NU 629 Discussion 1: Cultural Competency Caring for a Vulnerable Population in My Own Community

Sample Answer for NU 629 Discussion 1: Cultural Competency Caring for a Vulnerable Population in My Own Community Included After Question

Initial Post

For this discussion, identify a vulnerable population in your own community. Describe the characteristics of this group—what makes them vulnerable—and utilize at least three scholarly resources to answer one of the following questions for your initial post.

  1. Paraphrase concepts/theories specific to healthcare disparities as related to vulnerability; provide at least three applications of concepts/theories that could be implemented within your community.
  2. As an APRN, how can you advocate for this identified vulnerable population within your community? List and discuss at least three ways in which you can advocate.
  3. How does what you learned about your own cultural competency affect how you might approach your role as an advocate? Did you find that you had bias? Were you aware of your bias prior to this exercise?
  4. As an APRN, how will you strive to be culturally competent and respectful to those you serve? List and discuss at least three behaviors/characteristics of a culturally competent and respectful APRN.

Note: Evaluate your APA proficiency and make sure you address each of the required elements for this discussion. Utilizing headings for each aspect of the question is a great way to know that you covered the elements of the question. As you continue to move through this course and our program, expectations related to APA, grammar, professional writing, and assessment instructions will encourage you to stretch and push yourself, ensuring you are producing graduate-level academic work that you can be proud of.

A Sample Answer For the Assignment: NU 629 Discussion 1: Cultural Competency Caring for a Vulnerable Population in My Own Community

Title: NU 629 Discussion 1: Cultural Competency Caring for a Vulnerable Population in My Own Community

The vulnerable population within my community that I will focus on for this discussion is Hispanic children. I have chosen this group because as a future PNP in this area, it is one that I anticipate working with often. Hispanic children in my community are vulnerable in the healthcare setting for multiple reasons including communication (language) barriers between parents and healthcare providers, low socioeconomic status and decreased access to healthcare/medications, and poor food quality (and subsequent predilection for obesity and chronic health conditions) (Johnson et al., 2020; Zamor et al., 2020).

Three ways that I will advocate for Hispanic children in my area are 1) attempt to become more proficient at Spanish/employ interpreter services when appropriate, 2) become more familiar with resources available to this population in my area, and 3) advocate for a nurse navigator to be on my healthcare team to assist with coordination of care for these patients.

Spanish Skills/Interpreter Services

I have a distant background in Spanish education (high school) but would like to get reacquainted with the language and culture to better serve my patients. My current organization offers classes on the utilization of Spanish in healthcare; I plan on registering for these. I think it is always important to remember to use interpreters prudently to help close the language gap and make sure information is being understood in both directions. Lastly, I will ask the management team to assure that all my practice’s letter templates, informational brochures, etc. are offered in Spanish.

Familiarize with Community Resources

I plan to get more familiar with the community resources available so that I can offer these (as well as contact information) to patients and families in need; these resources could be nutrition benefits, housing assistance, and healthcare financial assistance (DeChesnay & Anderson, 2020). As our text discusses, social workers are a wonderful part of the interdisciplinary team and are beneficial when patients need a personal advocate or getting set up for assistance within the hospital or community depending on their situations (DeChesnay & Anderson, 2020). I will become familiar with the available social workers in my community and obtain their contact information so I can discuss cases and use their services if needed.

Encourage Nurse Navigator Role

Lastly, I will encourage the creation of the RN nurse navigator role in my practice to assist with this population as well as other vulnerable patients. Nurse navigators serve as members of the healthcare team who coordinate care for patients with chronic health conditions like diabetes, cancer, or who are undergoing surgical intervention (Shockney et al., 2021). Although the general Hispanic pediatric population doesn’t necessarily fit into these groups, it is a population that could fall through the cracks of the system because of their minority status and the barriers they face; it would be advantageous to have a nurse navigator act a point person for these patients/families to help them navigate today’s complex healthcare system and improve outcomes (Shockney et al., 2021).


References

De Chesnay, M., Anderson, B. A. (2020). Caring for the vulnerable: Perspectives in nursing theory, practice, and 

            research (5th ed.). Jones & Bartlett Learning.

Johnson, K. A., Jones-Smith, J., Curriero, F. C., Cheskin, L. J., Benjamin-Neelon, S. E., Perin, J., Caicedo, M. R., & 

            Thornton, R. L. (2020). Low-income black and Hispanic children’s neighborhood food environments 

            and weight trajectories in early childhood. Academic Pediatrics, 20(6), 784-792. 

            https://doi.org/10.1016/j.acap.2019.11.013

Shockney, L. D., Dean, M., & Allard, B. L. (2021). Chronic disease and complex care navigators: A scoping 

            review. Journal of Oncology Navigation & Survivorship, 12(7), 206-230.

Zamor, R., Byczkowski, T., Zhang, Y., Vaughn, L., & Mahabee-Gittens, E. M. (2020). Language barriers and the 

            management of bronchiolitis in a pediatric emergency department. Academic Pediatrics, 20(3), 356-

A Sample Answer 2 For the Assignment: NU 629 Discussion 1: Cultural Competency Caring for a Vulnerable Population in My Own Community

Title: NU 629 Discussion 1: Cultural Competency Caring for a Vulnerable Population in My Own Community    

I enjoyed reading your discussion post and learned a lot about the vulnerable population that you chose to write about. I was very surprised to discover that there are many characteristics amongst Hispanic children and the vulnerable population of those with mental illness. In your post you explained that Hispanic children are a vulnerable population due to a low socioeconomic status, decreased access to healthcare and chronic health conditions. These characteristics are comparable to characteristics found among many individuals with mental illness.

Patients with mental illness have a low socioeconomic status because many are not able to maintain employment which then results in homelessness. Individuals with mental illness are often uninsured or underinsured which makes access to healthcare extremely difficult. Like Hispanic children, patients with mental illness have chronic health conditions that oftentimes are left untreated. This is seen in many rural areas across America. Barriers to healthcare that many people who live in rural areas experience are inadequate public transportation and low incomes (Tulimiero et al.,2021)


When I initially read your post about Hispanic children, I concluded that the one areas of contrast between the two vulnerable populations would be a language barrier. As I reflected on my years as a RN, I have encountered a few instances where there was a language barrier between a patient with mental illness and medical providers. At the hospitals that I was employed at, we were fortunate enough to have in person language interpreters during the day and virtual interpreters at night.

A co-worker of mine recently share an experience where language barriers drastically impeded patient care. A patient was admitted to a psychiatric facility to be deemed competent for the crime that he has recently committed. The patient was from a rural area in Mexico and spoke a dialect of Spanish that was not commonly recognized. There were very few interpreters that spoke this dialect available in the community. The patient spoke no English and was unable to communicate to staff and the providers without the interpreters around which wasn’t very often.

Due to the language barrier and inadequate amount of interpreters, this patient was repeatedly deemed incompetent and his stay was prolonged on the forensics unit. Once the adequate interpreter was made available, the patient was found to be competent and it was soon determined the only thing that prevented him from being discharged was a language barrier. This type of situation is unfortunately seen in many patients who enter hospitals that do not have adequate language services. The physician or psychiatrist are heavily dependent upon communication in order to implement the best plan of care (Ansah & Klugah, 2020).

Ansah, M. A., & Klugah, M. A. (2020). Investigating language barriers in psychiatric care in Ghana. Journal of Communication in Healthcare, 13(4), 325–334. https://doi.org/10.1080/17538068.2020.1813525

Tulimiero, M., Garcia, M., Rodriguez, M., & Cheney, A. M. (2021). Overcoming Barriers to Health Care Access in Rural Latino Communities: An Innovative Model in the Eastern Coachella Valley. Journal of Rural Health, 37(3), 635–644. https://doi.org/10.1111/jrh.12483