Analyze the competencies necessary for advanced practice nurses to advocate for health equity and engage in the proposed policy intervention from week five
Create a scholarly written paper using Microsoft Word and current APA guidelines for scholarly writing. The assignment should be 3 to 5 pages in length (excluding the title and reference pages). Include a minimum of 5 current scholarly sources to validate information in the assignment.This week you will analyze the competencies necessary for advanced practice nurses to advocate for health equity and engage in the proposed policy intervention from week five. Review your assessment of health disparity findings as well as your proposed Health in All Policies intervention from the assignments in weeks 3 and 5. Consider the various competencies that equip advanced practice nurses to effectively engage in the policy process and to advocate for health equity.
Follow the assignment criteria and rubric expectations described below to address each of the following sections of the assignment:
Introduction
Competencies to Support Advocacy and Policy Engagement
Application of Competencies to Reduce Disparity
Application of Interprofessional and Cross Sector Collaboration to Reduce Disparity
Conclusion
Introduction
20 ptsFull MarksDistinguished presentation of information evidenced by all of the following covered in a comprehensive and concise manner: • Provide an introduction to the purpose of the assignment. • State a concise synopsis of the disparity identified in week 3 and the Health in All Policies strategy proposed in week 5. • Discuss the essential role of professional and interprofessional competencies to facilitate advocacy and policy • engagement. • Integrate sufficient support from valid, reliable sources to substantiate the information shared.
Competencies to Support Advocacy and Policy Engagement
30 ptsFull MarksDistinguished presentation of information evidenced by all of the following areas covered in a comprehensive and concise manner: • Select and describe the competencies set forth to direct professional nursing practice. • Succinctly summarize the key competency domains that are included. • Explain how the competency domains support advocacy and policy engagement. • Integrate sufficient support from valid, reliable sources to validate the information shared.
Application of Competencies to Reduce Disparity
60 ptsFull MarksDistinguished presentation of information evidenced by all of the following areas covered in a comprehensive and concise manner: • Select one of the competency domains described in the earlier section. • Explain how that competency domain will specifically support the proposed policy strategy proposed in the week five assignment. • Provide one specific example of how the advanced practice nurse would put this competency into practice. • Describe how this competency will facilitate the reduction of disparity and advancement of health equity. • Integrate sufficient support from valid, reliable sources to validate the information shared.
Application of Interprofessional and Cross Sector Collaboration to Reduce Disparity
50 ptsFull MarksDistinguished presentation of information evidenced by all of the following areas covered in a comprehensive and concise manner: • Describe the competency domains set forth by the Interprofessional Education Collaborative. • Discuss how interprofessional competencies can be cultivated cross sector engagement to support a Health in All Policies approach. • Provide one specific example of how interprofessional competencies will specifically support the proposed policy strategy introduced in the week five assignment. • Describe how this competency will facilitate the reduction of disparity and advancement of health equity. • Integrate sufficient support from valid, reliable sources to validate the information shared.
Conclusion
20 ptsFull MarksDistinguished presentation of information evidenced by all of the following areas covered in a comprehensive and concise manner: • Provide concluding remarks regarding the value of professional and interprofessional competencies to guide advanced nursing practice. • Summarize the specific competencies to support the proposed Health in All policy strategy. • Summarize the indented impact of those competencies on the health disparity.
Graduate-level Writing Style
20 ptsFull MarksDistinguished graduate-level writing style is evidenced by meeting all of the following criteria with 0-1 errors total: • Correct use of spelling, grammar, punctuation, sentence and paragraph structure • Clarity, organization, and logical flow of ideas within writing • Scholarly, professional writing tone with no use of first person • Synthesis of information is present with no more than one short direct quote (15 words or less) • Correct APA format for the following: o Page numbering o Font style and size o Margins and spacing o Headings; subheadings o Citation and referencing sources o Mechanics of style (abbreviations, capitalization, italics, numbers)
Requirements: 5 pages
NR 555: Week Three Assignment
Assessment of Health Disparity Template
Student Name: _____Jessie Galarza_____________________________________________________
Date: __7/30/23________________________________________________________________
Follow the instructions located in the Week 3 Assignment Guideline and Rubric to complete the assessment of health disparity. Document findings using complete sentences; remember to use APA format to cite and reference sources. A reference page is provided at the end of this document.
References
Bellone, S., County Executive, S., & Pigott, G. (2021). Suffolk County Community Health Assessment and Improvement Plan 2022-2024.
Karpman, M., Blavin, F., Gonzalez, D., Andre, J., & Braga, B. (2023). Medical Debt in New York State and Its Unequal Burden across Communities.
Myers, N., Burke, G., Sharp, M., Gilman, M., & Shearer, C. (2019). DSRIP Promising Practices: Strategies for Meaningful Change for New York Medicaid.
Tomarken, J. (2021). Engagement of Local Partners.
Hello, my name is Jessie Galarza and I will be presenting today a health disparity on Long Island, New York, where I live.1Reducing Disparities: A Health in All Policies ApproachJessie GalarzaChamberlain UniversityNR 555 Advancing Health Equity OutcomeDr. Fildes8/13/23
Long Island, New York, has an alarming health coverage gap, with many individuals being denied appropriate insurance schemes despite existing schemes; this leads to adverse health outcomes and perpetuates inequality (Bellone et al., 2021). Addressing this multidimensional issue requires an integrative strategy considering health implications across all industries.2Introduction uAn alarming health coverage gap exists on Long Island, New YorkuIn order to address this multidimensional issue, an integrated strategy is required.
To address this discrepancy, implementing the Health in All Policies (HiAP) paradigm becomes critical since it resonates with the premise that health is intimately tied to various elements. This presentation explores the complexities of health disparity by exploring its underlying social determinants and healthcare system dynamics, ongoing mitigation initiatives, and eventually proposing a Health Access to Appointed Providers policy intervention tailored to mitigate its long-term effect. 3Introduction uImplementing the Health in All Policies (HiAP)uComplexities of health disparity
Long Island residents face significant disparity in health care due to inadequate insurance coverage, leading to an array of related problems with far-reaching consequences. This disparity shows how many members of society remain uninsured despite having access to health insurance schemes. This creates a vicious circle of poor health outcomes and worsening existing inequalities, while socioeconomic variables connected with this issue create a picture with many dimensions. 4BackgrounduInadequate insurance coverageuIn spite of the availability of health insurance, many people remain uninsureduVicious circle of poor health outcome
The increasing number of individuals without health insurance is often attributable to various socioeconomic issues, including low income, unclear immigration status, and part-time work opportunities. These factors make it harder for individuals to access affordable basic health insurance and contribute to maintaining existing disparities (Tomarken, 2021). Lack of transportation compounds the problem by forcing patients to postpone or miss doctor’s appointments altogether, worsening health outcomes as it prevents access to early medical assistance. Cultural dynamics further compound this complexity; various ethnic and cultural groups may hold 5BackgrounduVarious Socioeconomics issues uContributing factorsuCultural Dynamics
beliefs or attitudes that prevent enrollment in health insurance or utilization of healthcare services, increasing the number of uninsured residents (Goodman & Stafford 2007). Health inequality results from an interaction of socioeconomic factors with transportation, cultural, and other restrictions.5
Healthcare delivery systems play a dual role, supporting and impeding access. Suffolk county executive Steve Bellone et al. (2021) states that community health clinics and financial assistance programs have become essential lifelines to uninsured populations by offering low-cost, primary healthcare services. At present, Nassau and Suffolk counties suffer from inadequate primary care doctors and specialists – creating barriers to comprehensive healthcare provision. This problem as being hindered by this shortage; treatment options become less available when those without health insurance cannot access them as easily. Inequality is 6BackgrounduHealthcare delivery systemsuBarriers to healthcareuUninsured patients face more challengesuFormal efforts
further compounded by limited mental health services, making accessing comprehensive medical treatment more challenging for uninsured people. Although formal efforts, like the Affordable Care Act (ACA) and New York State’s Essential Plan and Child Health Plus programs, have made great strides toward narrowing disparity, ongoing challenges require continuous engagement of both formal policies and grassroots initiatives.6
Implementing policies using the Health in All Policies (HiAP) strategy to address insurance inequality is crucial, and “Universal Health Coverage for All Residents of Long Island, NY,” stands as an exceptional example of fairness. It ensures that every resident, regardless of socioeconomic standing or immigration 7Policy Intervention: A Health in All Policies Approach uUniversal health coverage for all Residents of Long IslanduEqual and fair access uHiAP principles uAddressing social determinants
status, can gain equal and fair access to complete health coverage. Establishing this policy aims to remove current obstacles that perpetuate imbalance. This approach fits perfectly with HiAP principles that recognize health as closely tied to accessing healthcare services, among many other variables. This strategy seeks to address the social determinants contributing to health disparities by eliminating financial obstacles, which lessen their effect on socioeconomic variables limiting insurance coverage. Its goal is to address these social determinants through financial means effectively. Additionally, the intrinsic inclusiveness of health policies helps combat cultural factors that discourage specific groups from purchasing health insurance (Allotey et al., 7
2019). Their goal isn’t just increasing access to health coverage but also fostering equality, increasing healthcare usage, and decreasing disparate health outcomes between different health outcomes.7
By taking an expansive and nontraditional view, the proposed policy plan perfectly represents HiAP’s approach. This policy considers the complex interactions among social, economic, and cultural variables by addressing various obstacles and causes affecting insurance coverage. Barber et al. (2019) report that 8Policy Intervention: A Health in All Policies Approach uHiAPÕs approach uComprehensive treatmentuCoordinated effortsu Improved outcomes
comprehensive treatments aim to address inequities by targeting their root causes instead of treating only symptoms, ultimately working toward decreasing societal inequalities. One of the central tenants of HiAP is that coordinated efforts from different industries may lead to comprehensive and long-term solutions; this idea is the cornerstone of its potential success. HiAP ensures that the health gap on Long Island will be addressed in an equitable and transformative manner by including universal health coverage as an integral component. This approach recognizes and respects its complexity while offering an avenue for revolutionary change. Due to this, the primary goal of this program is to promote health equality on Long Island by decreasing the number of 8
uninsured. This should lead to improved health outcomes, increased preventative care utilization, and reduced healthcare inequities.8
This policy considers social determinants by emphasizing socioeconomic and cultural aspects of problems while offering financial assistance to low-income people and families to make insurance coverage more cost-effective. Crowley et al. (2020) state that policies should include culturally-sensitive outreach and 9Policy Intervention: A Health in All Policies Approach uEmphasizing socioeconomic and cultural aspectsuCulturally sensitive outreach uVariables
education activities to engage ethnic and cultural groups concerned about acquiring insurance policies. Furthermore, this policy represents a HiAP approach in considering health outcomes beyond the mere provision of healthcare. Socioeconomic, transportation, and cultural considerations contribute to increasing the population without health insurance coverage. Recognizing that health is affected by many variables, the policy aims to address inequities by expanding access to care; this goal can be accomplished via universal coverage provisions.9
Long Island’s health disparities result from intersecting social determinants and healthcare system intricacies. Adopting Health in All Policies (HiAP), policies would be essential in combatting disparate healthcare coverage across Long Island. HiAP principles align well with universal health coverage as a policy intervention, providing a comprehensive way of counteracting social determinants of health and promoting improvements in health equity. By adopting this policy, Long Island has taken an essential step toward dismantling barriers contributing to disparities in access and health outcomes. APNs are integral in advocating, designing, and 10ConclusionIntricacies within the healthcare system contribute to health disparitiesPolicy intervention Dismantling barriersHiAP and APN efforts
implementing such policy interventions. HiAP principles and APN efforts unite as change agents who make tangible strides toward improving Long Islanders’ health by working towards greater inclusivity and equity. In their journey towards eliminating disparity, HiAP’s collaborative strength, inclusivity, and equity commitment make for powerful agents of transformation for improving Long Island residents’ wellbeing. The alliance between HiAP principles and APN efforts opens promising paths toward creating a more equitable and healthier future.10
I thank you for your time11ReferencesuAllotey, P., Tan, D. T., Kirby, T., & Tan, L. H. (2019). Community Engagement in Support of Moving Toward Universal Health Coverage. Health Systems & Reform, 5(1), 66–77. https://doi.org/10.1080/23288604.2018.1541497 uBarber, S., Lorenzoni, L., & Ong, P. (2019). Price setting and price regulation in health care Lessons for advancing Universal Health Coverage. https://apps.who.int/iris/bitstream/handle/10665/325547/9789241515924-eng.pdf uBellone, S., County Executive, S., & Pigott, G. (2021). Suffolk County Community Health Assessment and Improvement Plan 2022-2024. https://www.suffolkcountyny.gov/Portals/0/DocumentsForms/HealthServices/Community%20Health%20Assessment/Suffolk%20County%20CHA_CHIP%202022-24.pdf uCrowley, R., Daniel, H., Cooney, T. G., & Engel, L. S. (2020). Envisioning a Better U.S. Health Care System for All: Coverage and Cost of Care. Annals of Internal Medicine, 172(2), S7. https://doi.org/10.7326/m19-2415 uTomarken, J. (2021). Engagement of Local Partners. https://licommunityhospital.org/wp-content/uploads/2020/01/2019-2021-SC-CHA-CHIP-LI-Community-Hospital-Narrative.pdf uWorld Health Organization, 2. (2020). Universal health coverage partnership annual report 2019: in practice: bridging global commitments with country action to achieve universal health coverage.
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