Disparities In Nursing
The mission of the New Mexico Breastfeeding Task Force is to improve the health of New Mexico families by creating supportive environments in which breastfeeding is the cultural norm. We strive to bridge the gap in breastfeeding disparities and are committed to making sure all families have the support they need to reach their breastfeeding goals. The Breastfeeding Taskforce is currently working on pilot project; we are distributing Breastfeeding Tool-Kits to the medical providers (OBGY, MD, Pediatricians and nurses), the tool-kids contain educational material that supports the importance of breastfeeding. The purpose of this project is to increase the breastfeeding rate in Dona Ana County and to establish breastfeeding as a norm.
This has gone on for decades, and although it is a problem all over the world, it is surprisingly high for the united states. Even having social and economic advantages has no effect on maternal rates. Montagne found this in her research stating, “2016 analysis of five years of data found that black, college-educated mothers who gave birth in local hospitals were more likely to suffer severe complications of pregnancy or childbirth than white women who never graduated from high school.” (Montagne). By not receiving equal medical care, complications are more likely to arise, even causing
The nursing practice is designed around care for patients. Obesity is an huge factor is causing multiple diseases for patients. Nurse’s main goal is to create a healthy and safe environment for the patient. Reducing obesity among minorities and children will help nurses across the country provide the environment needed for maintain patients state healthy and safe in their everyday living. Nurses’ role also includes one-on-one support and interventions regarding nutrition and lifestyle.
Healthcare disparities are a significant issue in the U.S. with factors such as quality of care, access to care, and insurance playing a role in discrepancies. Statistics have shown that healthcare disparities have improved but are still an issue in the United States. These disparities have been improving throughout history with efforts made by Presidents Bill Clinton and Barack Obama. The leading cause of the disparities is insurance coverage. The current intervention being used is the ACA, which was put into place by President Obama.
With the ongoing changes on policies in healthcare, it is imperative to consider the legal and ethical issues in health disparities and access to care based on the socioeconomic status. Research have shown over the past 25 years that disparities in the quality of care are highly influenced by individual characteristics such as race, gender, ethnicity, education, income, and age. The Veterans Health Administration (VHA) recognized that providing care is not simply a “one size fits all” approach especially with the diverse population in today’s society. As healthcare professionals, we need to be alert and know how to properly intervene with such disparities so that the care provided is tailored to the individual.
Disparities in health care have been an ongoing issue for more than two decades. Evidence suggests that disparities in women and minority population continue to be problematic, with little progress being made to eliminate them. Ethnic and disparities exist for several different reasons. However, several national organizations have made efforts to reduce health disparities, including the Institute of Medicine, (IOM), and the Agency for Health Research and Quality (AHRQ) as well as Healthy People 20/20.
Study was focus on vulnerable mothers (young, less educated, and/or unmarried), and the results show that early and adequate use of care improved for both racial groups, and racial disparities in prenatal care use have been markedly reduced, except for some young mothers. Gortmaker, S. (1979). The effects of prenatal care upon the health of the newborn. American Journal of Public Health July 1979: Vol.
An important determinant of the health of a society is infant health. Unfavorable outcomes of infant health can be premature birth, low birth weight, birth defects, and infant mortality (death of an infant before their first birthday) (Valley Public Radio 2015). The Centers for Disease Control and Prevention (CDC) reports that the infant mortality rate in 2015 for non-Hispanic black infants was 11.3. When compared to the lowest infant mortality rate in 2015 of Asian/Pacific Islander infants at 4.2, a substantial national disparity exists. The disparity of black infant health is one that persists.
Some changes that can be done is to create different goals to fit different individual groups. Two or more agendas should be in place; one catering specifically for the underprivileged, single-parent households, teen parents, low-income. The other for those who have support, accesses, and resources, but may be lacking in other areas, this current agenda can be kept. Special attention should be given to those who need the most care.
The Sierra Leone Health and Demographic Survey 2008 reported that 87% of pregnant women had attended antenatal care at least once, only 25% of births were institutional deliveries and 43% were supervised by skilled attendants. This is a surprising result and can only be true if a significant number were attended at home by professionals. The health management information system cannot provide such data. However, approximately 73% of births occurred in rural areas and many of these institutional deliveries were attended by maternal and child health aides who lack the competencies to qualify as skilled attendants.
References D. Gulledge, E. (2012). Current Trends in Nursing and Care: Status of the Profession. Journal Of Nursing & Care, 01(04). http://dx.doi.org/10.4172/2167-1168.1000e107 Hodgson, D., & Chesler, E. (1994). Woman of Valor: Margaret Sanger and the Birth Control Movement in America.
In doing so, they can facilitate in tracking, preventing, and promote health in their community (Nies & McEwen, 2015). The purpose of this paper is to discuss both the infant mortality and heroin deaths in Franklin County, Ohio and how community nursing are addressing this issue. According to Healthy People 2020, there have been significant strides met in decreasing the death rate in cardiovascular disease and stroke, but the overall disparities in health care for all people remain, especially in the area of infant mortality
Homework #2 Nurse family partnership is a program that’s offered in 43 US States, UK, Canada, Australia, and the Virgin Island that offers low income first time mothers through pregnancy. Guidance is used to help reduce pregnancy,birth complications,promote competent early caregiving,and reduce adjustment difficulties. A nurse comes 2 times a month until the child is two years of age to help with adjustment. These partnerships are considered effective because research suggests that children who were involved in this partnership had higher academic scores and less behavioral problems. Mother’s had fewer subsequent births, more contact with the father of their child, more stable intimate partners, and less welfare dependency.
Unlike doctors that only have one agenda when it comes to a woman giving birth, midwives provide women with individualized care uniquely suited to their physical, mental, emotional, spiritual and cultural needs. In the course of developing that relationship, midwives provide personalized and thorough care at many levels that empowers the soon-to-be mother in her ability to give birth and care for her baby. The maternity care practiced should be based on the needs of the mother and child and not the caregiver or provider; therefore, interventions should be avoided with the natural birthing process unless complications arise. Until 1940, midwives used to deliver most babies; however, there was a cultural and social shift that made women believe that the hospital provided a safer, pain-free birth without risks of hemorrhage, infection or death (Connerton). This movement has “grappled with economic, political, religious and racial differences” (Craven).
Safe Motherhood Initiative (1987) In 1987, the “Safe Motherhood” Conference was held in Nairobi, Kenya. Here to address the problem of neglect of maternal health and to make people aware of it the organisations like WHO, the World Bank, and UNFPA came forward and made an effort to bring together the government officials, NGO representatives, health providers, and donor representatives so as to urge their collective action to prevent women from dying during pregnancy and childbirth. In this conference, the following strategies came into existence: • Strengthening community-based health care by improving the skills of community health workers and traditional birth attendants, and screening high-risk pregnant women for referral for emergency medical care; • Improving referral-level facilities to treat complicated cases and serve as a back-up to community-level care; • Developing an alarm and transport system to serve as a link between community and referral
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