Posted: June 1st, 2023

Week 7: Healthcare Equity and Access in Specialty Areas

Week 7: Healthcare Equity and Access in Specialty Areas
Access to healthcare has been an ongoing primary concern of public health officials, political leaders, and the general public. As specialty areas continue to emerge and evolve, concerns over healthcare equity and access only increase.
As problem solvers adept at applying critical thinking and reasoning, clinical specialty nurses can be difference makers where healthcare disparities exist. Nurses are uniquely positioned to contribute to and lead transformative change in healthcare settings. They can be contributors to interprofessional teams driving changes or addressing the needs of patients who are impacted by such change.
This means that nurse educators must help provide enhanced knowledge, skills, and attitudes that are agile and change with the healthcare environment. Nurses must be prepared to further employ tools such as data analytics, quality improvement, and more in the quest to manage and even drive change to better reach appropriate populations.
For this week, you will examine disparities in healthcare as they relate to equity and access.
Learning Objectives
Students will:
• Analyze disparity factors related to healthcare equity and access
• Recommend resolution strategies related to healthcare disparities
• Analyze quality indicators specific to specialty areas of interest
• Evaluate a practicum experience in the context of quality
• Analyze opportunities for integrating quality measures into healthcare educational settings
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Learning Resources

Banerjee, A. (2020). Equity and quality of health care access: Where do we stand and the way forward? Indian Journal of Community Medicine, 45(1), 4–7.

Prodan, B. N., & Browne, A. J. (2019). Exploring women’s health care experiences through an equity lens: Findings from a community clinic serving marginalized women. Journal of Clinical Nursing, 28(19/20), 3459–3469.

Reckers-Droog, V., van Exel, J., & Brouwer, W. (2019). Equity weights for priority setting in healthcare: Severity, age, or both? Value in Health, 22(12), 1441–1449.

Schoonover, H. (2018). Health equity: Why it matters and how to achieve it. Health Catalyst. https://www.healthcatalyst.com/health-equity-why-it-matters-how-to-achieve-it

World Health Organization. (n.d.). Health systems: Equity.
https://www.who.int/healthsystems/topics/equity/en/

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Assignment help – Discussion: Disparities in Healthcare Equity and Access
In some cities, there are striking life expectancy disparities between citizens of neighborhoods just one or two miles away from each other. How can such discrepancies exist? More importantly, what can be done about them?
For nurses and other medical professionals, the achievement of health equity remains an elusive goal. This may be particularly true for nurses in specialty clinical areas that do not equally serve all populations and geographic areas. But nurses are problem solvers and can apply advanced knowledge, evidence-based practice, critical thinking, and reasoning to be drivers of industry-specific and/or social change.

Practicum Journal Entry #2: Quality in Your Clinical Specialty

The focus of your second entry in your journal will be on quality in your clinical specialty. This week, you will complete and finalize this journal entry.
Your journal entries represent a reflection of the experiences and observations you have made during your practicum. You must demonstrate how you are advancing your knowledge in your clinical specialty area.
To prepare and develop your journal entry:
• During your practicum time, as you note experiences and anecdotes that are instructive for you as an advanced nurse, consider how you might use those examples as an advanced nurse.
• Reflect on how you can integrate clinical expertise in your work as an advanced nurse educator.
• As you develop the journal entry outlined below, keep in mind that your goal is to provide a narrative account that captures your clinical experiences and demonstrates how you are advancing and applying your knowledge in the area of quality as it applies to advanced physical assessment, pathophysiology and pharmacology.
• Review the QSEN Competencies (https://qsen.org/competencies/pre-licensure-ksas/) related to quality as you prepare for your journal entry.

Journal Entry 2 (450–500 words)
• Describe a selected, observed activity or situation. (Note: This should not be more than half a page) I’m completing my practicum experience at a Women’s Health Clinic ( Obstetrics and Gynecology) I observe women receiving annual physical exams and pap smears to check for abnormal cells in the uterus that could produce cancer. There are also breast exams performed and women are educated on the importance of breast exam.

• Explain what you observed in the context of quality indicators in your specialty of interest. Use the Learning Resources and/or the best available evidence from current literature to support your explanation. An example quality indicator is how reminders are set to alert the provider and other medical staff that the patient is due for screening. The patient is then notified to schedule appointment for exam. Cervical Cancer Screening is very important. The interdisciplinary team works together to make sure the screening happens and if something is abnormal the team works together to make sure that proper care, referrals, and appointments are scheduled to manage care. It takes the entire team to do their part. The team consists of a Physician, Nurse Practitioner, Medical assistants, nurses, lab, ultrasound techs, office managers, and office staff.

• Explain at least one way you might integrate quality measures into an educational setting to advance the skills and knowledge of nursing students, staff, or patient populations. Support your response with specific observations from your practicum, quality indicators, and use the Learning Resources and/or the best available evidence from current literature to support your explanation.

Majority of the population are Medicaid or patients that has no or poor insurance.

Rubric Detail

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Name: NURS_6341_Week7_Journal 2_Rubric

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Excellent Good Fair Poor
Homework help – Write a 450- to 500-word journal entry in which you complete the following:

Describe a selected, observed activity or situation from your practicum setting. 18 (18%) – 20 (20%)
The response clearly, accurately, and thoroughly describes an observed activity or situation. 16 (16%) – 17 (17%)
The response accurately describes an observed activity or situation. 14 (14%) – 15 (15%)
The response vaguely decribes an observed activity or situation. 0 (0%) – 13 (13%)
The response inaccurately explains an observed activity or situation, or the explanation is missing.
Explain what you observed in the context of quality indicators in your specialty of interest.

Use the Learning Resources and/or the best available evidence from current literature to support your explanation. 27 (27%) – 30 (30%)
The response clearly, accurately, and thoroughly explains what was observed in the context of quality indicators in the specialty of interest.
Supported by more than one current, scholarly reference from the literature. 24 (24%) – 26 (26%)
The response accurately explains what was observed in the context of quality indicators in the specialty of interest.

Supported by at least one current, scholarly reference from the literature. 21 (21%) – 23 (23%)
The response vaguely explains what was observed in the context of quality indicators in the specialty of interest.

Not supported by any current, scholarly references from the literature. 0 (0%) – 20 (20%)
The response inaccurately explains what was observed in the context of quality indicators in the specialty of interest, or the explanation is missing.

Not supported by any current, scholarly references from the literature.
Explain at least one way you might integrate quality measures into an educational setting to advance the skills and knowledge of nursing students, staff, or patient populations. Support your response with specific observations from your practicum, quality indicators, and use the Learning Resources and/or the best available evidence from current literature to support your explanation. 32 (32%) – 35 (35%)
The response clearly, accurately, and thoroughly explains at least one way to integrate quality measures into an educational setting to advance the skills and knowledge of nursing students, staff, or patient populations. The explanation is supported by specific observations from the practicum, quality indicators, and is supported by more than one current, scholarly reference from the literature. 29 (29%) – 31 (31%)
The response accurately explains at least one way to integrate quality measures into an educational setting to advance the skills and knowledge of nursing students, staff, or patient populations. The explanation is supported with specific practicum observations, quality indicators, and is supported by at least one current, scholarly reference from the literature. 26 (26%) – 30 (30%)
The response vaguely explains at least one way to integrate quality measures into an educational setting to advance the skills and knowledge of nursing students, staff, or patient populations. The explanation is loosely supported with practicum observations, quality indicators, and is not supported by any current, scholarly references from the literature. 0 (0%) – 25 (25%)
The response inaccurately explains at least one way to integrate quality measures into an educational setting to advance the skills and knowledge of nursing students, staff, or patient populations, or the explanation is missing. If an explantion is presented, it is not supported with practicum observations, quality indicators, and is not supported by any current, scholarly references from the literature.
Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria. 5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria. 4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

Purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive. 3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.

Purpose, introduction, and conclusion of the assignment are vague or off topic. 0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

No purpose statement, introduction, or conclusion were provided.
Written Expression and Formatting – English Writing Standards:

Correct grammar, mechanics, and proper punctuation 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors 4 (4%) – 4 (4%)
Contains a few (1 or 2) grammar, spelling, and punctuation errors 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3 or 4) grammar, spelling, and punctuation errors 0 (0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding
Written Expression and Formatting – The paper follows correct Help write my thesis – APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. The journal template is used. 5 (5%) – 5 (5%)
Uses correct Help write my thesis – APA format with no errors. The journal template is used. 4 (4%) – 4 (4%)
Contains a few (1 or 2) Help write my thesis – APA format errors. The journal template is used. 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3 or 4) Help write my thesis – APA format errors. The journal template may not be used. 0 (0%) – 3 (3%)
Contains many (≥ 5) Help write my thesis – APA format errors. The journal template may not be used.
Total Points: 100
Name: NURS 6341 Week7_Journal 2_Rubric

Women’s Health. Obstetrics and Gynecology

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