NURS FPX 4000 Assessment 2 Limited Access to Healthcare

Sample Answer for NURS FPX 4000 Assessment 2 Limited Access to Healthcare Included After Question

Create a 3-5 page annotated bibliography and summary based on your research related to best practices addressing one of the health care problems or issues in the Assessment Topic Areas media piece faced by a health care organization that is of interest to you.

Instructions

For this assessment, research best practices related to a current health care problem. Your selected problem or issue will be utilized again in Assessment 3. To explore your chosen topic, you should use the first two steps of the Socratic Problem-Solving Approach to aid your critical thinking.

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.

View the Assessment Topic Areas media piece and select one of the health care problems or issues in the media piece to research. Write a brief overview of the selected topic.

In your overview:

Summarize the health care problem or issue.

Describe your interest in the topic.

Describe any professional experience you have with this topic.

Identify peer-reviewed articles relevant to health care issue or problem.

Conduct a search for scholarly or academic peer-reviewed literature related to the topic and describe the criteria you used to search for articles, including the names of the databases you used.

You will select four current scholarly or academic peer-reviewed journal articles published during the past 3-“5 years that relate to your topic. Refer to the NHS-FPX4000: Developing a Health Care Perspective Library Guide to help you locate appropriate references.

Also Read:

NHS FPX 4000 Assessment 1 Nursing Informatics in Health Care

NHS FPX 4000 Assessment 2: Applying Research Skills

NHS FPX 4000 Assessment 4 Analyzing a Current Health Care Problem or Issue

NHS FPX 4000 Assessment Developing a Health Care Perspective

NHS FPX 4000 Assessment 3 Limited Access to Healthcare

NHS FPX 4000 Assessment 1 Vaccination Refusal of Parents

NHS FPX 4000 Assessment 3 Analyzing a current healthcare problem

NHS FPX 4000 Assessment 1 Applying Ethical Principles

A Sample Answer For the Assignment: NURS FPX 4000 Assessment 2 Limited Access to Healthcare

Title: NURS FPX 4000 Assessment 2 Limited Access to Healthcare

Equity in access to healthcare services is a universal right for every citizen in America. However, most Americans experience limited access to high-quality, safe, and efficient care that addresses their health needs. The limited access to healthcare derails the realization of Health People 2030 goals of improving population health through the provision of timely, efficient, and high-quality healthcare services. The severity of limited access to healthcare in America can be seen from the data that one in every 10 people in the USA experiences the issue due to issues such as lack of health insurance. Therefore, a focus should be on the adoption of evidence-based interventions that increase access to healthcare by the diverse populations in the USA.

As a registered nurse, I work with patients from diverse socioeconomic, ethnic, and cultural backgrounds. I am responsible for ensuring the protection of patients’ rights to access high-quality, safe, and efficient care in my practice. However, I have discovered that the protection of this right in my practice has been a challenge due to the limited access to healthcare by diverse populations. For example, I have learned from my experience that issues such as lack of medical insurance coverage limit the nature of services that patients access. It also results in high costs incurred in healthcare due to out-of-pocket payments by the patients. Limited access to healthcare results in outcomes that include delays in diagnosis and treatment of diseases, complications, poor outcomes, and even mortality. As a result, I developed an interest in exploring the issue of limited access to health care and potential, evidence-based interventions that should be adopted in modern society to address it.

Identifying Academic Peer-Reviewed Journal Articles

A search for relevant literature was performed on different databases that were accessed via the Capella University Library database. The accessed databases included Cochrane, ProQuest, PubMed, Google Scholar, and EMBASE. The keywords that were used to obtain the required articles included ‘limited access to healthcare,’ ‘inequalities in healthcare access,’ ‘addressing inequalities in healthcare access,’ and ‘solutions to limited healthcare access.’ The selected articles were peer-reviewed journals and published within the last five years. The articles must have also examined the issue of limited access or inequalities in healthcare access and potential solutions to it.

Assessing Credibility and Relevance of Information Sources

The credibility of the selected articles was achieved by ensuring that they were peer-reviewed and were published over the last five years. I also ensured that credible authors published the articles. It included confirming their professional experience in issues affecting healthcare. The relevance was maintained by ensuring that the selected articles focused on limited access to healthcare and potential solutions. The objectivity of the reported findings was also the other factor that was considered for the credibility and relevance of the reported data.

Annotated Bibliography

Williams, D. R., & Cooper, L. A. (2019). Reducing Racial Inequities in Health: Using What We Already Know to Take Action. International Journal of Environmental Research and Public Health, 16(4), 606. https://doi.org/10.3390/ijerph16040606

The study by Williams & Cooper (2019) investigated the approaches that can be adopted to reduce racial inequalities in healthcare. The authors noted that racial inequalities in health are crucial factors that contribute to limited access to and utilization of healthcare services in the USA. The authors reviewed the scientific evidence on inequalities in healthcare to inform the developed solutions. Williams and Cooper (2019) recommended that interventions that include the establishment of communities of opportunities should be explored to address inequalities in health care access. The communities would address adverse effects of causes of inequalities in access to healthcare such as systemic racism and unaffordability of care services due to lack of medical insurance coverage.

The second recommended intervention entails the need for the health system to emphasize the need for enhanced access to high-quality care services for all, addressing the social needs of diverse communities, diversifying the workforce, and strengthening preventive healthcare. The last intervention to address limited and inequalities in access to health care proposed by the authors entails clinical research to identify effective strategies for supporting and building political will to address healthcare inequalities. This article was included in the review since it provides crucial insights into community, organizational, and research interventions that can be adopted to improve access to health care.

Chaudhary, M. A., Sharma, M., Scully, R. E., Sturgeon, D. J., Koehlmoos, T., Haider, A. H., & Schoenfeld, A. J. (2018). Universal insurance and an equal access healthcare system eliminate disparities for Black patients after traumatic injury. Surgery, 163(4), 651–656. https://doi.org/10.1016/j.surg.2017.09.045

The study by Chaudhary et al., (2018) investigated the potential of universal insurance in improving equal access to healthcare for black patients that experience traumatic injury. Inequalities in trauma care informed the study. The authors used data obtained from 87112 patients that suffered traumatic injuries and were beneficiaries of the TRICARE program. The analysis of data demonstrated that having universal insurance lowers hospital readmission rates, post-discharge healthcare utilization, and mortality among Black patients that suffered a traumatic injury. They also found that universal insurance reduces or even eliminates the effects of historical disparities that ethnic and racial minorities experience in accessing the care that they need. This article was included in the annotation because it proposes the need for universal insurance in addressing the issue of limited access to healthcare in America.

Javanparast, S., Windle, A., Freeman, T., & Baum, F. (2018). Community Health Worker Programs to Improve Healthcare Access and Equity: Are They Only Relevant to Low- and Middle-Income Countries? International Journal of Health Policy and Management, 7(10), 943–954. https://doi.org/10.15171/ijhpm.2018.53

The study by Javanparast et al., (2018) also examined the issue of limited and inequalities in healthcare access and potential interventions that can be adopted to address the problem. The specific intervention that they explored is the use of community health workers to address healthcare access and inequality in high-income countries. The effectiveness of community health workers in improving access to health care in low and middle-income countries informed this study.

The authors performed a grey and academic literature search to identify the influence of community health workers on health access in Australia. They also conducted semi-structured interviews with policymakers, practitioners, and program managers to understand policy and practice. The results of the study showed that community health workers could address barriers in healthcare and improve the population’s access to the care they need. They also facilitate the provision of culturally appropriate care that strengthens the trust that communities have towards healthcare services. Therefore, their use should be considered as a solution to improve access to health care for diverse populations. This article was included in the annotation since it informs the importance of utilizing community health workers in our healthcare system to improve access to care services.

Myers, C. R. (2019). Using Telehealth to Remediate Rural Mental Health and Healthcare Disparities. Issues in Mental Health Nursing, 40(3), 233–239. https://doi.org/10.1080/01612840.2018.1499157

Healthcare technologies can be used to address the issue of limited access to healthcare in the USA. As a result, Myers, (2019)’s article explored the use of telehealth in addressing issues related to access and inequalities in healthcare among rural dwellers. The author noted that telehealth is an effective solution for delivering virtual care interventions such as patient assessment and education to improve outcomes. Telehealth also reduces the incidence of mortality due to limited access to treatment in rural communities.

According to the review performed by the author, telehealth provides effective care management, integration of mental and primary care services, and overcoming cost-related barriers in healthcare. Therefore, he proposed the need for the incorporation into the current healthcare system to address issues related to access to care for the minority and rural populations. This article was included in the annotation because it informs the need for incorporating technologies into solutions to address limited access to health care in diverse populations.

Learning from the Research

I learned important issues related to limited access to health care from this annotation. First, I learned that healthcare inequalities have a huge effect on ethnic and racial minority groups in the USA. The elderly also form a vulnerable group to the issue. I also learned that evidence-based interventions could be adopted to address the issues. The effectiveness of the interventions requires support from stakeholders such as policymakers, community members, and healthcare providers for sustainable outcomes. I also learned that nurses and other healthcare providers play crucial roles in ensuring innovation and adoption of evidence-based interventions against issues related to inequalities in healthcare and access. Therefore, I will strive to influence policies, programs, and interprofessional interventions adopted to improve access to healthcare in the communities that I will serve in my role as a registered nurse.

References

Chaudhary, M. A., Sharma, M., Scully, R. E., Sturgeon, D. J., Koehlmoos, T., Haider, A. H., & Schoenfeld, A. J. (2018). Universal insurance and an equal access healthcare system eliminate disparities for Black patients after traumatic injury. Surgery, 163(4), 651–656. https://doi.org/10.1016/j.surg.2017.09.045

Javanparast, S., Windle, A., Freeman, T., & Baum, F. (2018). Community Health Worker Programs to Improve Healthcare Access and Equity: Are They Only Relevant to Low- and Middle-Income Countries? International Journal of Health Policy and Management, 7(10), 943–954. https://doi.org/10.15171/ijhpm.2018.53

Myers, C. R. (2019). Using Telehealth to Remediate Rural Mental Health and Healthcare Disparities. Issues in Mental Health Nursing, 40(3), 233–239. https://doi.org/10.1080/01612840.2018.1499157

Williams, D. R., & Cooper, L. A. (2019). Reducing Racial Inequities in Health: Using What We Already Know to Take Action. International Journal of Environmental Research and Public Health, 16(4), 606. https://doi.org/10.3390/ijerph16040606