You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. incorporate a minimum of 2 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles should be referenced according to the current APA style (the online library has an abbreviated version of the APA Manual).
1.Module 7 Discussion
Leslie Perez
St. Thomas University
NUR 505: Diversity in Advanced Health Practice
Dr. Marcia Derby-Davis
February 22, 2024
Module 7 Discussion
What are the differences that may affect Cuban-American patients who immigrated at different times?
There are several differences that may affect Cuban-American patients depending on when they immigrated. If they were able to immigrate prior to or at the beginning of Castros rule, they may have been accustomed to high quality healthcare, while those who were not able to immigrate at that time likely had poor healthcare due to their class status. Additionally, if they immigrated during the Mariel Boat Lift, they may have higher chances of suffering from mental illness. Generally speaking, any Cuban American patient that immigrated later on with the use of homemade rafts, alien smugglers, or falsified visas, likely was of a lower class or lacked access to quality healthcare, so they may not have these expectations of healthcare in America, nor may they know of the many resources available to them (Ayala, 2022).
What can a nurse do to make life in the hospital more culture-specific for an Amish client?
While in the hospital, the Amish client can be accommodated in many ways in order to have their stay be more culture-specific. It is of utmost importance to remember to ask the patient and their family about their specific beliefs and needs, as this varies from district to district. Upon establishing these rules, it is important to become familiar with their low-cost, low-technology way of life as well as their belief that dying is Gods will, and therefore, they may not be open to every treatment available. They do not utilize private health insurance, so connecting them with financial assistance programs may be of great help, aside from any help they receive from their Amish community. Ultimately, their needs hinge upon knowing healthcare providers and being able to trust them, so earning the Amish patients trust is key to positive outcomes. Finally, it is important to abide by their requests, such as the female patients need to maintain their modesty, even during surgery (Anderson & Potts, 2020).
List at least two etiological reasons for the development of alcoholism within an Irish-American family.
There are at least two etiological reasons for the development of alcoholism within an Irish-American family. To begin, Irish-American families are led by the mother. This can lead to alcoholism due to her ruling the family with strong will and manipulation of the husband and children. There are higher rates of alcoholism when both parents are Irish. Even when both parents are not Irish, but the father is a heavy drinker, the child may still struggle with alcoholism due to the Irish mother and upbringing. Another etiological reason for the development of alcoholism within the Irish-American family is the for psychological well-being. Adults have difficulty addressing their sexuality, which leads them to drink. Adolescents have difficulty addressing their anxiety and other socialization issues, which leads them to drink. Both of these approaches lend themselves to alcoholism in Irish-Americans. Ultimately, alcoholism can be curbed by providing support to the patient and ensuring them there are better coping mechanisms and that their feelings do not need to be repressed. It would also benefit to include the family or to have a family oriented approach to tackle alcoholism, as alcoholism tends to be tied to negativity within the household. It is important to be mindful of realistic suggestions and to consider the patients social and economic situation (Giger & Haddad, 2021).
2.Caring for Cuban, Amish, & Irish Populations
Laura La Rocca
St. Thomas University
Diversity in ADV Health Practice
Dr. Marcia Derby-Davis
February 20, 2024
What are the differences that may affect Cuban American patients who immigrated at different times?
Sociopolitical and sociodemographic factors differentiate waves of Cuban migration to the U.S. (National Library of Medicine, 2020). Studies have shown that later arrivals of Cubans to South Florida are relatively disadvantaged in anxiety and self-esteem and marginally so in depression. While later arrivals do not report more adversity in the U.S., they have lower levels of family support to cope during their hard times. In addition, later arrivals are also less likely to interview in English or to have a strong American identity, and they were more likely to have arrived as adults. Relative disadvantages in anxiety and self-esteem are best explained by indicators of acculturation and family support. Policies and programs that address acculturation difficulties and increase family support could improve the health and adjustment of these and similar immigrants. It is important to recognize that Later arrivals averaged lower socioeconomic status and worse pre-migration conditions relative to earlier arrivals and They also experienced harsher passage during migration and notable stigmatization upon arrival. Language is also among the most commonly used indicators of acculturation. For immigrants in the U.S., difficulty with the English language may preclude opportunities that can ease integration such as employment and housing.
What can a nurse do to make life in the hospital more culture-specific for an Amish client?
Nurses are called to care for patients and families from many backgrounds and cultural groups. We come from different places, families, cultures, and educational backgrounds. We have different life experiences. One advantage arising from these differences is the opportunity to share multiple perspectives, allowing for a more holistic approach to each patients situation. In contrast, even though nurses may share a mutual faith, our differences can lead to conflict. Amish cultural groups avoid modern medicine when able. They tend to distrust the American medical and pharmaceutical industry as profit-oriented extensions of the government and large-scale corporations (PMC, 2020). They also feel culturally disoriented in these environments. The Amish use supplements including vitamins, minerals, and herbs, and, for women, fibers and enzymes more frequently than non-Amish. A religious outlook is central to their approach to healthcare. Amish prefer home-based care as well as a familiar institutional setting close to family and co-religionists. When someone is hospitalized, family members are frequently present. Therefore, time and space should be provided by healthcare professionals. Providing psychological, social, and material care during illness is essential and should be part of the plan of care.
List at least two etiological reasons for the development of alcoholism within an Irish American family.
In most societies and throughout historical time, alcohol has been consumed to enhance well-being, social relationships and even health. However, a significant number of individuals eventually end up being unable to keep within safe limits of consumption and become addicted. There are several major risk factors that are associated with the development of alcohol use disorder such as family history, mental disorder diagnosis, PTSD, stress, age of first use, and genes (American Addiction Centers, 2022). Contemporary Irish drinking patterns, particularly drinking regularly to intoxication, have their roots in history where alcohol often made the difference between survival and death. It has been said that Irish drinking patterns are evidence of a deep hole in the Irish psyche which only alcohol can fill. Some environmental factors such as family and school are not the only aspects of background that may influence drinking of young people. There exists a great deal of geographic variation in drinking in Ireland, rooted deep in Irish history. Moreover, Irish men drink far more than Irish women do. It is now recognized that genetic risk for alcoholism is likely to be due to common variants in very many genes. Therefore, genetics and environmental risk factors for the development of alcoholism are equally important (National Library of Medicine, 2021). Distribution of alcohol in the form of public houses and off-licenses is another potential source of regional variation and one that is vital in policy debates about the role of alcohol supply in determining consumption.
3.Module 7 Discussion
Leslie Perez
St. Thomas University
NUR 506: Influencing Health Policy
Dr. Anjelis Oliveira
February 22, 2024
Module 7 Discussion
Discuss how to close the health care disparities gap in the LGBTQ community?
There are many ways to close the health care disparities gap in the LGBTQ community. To begin, one should consider advocating for nondiscrimination policies related to the LGBTQ community. By advocating for such policies, these issues can be discussed on a wider scale and protections can be provided to LGBTQ patients nationwide. This is the first step towards providing unbiased, equitable healthcare to all, including the LGBTQ community. Additionally, nursing organizations can also take steps to show support by adopting public policy statements. By adopting public policy statements, nursing organizations set a positive example in support of LGBTQ patients, thus continuing to open doors towards equitable healthcare for this community. This also sheds the light on areas of improvement that may have not been previously considered and allows the LGBTQ community to have a seat at the table when it comes to addressing pertinent issues in healthcare (Mason et al., 2016).
As individual nurses, one can become familiar with ones own beliefs and biases in order to keep oneself in check, but also ensure others are not being biased or demeaning towards LGBTQ patients. It is important to become familiar with considerations for the LGBTQ in order to navigate their healthcare in a manner that is respectful and beneficial to them. Often, healthcare professionals are too afraid of becoming familiar with terminology, beliefs, or practices because of the perceived complexity, however, the better educated a healthcare professional is on matters that concern the LGBTQ community, the more empathy and consideration can be instilled in their care. By becoming aware of issues that affect the LGBTQ community, one is able to tailor care and provide suggestions that may not be applicable to other populations. This leads to more equitable healthcare considering the fact that LGBTQ patients typically deal with pushback, discrimination, or bias when receiving healthcare. As healthcare professionals, it is part of being culturally competent and providing diverse care (Morris et al., 2019).
Ultimately, there is still a large healthcare disparity gap that affects the LGBTQ community, though strides have been made in recent years to bridge this gap with the adoption of public policy statements by various nursing organizations as well as by the advocacy for nondiscrimination policies in support of the LGBTQ community. As individual nurses, it is key to be in tune with ones own biases as well as areas of improvement in order to provide culturally competent care to diverse communities. Additionally, it is vital to become familiar with the needs of the LGBTQ community so that we, as healthcare professionals, can best advise and treat a community that is often plagued by lack of education and misinformation. LGBTQ patients encounter plenty of bias and discrimination within the healthcare field, so it is extremely important to deter this beginning with oneself. Speaking up for the LGBTQ community when creating policy, when participating in nursing organizations, and when assisting with their healthcare can make a massive difference in healthcare outcomes for the LGBTQ community and bridge the gap in healthcare disparities for this community nationwide (Aleshire et al., 2019).
4.Week 7 Discussion Post
Erika Lucid
St. Thomas University
NUR 506: Influencing Health Policy
Dr. Oliveira
February 22, 2024
Closing the health care disparities gap in the LGBTQ Community
Healthcare disparities within the LGBTQ community have been a persistent and concerning issue for many years. Members of the LGBTQ community often face unique health challenges and barriers to accessing quality care, leading to significant disparities in health outcomes compared to the general population. Addressing and closing these gaps is crucial to ensuring that all individuals, regardless of sexual orientation or gender identity, have equal access to high-quality health care.
One of the primary factors contributing to healthcare disparities in the LGBTQ community is discrimination and stigma. LGBTQ individuals often face discrimination in healthcare settings, which can lead to delays in seeking care, avoidance of necessary health services, and overall poorer health outcomes (Medina-Martínez et al., 2021).
To address these disparities, it is essential to prioritize education and training for healthcare providers on LGBTQ health issues and cultural competency. By increasing providers understanding of the unique health needs and challenges LGBTQ individuals face, we can improve the quality of care and create a more inclusive and welcoming healthcare environment. Training programs should cover topics such as sexual orientation and gender identity, LGBTQ-affirming language, and best practices for providing respectful and inclusive care to LGBTQ patients (Morris et al., 2019).
In addition to provider education, policy changes are needed to protect the rights of LGBTQ individuals and ensure equitable access to health care services. Anti-discrimination laws that prohibit discrimination based on sexual orientation and gender identity in healthcare settings are essential to protecting LGBTQ individuals from discrimination and ensuring they receive the care they need. Policies should also address issues such as insurance coverage for LGBTQ-specific health services, including gender-affirming care and mental health support.
Another important strategy for closing the healthcare disparities gap in the LGBTQ community is the increased access to LGBTQ-affirming health services. This includes expanding access to LGBTQ-friendly health centers and clinics that provide comprehensive and culturally competent care to LGBTQ individuals. These centers should offer a range of services tailored to the unique needs of LGBTQ patients, including sexual health services, mental health support, and gender-affirming care (McKay et al., 2023).
Community outreach and engagement are also critical in addressing healthcare disparities in the LGBTQ community. By partnering with LGBTQ organizations and community groups, healthcare providers can better understand the needs and concerns of LGBTQ individuals and tailor their services to meet those needs. Community health fairs, educational workshops, and outreach programs can help raise awareness about LGBTQ health issues and promote access to care within the community (Fish et al., 2019).
In conclusion, closing the healthcare disparities gap in the LGBTQ community requires a multi-faceted approach that addresses the root causes of disparities and promotes equity and inclusivity in healthcare. By prioritizing education and training for healthcare providers, implementing policies to protect LGBTQ rights, expanding access to LGBTQ-affirming health services, and engaging with the community, we can work towards a healthcare system that is equitable, inclusive, and responsive to the needs of all individuals, regardless of sexual orientation or gender identity. By taking these steps, we can create a more just and compassionate healthcare system that ensures the health and well-being of all members of the LGBTQ community (Medina-Martínez et al., 2021).
