NURS FPX 6618 Assessment 2

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The rationale for Addressing the Health Care Needs of Undocumented Immigrant or Refugee Populations

NURS FPX 6618 Assessment 2

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Ethical, social, and practical censure of a public health approach to particular immigrant and refugee population seek a cure for the illness. Among others, a considerable percentage of immigrant communities in the U.S are of Asian descent, and they have a significant number of different healthcare systems and cultures. The first is that providing these services may count as an extension of the health care equity principle, another element about moral justice, and adherence to social cohesion is necessary. Ethical principles are meant to be applied to all members of the population equally; hence, the needs of the vulnerable population should not only be ignored but also come with risks of being used to expose and make the already existing health inequalities much worse (Mitchell et al., 2023). Asian people are being perceived as also not immune from the conditions they encounter, including health complications. Understanding them requires non-communication issues, a distinct healthcare culture and traditions, and ignorance of the facilities at their disposal. Alternatively, making healthcare affordable will boost access to healthcare utilization in the natileadinglead, leading to probability health indicators, and, lastly, prevent increased health expenditures.

With many of the criteria fashioned to achieve a realistic and fair election, the Asians are chosen deterministically and then subject to many complexes. First, the research entailed looking at demographic data – specifically, the number and the location of Asian immigrants in the setting where I will be working. Naturally, as soon as this information was compiled, an analysis of the planned healthcare reform of this particular country also followed together with the explicit needs of the Asian people who are primarily poor at handling certain chronic conditions and are prone to underuse the preventive health services amongst others. Finally, the aspects of feasibility and sustainability, including the possibility of side effects or imputes, are weighed in terms of their worth and effectiveness.

Health delivery for Asians is not only a moral requirement. It is the idea of deleting health differences to attain positive health results. First, let us use healthcare providers to work more thoughtfully on the particular necessities of this group of people. This would create personalized interventions that will solve those problems and improve the community’s overall well-being.

Organizations and Stakeholders Dealing with Undocumented Immigrants of Refugees Population

Providing for the healthcare needs of the platform of Asian immigrants or refugees necessitates being so meticulous as to analyze the demographic, cultural, and social factors affecting them holistically. Project management methods such as SWOT (Strengths, Weaknesses, Opportunities, Threats) analysis straightforwardly put the issues way to act accordingly.

First, one should never forget their positive qualities when analyzing the health problems that this group may face. It is especially relevant to the Asian community, which usually has a social support network among those of the same ethnic background. It may be a source of information and resources on healthcare. Furthermore, most Asian ethnicities pay more attention to preventive care and traditional healing methods, which can provide good feedback on how behavior modification occurs. Although the healthcare system in the United States possesses its weaknesses, which can make access to care hard for Immigrants, Language impediments, limited health literacy, limited-ness, and social stigma about mental health difficulties are the most widespread issues faced by this group (Pandey et al., 2021). Beyond this, socioeconomic factors such as poverty and the absence of health insurance coverage already embedded in the system affect the affordability and access to healthcare.

Chances for dealing with the healthcare demands of Asian immigrants are rising through the implementation of culture-related healthcare delivery systems and community-based solutions. Through contacting and talking with the native of the locals and using community organizations, healthcare providers can design and develop the cultures matching programs and services, which will improve the accessibility of care.

It is essential to acknowledge the other side of the coin, especially in the case of disparagement and xenophobia, which can contribute to the impact of Asian immigrants on the healthcare system. Moreover, mind-boggling policies, such as an unresponsive immigration system or the establishment of family visitation programs, may as well make it difficult for people to access medical access.  A comprehensive study of Asian immigrant groups’ healthcare needs via project management approaches and instruments (such as SWOT analyses) shows an intricate matrix of positive factors, negative factors, opportunities, and impediments (Adhikari et al., 2021). The comprehensive amendments of these determinants help medical units design specific interventions that enable these diverse individuals to achieve the health equity they deserve.

Defining Characteristics of Undocumented Immigrant or Refugee Populations

An Asian migrant community or refugee of Asian origin needs the joint efforts of various institutions from all sectors. The healthcare domain, such as hospitals, clinics, and community health centers, has a crucial function since it provides primary and preventive care to the residents. These providers need staff that the Asian immigrants can trust as they should be culturally competent and understand the healthcare needs and the cultural backgrounds of these people, among other things, including language interpretation services and culturally appropriate care protocols.

Public service agencies are critical stakeholders attached to local, state, and federal government and are also there to provide funds and resources for Asian immigrants’ healthcare challenges. These may include agencies that control immigration, provide medical assistance programs, and implement health care initiatives for immigrants. Such a collaboration can help overcome systemic obstacles and ramp up the quality of health services received among Asian immigrants.

NURS FPX 6618 Assessment 2 Mobilizing Care for an Immigrant Population

Non-governmental organizations (NGOs) and community-centered organizations (CBOs) are significant stakeholders in serving the Asian immigrant society. While these nongovernmental organizations tend to have deep roots within immigrant societies, they offer essential services, such as language assistance, health education, and social support for the local community (Abiddin et al., 2022). Using collaboration with NGOs, CBOs, and healthcare whereby services sustain cultures within communities and develop societal infrastructures to respond to the immigrant’s health, care would be enhanced.

In addition, stakeholders such as educational institutions, religious organizations, and some advocacy groups can also sustain an all-around strategy in dealing with Asian immigrants. These stakeholders may offer programs focused on education, cultural competence training for healthcare providers, and policy formulation toward eliminating health disparities. Providing outreach services and support to elderly Asian immigrants would involve working with several organizations and various players, including the healthcare sector, the social welfare sector, and the housing sector. Through utilizing the abilities and resources of these stakeholders and overcoming specific obstacles such as those of this community’s unique ecology, provider capabilities, and special needs, healthcare systems deliver more impact and responsiveness to the needs of Asian immigrants and refugees.

Appraising and modifying the Existing Organization Policies for Immigrant and Repatriate Health Care

The qualities that form the spirit of an Asian immigrant or refugee population are varied and manifold,  exposing the various ranges of cultures, languages, and life experiences within this demographic group. The leading group is Asian immigrants, along with refugees coming from any number of Asian nations such as China, India, Vietnam, the Philippines, and Korea (Yeung & Mu, 2019). With those, they transfer their various cultural traditions, customs, and languages from their native countries to Ame, informing them of a cultural mosaic of the United States.

Demographic-wise, Asian immigrants and refugees constitute a diverse group as far as age is concerned, with children being among the youngest and the elderly belonging to the oldest, with different medical needs and susceptibilities. Another example is, quite possibly, elderly immigrants from Asia encounter language barriers, assimilation pressure, and chronic health problems, while, within the younger immigrant population, job and education opportunities may be blocked.

Economically, Eastern immigrants and exiles appear on a spectrum of socioeconomic status, from poverty to prosperity. Some immigrants and their families face economic challenges, while others achieve socioeconomic success. Socioeconomic diversity is a treasurable prerequisite to successfully designing policies that fit in with the healthcare access and affordability situation. Asian immigrants and refugee groups frequently strongly bond with their cultural heritages and traditions, affecting their beliefs, behaviors, and care-seeking health practices (Lenderts et al., 2020). For instance, some individuals may hold on to those traditional healing practices, dietary preferences, and family-grown approaches to healthcare decision-making.  Therefore, more chances for them to meet physical issues with the Western healthcare system.

Generating fact-based and informative ethics and laws that would serve Asian immigrants and refugees will require the study of their demographic composition and socioeconomic levels, cultural beliefs, and health aspects. This approach helps policymakers measure immigrants and refugees with comprehensive needs and experience. Hence, the policies developed are consonant with diverse life situations, thus being responsive to health needs and improving the outcome of the community from this front.

Assumptions and Biases Afforded Care to Immigrants and Refugees Patient Group

The hidden and built-in assumptions and stereotypes of the Asian immigrant and refugee communities significantly deter access to healthcare services. One of the models of the minority that is frequently wrongly explained is the model minority myth, an assumption that Asians are one the same traditional group with an extreme socioeconomic level and a large number of academic achievements. Such presupposition might end up in a situation when the medical needs of the less privileged Asian immigrants who do not fit in this stereotype, e.g., poor or those with language barriers, will be ignored.

Besides, cultural and linguistic barriers move a step forward for immigrants, which is why they cannot access healthcare. Cultural beliefs and practices can lead to “concerning health-seeking behaviors,” with some persons turning to traditional healing methods or seeking medicinal advice from their family networks (Omenka, 2019). Language barriers might aggravate these problems, so effective communication between healthcare providers and patients is needed. Such situations might lead to misunderstanding or misdiagnosis. It becomes imperative that the intelligence community critically review the data used as the basis for policy advocacy. While not all members of Asian immigrant communities might fall into a specific socioeconomic group and have achieved competency in academic stratifications, it is paramount to understand the underlying diversity and the subpopulations that are at risk of poor health outcomes. Not considering such relativity as the model minority myth assumption, we can hear about excessive inequality in the kind of care people get and the unity of their health.

In addition, the logical impacts of cultural and linguistic matters on patients’ care availabilities call for culturally and linguistically congruent healthcare services. Providers should be well aware of various cultural norms and customs, let the patients choose a reasonable therapy process, and provide language interpretation services to facilitate communication (White et al., 2019). By recognizing and rectifying the existing stereotypes and prejudice and by changing the delivery of care to suit their cultural and linguistic differences, healthcare organizations can help improve access to care and promote health equity among the immigrant and refugee Asian populations.

US Medical Care Policies for Immigration and Refugee Contexts

The Affordable Care Act (ACA) and the Emergency Medical Treatment and Labor Act (EMTALA) are two major U.S. healthcare laws and regulations that are the current benchmarks for refugee and immigrant communities’ standard of care recommendations.

The Year 2020 saw the enactment of the Affordable Care Act. This act expanded access to healthcare coverage to millions of Americans and those in the immigrant and refugee communities. Alternatively, the ACA categories were established to meet this purpose by creating programs such as the Health Insurance Marketplace and the expansion of Medicaid in some states, which enable healthcare access and affordability for low-income groups, regardless of their citizenship (Campbell & Shore-Sheppard, 2020). The legislature of this state has gone through several changes that are beneficial to the practices of medical providers by encouraging healthcare services at an individual level and offering their services to cater to diverse populations, like immigrants and asylum seekers. Nevertheless, obstacles remain to ensuring accessibility for all undocumented individuals who fall into ACA coverage.

According to the Emergency Medical Treatment and Labor Act (EMTALA) passed in 1986, hospitals must render initial emergency treatment to any individual entering its emergency room, irrespective of their ability to pay for services or immigration status. Through this legislation, immigrants and refugees may be able to get help when it is required without being concerned about how they are legalized. On the other hand, specific ethical issues remain to be addressed due to EMTALA’s implementation.  Stanford physicians were lawfully obliged to treat undocumented persons who needed medical help under the assumption that preventing entry of an ill person into the US did not outweigh the risks of making him worse and the need to ensure that all individuals receive timely and adequate medical treatment in emergency cases. Nevertheless, EMTALA works only in an emergency context, and it does not consider the complex healthcare needs of immigrants and refugees.  To cover this shortcoming, the healthcare system must enter the topic of preventive care to address ongoing care when necessary.

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Abiddin, N. Z., Ibrahim, I., & Abdul Aziz, S. A. (2022). Non-Governmental organizations (NGOs) and their part towards sustainable community development. Sustainability, 14(8), 43–86. mdpi.

Adhikari, M., Kaphle, S., Dhakal, Y., Duwadi, S., Subedi, R., Shakya, S., Tamang, S., & Khadka, M. (2021). Too long to wait: South Asian migrants’ experiences of accessing health care in Australia. BMC Public Health, 21(1).

Campbell, A. L., & Shore-Sheppard, L. (2020). The Affordable Care Act’s social, political, and economic effects: Introduction to the issue. RSF: The Russell Sage Foundation Journal of the Social Sciences, 6(2), 1–40.

Lenderts, J. L., Hoffman, S. J., & Stitch, J. (2020). The role of culture in shaping health perceptions and behaviors of resettled Karen refugees. Journal of Transcultural Nursing, 3(2).

Mitchell, P., Reinap, M., Moat, K., & Kuchenmüller, T. (2023). An ethical analysis of policy dialogues. Health Research Policy and Systems, 21(1).

Omenka, O. (2019). BMC.

Pandey, M., Kamrul, R., Michaels, C. R., & McCarron, M. (2021). Identifying barriers to healthcare access for new immigrants: A qualitative study in Regina, Saskatchewan, Canada. Journal of Immigrant and Minority Health, 24(1).

White, J., Plompen, T., Tao, L., Micallef, E., & Haines, T. (2019). What is needed in culturally competent healthcare systems? A qualitative exploration of culturally diverse patients and professional interpreters in an Australian healthcare setting. BMC Public Health, 19(1).

Yeung, W.-J. J., & Mu, Z. (2019). Migration and marriage in Asian contexts. Journal of Ethnic and Migration Studies, 46(14), 2863–2879.

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