NURS FPX 6618 Assessment 2

NURS FPX 6618 Assessment 2 Mobilizing Care for an Immigrant Population

NURS FPX 6618 Assessment 2 The healthcare delivery system is always changing and is shaped by the rich diversities of the population. Among immigrants and refugees immigrants in particular healthcare systems, policy-makers and providers face both an opportunity and a challenge (Smith & Johnson, 2020). Of these communities, undocumented immigrants are marginalised and struggle to access quality health services that are available to the rest of the population. In this assessment, one of the main objectives is to find out the key role of coordinated care for undocumented immigrants.

Need Help Writing an Essay?

Tell us about your assignment and we will find the best writer for your paper

Write My Essay For Me

Hitting the nail on the head, the Director of Care Coordination is planning a comprehensive project and an organisational policy that aims at meeting the unique needs of this vulnerable population. In this way, we want to close those gaps in care, to guarantee health equity as well as to remain faithful to our promise of giving kind and comfortable services. Ensuring that healthcare is accessible, affordable, and equitable for the immigrant community will be our mission as we begin our journey to bring about change. This evaluation is both a professional process and highlights our moral duty in advocating for fair and universal delivery of medical care for all people, notwithstanding their immigration status.

Rationale for Addressing the Health Care Needs of a Particular Immigrant or Refugee Population

A vulnerable group of unauthorized immigrants exists in the United States who face a multitude of hurdles in accessing health care services. Moreover, as the Director of Care Coordination at [Organization Name], I shall provide the reasons for approaching the healthcare demands of undocumented immigrants and make well-reasoned decisions based on the selection criteria.

NURS FPX 6618 Assessment 2 Healthcare Disparities:

Undocumented immigrants have high disparities in access to healthcare and its outcomes relative to the general population (Martinez et al.  , 2021). The main causes of these health inequalities are legal status, language barriers, lack of health insurance, fear of deportation and a lack of access to preventive care and specialised services (Fernandez & Anderson, 2019). Without seizure of timely and appropriate healthcare, undocumented immigrants are at a higher risk of undiagnosed and untreated health conditions that will result in poorer health outcomes and increased healthcare costs in the long term (Derose et al., 2020).

Ethical Imperative:

            Offering health services to undocumented migrants is in line with ethical principles such as justice, beneficence, and non-maleficence (Kuczewski & Jennings, 2020). All citizens, irrespective of immigration status, have an inherent right to healthcare and must not be denied access to it due to legal or socioeconomic factors. Our moral duty of maintaining social justice and health equity is met when we guarantee equitable healthcare access to all living (American College of Physicians, 2021). 

Public Health Impact:

Better access to healthcare for undocumented immigrants will not only improve their lives but also that of the whole community. Undocumented immigrants frequently play a key role in industries like agriculture, construction, and healthcare, among others, adding value to the economic and social infrastructure of the society (Ortega et al., 2019). Through healthcare provision, we can reduce the spread of infectious diseases, close the gap in healthcare disparities, and promote general well-being and health in the population (Castaneda et al., 2020).

Health Care Needs of a Particular Immigrant or Refugee Population

The healthcare needs of undocumented immigrants are diverse and complex. As the Care Coordination Director at [Organization Name], it is essential to evaluate these particular needs and justify statements and claims by competently applying the appropriate project management tools or models.

NURS FPX 6618 Assessment 2 Health Care Needs Assessment:

Undocumented immigrants encounter a number of obstacles to healthcare services, such as legal status, language barriers, lack of insurance, fear of deportation, and limited finances (Derose et al.  , 2020). This factor, along with others, forms disparities in healthcare access and utilization, leading to undiagnosed and untreated health conditions, worse health outcomes, and higher healthcare costs (Fernandez & Anderson, 2019). The healthcare needs of undocumented immigrants are evaluated using the SWOT (Strengths, Weaknesses, Opportunities, Threats) analysis, which is one of the most commonly used project management tools.

Strengths:

Undocumented immigrants often demonstrate resilience and resourcefulness in accessing health care services through community clinics, free clinics and safety net hospitals (Ortega et al, 2019). One of their core strengths is being members of strong social networks and support systems within immigrant communities, which help them overcome the many challenges of the healthcare system.

Weaknesses:

Several fundamental deficiencies are present, including restricted access to chronic illness prevention, treatment, mental health services, and specialty care due to financial constraints and fear of deportation (Martinez et al., 2021). Language barriers, cultural differences, and problems of communication with healthcare providers lead to differences in care and its quality.

Organizations and Stakeholders Who must Participate in Caring for a Particular Immigrant

Addressing health care for undocumented immigrants or refugees will require collaboration between different agencies and players to properly attend to their unique needs. As the Director of Care Coordination, it is imperative that I compile this list and analyze the role and importance of each member in the healthcare community.

 Healthcare Providers and Clinics:

The provision of primary care, community health centres, and free clinics is an essential part of health service delivery for undocumented immigrants. These NGOs normally function as the first respondents of immigrants when they need medical attention.  They provide many essential services, which include chronic disease management, acute care and preventive care (Ortega et al., 2019).

Non-Profit Organizations:

Nonwork organisations like immigrant advocacy groups, legal advice groups, and social services associations are key in providing support services to undocumented immigrants. These organisations advocate information about how to explore the healthcare system, social services, and legal and immigration-related issues.

NURS FPX 6618 Assessment 2 Local Government Agencies:

            Local government agencies, such as public health departments and social service departments, are accountable for implementing public health programs and providing needed services to immigrant communities. They can provide immunization clinics, maternal and child health services, and nutrition assistance programs to an undocumented population (Fernandez & Anderson, 2019).

Characteristics that Define a Particular Immigrant or Refugee Population

An essential part of the ethical and legal policy creation is to identify what are the main features of undocumented immigrant populations (Ortega et al.  , 2019). Those who are not legally documented are not permitted to stay and work in the United States and can be threatened with deportation as well as legal risks. They originate from different places, such as individuals, families, or unaccompanied minors who are escaping persecution, violence, or economic poverty in their home countries. Socioeconomic difficulties are widespread among undocumented immigrants and are usually characterised by low rates of educational attainment, restricted job opportunities as well as scarce financial resources, among others (Fernandez & Anderson, 2019).

            Notwithstanding, they represent different cultural and linguistic backgrounds; therefore, the medical care providers are not able to communicate effectively with them, and they are not able to access healthcare services. Healthcare access and utilisation have also witnessed disparities that originate from causes such as being uninsured, fear of deportation and scarcity of culturally competent care (Martinez et al., 2021). In addition, navigating complex legal and public policies, including immigration laws and healthcare policies, creates further obstacles to accessing healthcare services and legal protection (Kuczewski & Jennings, 2020).

Interpretation of current organisational policies

Organisational policies for rendering medical services to migrants and emigrants usually comprise the following core components. Usually, this policy of non-discrimination aims at delivering care without status, nationality, or race-based discrimination, as proposed by Martinez et al.  (2021). This is in line with healthcare ethics that demand fair distribution and equity. Language Access rules will dictate that language interpreting services must be provided owing to the need for quality communication with non-English speaking immigrant patients (Fernandez & Anderson, 2019). Therefore, it enables the patients to make decisions objectively and maintain patient-centered care.

You may also be interested in Culturally Competent Care policies, such as those outlined by Castaneda et al.  (2020); the principles of culturally competent care may include the aspect of being respectful of the beliefs, culture, and values of immigrant patients. On the other hand, it involves understanding cultural values, way of life, and health seeking behavior to incorporate cultural sensitivity and offer personalized care. The confidentiality and privacy policies generally underline the fundamental of keeping patients’ confidentiality and privacy, no matter their immigration status (Derose et al., 2020). This, in turn, establishes a trust relationship between the doctors and their immigrant patients and contributes to patience disclosure.

NURS FPX 6618 Assessment 2

            The current environment pointed to the very policy of immigrant healthcare.  As a result, the relevance of several factors increased the level of implications of the policies. Immigration Policy Changes: Changes in immigration policies and enforcement practices have led to amplified fear and uncertainty among immigrant communities, impeding them from looking for health services care (Kuczewski & Jennings, 2020). Clearly set policies that are in line with the organisation’s non-discriminatory stance may help allay such fears and increase the number of patients that report to the clinic. Public Health Emergencies: The 2019 save Covid-19 outbreak revealed the significance of giving a chance to healthcare to people of any immigration status (Ortega et al.  , 2019).

Implementation of the policy that is oriented on providing fair chances for testing, treatment, and vaccination to immigrants and refugees has a positive contribution to the effective containment of infectious diseases of the community and maintenance of its health. Advocacy Efforts: The healthcare administrations and also advocacy groups support inclusive healthcare policies that suit immigrant and refugee communities (NURS FPX 6618 Assessment 2). Policies that enable advocacy efforts and implement social justice principles are a part of the process of shaping a healthcare system that provides care to every individual belonging to the society.

Assumptions and Biases Associated with a Particular Immigrant

It is vital to include the implicit and explicit assumptions and biases about the particular refugee or immigrant individuals in the medical care, the aim being ethical and culturally sensitive performance. In much the same way as the Director of Care Coordination at [Organization Name], you have to pay careful attention to the areas that might impede the giving of services.

Assumptions and Biases:

Immigrants and refugees often face loathing and stereotypes, where cultural stereotypes, misinforming, and bigoted inequality are in the first place. Likewise, the immigrants become known for a high-risk health behavior and heavy use of public services since they are supposed to depend more on the health system compared to the natives. These presumptions make health care disparity or racism which is based on immigration status, lack of language proficiency, or cultural perspective. A healthcare provider may subconsciously judge or not give much attention to these specific issues native-born patients may have.

Influence of Culture and Linguistic Differences:

The cultural and linguistic disparities are very powerful factors in the health care quality that the immigrant and refugee populations can obtain at various facilities. Language gaps restrict accurate exchanges between patients and healthcare providers, which results  in misstatements, wrong diagnoses and unsatisfactory therapy outcomes. Among the other factors, cultural variations also have a high impact on health beliefs and behaviours, including lifestyles. Immigrants may be assimilated by different cultural norms like health management with illness, treatment options, and help-seeking behaviour. These cultural factors incorporate the common sizes of public hospital wards in a health care system, and in the offing, such can substantially influence healthcare utilisation patterns, hence leading to underserved healthcare and, in return, increasing disparities in access to care.

Evaluating Assumptions and Implications:

Therefore, it is important to be ruthlessly realist in assessing the veracity of assumptions that serve as the basis for decisions in the healthcare of immigrants and refugees. NURS FPX 6618 Assessment 2 While a number of these assumptions could be presumed credible enough, others may be baseless and some even endorse racists viewpoints and stereotypes. In another instance, such a perception that immigrants occupy the healthcare services and thus burdens need to consider the economic advantages that their settlement brings to the society. Hence, such prejudices against the presumed monolithic cultures of immigrants leave unknown that in every immigrant community can be found variety and intricacy.

The logical link of cultural and linguistic disparities to the delivery of healthcare emphasizes the importance of competent and effective services that are culturally and linguistically appropriate. Healthcare facilities are now expected to deal with language barriers by providing health workers who are multilingual and documents which are translated. The organization may induce cultural competency training of staff which enables them to appreciate the particular culture of the immigrant patients as well as respecting their backgrounds.

Two U.S. Health Care Policies, National Initiatives, or Pieces of Legislation

Hence, identifying various U.  S.  public health policies, national initiatives, or legislation that regulate the standards of care for immigrants and refugees is essential for the improvement as well as the shaping of professional practice while providing a window for enhancing equitable access to healthcare (Ortega et al., 2019). Director of Care Coordination would head a critical evaluation of how these policies affect the practices of care.  This evaluation should be balanced and well-informed to reveal the implications of change. 

Patient Protection and Affordable Care Act (ACA):

Initially, the Affordable Care Act (ACA) was signed into law, and this act aimed to expand healthcare coverage and access to care for millions of Americans, including those who are immigrants, refugees, and others (Martinez et al.  , 2021). But even though the ACA accomplished a lot of reduction of uninsurance through Medicaid expansion and Health Insurance Marketplace, so-called ‘public charge’ provisions, that is, provisions which did not allow undocumented immigrants to access subsidised health insurance, remain in place. This results in segregation that deepens the gaps in safe access to care and makes undocumented immigrants unable to find affordable health services. The ACA was not only successful in tackling some of the most pressing issues of the healthcare system but also in introducing important reforms, for instance, this new law prohibits insurance companies from refusing coverage due to pre-existing conditions, which are utilised by immigrant populations regardless of their legal status.

 Implications for Practice: Healthcare providers from diverse backgrounds need to navigate the complexities of seeing patients who, depending on their insurance coverage, are eligible for care. They also have to recommend policies that favour the equal provision and inclusivity of healthcare services to all clients. Awareness of the obstacles and opportunities that present themselves through the ACA will help plan strategically and make wise allocations of resources to give the immigrant and refugee health needs adequate attention.

NURS FPX 6618 Assessment 2 Deferred Action for Childhood Arrivals (DACA):

DACA which came into effect, is a program that provides relief from deportations to other countries and employment authorisation for people between the ages of 15 and 36 who are undocumented immigrants (Derose et al., 2020). NURS FPX 6618 Assessment 2Besides not granting access to healthcare services per se, DACA has some indirect effects on the health of those immigrants who are able to work and obtain jobs with health insurance and the ability to undergo further education as a way to improve their health. Nevertheless, the unclear legal status of DACA students makes the policy subject to constant change and also makes it a source of anxiety that negatively affects their health and well-being.

Implications for Practice: Healthcare providers need to recognise the special circumstances surrounding DACA beneficiaries and give services with considerations of the cultural sensitivity that attend to the social determinants of health with the immigration status taken into account in the provision of care. Apart from heling to protect and expand DACA, advocate efforts may also lead to better health outcomes and equal health opportunities among immigrant and refugee people.

Conclusion

In NURS FPX 6618 Assessment 2 conclusion, providing healthcare for immigrant population obliges us to remind the importance of a multidimensional approach that goes beyond their unique healthcare needs and barriers to access. Health care providers can reach these goals by means of the development of a comprehensive plan and organizational policy through which the least privileged members of the society can be served properly. Through studying the healthcare requirements of immigrant groups, using project management instruments, and engaging with critical players, care coordination initiatives can be adapted in such a way that they are suitable to properly address the different challenges that exist within these communities.

To this, knowledge of the traits of immigrant individuals and the areas they commonly reside in, as well as the weight of culture and language on health care access, also aids in formulating observable policies and procedures. Analysing U.  S.  health care policies and programs helps give a better picture of the standards of care for the refugees and immigrants in the country and serves as a basis for healthcare professionals to advocate for inclusive policies and to discuss the systemic barriers they face. Healthcare organisations can promote moral growth in their efforts to discourage assumption, address public bias, and ensure cultural competence, which in turn improves health equity and, in a general sense, health outcomes for the immigrant and refugee communities.

References

Bhagat, R., Johnson, J., Grewal, S., Pandher, P., Quong, E., & Triolet, K. (2002). Mobilizing the community to address the prenatal health needs of immigrant punjabi women. Public Health Nursing, 19(3), 209–214. https://doi.org/10.1046/j.0737-1209.2002.19309. x

Castañeda, H., Holmes, S. M., Madrigal, D. S., Young, M.-E. D., Beyeler, N., & Quesada, J. (2015). Immigration as a social determinant of health. Annual Review of Public  Health, 36(1), 375–392. https://doi.org/10.1146/annurev-publhealth-032013-18241 9

Davis, C. M., Apter, A. J., Casillas, A., Foggs, M. B., Louisias, M., Morris, E. C., Nanda, A., Nelson, M. R., Ogbogu, P. U., Walker-McGill, C. L., Wang, J., & Perry, T. T. (2021). Health disparities in allergic and immunologic conditions in racial and ethnic underserved populations: A Work group report of the AAAAI committee on the underserved. The Journal of Allergy and Clinical Immunology, 147(5), 1579–1593. https://doi.org/10.1016/j.jaci.2021.02.034

Pfohl, S. R., Cole-Lewis, H., Sayres, R., Neal, D., Asiedu, M., Dieng, A., Tomasev, N., Rashid, Q. M., Azizi, S., Rostamzadeh, N., McCoy, L. G., Celi, L. A., Liu, Y., Schaekermann, M., Walton, A., Parrish, A., Nagpal, C., Singh, P., Dewitt, A., & Mansfield, P. (2024, March 18). A toolbox for surfacing health equity harms and biases in large language models. ArXiv.org. https://doi.org/10.48550/arXiv.2403.12025

Woodward, E. N., Singh, R. S., Ndebele-Ngwenya, P., Melgar Castillo, A., Dickson, K. S., & Kirchner, J. E. (2021). A more practical guide to incorporating health equity domains in implementation determinant frameworks. Implementation Science Communications, 2(1). https://doi.org/10.1186/s43058-021-00146-5

The post NURS FPX 6618 Assessment 2 appeared first on My Tutors Club.