NURS-8100 Week 2: Discussion Advocacy Priorities

NURS-8100 Week 2: Discussion Advocacy Priorities

NURS-8100 Week 2: Discussion Advocacy Priorities

African Americans (AAs) with chronic conditions were the identified population in the previous discussion. AAs have remained the least healthy ethnic group in the US. This ethnic group has faced years of racial and social injustice and has experienced a formidable challenge in accessing equitable health care. The advocacy priorities for this population are based on the difficulties AAs experience due to race (Yearby, 2022). AAs in the US face racism. Racism is a systemic, organized social and cultural phenomenon that, through exclusion, prejudice, and discrimination, contributes to social and health disparities. The needs of AAs with chronic illnesses include lack of health insurance, geographic barriers, limited health literacy (LHL), and the stress of racial discrimination. Being uninsured is a major barrier to healthcare access for AAs and accessing specialized services (Macias-Konstantopoulos et al., 2023). Besides, many AAs live in geographical areas with limited access to physicians and other healthcare facilities. LHL is also a barrier to healthcare access and utilization in AA communities.

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Policies that promote inequities at all levels, from the community to county, state, and countrywide, are vital drivers of structural inequities. Policies that foster racial segregation contribute to disparities in a number of ways. They limit the socioeconomic resources available to people of minority communities like AAs since employers and persons of higher socioeconomic status leave the neighborhoods (Lansey et al., 2023). This reduces healthcare provider density in predominately AA communities, affecting their healthcare access.

The nursing profession has a role in influencing policy decisions that adversely affect vulnerable populations. Nurses have the role of advocating for the rights of vulnerable populations. They apply their knowledge to influence legislators to formulate policies to enhance healthcare access (Dawes, 2020). Nurses should promote social justice and advocate for equity while providing health resources on both the state and national levels.

References

Dawes, D. E. (2020). The Political Determinants of Health. Johns Hopkins University Press.

Lansey, D. G., Ramalingam, R., & Brawley, O. W. (2023). Health Care Policy and Disparities in Health. Cancer Journal (Sudbury, Mass.)29(6), 287–292. https://doi.org/10.1097/PPO.0000000000000680

Macias-Konstantopoulos, W. L., Collins, K. A., Diaz, R., Duber, H. C., Edwards, C. D., Hsu, A. P., Ranney, M. L., Riviello, R. J., Wettstein, Z. S., & Sachs, C. J. (2023). Race, healthcare, and health disparities: A critical review and recommendations for advancing health equity. Western Journal of Emergency Medicine24(5). https://doi.org/10.5811/westjem.58408

Yearby, R. (2022). The Social Determinants of Health, Health Disparities, and Health Justice. The Journal of Law, Medicine & Ethics: A Journal of the American Society of Law, Medicine & Ethics50(4), 641–649. https://doi.org/10.1017/jme.2023.3

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Advocacy Priorities

Identifying barriers and challenges that impact vulnerable and marginalized groups is an important first step, but advocates cannot stop there. What can be done to address the inequities, the challenges, and the barriers? How might an advocate use policy to enact change?

The Allegory of the Orchard required you to consider the barriers and challenges of specific vulnerable or marginalized populations. In our Week 1 Discussion, you identified a specific population connected to your practice, organization, or experience. This week you will explore that population further by determining a specific advocacy priority for the population.

Resources

 

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

Learning Resources

Required Resources

Readings

  • Dawes, Daniel E. (2020). The political determinants of health. Johns Hopkins University Press.
    • Chapter 3, “The Political Determinants of Health Model” (pp. 41-77)

Media

To Prepare:

  • Review your selected population discussed in the Module 1, Week 1 Discussion: Allegory of the Orchard.
  • Review the resources on vulnerable or marginalized populations.
  • Consider the factors that create and maintain these populations.
  • Reflect on nursing’s relationship with these populations and how this shapes our role in policy advocacy.

By Day 3 of Week 2

Using the selected population discussed in the Week 1 Discussion: Allegory of the Orchard, post a response detailing the following:

  • What are the advocacy priorities for the population? What are the needs of this population?
  • How are disparities reflected in policy and policy reflected in the disparities?
  • What is the role of nursing, individually and collectively, in influencing policy decisions that adversely impact vulnerable populations?

By Day 6 of Week 2

Read a selection of your colleagues’ posts and respond to at least two of your colleagues on two different days by supporting or expanding on the ideas identified by your colleague or sharing additional perspectives on the population, advocacy priorities, and/or policies described by your colleague.

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NURS_8100_Week2_Discussion_Rubric

NURS_8100_Week2_Discussion_Rubric

Criteria Ratings Pts
This criterion is linked to a Learning OutcomeRESPONSIVENESS TO DISCUSSION QUESTION (20 possible points) Discussion post minimum requirements: The original posting must be completed by Day 3 at 10:59 pm CT. Two response postings to two different peer original posts, on two different days, are required by Day 6 at 10:59 pm CT. Faculty member inquiries require responses, which are not included in the peer posts. Your Discussion Board postings should be written in Standard Academic English and follow APA 7 style for format and grammar as closely as possible given the constraints of the online platform. Be sure to support the postings with specific citations from this week’s learning resources as well as resources available through the Walden University library and other credible online resources (guidelines, expert opinions etc.)
20 to >19.0 ptsExcellent

• Discussion postings and responses are responsive to and exceed the requirements of the Discussion instructions. • The student responds to the question/s being asked or the prompt/s provided. Goes beyond what is required in some meaningful way (e.g., the post contributes a new dimension, unearths something unanticipated) • Demonstrates that the student has read, viewed, and considered a variety of learning resources, as well as resources available through the Walden University library and other credible online resources (guidelines, expert opinions etc.) • Exceeds the minimum requirements for discussion posts.

19 to >15.0 ptsGood

• Discussion postings and responses are responsive to and meet the requirements of the Discussion instructions. • The student responds to the question/s being asked or the prompt/s provided. • Demonstrates that the student has read, viewed, and considered a variety of learning resources, as well as resources available through the Walden University library and other credible online resources (guidelines, expert opinions etc.) • Meets the minimum requirements for discussion posts.

15 to >12.0 ptsFair

• Discussion postings and responses are somewhat responsive to the requirements of the Discussion instructions. • The student may not clearly address the objectives of the discussion or the question/s or prompt/s. • Minimally demonstrates that the student has read, viewed, and considered a variety of learning resources, as well as resources available through the Walden University library and other credible online resources (guidelines, expert opinions etc.) • Does not meet the minimum requirements for discussion posts; has not posted by the due date at least in part.

12 to >0 ptsPoor

• Discussion postings and responses are unresponsive to the requirements of the Discussion instructions. • Does not clearly address the objectives of the discussion or the question/s or prompt/s. • Does not demonstrate that the student has read, viewed, and considered a variety of learning resources, as well as resources available through the Walden University library and other credible online resources (guidelines, expert opinions etc.) • Does not meet the requirements for discussion posts; has not posted by the due date and did not discuss late post timing with faculty.

20 pts
This criterion is linked to a Learning OutcomeCONTENT REFLECTION and MASTERY: Initial Post (30 possible points)
30 to >29.0 ptsExcellent

Initial Discussion posting: • Post demonstrates mastery and thoughtful/accurate application of content and/or strategies presented in the course. • Posts are substantive and reflective, with critical analysis and synthesis representative of knowledge gained from the course readings and current credible evidence. • Initial post is supported by 3 or more relevant examples and research/evidence from a variety of scholarly sources including course and outside readings.

29 to >23.0 ptsGood

Initial Discussion posting: • Posts demonstrate some mastery and application of content, applicable skills, or strategies presented in the course. • Posts are substantive and reflective, with analysis and synthesis representative of knowledge gained from the course readings and current credible evidence. • Initial post is supported by 3 or more relevant examples and research/evidence from a variety of scholarly sources including course and outside readings.

23 to >18.0 ptsFair

Initial Discussion posting: • Post may lack in depth, reflection, analysis, or synthesis but rely more on anecdotal than scholarly evidence. • Posts demonstrate minimal understanding of concepts and issues presented in the course, and, although generally accurate, display some omissions and/or errors. • There is a lack of support from relevant scholarly research/evidence.

18 to >0 ptsPoor

Initial Discussion posting: • Post lacks in substance, reflection, analysis, or synthesis. • Posts do not generalize, extend thinking or evaluate concepts and issues within the topic or context of the discussion. • Relevant examples and scholarly resources are not provided.

30 pts
This criterion is linked to a Learning OutcomeCONTRIBUTION TO THE DISCUSSION: First Response (20 possible points)
20 to >19.0 ptsExcellent

Discussion response: • Significantly contributes to the quality of the discussion/interaction and thinking and learning. • Provides rich and relevant examples and thought-provoking ideas that demonstrates new perspectives, and synthesis of ideas supported by the literature. • Scholarly sources are correctly cited and formatted. • First response is supported by 2 or more relevant examples and research/evidence from a variety of scholarly sources including course and outside readings. • Responds to questions posed by faculty.

19 to >15.0 ptsGood

Discussion response: • Contributes to the quality of the interaction/discussion and learning. • Provides relevant examples and/or thought-provoking ideas • Scholarly sources are correctly cited and formatted. • First response is supported by 2 or more relevant examples and research/evidence from a variety of scholarly sources including course and outside readings. • Responds to questions posed by faculty.

15 to >12.0 ptsFair

Discussion response: • Minimally contributes to the quality of the interaction/discussion and learning. • Provides few examples to support thoughts. • Information provided lacks evidence of critical thinking or synthesis of ideas. • There is a lack of support from relevant scholarly research/evidence. • No response to questions posed by faculty.

12 to >0 ptsPoor

Discussion response: • Does not contribute to the quality of the interaction/discussion and learning. • Lacks relevant examples or ideas. • There is a lack of support from relevant scholarly research/evidence. • No response to questions posed by faculty.

20 pts
This criterion is linked to a Learning OutcomeCONTRIBUTION TO THE DISCUSSION: Second Response (20 possible points)
20 to >19.0 ptsExcellent

Discussion response: • Significantly contributes to the quality of the discussion/interaction and thinking and learning. • Provides relevant examples and thought-provoking ideas that demonstrates new perspectives, and extensive synthesis of ideas supported by the literature. • Second response is supported by 2 or more relevant examples and research/evidence from a variety of scholarly sources including course and outside readings. • Scholarly sources are correctly cited and formatted. • Responds to questions posed by faculty.

19 to >15.0 ptsGood

Discussion response: • Contributes to the quality of the interaction/discussion and learning. • Provides relevant examples and/or thought-provoking ideas • Second response is supported by 2 or more relevant examples and research/evidence from a variety of scholarly sources including course and outside readings. • Scholarly sources are correctly cited and formatted. • Responds to questions posed by faculty.

15 to >12.0 ptsFair

Discussion response: • Minimally contributes to the quality of the interaction/discussion and learning. • Provides few examples to support thoughts. • Information provided lacks evidence of critical thinking or synthesis of ideas. • Minimal scholarly sources provided to support post. • Does not respond to questions posed by faculty.

12 to >0 ptsPoor

Discussion response: • Does not contribute to the quality of the interaction/discussion and learning. • Lacks relevant examples or ideas. • No sources provided. • Does not respond to questions posed by faculty.

20 pts
This criterion is linked to a Learning OutcomeQUALITY OF WRITING (10 possible points)
10 to >9.0 ptsExcellent

Discussion postings and responses exceed doctoral level writing expectations: • Use Standard Academic English that is clear, concise, and appropriate to doctoral level writing. • Make few if any errors in spelling, grammar, that does not affect clear communication. • Uses correct APA 7 format as closely as possible given the constraints of the online platform. • Are positive, courteous, and respectful when offering suggestions, constructive feedback, or opposing viewpoints.

9 to >8.0 ptsGood

Discussion postings and responses meet doctoral level writing expectations: • Use Standard Academic English that is clear and appropriate to doctoral level writing • Makes a few errors in spelling, grammar, that does not affect clear communication. • Uses correct APA 7 format as closely as possible given the constraints of the online platform. • Are courteous and respectful when offering suggestions, constructive feedback, or opposing viewpoints.

8 to >6.0 ptsFair

Discussion postings and responses are somewhat below doctoral level writing expectations: • Posts contains multiple spelling, grammar, and/or punctuation deviations from Standard Academic English that affect clear communication. • Numerous errors in APA 7 format • May be less than courteous and respectful when offering suggestions, feedback, or opposing viewpoints.

6 to >0 ptsPoor

Discussion postings and responses are well below doctoral level writing expectations: • Posts contains multiple spelling, grammar, and/or punctuation deviations from Standard Academic English that affect clear communication. • Uses incorrect APA 7 format • Are discourteous and disrespectful when offering suggestions, feedback, or opposing viewpoints.

10 pts
Total Points: 100

 


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