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Cultural competency affect health disparities research paper
Cultural competence in health disparity
Cultural competence in health disparity
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Leadership roles of the FNP/DNP
Leadership
In this post for Nursing roles in advanced practice I will explore FNP-DNP leadership role in health care, the need for cultural competency, social justice, health care disparities and ethics. The common thread discovered in the exploration of these aspect of the DNP role is effective and ongoing communication.
Chism (2016) “Leadership implies accompaniment and compassion, and management implies control through supervision” (p. 66). According to the American Association of Colleges of Nursing (AACN, 20 ) the DNP-NP is obligated to provide systems leadership and improve quality of health care by quality improvement. There are many attributes to an effective nurse leader. Zaccagnini and White (2017)
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Health care disparity in the United States has many social determinants. The issue of disparity is more complex than just access to care but involves cultural differences, socio - economic status and education. One example of culture clashing with health care is outlines in an article by Van Herk, Smith and Andrew (2010). An aboriginal mother in Canada sought care but felt judged by the health care provider. “She knows that this happened to her cousin who was in a comparable situation and many other Aboriginal women and believes this is the only option to protect herself and her child” (p. 35). The situation described illustrates why health disparities are perpetuated even if services are available. It is not enough to offer services but the system needs to build trust with the community being …show more content…
The ANA code provides nursing examples of ethical decision making based on ethical theories and principles. All nurses are expected to respect the patient without prejudice. The DNP graduates will incorporate not only the individual patient needs, rights and values but also think beyond the individual (Chism, 2016). The DNP is expected to provide ethical leadership at various levels of the care continuum. Looking at the health of the individual and the community, organization, nation. Chism (2016) list the traits of an ethical leader as: Being conscious, committed, competent, courageous, consistent and candid (p. 219). These traits are something the DNP should aspire to and reflect on during their
The main points of provision five of the ANA code of ethics are as follows: section 5.1, which is moral self-respect, suggests that nurses must care for themselves as much as they care for their patients. Nurses must do their best to maintain professional respect to themselves in regards of their competence and moral character. Section 5.2, which is professional growth and maintenance of competence, suggests that nurses must continue to self and peer evaluate themselves throughout their careers. Nurses must continue to learn current, up to date nursing practices through self, peer, and higher education. Section 5.3, which is wholeness of character, suggests that nurses must develop and take into consideration their own moral perspectives when practicing in their careers. Nurses are encouraged to express their moral viewpoint when it is helpful to the recovery of their patients, but must never express moral beliefs based on social stigmas that could negatively affect patient outcomes.
Whitehead, D. K., Weiss, S. A., & Tappen, R. M. (2010). Essentials of nursing leadership and
In Canada, access to health care is ‘universal’ to its citizens under the Canadian Health Care Act and this system is considered to the one of the best in the world (Laurel & Richard, 2002). Access to health care is assumed on the strong social value of equality and is defined as the distribution of services to all those in need and for the common good and health of all residents (Fierlbeck, 2011). Equitable access to health care does not mean that all citizens are subjected to receive the same number of services but rather that wherever the service is provided it is based on need. Therefore, not all Canadians have equal access to health services. The Aboriginal peoples in Canada in particular are a population that is overlooked and underserved
For example, a DNP degree instructor can provide education to MSN or DNP students, therefore, making the student realize the increase level of confidence in clinical, leadership, and application skills that can be gained with a DNP degree. Evidently, this increases the number of DNP degree holders in the long run which subsequently improves patients’ care in nursing practice. DNP- prepared faculty members can act as a model for advanced practice education (Dunbar- Jacob et al., 2013, p.425). Since one of the roles an ARPN is leadership, which also involves with mentoring, other staff members may visualize the ARPN as a role model, thus, enhancing the self-concept of advance nurse
Murphy J, Quillinan B, Carolan M. "Role of clinical nurse leadership in improving patient care." Nurs Manage 16, no. 8 (2012): 26-28.
Integrating new or developed skills can improve outcomes through organizational leadership, quality improvement processes, and translation of evidence into practice, to name a few. A debate exists in nursing education and practice communities regarding the development of new knowledge in DNP programs. Additionally, the DNP Project is not a research dissertation, and the authors recommend against this term as well. Although all eight DNP Essentials do not have to be demonstrated in the DNP Project, the authors recommend that students have the opportunity to integrate them into practice.
Ethics has been a popular topic in nursing for a long time. Nurses are expected to demonstrate ethical decision-making as well as professionalism. I believe that in order to accomplish this, they need to use the ANA Code of Ethics as framework for their decision-making. It is also imperative for nurses to have a strong understanding of ethics, because they will be faced with many difficult ethical decisions that do not always have a straightforward solution.
Health care inequities can be elucidated by the research that identifies the social, economic and political ideologies that reflect aspects of cultural safety (Crandon, 1986; O’Neil, 1989 as cited in Browne & Fiske, 2001). There are various factors that affect the mistreatment of aboriginal peoples as they access health care in local health care facilities such as hospitals and clinics. Aboriginal women face many barriers and are discriminated against as a result based on their visible minority status such as race, gender and class (Gerber, 1990; Dion Stout, 1996; Voyageur, 1996 as cited in Browne & Fiske, 2001). A study done on Aboriginal peoples in Northern B.C. showed high rates of unemployment, underemployment and dependency on social welfare monies (Browne & Fiske, 2001). This continued political economic marginalisation of aboriginal peoples widens the gap between the colonizers and the colonized. The existence of racial profiling of aboriginal peoples by “Indian status” often fuels more stigmatization of these people because other Canadians who do not see the benefits of compensations received with having this status often can be resentful in what they may perceive is another compensation to aboriginal peoples. The re...
Healthcare systems are microcosms of the larger society in which they exist. Where there is structural violence or cultural violence in the larger society, so will there be evidence of systematic inequities in the institutions of these societies. The healthcare system in Australia is one example—from a plethora of similarly situated healthcare systems—in which the color of a patient’s skin or the race of his parents may determine the quality of medical received. Life expectancy and infant mortality rates are vastly different for non-Aboriginal, Aboriginal, and Torres Strait Islanders residing in Australia. The life expectancy of Aboriginal men is 21 years shorter than for non-Aboriginal men in Australia. For women, the difference is 19 years. The infant mortality rate of Aboriginal and Torres Strait Islander male infants is 6.8% and the infant mortality rate for female infants is 6.7%. For non-Aboriginal infants, the infant mortality rates are 1% for male infants and 0.8% for female infants. Further, the Aboriginal population is subject to a wide-range of diseases that do not exhibit comparatively high incidence rates in non-Aboriginal Australians.
Health care services are important to all, but what happens when our First Nations are allowed to those services but they themselves don’t always use it? In Canada, the health care system is supposed to be a ‘discrimination-free envornment’ (Tang, 2008) but that is not always the case. The right to an adequate health is all ours, but then for many nurses and physicians ethnic groups such as Aboriginal people are victims of racial gestures. Therefore, the health of the Aboriginal population is much worse than the non-Aboriginal people.
Marquis, B. L., & Huston, C. J. (2012). Leadership Roles and Management Functions in Nursing: Theory and Application. (7th ed.). Philadelphia: Lippincott, Williams & Wilkins.
Nurses are uniquely qualified to fill a demand for change through leadership. Unlike business minded individuals whose primary outcome concern is monetary, a nurses’ primary concern is organic: a living, breathing, tangible being. In a leadership role, a nurse might consider an organization as if it were a grouping of patients, or perhaps an individual patient, each limb with its own characteristics and distinct concerns. They can effectively categorize and prioritize important personal and professional matters and are therefore ideally positioned to lead change efforts. Perhaps most importantly, effective nurse leaders can provide clarity to the common goal and empower others to see their self-interests served by a better common good (Yancer, 2012).
...elly, P., & Crawford, H. (2013). Nursing leadership & management. In Nursing leadership & management(2nd ed., pp. 168-177). Canada: Nelson Education.
In today’s society, leadership is a common yet useful trait used in every aspect of life and how we use this trait depends on our role. What defines leadership is when someone has the capability to lead an organization or a group of people. There are many examples that display a great sense of leadership such being an educator in health, a parent to their child, or even a nurse. In the medical field, leadership is highly used among nurses, doctors, nurse managers, director of nursing, and even the vice president of patient care services. Among the many positions in the nursing field, one who is a nurse manager shows great leadership. The reason why nurse manager plays an important role in patient care is because it is known to be the most difficult position. As a nurse manager, one must deal with many patient care issues, relationships with medical staff, staff concerns, supplies, as well as maintaining work-life balance. Also, a nurse manager represents leadership by being accountable for the many responsibilities he or she holds. Furthermore, this position is a collaborative yet vital role because they provide the connection between nursing staff and higher level superiors, as well as giving direction and organization to accomplish tasks and goals. In addition, nurse managers provide nurse-patient ratios and the amount of workload nursing staff has. It is their responsibility to make sure that nursing staff is productive and well balanced between their work and personal lives.
Ethical leadership organizational ethics and socially responsibility are inseparable (Johnson). Leadership is not a inherited gift or family heritage; it is not a degree from an ivy league graduate school. Becoming a leader is an intentional process of growth that must be lived out experientially (Mullane). Ethical leaders demonstrate three distinctive characteristics, knowledge, action and character. Leaders have to have the ability to say “yes” or even “no” to a never ending series of challenges. A leader needs to be able to define their values, character and leadership style. When accepting the role of leadership you become encumbered by ethical issues and concerns. .