered nurse, discuss your future role in advocating for equitable population health services and policies. Do you anticipate any challenges or barriers to “population advocacy”? How would you meet these challenges?
Re: Topic 8 DQ 2
“Health equity” refers to a state characterized by the absence of systematic inequalities in health. While this state is usually referred to in aspirational terms, because inequalities are pervasive and arguably will never be eliminated, the policy goal of moving toward health equity implies attempts to reduce health inequalities to a minimal level. It is therefore “an ethical concept, grounded in the principle of distributive justice” and connected to a field of research that is “unavoidably politicized.” Advocacy is recognized as a means of promoting policies that help improve health equity. These policies take action on the SDH, either through universal provision of services, as part of strategies to improve the health of disadvantaged groups, or by “leveling up” the health of less advantaged groups to that enjoyed by more advantaged groups in society. National policies have been implemented in phases throughout the last two decades to reduce and eliminate health disparities, and more recently, attain the highest level of care among all population groups across America (i.e., health equity) (Williams et al., 2015).
As an advanced registered nurse, I hope to use evidence proven by research to influence decision makers and other stakeholders to support or implement policies that contribute to improving health equity. Possible challenge would include lack of representation and inability to convince policy makers of the existence or severity of certain health disparities. Promoting greater uptake and enforcement of human rights legislation in international and national legislatures would provide “legislative hooks” for advocacy efforts to latch on to. Job shadowing activities could be another method to increase understanding between researchers and policymakers. Such activities would increase interactions and build working relationships between policymakers and researchers, thereby helping bring research evidence more efficiently to decision-making processes, educate policymakers about the world of science and the validity of evidence, and inform researchers about the “messy and nonlinear” processes and data needs of the policymaking world (Farrer et al., 2015)
Farrer, L., Marinetti, C., Cavaco, Y. K., & Costongs, C. (2015). Advocacy for health equity: a synthesis review. The Milbank quarterly, 93(2), 392–437. https://doi.org/10.1111/1468-0009.12112
Williams, J. S., Walker, R. J., & Egede, L. E. (2016). Achieving Equity in an Evolving Healthcare System: Opportunities and Challenges. The American journal of the medical sciences, 351(1), 33–43. https://doi.org/10.1016/j.amjms.2015.10.012
RESPOND HERE (150 WORDS, 3 REFERENCES)
This is insightful, Ngozi; healthcare equity entails providing high-quality healthcare to all populations, regardless of income, race, ethnicity, age, or location. The health department’s primary responsibility is to ensure equitable distribution of healthcare services and overall population health improvement (Williams et al., 2016). Given the difficulty of eliminating inequalities, ongoing efforts are made to reduce cases of inequity in healthcare resources. Registered nurses bear complete responsibility for providing equitable healthcare services (Cookson et al., 2018). They can approach government institutions to try to ensure equal access to healthcare services. National policies have been implemented in stages over the last two decades to reduce and eliminate health disparities, and more recently, to achieve the highest level of care for all populations.
Re: Topic 8 DQ 2
As an advanced registered nurse, my future role in advocating for equitable population health services and policies would require me to have a knowledge base and understanding of the social determinates of health (SDOH) in order to understand the root causes of poor health among specific populations and provide adequate and realistic solutions (Sundean, 2019). A community needs assessment will also aid in determining community needs and making policy advocacy more successful. After completing the aforementioned tasks, I would assist in informing, educating, and empowering others about the health issues that are being addressed. Following that, I would need to form community partnerships and develop an action plan to assist in identifying and resolving the health issues that exist (Sundean, 2019). Policies would need to be developed with the help of individuals and communities. I anticipate a lack of cooperation from health institutions and/or the healthcare team in supporting my advocacy as a challenge or barrier. I would address this challenge/barrier by taking the time to develop a compelling request with an appropriate timeframe, communicating clearly and concisely the impact that the situation I am addressing has on those involved, ensuring that I am competent and can build credibility and trustworthiness to back up the case I am presenting with facts and accurate data, and finally creating a collaborative environment with stakeholders (Tomajan, 2012).
Sundean, L. (2019). Overview of community, public, and population health. In D. R. Editor. & J. C. Editor (Eds.), Population health for nurses: Improving Community Outcomes (pp. 4-16). Springer Publishing. doi:10.1891/9780826148346.0001
Tomajan, K. (2012). Advocating for nurses and nursing. The Online Journal of Issues in Nursing, 17(1), Manuscript 4. doi:10.3912/OJIN.Vol17no01Man04
RESPOND HERE (150 WORDS, 3 REFERENCES)
This is insightful, Julie; advanced registered nurses play significant roles in ensuring the provision of equitable care to the entire population. Advanced practice registered nurses also have the responsibility of ensuring the delivery of quality healthcare services to all the patients and population (Sundean, 2019). Advanced practice registered nurses can take part in the policy formulation processes aimed at establishing the platforms for delivering quality healthcare services. In most cases, policies ought to be created with support from individuals and the members of the community (Appelbaum & Batt, 2020). Lack of corporation from the healthcare providers can hinder the progress towards the delivery of equitable care to all the members of the population (Culyer, 2019). In most cases, healthcare institutions/providers need to be engaged in the policy-making processes to ensure that there is effective implementation of strategies required for successful outcomes. Besides, strict policies and unequal distribution of healthcare resources may interfere with the distribution of equitable healthcare services.