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NURS FPX 5003 Assessment 2 Interview Of Health Care Professional

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    NURS FPX 5003 Assessment 2 Interview Of Health Care Professional

    Student Name

    Capella University

    NURS-FPX 5003 Health Assessment and Promotion for Disease Prevention in Population-Focused Health

    Prof. Name

    Date

    Interview with a Healthcare Professional

    Engaging in conversations with healthcare professionals serves as a valuable and enlightening approach to gaining insights into the diverse populations served by healthcare organizations and their unique healthcare needs. By merging healthcare data with the practical experiences of healthcare professionals, more effective strategies and plans can be formulated. It is crucial to comprehend how healthcare professionals typically communicate with patients, particularly those from racially and ethnically diverse backgrounds, to ensure the provision of adequate health information for informed decision-making.

    Moreover, healthcare professionals play a pivotal role in shaping best practices by studying the work of industry leaders. The implementation of best practices is imperative for compliance with relevant standards and healthcare guidelines. In this context, Dr. Mud Swamp, overseeing West Virginia College’s schools of dentistry, medicine, nursing, pharmacy, public health, and various affiliated health programs and clinical initiatives throughout the state, was interviewed. Dr. Swamp holds a Bachelor of Science degree and a medical degree from West Virginia College (West Virginia College, n.d).

    Strategies for Addressing Identified Healthcare Needs

    Various methods can be employed to identify the healthcare needs of a community, including interviews with healthcare professionals and community leaders, stakeholder meetings, surveys, and demographic data analysis. Aron (2019) highlights the effectiveness of the Plan-Do-Study-Act (PDSA) cycle in accelerating organizational improvement. In clinical settings, the PDSA cycle assesses the quality of care and determines the necessity for improvements or changes. External evaluators can assist organizations in planning, implementing changes, and evaluating their success.

    Persistent healthcare disparities, such as delivering lower-quality care to sexual, ethnic, and gender minorities, as well as individuals with low health literacy, persist in the United States (NHS England and NHS Improvement, 2021). The introduction of the Cultural and Linguistically Appropriate Services (CLAS) standards in 2000 aimed to address these disparities. In 2013, enhanced National CLAS standards were introduced to help healthcare organizations ensure health equity, with a focus on minority groups with low health literacy. Providing CLAS necessitates cultural humility and competence at the provider level (Minority Health, n.d.).

    Criteria for Evaluating the Strategies

    To assess the effectiveness of strategies, program organizers should consider questions such as “What achievements has the organization made during this period?” and “How many diabetic patients were served?” Dineen-Griffin et al. (2019) suggest that healthcare organizations can either hire an external evaluator or assign an internal staff member to assess the efficiency and effectiveness of healthcare systems for future decision-making. The Organization for Economic Co-operation and Development (OECD) DAC defines six evaluation criteria: relevance, soundness, effectiveness, efficiency, impact, and sustainability, along with two principles for their application (Alcayna and O’Donnell, 2022).

    According to the interview, West Virginia College hospitals employ various methods to provide Culturally and Linguistically Appropriate Services (CLAS) to diabetic patients. The organization adopts a patient-centered communication style and addresses cultural barriers to care. To ensure effective interactions between a proactive care team and informed, engaged patients, care aligns with elements of the Chronic Care Model (Timpel et al., 2020).

    Healthcare professionals can influence and engage the healthcare team, patients, and communities through various communication methods, including groups, face-to-face meetings, campaigns, and surveys (Gehlert et al., 2019). Patient outcomes can be improved by effectively communicating complex health information to diverse patient populations. For instance, conveying to diabetic patients that maintaining a specific blood glucose level is crucial to reduce their risk of amputation and future complications related to kidneys and nerves, rather than simply instructing them to keep a specific blood glucose level, proves more effective. By gaining a deeper understanding of populations with low health literacy, the challenges associated with communicating with at-risk populations, and evidence-based best practices, healthcare providers can develop a framework to enhance health education.

    Benefits of Adhering to National CLAS Standards

    The National CLAS Standards create a framework for delivering services that respect patients’ preferences and communication needs while being culturally and linguistically appropriate. These standards can improve the ability to work and communicate effectively in multicultural settings, ultimately contributing to reducing healthcare disparities and achieving health equity. They help healthcare professionals learn from patients with different perspectives and beliefs, remain open to patients’ thoughts, and connect with their backgrounds (Annalee A, 2022).

    Epidemiological principles form the basis for disease surveillance and analysis by public health professionals. They focus on the causes of public health problems and diseases and the best treatments, interventions, and solutions. Epidemiologists can track diseases and predict their impact on the population through research and statistical analysis. It provides insight into how demographic characteristics can be used to identify groups at risk for a particular outcome. Demographic characteristics often include age, economic status, gender, and race/ethnicity.

    The primary task of epidemiology is to describe the occurrence of diseases and note differences in disease occurrence among different groups. To assess this disease burden, epidemiologically specific terms such as frequency, expected impact, and survival measures are required (Harvard Medical School, 2022).

    Organization’s Strengths in Addressing National CLAS Standards The West Virginia College hospital’s commitment to implementing and adhering to the National CLAS Standards has led to significant efforts to address healthcare disparities and meet the needs of vulnerable populations, such as the African American community. Successful implementation of the National CLAS Standards requires organizational commitment. The National CLAS Standards have contributed to raising awareness of the need for culturally and linguistically appropriate services (U.S. Department of Health & Human Services, 2022). By setting an example for healthcare organizations, the National CLAS Standards aim to advance clinical prevention and help eliminate healthcare disparities.

    The gap between recommended healthcare best practices and the care provided to patients is known as a healthcare gap. If staff fail to adhere to any of the key aspects of the CLAS standards, such as treating all patients equally, acknowledging patients’ cultural health beliefs, or addressing language barriers, a gap may develop in meeting the standards. Medical errors and a lack of transparency can also contribute to gaps. Both patients and payers, such as self-insured employers, experience quality issues when care gaps exist (Yip et al., 2019). Through the concept of cultural competence, a deeper understanding of the interplay between identity, culture, and education can shed light on how diverse populations in West Virginia come to understand, embrace, and make informed decisions based on sound health information.

    Challenges of Organization in Addressing National CLAS Standards

    Challenges in implementing the National CLAS Standards include the need for additional resources and guidance on interpreting and applying the standards. Failure to implement the standards can lead to adverse patient outcomes and financial burdens resulting from errors and failures that the National CLAS Standards could mitigate. According to a study by Isoherranen et al. (2019), inconsistencies in accountability measures and communication issues within healthcare organizations are obstacles to effectively implementing the National CLAS Standards. If nursing staff are not familiar with the local language, significant communication difficulties may arise when dealing with local patients.

    The organization may face difficulties and challenges if resources are lacking, and it cannot accurately assess the standards. The organization incurs additional costs when it seeks to recruit skilled professionals, collect data on different racial groups in the population, and train its existing staff (Think Cultural Health, n.d.). Addressing the National CLAS Standards may also be hindered by the lack of primary healthcare options in rural areas.

    Organization’s Strategies, Strengths, and Weaknesses

    Effective and direct communication is crucial in healthcare settings. Clear and accurate information exchange is essential for patient well-being. West Virginia College Hospital’s resources include empowering employees to voice their concerns and making necessary adjustments to meet the CLAS standards. This approach enhances effective communication between staff and patients. The staff actively listens to patients to improve communication by developing an internal communication strategy. According to Rangachari and Woods (2020), in-person meetings are essential for effective communication between patients and healthcare professionals.

    Regardless of orientation, race, nationality, or religion, the organization’s staff listens to patients and understands the importance of incorporating their preferences into treatment decisions. This sets the organization apart. The staff understands how patients from diverse cultures perceive healthcare to address the needs of a diverse population like West Virginia’s. Consequently, the staff can tailor patient inquiries and treatment plans to meet the patients’ needs. Promoting diversity in healthcare can enhance providers’ cultural competence and enable them to provide services that meet their patients’ unique cultural, social, and linguistic needs in accordance with the Cultural and Linguistically Appropriate Services (CLAS) standards (Spitzer-Shohat and Chin, 2019).

    Gomez and Bernet (2019) also discuss strategies used in the WVU hospital that can lead to a constructive dilemma. Embracing diverse cultures and using precise language are two of these strategies.

    On the other hand, retooling is a weakness in meeting the CLAS standards because new staff may need additional training in using current tools and healthcare equipment. It is costly and impacts the organization’s budget. However, WVU Hospital takes advantage of the opportunity to educate healthcare workers on the latest medical technology and introduces new, cutting-edge services to enhance healthcare.

    Conclusion

    Identifying healthcare needs leads to prioritized needs, allocation of resources to address healthcare disparities, and improvements in healthcare. It also enables the target audience to participate and foster collaboration and creativity.

    References

    Alcayna, T., & O’Donnell, D. (2022). How much global climate adaptation finance is targeting the health sector? European Journal of Public Health, 32(Supplement_3). https://doi.org/10.1093/eurpub/ckac129.146

    Annalee A., M. (2022). A culturally competent patient care: A review of the CLAS standards. International Archives of Public Health and Community Medicine, 6(2). https://doi.org/10.23937/2643-4512/1710077

    Aron, D. C. (2019). The complexity of context. Complex systems in medicine, 101–114. https://doi.org/10.1007/978-3-030-24593-1_9

    Barksdale, C. L., Rodick, W. H., Hopson, R., Kenyon, J., Green, K., & Jacobs, C. G. (2016). Literature review of the national CLAS standards: Policy and practical implications in reducing health disparities. Journal of Racial and Ethnic Health Disparities, 4(4), 632–647. https://doi.org/10.1007/s40615-016-0267-3

    Dineen-Griffin, S., Garcia-Cardenas, V., Williams, K., & Benrimoj, S. I. (2019). Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice. PLOS ONE, 14(8). https://doi.org/10.1371/journal.pone.0220116

    NURS FPX 5003 Assessment 2 Interview Of Health Care Professional

    Gehlert, S., Choi, S. K., & Friedman, D. B. (2019). Communication in health care. Handbook of health social work, 249–277. https://doi.org/10.1002/9781119420743.ch12

    Gomez, L. E., & Bernet, P. (2019). Diversity improves performance and outcomes. Journal of the National Medical Association, 111(4), 383–392. https://doi.org/10.1016/j.jnma.2019.01.006

    Harvard Medical School (2022). Using epidemiological tools to evaluate human disease. Postgraduateeducation.hms.harvard.edu. https://postgraduateeducation.hms.harvard.edu/trends-medicine/using-epidemiological-tools-evaluate-human-disease

    Hegazy, M., Elsayed, N. M., Ali, H. M., Hassan, H. G., & Rashed, L. (2019). Diabetes Mellitus, nonalcoholic fatty liver disease, and conjugated linoleic acid (Omega 6): What Is the Link? Journal of Diabetes Research, 2019, 1–7. https://doi.org/10.1155/2019/5267025

    Isoherranen, K., O’Brien, J. J., Barker, J., Dissemond, J., Hafner, J., Jemec, G. B. E., Kamarachev, J., Läuchli, S., Montero, E. C., Nobbe, S., Sunderkötter, C., & Velasco, M. L. (2019). Atypical wounds: Best clinical practice and challenges. Journal of Wound Care, 28(Sup6), S1–S92. https://doi.org/10.12968/jowc.2019.28.sup6.s1

    Minority Health (n.d). CLAS, cultural competency, and cultural humility. https://www.minorityhealth.hhs.gov/Assets/PDF/TCH%20Resource%20Library_CLAS%20CLC%20CH.pdf

    NURS FPX 5003 Assessment 2 Interview Of Health Care Professional

    NHS England and NHS Improvement. (2021). Plan, Do, Study, Act (PDSA) Cycles and the Model for Improvement Online Library of Quality, Service Improvement and Redesign Tools NHS England and NHS Improvement. https://www.england.nhs.uk/wp-content/uploads/2022/01/qsir-pdsa-cycles-model-for-improvement.pdf

    Rangachari, P., & L. Woods, J. (2020). Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers. International Journal of Environmental Research and Public Health, 17(12), 4267. https://doi.org/10.3390/ijerph17124267

    Spitzer-Shohat, S., & Chin, M. H. (2019). The “Waze” of inequity reduction frameworks for organizations: a scoping review. Journal of general internal medicine, 34(4), 604–617. https://doi.org/10.1007/s11606-019-04829-7

    Think Cultural Health. (n.d.). Summary of key findings. https://thinkculturalhealth.hhs.gov/assets/pdfs/clas-ncs-evaluation-project.pdf

    Timpel, P., Lang, C., Wens, J., Contel, J. C., Schwarz, P. E. H., & CARE study group, On behalf of the M. (2020). The Manage Care Model – Developing an evidence-based and expert-driven chronic care management model for patients with diabetes.