THE ROLE OF NURSES IN FIGHTING RACISM

Introduction

Minnesota is rated as one of the healthiest states in the US. However, some studies have shown that there are great inequalities in the state’s health and social aspects, especially between the White, the colored people, American Indians as well as American Africans (Minnesota Department of Health.,2017). The Minnesota Department of Health has played a major role in providing opportunities and requirements of being healthy and healthy living. The department has comprehensively addressed health equity, structural racism and social determinants of health through large scale community partnerships as well as community engagements. Other ways in which the Minnesota Department of Health has addressed these issues include use of publications, coming up with Health Equity Centers and creating community awareness programs (Minnesota Department of Health).

The health assessments not only focus on the basic health outcomes, health behaviors and rates of diseases, but also focuses on the fundamentals that must be put in place for everyone to remain healthy (Ramaswamy & Kelly, 2015). Essentially, the health assessment highlights any factors or problem that persistently undermine chances for health and healthy living. Such factors include low income, racism, gender and geographical location among others. Evidently, structural racism and social class discrimination has affected the state of people’s health in Minnesota (Ramaswamy & Kelly). The health nurses can play a significant role in improving the health outcomes. Their ability to solve the racism and social class challenge in Minnesota health sector cannot be underestimated. This paper will describe the role of health nurses in improving the health outcomes as related to the Priority two i.e. places and systems are designed for health and well-being.

The Role of Health Nurses in Addressing Racism in Healthcare and Outcomes

According to Statewide Health Assessment, race and class can distinctively impact the health in Minnesota (Minnesota Department of Health.,2018). The socio-economic status is a product of factors like people’s income, standards of living as well as social classes. Studies have shown that the Hispanics, African Americans, and other colored people have been relegated to lower socio-economic status compared to the Whites. In essence, people’s races tend to affect their social classes and income (Eliason, 1999). However, it is important to consider the unique role of racism in Minnesota’s health. According to American Nurses Association (ANA), a health nurse must play a significant role in eliminating any form of segregation or discrimination associated with race, socioeconomic status, sexual orientation and gender in the attainment of quality health care to the community (Eliason). ANA has been in the forefront of setting up various policy initiatives that that are meant to eradicate any form of segregation and discrimination.

There is a lot of racial diversity in Minnesota state. About 83.3% of the population are Whites, 6.19% are Blacks, 4.75% are Asians while the rest of the population is composed of other races like Native Americans and Pacific Islanders (Minnesota Department of Health.,2018). Unfortunately, the racial composition has significantly shaped the health inequalities in the state. According to Priority 3: all can participate in decisions that shape the health and well-being, every one can play a role in promoting quality healthcare in Minnesota state (Minnesota Department of Health.,2018). The government, institutions, organizations and individuals have a direct impact on people’s health and their well-being. The priority also acknowledges that some people in the population have been marginalized by the American society. It is therefore important for the state to ensure that there is active participation all the parties in the process of setting up systems and decision making. Consequently, the set systems and the decision made will benefit the health and well-being of all the people within the state. People from all walks of life as well as communities, organizations, institutions and systems must unite to ensure that the decision-making processes are fair and just to all people (Ramaswamy & Kelly, 2015). Such processes will help in creating a healthy state. The health nurses have the power of significantly reducing racism in healthcare. Racism has devastating effects on health outcomes. Furthermore, there is a great correlation between the race and people’s level of income and education. For instance, research has shown that the maternal deaths among the African Americans women are three times higher than those among the White women (Eliason, 1999). The nurses are supposed to curb racism in healthcare and the devastating effects on people’s health. They are supposed to detect ay form of racism and avoid any detrimental effects on healthcare outcomes and medication.

One of the key conditions of Priority 3 is to ensure that the communities are just and violent-free (Minnesota Department of Health.,2018). The nurses must try and fight racial discrimination and injustices that are targeted towards a particular race. One of the indicators is spearheading the campaigns against racial violence, child maltreatment and racial bullying. In addition, the nurses can help in the recovery process of adults who have faced traumatic experiences due to racism. Moreover, the nurses can offer mental health support and medical care for victims of racism violence (Minnesota Department of Health.,2018). In addition, the nurses are supposed to administer healthcare services to all the members of the community without showing any form of discrimination or favoritism.

The second condition of Priority 3 is ensuring that the whole populations are engaged (Minnesota Department of Health.,2018). In essence, all the people, whether the sidelined or central can play a significant role in coming up with systems that enhance everyone to thrive in the community. The running systems as well as designed systems play a special role of shaping conditions that affect the health of members of the community. It is worth noting that marginalization leads to a significant decline in healthcare and people’s well-being. The nurses can get involved in civic education and community engagement programs against racism (Ramaswamy & Kelly, 2015). Furthermore, they can run a series of programs that enhance community collaboration like social connectedness. In addition, the staffing body and the American Nurse Association can advocate for the rights of all the members of the community as well as spearhead the fight against marginalization through fair recruitment process.

A Plan to Improve Quality and Affordable Healthcare

Coming up with a Community Reproductive Health Care Center. The program will be in line with Healthy Minnesota 2022 Priority 3; All can participate in decisions that shape health and well-being (Minnesota Department of Health.,2018). The Minnesota state government, organizations, institutions and the community at large must come up with Community Reproductive Health Care Center to address disparities in maternal health. Many African American women, and colored women have limited or no access to the very important reproductive health care. In essence, such women can hardly access services like contraception, reproductive cancer screenings, abortion and STI among others. Apparently, low income and a number of restrictions have undermined reproductive health care among the minorities in Minnesota.

Putting up a well-equipped community reproductive health care center might require about US$800,000. The budget will cater for putting up the infrastructure, machines as well as equip the center with the necessary equipment. Furthermore, the center will require professional staff to administer the required reproductive healthcare services. The role of the nurses in the center will be indispensable. The nurses will be required to offer their services with impartiality. Further, the nurses will be expected to intentionally carry out anti-racism campaigns in order to encourage the Black and minority women to access the reproductive health care services.

Research shows that majority of the African American women do not have access to contraceptives. Therefore, they are vulnerable to unplanned pregnancies (Eliason, 1999). The unplanned pregnancies and lead to negative health outcomes like low birth weights and miscarriages due to lack of proper prenatal care. The Community Reproductive Health Care Center will offer affordable reproductive healthcare like contraceptives that greatly educe the chances for unplanned pregnancies.

Impact of Attitude, Values and Beliefs on The Community Reproductive Health Care

There has been a popular belief among the Black community that bearing more children can significantly reduce the racism in the US. Consequently, they shy off from using contraceptives so that they can gain dominance over the rest of the races through numbers (Ramaswamy & Kelly, 2015). Furthermore, these women have joined religions that discourage family planning. Such beliefs might undermine the essence of putting up the Community Reproductive Health Care in Minnesota.

Conclusion

The Blacks and other minority races in Minnesota have been receiving low quality healthcare and at times, the health outcomes are devastating. Nurses must appreciate that they have the potential of spreading biasness and discriminatory practices either consciously or unconsciously. Therefore, they must practice impartiality and inclusion of every person through eradicating any form of disparities as well as providing quality healthcare (Ramaswamy & Kelly, 2015).

REFERENCES

Eliason, M. (1999). Nursing’s Role In Racism And African American Women’s Health. Health Care For Women International, 20(2), 209-219. https://doi.org/10.1080/073993399245890

Minnesota Department of Health. (2017). 2017 Minnesota statewide health assessment. [PDF file]. Retrieved from https://www.health.state.mn.us/communities/practice/healthymnpartnership/docs/2017MNStatewideHealthAssessment.pdf

Minnesota Department of Health. (2018). Healthy Minnesota 2022 statewide health improvement framework [PDF file]. Retrieved from https://www.health.state.mn.us/communities/practice/healthymnpartnership/docs/2022HealthyMNFramework.pdf

Ramaswamy, M., & Kelly, P. (2015). Institutional Racism as a Critical Social Determinant of Health. Public Health Nursing, 32(4), 285-286. https://doi.org/10.1111/phn.12212

You may be asked to write essays or research papers during your nursing program. These assignments are just as important as your practical training. Sometimes you will be asked to choose a topic, or may be given a topic. You will need to choose a topic you are familiar with or one that interests you in order to write a great nursing essay.

Don’t worry if you are still having trouble finding the right topic to write a nursing essay. We are going to share some helpful topics for nursing essays, created by our paper-writing service.

1.Discuss three traits you feel  makes a good nurse leader

2.Explain how health laws regarding medical privacy have influenced the adoption of telemedicine.

3.Research the barriers and challenges in adopting telemedicine in Saudi Arabia.

4.Explain the current KSA laws that protect patient information and provide for the ethical treatment of Saudi patients.

5. Analyze the role of informed consent and the requirements needed for participation in a telemedicine network.

6. Differentiate between Western and non-Western perspectives of addiction and explain and apply the comparative approach to various cross-cultural phenomena.

7. Impact of leadership on organizational performance.

8.Distinguish between rubella and rubeola. What are the differences between them in pathology, manifestation, and treatment?

9.Associate three of the most current infectious disease with Healthy People 2020

10.Investigate the impacts of health determinants in the detection and treatment of mental health disorders.

11. Case Study of Impacts of Covid-19 Pandemic on Business Operations

12. Discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.

13. Examining the Application of Safety Measures in Healthcare Facilities

14. Compose a scholarly paper (7th edition APA) that relates to one of the historical events presented in the History of Nursing PowerPoint  that has influenced your personal, work or practice area.

15. Nurses function at a higher level than a medical assistant. Highlight the differences and explain why a nurse is more capable and versatile in an ambulatory clinic setting.

16.Ethical dilemma: Should it be obligatory or an option for nurses to take care of Covid 19 patients?

17. Qualities of a Nurse Leader

18. Discuss your motivation to pursue the profession of nursing and why you have chosen the Clinical Nurse Leader option for your nursing education. Identify at least one important role of the Clinical Nurse Leader that you find interesting or compelling and provide examples of how you see yourself practicing as a Clinical Nurse Leader.

19.Write a reflection on the nature, sources, and implications of your values, beliefs, and ethical perspectives that guide your personal life and nursing practice

20.Assess your facility’s overall utilization of the nursing division and nursing staff in improving patient care delivery.  Describe the different initiatives and programs created, and driven by your nursing department that have had a direct impact on improving the delivery of care

21. To determine effect of employee motivation on job satisfaction among the health workers in the Nursing homes-A case study on Esteem Care, Banksfield, Preston

22.Discuss risks of nursing shortages in U.S. hospitals.

23.Select an ethnic minority group that is represented in the United States (Black/African American) Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group.

24.Study on level of knowledge, compliance and the factors contributing to therapy non-compliance by patients of chronic venous disease in XXX Vascular Clinic

24.As a supervisor in the medical workplace, identifying the skills which are needed for effective supervision.

25. What does the McAllen example demonstrate about the delivery of health care–motives, financing, HCO ownership, the practice of medicine and how different HCOs operate? How could these systems be improved upon?

26. What role do nurses have in selecting and evaluating information systems within your work environment? What strategies facilitated implementation of the information system and/or what were the barriers to implementation?

27. Describe the pathophysiology of celiac disease, clinical manifestations, evaluation, and treatment. What are the differences between non-celiac gluten sensitivity and celiac disease?

28.Describe the pathophysiology, clinical manifestations, evaluation, and treatment of gastroesophageal reflux disease (GERD), peptic ulcer disease, and gastritis.

29. Define fibromyalgia and describe the pathophysiology, clinical manifestations, evaluation, and treatment. Comment on advances in diagnosis and management of this disorder that debunk the idea that the disorder is “in the patient’s head.

30. Define osteoporosis and describe the risk factors, pathophysiology, clinical manifestations, evaluation, prevention, and treatment.

31. Compare and contrast the following components of Type 1 and Type 2 Diabetes: a) risk factors, b) age of onset, c) pathophysiology, and d) clinical manifestations

32.Discuss your experiences/research with policies implemented to protect vulnerable populations such as patients with mental illness. How does the mental health Parity Act of 2008 improve mental health services?

33. Dorotea Orem’s Theory: “Self-Care Deficit Theory of Nursing” and look for at least one article online about her theory.

34. Should healthcare providers be allowed to prescribe narcotics to family members?

35. Compare and contrast the primary care NP role with other nursing advanced practice roles and the role of physician assistants

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These nursing essay topics should inspire you to write great papers. You can also refer to our How to Write an Essay for Nursing School guide if you have any questions. The professional writing skills of our writers will ensure that your paper is completed in the shortest time possible. Simply fill out the order form and describe your assignment. You will receive a completed paper within the specified time. For your convenience, our service is available 24 hours a day.

Nursing case studies are a detailed investigation and explanation of a patient, or group of patients, suffering from a particular illness or disorder. This helps to build a better understanding of the individual. A nursing case study may provide an in-depth examination of one individual or a group to aid in healthcare and medical phenomena. The case study should end with a detailed account of an actual, hypothetical, or real problem, occurrence or operation.

Introduction to and Categories of a Nursing Case Study

1. Status for the patient: Discusses patient and study intent. It includes the following information:

• Demographics
• Medical history
• Treatment and diagnosis

2. A nursing assessment of a person: Describes the concern expressed by the patient in medical terminology, and the reason why he or she has been given a specific diagnosis such as hyperacidity that affects his digestion. These are the items it includes:

• Test results and vital signs
• The nurse’s findings include the emotional state and range for motion.

1. The current care plan and recommendations are identified. This document demonstrates how a nursing strategy can improve the quality of life for a patient, as well as how it will be implemented. It shows the person responsible for implementing the treatment plan, as well as concrete targets and goals to track and determine its progress.

You can divide this section of a case study into the following subsections.

• Details about the nursing care plan, including priority and intervention lists
• Here is a summary of the treatment plan.
• Suggestions to improve the treatment plan

How do Write a case study assignment for nursing

Your article should begin with a brief introduction. This will give readers a clear picture of what you are trying to solve. Your research will help you clearly identify the problem. Background material, such as statistics and facts from reliable sources, can be provided. Diagrams, charts and images can be used to illustrate the case.

• This case study format would be helpful for clarity, ease of reading, and smooth flow.
• Title Page: The full title of your paper can be found here.
• Abstract An abstract can be written in either a story format or a formal format. A narrative is a simplified version or part of a document that tells a coherent, fluid story. It does not use headings. In an internet search, subheadings are used to provide a structured overview. A formal abstract contains subsections for introduction and case presentation, management, results, and discussion.
• Introduction: Shows an understanding of the reasons why the situation that you are presenting is so fascinating.
• Case presentation: Raw details about the patient’s complaint, key facts about their history, and a summary the clinical test results. You can optionally include a list of possible conditions or illnesses that could be causing the symptoms.
• Treatment and outcomes: Explain the current treatment and the outcome. It is important to decide the length and pace of patient care.
• Discussion: Identifies the problems the examination presents.
• I’d like to express my gratitude to all those who helped me prepare the case study. It is not usual to express gratitude to the patient. It is not customary to express gratitude to those who did not participate in the preparation of the nursing case study task (e.g., professors and peers).
• References: Identify the authors, a list is provided. You shouldn’t exceed 15 sources unless you have a good reason. Avoid personal correspondence as readers won’t be able access the content. Also, avoid textbooks since many people already have the material.
• Legends Tables, images and numbers are well described. A section with charts, photos, statistics will be included at the end of your book.
• Permissions If you want to borrow their charts, images or statistics, or quote from their published work in any way, you will need to show the content publisher a letter of authorization. All photographs that could be used to identify patients must have the consent of the patient.

• Conclusion:
• Your suggestions should be the last topic of discussion. Based on the patient’s medical history, diagnosis, prognosis and nursing care plan, what other steps can you recommend to improve the patient’s chances of survival? Publishing a well-written case study article is not a difficult task. It’s a satisfying way to get feedback from patients while out on the field. Your professor will not only judge you on the quality of your paper’s content, but also how accurate it is. To avoid losing points for a well-written paper because of minor formatting mistakes, you can use formatting tools to save time.

Competences of a DNP prepared nurse

Introduction

Major reforms have been undertaken on US Healthcare in an attempt to increase its standards in terms of quality of care. This is done in the need to much some of efficient healthcare system as evident in Italy. Some of these reforms include the Affordable Care Act, Medicare, Medicaid but most notably the introduction of the Doctor for Nursing Practice (DNP) degree for nursing practitioners. The DNP degree is a doctoral program designed for nurses – especially advanced practice registered nurses (APRNs) – seeking a terminal degree in nursing and offers an alternative to the existing research based doctoral programs (Michigan Health Council, 2016). This paper analyses the various ways that a DNP prepared nurse can contribute to the improvement of the US healthcare system. In addition I will describe two of my personal professional experiences with health policy, law and ethics.

Competences of a DNP prepared nurse

This non-research clinical doctorate for nurses in aimed at creating expert practitioners who are also conversant with the clinical faculty. This doctorate program is expected to, among other things expand the nurses’ knowledge underlying the practice, given the increased complexity of patient care and very high expected quality of patient care and safety in US (AACN, 2016). Shortage of nurses in the US, demands that the nursing education programs prepare leaders in practitioners who can design and assess care.

Transition of nursing from the traditional master’s degree for those seeking a terminal nursing degree to DNP is a move in the direction of other healthcare professions (Smolowitz, Honig, & Reinisch, 2010). The other doctorate programs for healthcare professions in the US include doctorates in Medicine (MD), Dentistry (DDS), Pharmacy (PharmD), Psychology (PsyD), Physical Therapy (DPT) and Audiology (AudD). These doctorate degrees are developed to improve the healthcare standards in the US, which necessitated a similar program for nurses for the same purpose.

The DNP builds on the traditional master’s programs that prepared nurses especially APRN’s like Clinical Nurse Specialists, Nursing Practitioners and Certified Nurse-Midwives among others (Michigan Health Council, 2016). The DNP degree, unlike the existing research based doctoral programs for nurses, prepares them to fully implement the new and versatile sciences developed by nurse researchers at all levels of education including PhD, DNSc and even the research focused nursing doctorates.

Personal experiences

A case of the security of medical, genetic information collected from a patient and shared for medical purposes using the Electronic Health Register (EHR). The patient claimed that their employer got access to such information without consent, which is unethical despite the expected privacy of information agreement with the hospital (uOttawa, 2016). It was discovered that the employer is in the Healthcare industry and as such could access such information but not use it for non-medical purposes. In another case an elderly patient under the Long term stay in hospital program due to old age diseases contracted a Urinary Tract Infection (UTI) while under the hospital care (uOttawa, 2016). This resulted in litigation against the hospital from the patient’s relations for negligence. Additionally, other bad experiences have also been evident. 

Conclusion

The US Healthcare system is one of the most advanced and progressive systems globally, which in turn creates increasing demands and expectations especially from practitioners in the industry (AACN, 2016). DNP-prepared nurses are better equipped with information and practical abilities to handle the modern healthcare demands and expectations compared to their traditional masters counter parts. This is explained by higher salaries for DNP-prepared nurses over the rest by $8,576 in 2011. Policies and Regulations on emerging ethical issues with the rapidly changing healthcare environment, is necessary (uOttawa, 2016). This would help in addressing numerous challenges affecting the profession such as gender issues.  

References

AACN. (2016). The Doctor of Nursing Practice (DNP). Retrieved on 13^th January 2017 from, http://www.aacn.nche.edu/media-relations/fact-sheets/dnp

Michigan Health Council. (2016). What does a “Doctor of Nursing Practice” Mean to You? Retrieved on 13^th January 2017 from, https://www.michigancenterfornursing.org/news/news-reports-and-data/what-does-%E2%80%9Cdoctor-nursing-practice%E2%80%9D-mean-you

Smolowitz, J., Honig, J., & Reinisch, C. (2010). Writing DNP clinical case narratives: Demonstrating and evaluating competency in comprehensive care. New York, NY: Springer Pub. Co.

uOttawa. (2016). Center for Health Law, Policy and Ethics. Retrieved on 13^th January 2017 from, https://commonlaw.uottawa.ca/health-law/research