Post a brief description of a population segment (by race, ethnicity, economic status, geographical location, etc.). Then, explain the relationship between health inequality/inequities and common biological or behavioral risk factors that have been linked to a particular disease in that population segment. Finally, describe the relationship between health inequality/inequities and life expectancy for that population.
How does the boundary affect your practice or have the potential to affect your practice? Provide examples.
The identified social boundary I chose to discuss is the cultural barrier. As a nurse practitioner, I have had the experience of working with diverse cultures and ethnicities throughout my practice. Before working with active-duty military and veterans, I worked in a primary Columbian clinic. At this clinic, I faced culturally sensitive communication barriers when discussing healthcare information with patients. Soon after, we received certified blue interpreter phones. This helped ensure information was appropriately translated to the patients to ensure they had a thorough understanding of healthcare information. Working with active-duty military can be challenging as well. I have experienced language and healthcare literacy barriers with spouses and active-duty military members from Africa, Asia, India, as well as from the Middle East. Being culturally competent helps when providing care and education to individuals of different cultures because this helps to have a clear understanding of their relationship with healthcare. (Brooks, 2019)
As a leader, how can you have an impact on overcoming that boundary? Provide examples.
As a leader, having annual training on becoming well-rounded and improving cultural competence will help familiarize employees with providing care for individuals. Encouraging employees to be open-minded, respectful, and utilize all available resources when communicating with individuals of different cultures ensures the best standard and ethical care is being practiced. This will also help to improve patient care by increasing the knowledge and understanding of different cultures to improve the safety, health, and welfare of patients and their families.
What interprofessional relationships can you foster that can contribute to overcoming the boundary? Be specific and provide rationale.
Interprofessional relationships in which individuals can overcome barriers include collaborating with social workers, interpreters, linguists, nurse educators, and case managers to ensure cultural competence goals are being met. Having resources and ensuring employees are adequately educated to provide holistic care will ensure that dignity and respect of others backgrounds, religion, beliefs, and values are being taken into consideration when providing care for patients. (Lekas, 2020)
How will you leverage resources to overcome the selected boundary?
To leverage resources to overcome cultural barriers, I will ensure employees receive cultural humility vs. cultural competence training. Cultural humility consists of a lifelong commitment of self-assessments to ensure cultural competence is met. Encouraging employees to learn the basic information of different cultural backgrounds and healthcare practices will increase cultural awareness. With these methods in place, cultural awareness should be increased. (Kaihlanen et al., 2019)
References
Brooks, L.A., Manias, E., & Bloomer, M.J. (2019). Culturally sensitive communication in healthcare: A concept analysis. Collegian, 26(3), 383-391. https://doi.org/10.1016/j.colegn.2018.09.007 (Links to an external site.)
Kaihlanen, A.M., Hietapakka, L., & Heponiemi, T. (2019). Increasing cultural awareness: Qualitative study of nurses’ perceptions about cultural competence training. BMC Nursing, 18(1), 1-9.
Lekas, H-M., Pahl, K., & Fuller Lewis, C. (2020). Rethinking cultural competence: Shifting to cultural humility. Health Services Insights, 1-4. https://doi.org/10.1177/117863292097080
see assignment below,,,,,,,
By the end of Unit 2, you will submit your Collaboration and Leadership Reflection Video assignment, for which you will engage in reflective practice.
Think about the readings in this unit and your own experiences and create a video of no longer than 2 minutes in which you address one or two of the following:
SUBJECTIVE
Rhonda is a 32-year-old Hispanic female who presents to your office for her initial appointment. When you ask what brought her to your office, she states: “I’m at the end of my rope, I don’t know what else to do.” She then bursts into tears. Rhonda explains that she has very few friends left, and everyone seems to have “abandoned” her. Rhonda explains that she goes out of her way to help other people, and to be nice to them, but this does not seem to help.
Rhonda then stands up and begins to pace around your office at times using wild hand gestures to explain the circumstances that led up to her making the appointment with you. She describes the recent breakup with her boyfriend as traumatic and explains “when we first met, he was the best guy in the world. He treated me really well. But he just became a complete monster! Even though he broke off the relationship with me, I was glad to see it end. I hate his guts!”
Rhonda explains that her current financial situation is also precarious. She states that she recently purchased an automobile, and is not certain how she is going to pay for it. She states that she had a car that was repossessed last year at that time, and that she borrowed some money from a friend to help pay for the car; the friend later turned around and accused her of theft. “It was my friend’s fault. She told me she would loan me the money and then backed out. I only took the money because she said she would loan it to me … people just can’t go back on their word like that when other people are counting on them.”
Rhonda reports that she was “always in trouble” as a kid. She states that people were always picking on her, to which she adds: “the other kids my age were just stupid. They didn’t know how to have fun.” She says “I have always been impulsive, but it’s fun. Sometimes people can be such prudes … you only go around life once, so you have to make the best of it.”
OBJECTIVE
Rhonda is currently single. She has no children. Educationally, she had completed two semesters toward her bachelor of arts degree in fine arts. Rhonda currently works as a waitress at a local restaurant. She has held this job for about 2 weeks. Prior to this, Rhonda worked as a housekeeper for a local hotel chain. She states that she was fired from this job because her coworkers were jealous of her and “planted” evidence of her stealing from hotel patrons. She was also arrested for cashing checks under an alias, for which she spent 120 days in jail.
Rhonda has a history of multiple incarcerations for offences ranging from larceny to possession of controlled substances to possession of an illegal firearm. She was also arrested several times for fighting and on at least one occasion, used a baseball bat to beat up a girl who she thought was trying to “set her up” with the police.
MENTAL STATUS EXAM
Rhonda is alert and oriented × 4 spheres. Her speech is clear, coherent, goal directed, and spontaneous. She reports her mood as “terrible!” Affect is labile and seems to change rapidly with the subject being discussed. Her eye contact is normal, but at times, she appears to stare at you. Rhonda is oriented to person, place, and time. She denies visual/auditory hallucinations, no overt paranoia or delusional thought processes noted. Rhonda denies any suicidal or homicidal ideation.
Examine Case 1: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.
At each Decision Point, stop to complete the following:
Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.
INSTRUCTIONS:
1. The length of the reflection is to be within three to six pages excluding title page and reference pages.
2. APA format is required with both a title page and reference page,
Please follow the guidelines below for APA 7th edition.
APA eBook Citation- 7th Edition
Author’s name(s) (last name followed by initials). Year of publication (in brackets). Full title (Italic) (Capitalize the first word of the title & subtitle). Edition (Edition in abbreviation form Ex. (4th ed.). Publisher’s name (name of publisher, do not include publisher location). URL (Include URL – the address of web page).
Example:
Sadun, E., Grothaus, M., & Sande, S. (2011). Taking your iPad 2 to the max (2nd ed.). Apress.
https://books.google.co.nz/books?id=fGkeRVNYMJMC&dq=Taking+your+iPad+2+to+the+max+(2nd+ed.).&source=gbs_navlinks
INFORMATION ABOUT COURSE REFLECTION ASSIGNMENT:
1. “Demonstrate basic knowledge of healthcare policy, finance, and regulatory environments, including local, state, national, and global healthcare trends.
2. Describe how health care is organized and financed, including the implications of business principles, such as patient and system cost factors.
3. Compare the benefits and limitations of the major forms of reimbursement on the delivery of healthcare services.
4. Examine legislative and regulatory processes relevant to the provision of health care.
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