Allegory of the Orchard

The Allegory of the Orchard presents barriers and challenges of underserved, vulnerable, or marginalized populations and communities. These barriers and challenges highlight the importance of understanding the impact of political determinants of health on such groups. This allegory encourages an identification, understanding, analysis, and response to these factors as members of the healthcare community.

For this Discussion, consider the role of the political determinants of health on underserved, vulnerable, or marginalized populations and communities. How might advocates address the health disparities to promote equity and access to high quality healthcare?

Resources

Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources.

WEEKLY RESOURCES

Required Resources

Readings

· Dawes, D. E. (2020). The political determinants of health. Johns Hopkins University Press.

· “Foreword (pp. ix–xi)

· Chapter 1, “The Allegory of the Orchard: The Political Determinants of Health Inequalities” (pp. 1–17)

· Porche, D. J. (2023). Health policy: Applications for nurses and other healthcare professionals (3rd ed.). Jones & Bartlett Learning.

· Chapter 1, “Policy Overview” (pp.1–20)

· Chapter 6, “Healthcare Systems” (pp. 81–92)

· Walden University Oasis: Writing Center. (n.d.). Citations: OverviewLinks to an external site. . https://academicguides.waldenu.edu/writingcenter/apa/citations

· Walden University Oasis: Writing Center. (n.d.). Common assignments: Discussion postLinks to an external site. . https://academicguides.waldenu.edu/writingcenter/assignments/discussionpost

Media

· Satcher Health Leadership Institute. (2021, April 19). The allegory of the orchard: The political determinants of health by Daniel E. DawesLinks to an external site. [Video]. https://www.youtube.com/watch?v=mux1c73fJ78 Note: The approximate length of this media piece is 6 minutes.

· Satcher Health Leadership Institute. (2021, April 19). The allegory of the orchard—part II: The political determinants of health by Daniel E. Dawes, part 2Links to an external site. [Video]. https://www.youtube.com/watch?v=8gTbPog_J9s Note: The approximate length of this media piece is 7 minutes.

· Satcher Health Leadership Institute. (2021, February 2). The political determinants of health: Jessica’s storyLinks to an external site. [Video]. https://www.youtube.com/watch?v=cmMutvgQIcU Note: The approximate length of this media piece is 5 minutes.

· Document: Welcome to the DNP Program Download Welcome to the DNP Program(PPT)

· Document: Welcome to the DNP Program Narrative Download Welcome to the DNP Program Narrative(Word document)

To Prepare:

· View and read the Learning Resources regarding The Allegory of the Orchard.

· Consider the role of political determinants of health on disparities in health for some groups.

· Consider if advocates should be more concerned with policies that promote equality or equity.

· Explore your role, as a nurse, in addressing these determinants in our policy advocacy efforts.

By Day 3 of Week 1

Post a response detailing the following:

Use The Allegory of the Orchard to discuss how the political determinants of health negatively impact the health outcomes of a group of patients for whom you care. Why are you, as a nurse, the right person to become politically involved in addressing these determinants?

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