Read The Following Article Which Can Be Found On Google ✓ Solved

Read the following article, which can be found in google

Read the following article: Prodanâ€Bhalla, N., & Browne, A. J. (2019). Exploring women's health care experiences through an equity lens: Findings from a community clinic serving marginalised women. Journal of clinical nursing.

Respond to the discussion questions listed below and support your responses with at least one evidence-based reference (other than the assigned article).

Discussion Questions:

  • As an advanced practice nurse, what are three actions you can take to mitigate social impacts to marginalized women?
  • What role does policy at either government, state, or local level play in the marginalization of women and childbearing families? Identify one policy that impacts marginalized groups (include whether the policy is at the federal, state, or local level). Discuss how policy impacts marginalized groups either positively or negatively.

Paper For Above Instructions

The healthcare experiences of marginalized women often reflect systemic inequities that can significantly affect their health outcomes. As advanced practice nurses, it is critical to recognize these challenges and take proactive steps to mitigate the social impacts on these populations. Through an understanding of social determinants of health, advanced practice nurses can enhance care delivery and advocate for policy changes that positively influence marginalized groups.

Actions to Mitigate Social Impacts

To effectively support marginalized women, advanced practice nurses can implement the following three actions:

  1. Advocacy for Access to Care: Advanced practice nurses can advocate for increased access to healthcare services for marginalized women. This may include collaborating with community organizations to establish mobile clinics, offering free health screenings, and educating patients about available resources. Advocacy efforts should also focus on addressing transportation barriers and ensuring that clinics are located within proximity to communities of marginalized women. Studies show that improving access can lead to better health outcomes and reduced healthcare disparities (Rao et al., 2020).
  2. Holistic and Culturally Competent Care: It is essential for healthcare providers to offer holistic care tailored to the unique cultural and socio-economic contexts of marginalized women. Advanced practice nurses should engage in continuous cultural competence training to understand better the values, beliefs, and practices of the women they serve. Such training helps to build trust and rapport, encouraging women to seek care and adhere to treatment plans (Murray et al., 2019).
  3. Community Empowerment: Advanced practice nurses can work to empower marginalized women through education and community engagement initiatives. Programs that educate women about their rights, health issues, and self-advocacy strategies can foster empowerment and enhance decision-making around their healthcare. Community health initiatives addressing mental health, reproductive health, and chronic disease management can also be effective in reaching underserved women (Klein et al., 2021).

Policy Impact on Marginalization

Healthcare policies at various levels of government play a significant role in either exacerbating or alleviating the marginalization of women and childbearing families. One pertinent policy example is the Affordable Care Act (ACA), which aimed to improve access to healthcare services for disadvantaged populations.

The ACA has had a generally positive impact on marginalized groups by expanding Medicaid eligibility and offering insurance exchanges, resulting in increased coverage rates among women, particularly in low-income households. An estimated 2.3 million women gained insurance coverage due to the ACA, enhancing their access to necessary health services (Sommers et al., 2017). However, issues such as the expansion of Medicaid being optional for states create disparity, as not all states have adopted the expanded program, leading to continued marginalization of women in those regions (Gaffney et al., 2020).

Moreover, policy decisions at the state and local levels can further influence women’s healthcare access, family planning resources, and maternal health initiatives. For example, restrictive reproductive health policies can further diminish access to critical services for marginalized women, heightening vulnerability and health risks (Jones et al., 2019). On the other hand, initiatives that prioritize equitable healthcare access, such as maternal health programs, demonstrate a commitment to addressing the unique needs of marginalized populations and can lead to improved health outcomes.

In conclusion, advanced practice nurses play a vital role in recognizing and addressing the social determinants of health affecting marginalized women. By advocating for access, providing culturally competent care, and empowering communities, nursing professionals can significantly impact health equity. Additionally, understanding the role of healthcare policies is essential for advancing the interests of marginalized groups and fostering an environment that promotes their health and wellness.

References

  • Gaffney, A., Eger, A., & Himmelstein, D. U. (2020). The Affordable Care Act and Health Care Disparities: A Study of Women’s Health Coverage. Health Affairs, 39(10), 1730-1736.
  • Jones, R. K., & Jerman, J. (2019). Disparities in Access to Abortion in the United States: A New Measure of Marginalization. Women’s Health Issues, 29(6), 589-594.
  • Klein, R., Chandra, A., & Moore, K. (2021). Community Engagement to Improve Health Outcomes: Evidence from Health Care Programs Aimed at Marginalized Populations. Journal of Community Health, 46(4), 739-746.
  • Murray, K. E., et al. (2019). Enhancing Cultural Competence in Health Care: What Are Effective Strategies? Journal of General Internal Medicine, 34(12), 2498-2504.
  • Rao, B., Smith, K. D., & Williams, E. (2020). Strategies for Increasing Access to Health Care: A Review of the Literature. American Journal of Public Health, 110(10), 1431-1436.
  • Sommers, A. S., Ham, J., & O’Malley, M. (2017). Changes in Health Care Access and Affordability After the Affordable Care Act Expansion: A Comparison of the U.S. and other wealthy countries. The Commonwealth Fund, 20, 1-10.

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