Need ONE Response Per Each Discussion Total 6 Responses. Attached Are The Discussions And Rubric Please Follow Them. Posts Will Be A Minimum Of 100 Words, APA Format.One Reference Per Each Discussion
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DISCUSION8.docxDAYLAMIS
Political Actions
Nurses play a significant role in the healthcare industries in providing services for patients with different health conditions. The interaction between nurses and patients creates a bond between them that contribute to patients revealing their secrets, challenges and demands. The nature of nursing work is demanding because patients rely on them for many reasons, including making ethical decisions, helps a patient navigate a complex medical system and advocate for patient's better services. Nurses, at times, are forced by circumstances to implement political ways of advocating quality patient care, especially when the common methods are not bearing fruits. The case of the advocacy for the improvement of LGBTQ health is challenging, and political methods are the necessary actions. Nurses that are focused in ensuring that patients of different sex orientations are offered equal medical services without discrimination are likely to the legislative arena (Lockhart, 2017). Nurses joining politics are focused in helping their colleagues and patients change the policies, laws and regulations in a manner that favors patients of all diverse background either race or sex orientation.
The second political actions nurses can take include influencing the local leaders like the Counties and City leadership. Nurses in different counties can approach the county executives in the implementation of already passed policies that would change the lives of LGBTQ people and their families (Lewis, 2019). The leadership of the counties are likely to influence other counties through advocating, developing and implementing policies that support the improvement of LGBTQ healthcare. The collaboration of all Nurses through unions and address issues in one voice is a powerful political approach in changing policies (Boston-Fleischhauer, 2019). The advocacy through unity and public awareness affect politics, where leaders try to meet the demands to gain their political growth. Nurses institutions should adopt a curriculum that supports advocacy for healthcare reforms, especially the master's prepared nurses under the MSN program.
References
Boston-Fleischhauer, C. (2019). The Power of Advocacy. Journal For Nurses In Professional Development, 35(6), 365-366. doi: 10.1097/nnd.0000000000000594.
Lewis, D. (2019). Organization and advocacy for LGBTQ rights. Interest Groups & Advocacy. doi: 10.1057/s41309-019-00062-z.
Lockhart, L. (2017). Be a legislative advocate. Nursing Made Incredibly Easy!, 15(1), 55. doi: 10.1097/01.nme.0000508545.37069.ed.
MARITZA
Three Political Actions
One of the political actions that nurses could take in order to strengthen their role in policymaking as it relates to advocacy for improving LGBTQ health is locality development. In locality development, the advocacy efforts involve collaborating and energizing interested parties. This action requires nurses to be skilled in program development, public speaking, mediation, organizing, communication and coalition building. Nurses must realize that this action of advocacy is inclusive and collaborative. Conflicts that arise during this process must be settled through compromise and empathy.
Another action that nurses should take in advocacy for improving LGBTQ health is social planning. This action is technical and requires nurses to work with technicians in order for the goal to be reached. Social planning requires a high level of collaboration between nurses and other health and human service professionals (Ward, Dahlhamer, Galinsky, & Joestl, 2014). In some cases they are required to carry out surveys and studies in order to have a better understanding of the problem. In social planning for the LGBTQ problem, it is important for nurses to get the LGBTQ community informed and consult them on certain matters. One of the way people get policymakers to enact policies is by showing them figures and using facts. This requires research to be done on the health of the LGBTQ community.
The third action that nurses can take is social action. In this case, advocacy efforts become highly partisan. The nurses can contact the relevant agencies such as the ministry of health and persuade them to take the right steps to ensure the health of the LGBTQ community (Chaffee, 2015). In social actions, nurses can use the media to expose the problem and make the public aware of the severity of the issue and the great need of improving the health of LGBTQ.
References
Chaffee, M. W. (2015). Policy & politics in nursing and health care.
Ward, B. W., Dahlhamer, J. M., Galinsky, A. M., & Joestl, S. S. (2014). Sexual orientation and health among US adults: National Health Interview Survey, 2013.
GUILLERMO
Nursing and Politics
Lesbian, Gay, Transgender, and Queer constitute the whole community. They are diversified as they come from all walks of life. They are of all races and come from different socioeconomic statuses. Their needs should be put intron consideration to improve their health and get rid of health differences.
The essentials of American nursing and MSN require one to practice their work “with compassion and respect for the inherent dignity, worth and uniqueness of every individual, irrespective of social-economic status, or the characteristic of health problems.”
Nurses advocate for issues that may bring changes at the place. It includes patient care too. Nurses try to be relevant politically to fight for what belongs to them. They always try to make sure the policies they try to enact in the organization are adhered to with immediate effect.
Some organizations back the government during policy reforms on LGBTQ. They try and campaign for their support in the policies they want the government to address. There are four spheres of nursing one should be knowledgeable about (Nutbeam, 2019). There are spheres in nursing and they work in harmony to make sure a patient is nursed well.
Nurses may be frustrated with policies affecting the LGBTQ but due to the requirement of the essentials of American Nursing. These policies may be written by unknowledgeable people. Nurses may fight for the policies of LGBTQ by getting training formally on politics and get involved in committees that advocate for the rights of LGBTQ. This will bring a direct impact on health care policies.
Nurses may also decide on joining a professional nursing organization. This is a way of being involved politically. These organizations fight for policies that affect HealthCare. Matters arising are taken to Capitol Hill. Healthcare policies may be written through representatives of the nurses to the state. They would also go through attachment with officials who were elected to personally deal with issues on Healthcare.
Reference
Nutbeam, D. (2019). Literacies across the lifespan: Health literacy. Literacy and Numeracy studies, 9(2), 47.
EUCLIDES
Advocacy for Improving LGBTQ Health
Members of the LGBTQ community are divers as they can be found across all races, ethnicities, socioeconomic statuses, and ages. Therefore, it is only right that this group should be considered to remove disparities in efforts at improving the overall public health. The LGBTQ community’s needs should also be considered when formulating healthcare programs and provide culturally adept medical care tailored to that group. Social and structural inequalities have been found to contribute to poorer health status because discrimination and stigma discourages people from the targeted group especially those belonging to the LGBTQ community.
Nursing is a profession that wields the capacity to change and influence the healthcare delivery system afforded to the LGBTQ group. The key fundamental of nursing is that it collectively values the quality of healthcare for everyone in all levels of society. Therefore, nurses can use the following actions to strengthen their participation in policymaking regarding the healthcare afforded to members of the LGBTQ community:
1. Collaborative Policy Work. Nursing leaders can collaborate with other nursing leaders nationally and globally to discuss issues affecting the LGBTQ community. This will enable the formation of a strong, effective structure to drive change through policy and practice.
2. Joining honorary nursing societies. This will show their commitment to influence policy to bring about change in the quality and access to medical care.
3. Running campaigns. Nursing can make time to run educative campaigns on how social inequality is affecting the delivery of healthcare.
The coordination essential of the AACN MSN correlates with this discussion because nurses across the globe should work together as a unit in the advocacy for improving the health of the LGBTQ.
Reference
Rew, L., Thurman, W., & McDonald, K. (2017). A review and critique of advances in nursing science articles that focus on sexual health and sexual rights: a call to leadership and policy development. Advances in Nursing Science, 40(1), 64-84.
Nurses' Policy Influence
Today’s nursing practice is viewed as multidimensional because the nurse is responsible for advocacy, promotion, protection as well as safeguarding health rights of communities, families, and other global populations (Beagan, Fredericks & Goldberg, 2012). As a result, nurses serve a unique position where they engage with political stakeholders in making health care decisions aimed to impact and improve the level of care. Therefore, they are in a position of influencing policies made in healthcare facilities so as to come up with approaches that bring solutions to problems affecting the community and healthcare systems as a whole. According to Chaffee, Mason & Leavitt (2013), government, professional organizations, and community are examples of the three political actions nurses practice to advocate for LBGTQ community rights in a healthcare facility while delivering health care services.
Nurses taking government action addresses laws and guidelines concerning nursing practice, just as impacting local, state, and national arrangements. This political action maintains most of the medicinal services for the LGBTQ community; but, the government additionally chooses the scope of practice and figures out who is qualified for government benefit programs (Chaffee, Mason & Leavitt, 2013).
Nurses work as a team with the community to distinguish health needs and address the issues of concern through alleviation or control. Community health is an essential part of the work performed by the nurses since it influences the lives of the LGBTQ lives directly.
The community is a significant action plan for nurses since it addresses the issues that influence community wellbeing. The community has a vivid comprehension of the particular wellbeing needs of the populace and requires teamwork with the nurses to address them.
The AACN MSN Essentials that connect with my subject is Essential VI: Policy and Advocacy. Nurses provide quality healthcare services by applying acquired knowledge and skills to meet patient’s needs and collaboratively work with other hospital departments and social groups. This gives nurses an expansive valuation for wellbeing needs and a comprehension of the elements that influence medicinal services delivery. Acknowledging stereotypes and generalizations may help nurses in their endeavors to perceive social differences without hurting LGBTQ patients (Beagan, Fredericks & Goldberg, 2012).
References
Beagan, B. L., Fredericks, E., & Goldberg, L. (2012). Nurses' work with LGBTQ patients:“They're just like everybody else, so what's the difference?”. CJNR (Canadian Journal of Nursing Research), 44(3), 44-63.
Chaffee, M. W., Mason, D. J., & Leavitt, J. K. (2013). A framework for action in policy and politics. Policy and Politics in Nursing and Healthcar
Dalia Salgado
Week # 11 Dalia L. Salgado
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The purpose of this assignment is to describe political actions nurses could take to straighten their role in policymaking as it relates to advocacy for improving LGBTQ health. In order to understand this complex subject, healthcare professionals, particularly nurses must acknowledge the origin, evolution and current scenery of health services among this population and LGBT activism. Since 1970s, LGBT organizations in the U.S have been delivering health care services. However, a study conducted on this subject by Martos and colleagues (2017) concluded that despite some improvements achieved by LGBT community health centers, noteworthy gaps in health care services remain and this particular study underscored that these community centers still require key transformations to continue proving services to LGBT population. Therefore, actions to improve LGBTQ health are compulsory (Martos, Wilson & Meyer, 2017).
Definitively, it is essential for nurses to provide culturally consistent care and advocate for LGBTQ + population since many patients have reported prejudice or some level of discrimination when looking for health care services. Consequently, this type of situation leads to detriment health outcomes among these patients and increased rates of morbidity and mortality. Therefore, it is imperative that nurses investigate the best evidence-based approaches in the care of LGBTQ patients and develop as well as promote suitable guidelines for nursing practice through the implementation of culturally congruent care to eradicate this type of health disparity and achieve health equity among this population (Fredriksen-Goldsend, Kim, McKenzei, Krinsky & Emlet, 2017).
Nowadays, intricate issues such as lack of knowledge of health care professionals in delivering care to LGBTQ patients, disregarding isolation, and stigma represents some of the reasons that appropriate and poor access to health care services remain a dilemma for various patients. Therefore, it is imperative for nurses to promote curricular inclusion of culturally appropriate care of LGBTQ population in the nursing education and discipline. In addition, there is a need to increase research on this subject and best evidence-based strategies to decrease this particular health care disparity and improve health outcomes among this population. Moreover, suitable strategies to increase access to health care services among this population are imperative (Gahagan & Subirana-Malaret, 2018).
At presents, it is essential for nurse to defend and promote civil rights, and censure or denounce any discrimination based on gender identity and sexual orientation or gender expression. It is essential to advocate for individuals and relatives among this population on aspects such as visiting rights and increased access to care services; and promote or develop legislatures that validate equal access, culturally sensitive and high-quality care among these patients and their relatives. Nurse must advocate for Federal funding to increase research of LGBTQ health-related problems and increase the acknowledgement among health care providers of negative impact of personal bias (conscious or unconscious), specifically regarding the care of patients among LGNTQ + population (Fredriksen-Goldsend et al, 2017).
The relationship between patients and nurses is one of the most important aspects discussed in health care. Nurses must practice with kindness and esteem for human rights regardless of gender identity or sexual orientation. Therefore, nurses must provide competent, culturally sensitive and ethical care to all groups or populations, particularly minorities in order to reduce health care disparities and increase heath care equity. Therefore, nurses are responsible for implementing political actions to reinforce their role in the development of ligatures or strategies intended to improve LGBTQ health (Martos et al, 2017).
References
Fredriksen-Goldsend, K. I., Kim, H-J., McKenzei, G. L., Krinsky, L. & Emlet, C. A. (2017). Plan of action for real-world translation of LGBTQ health and aging research. LGBTHealth, Volume 4, Number 6, 384-388. doi: 10.1089/lgbt.2017.0785.
Gahagan, J. & Subirana-Malaret, M. (2018). Improving pathways to primary health care among LGBTQ populations and health care providers: key findings from New Scotia, Canada. International Journal for Equity in Health, 17 (76), 109. doi: 10.1186/s12939-018-0786-
Martos, A. J., Wilson, P. A. & Meyer, I. H. (2017). Lesbian, gay, bisexual, and transgender:Origin, evolution, and contemporary landscape. PLoS ONE, 12 (7), 1-18. doi: 10.1371/journal.pone.0180544.
EDUARDO
Nurses can strengthen their role in policymaking that relates to advocacy for LGBTQ patients by first learning all they can about LGBTQ people. That way, they not only will not sound like they do not know what they are talking about when they encounter an LGBTQ patient, they can also correct mistaken ideas about LGBTQ people. Detchemendy (2019) of the AACN says, “Lesbian, Gay, Bisexual, Transgender and Queer (LGBTQ) patients and their families frequently experience bias from healthcare providers, creating barriers to their willingness to seek and receive healthcare. Nurses and other healthcare providers owe it to all our patients to build relationships, providing understanding, support and culturally sensitive care” (Detchemendy, 2019). By learning all they can, and keeping an open mind, nurses can express to LGBTQ patients that they care. Also, when they talk to other healthcare providers about LGBTQ patients, they will have the knowledge to be accurate.
The knowledge they gain can also help nurses take political action. They can join parades, marches and other actions in which LGBTQ people are often involved to show their support. They can go to local, state and federal politicians with their knowledge and talk about how important it is that everybody be included in healthcare. Burke (2016) of Reflections on Nursing Leadership says, “Through policy work, nurses can and should influence practice standards and processes to assure quality of care. Nurses who influence policy help shape the care that will be provided today and tomorrow” (Burke, 2016).
Nurses can also engage publicly with LGBTQ in the community. Jeff Krehely (2009) points out, “Due to factors like low rates of health insurance coverage, high rates of stress due to systematic harassment and discrimination, and a lack of cultural competency in the health care system, LGBT people are at a higher risk for cancer, mental illnesses, and other diseases, and are more likely to smoke, drink alcohol, use drugs, and engage in other risky behaviors” (Krehely, 2009). Nurses can intervene and make the community and politicians aware of these health disparities.
References
Burke, S. (2016, June 2). Influence through policy: Nurses have a unique role. Retrieved from Reflections on Nursing Leadership: https://www.reflectionsonnursingleadership.org/commentary/more-commentary/Vol42_2_nurses-have-a-unique-role
Detchemendy, J. (2019). Giving Safe, Sensitive Care to LGBTQ Patients and Families. Retrieved from American Association of Critical-Care Nurses: https://www.aacn.org/education/ce-activities/wb0034/giving-safe-sensitive-care-to-lgbtq-patients-and-families
Krehely, J. (2009, December 21). How to Close the LGBT Health Disparities Gap. Retrieved from American Progress: https://www.americanprogress.org/issues/lgbt/reports/2009/12/21/7048/how-to-close-the-lgbt-health-disparities-gap/
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