NR602 Week 1 Discussion: Addressing Social Impacts on Marginalized Women

ByDaniel Rossi Updated on

NR509 Week 1 Discussion: Social Determinants of Health – Step-by-Step Guide

The first step before starting to write the NR509 Week 1 Discussion: Social Determinants of Health is to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment. 

It is also important to identify the paper’s audience and purpose, as this will help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, review its use, including writing citations and referencing the resources used. You should also review the formatting requirements for the title page and headings in the paper, as outlined by Chamberlain University.

How to Research and Prepare for NR509 Week 1 Discussion: Social Determinants of Health

The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify a list of keywords related to your topic using various combinations. The first step is to visit the Chamberlain University library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from the Chamberlain University Library, PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last 5 years and go through each to check for credibility. Ensure that you obtain the references in the required format, such as APA, so that you can save time when creating the final reference list. 

You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next, create a detailed outline of the paper to help you develop headings and subheadings for the content. Ensure that you plan what point will go into each paragraph.

How to Write the Introduction for NR509 Week 1 Discussion: Social Determinants of Health

The introduction of the paper is the most crucial part, as it helps provide the context of your work and determines whether the reader will be interested in reading through to the end. Begin with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.

How to Write the Body for NR509 Week 1 Discussion: Social Determinants of Health

The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence collected from the research, and ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance, as well as how it relates to the thesis statement. You should maintain a logical flow between paragraphs by using transition words and a flow of ideas.

How to Write the In-text Citations for NR509 Week 1 Discussion: Social Determinants of Health

In-text citations help readers give credit to the authors of the references they have used in their work. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:

“The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Morelli et al. (2024), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Alawiye (2024) highlights that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.”

How to Write the Conclusion for NR509 Week 1 Discussion: Social Determinants of Health

When writing the conclusion of the paper, start by restating your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper by restating them. Discuss the implications of your findings and your arguments. Conclude with a call to action that leaves a lasting impression on the reader or offers recommendations.

How to Format the Reference List for NR509 Week 1 Discussion: Social Determinants of Health

The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically, and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication. 

Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:

References

Morelli, S., Daniele, C., D’Avenio, G., Grigioni, M., & Giansanti, D. (2024). Optimizing telehealth: Leveraging Key Performance Indicators for enhanced telehealth and digital healthcare outcomes (Telemechron Study). Healthcare, 12(13), 1319. https://doi.org/10.3390/healthcare12131319

Alawiye, T. (2024). The impact of digital technology on healthcare delivery and patient outcomes. E-Health Telecommunication Systems and Networks, 13, 13-22. 10.4236/etsn.2024.132002.

NR602 Week 1 Discussion: Addressing Social Impacts on Marginalized Women

Read the following article from the Chamberlain library and address the questions below. 

Sacks, & Peca, E. (2020). Confronting the culture of care: A call to end disrespect, discrimination, and detainment of women and newborns in health facilities everywhere. BMC Pregnancy and Childbirth, 20(1), 249–249. https://doi.org/10.1186/s12884-020-02894-

  1. Include the following sections (detailed criteria listed below and in the Grading Rubric):
  1. Application of Course Knowledge:
    1. Identify and describe three actions you can take as an NP to mitigate the social impacts on marginalized women and/or children.
    2. Discuss the role of federal, state, and local health policy in the marginalization of women, children, and childbearing families.
    3. Identify one policy that impacts marginalized groups (include whether the policy is at the federal, state, or local level).
    4. Discuss how the selected policy impacts marginalized groups either positively or negatively.
  2. Integration of Evidence: Integrate relevant scholarly sources as defined by program expectations :
  1. Cite a scholarly 2 source in the initial post.
  2. Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
  3. Include a minimum of two different scholarly sources of less than 5 yrs. Cite all references and provide references for all citations.

NR602 Week 1 Discussion: Addressing Social Impacts on Marginalized Women Example

Marginalized People

Mitigating Social Impacts on Marginalized Women and Children as an NP
  1. Advocate for Comprehensive Health Education

NPs can play a pivotal role in advocating for and participating in comprehensive health education initiatives. This involves collaborating with schools, community organizations, and healthcare institutions to implement educational programs that address the specific needs of marginalized women and children (Baah et al., 2020). Topics include reproductive health, preventive care, nutrition, and mental health awareness. By promoting health education, NPs empower marginalized women with knowledge, enabling them to make informed decisions about their health. Education serves as a preventive measure, reducing the incidence of health problems and contributing to the overall well-being of women and their children.

  • Establish Community Outreach Programs

NPs should take the initiative to develop and participate in community outreach programs that target marginalized populations. The outreach programs must focus on providing accessible healthcare services, including vaccinations, prenatal care, and health screenings, to ensure equitable access to healthcare. Collaborating with local organizations and community leaders is crucial to reaching those who face barriers to accessing healthcare (Baah et al., 2020). Community outreach programs address the social determinants of health by bringing healthcare services directly to marginalized communities. By fostering relationships with community members, NPs help build trust and bridge gaps in healthcare access, leading to early intervention and improved health outcomes.

  • Promote Cultural Competence in Healthcare Practice

NPs can actively engage in ongoing cultural competence training to enhance their understanding of diverse cultural practices, beliefs, and values. This involves staying informed about the cultural backgrounds of patients, respecting diversity, and tailoring healthcare services to meet their needs accordingly. Additionally, NPs can advocate for the integration of cultural competence training within healthcare institutions and educational programs (Sacks & Peca, 2020). Cultural competence is essential in providing patient-centered care. By acknowledging and respecting the cultural diversity of marginalized women and children, NPs can establish effective communication, build rapport, and ensure that healthcare services are culturally sensitive. This, in turn, contributes to a more positive healthcare experience and outcomes.

Role of Federal, State, and Local Health Policy in Marginalization

Health policies at various levels can either contribute to or alleviate the marginalization of women, children, and childbearing families. For example, policies related to funding for maternal and child health programs, accessibility of healthcare services, and support for vulnerable populations play a crucial role in shaping health outcomes. The role of federal, state and local health policy is instrumental in shaping the healthcare landscape and, unfortunately, can contribute to the marginalization of women, children, and childbearing families.

Understanding these policy dynamics is crucial for addressing health disparities and promoting equitable access to care.For example, at the federal level, policies related to funding, insurance coverage, and program implementation have a substantial impact on marginalized populations. For instance, the Affordable Care Act (ACA) brought about significant changes, including Medicaid expansion, which positively affected many low-income individuals, including pregnant women and children. However, politics can also result in policy changes that adversely affect marginalized groups. Reductions in funding for maternal and child health programs or alterations to Medicaid eligibility criteria can limit access to essential services, exacerbating health disparities (Sacks & Peca, 2020).

States have autonomy in healthcare policymaking, leading to variations in services and coverage. State decisions regarding Medicaid expansion, family planning programs, and reproductive health services significantly influence the well-being of marginalized women and childbearing families. States that choose not to expand Medicaid, for example, may leave vulnerable populations without access to crucial prenatal care and maternity services (Sacks & Peca, 2020). Additionally, state-level restrictions on family planning services and reproductive rights can disproportionately affect low-income women.

Local health policies, including those established by municipalities or healthcare institutions, play a role in shaping the day-to-day experiences of marginalized populations. Accessibility to healthcare facilities, community health programs, and the availability of culturally competent care are influenced by local policies. Limited resources in certain areas may result in inadequate infrastructure, leading to disparities in healthcare access for women, children, and families in underserved communities.

The impact of these policies on marginalized groups can be multifaceted. Positive policies that enhance access to prenatal care, maternal health services, and childhood vaccinations contribute to better health outcomes (Sacks & Peca, 2020). However, negative policies, such as restrictive reproductive rights or cuts to public health programs, can perpetuate health disparities. Marginalized women and children may face barriers such as limited access to affordable healthcare, inadequate educational resources, and a lack of preventive services, resulting in poorer health outcomes and perpetuating cycles of disadvantage.

Identifying a Relevant Policy

 One policy that impacts marginalized groups at the federal level is the Title X family planning program. Title X, enacted in 1970, provides federal funding for family planning services to help ensure access to comprehensive reproductive health care, including contraception, screening for sexually transmitted infections (STIs), and preventive health services.

Title X has a significant impact on marginalized groups, including low-income individuals and communities with limited access to healthcare services. The program aims to provide affordable and confidential family planning services, with a focus on those who may not otherwise have access to such care. Title X positively impacts marginalized women and families by providing essential reproductive health services, facilitating informed family planning decision-making, and promoting preventive care (HHS, 2021).

It helps reduce unintended pregnancies and contributes to better maternal and child health outcomes. However, changes in Title X funding and policies, such as the imposition of the gag rule in 2019, have posed challenges. This rule prohibits healthcare providers receiving Title X funds from providing information or referrals for abortion services, limiting comprehensive reproductive health counseling.

Impact of the Selected Policy

The Title X family planning program impacts marginalized groups both positively and negatively, with its intended goals of providing affordable reproductive health services, but also facing challenges and controversies that affect access to comprehensive care.

Positive Impact on Marginalized Groups
  1. Access to Affordable Reproductive Health Services: Title X positively impacts marginalized groups by providing access to essential reproductive health services. This includes family planning counseling, contraception, screening for STIs, and preventive healthcare. For individuals with limited financial resources, Title X clinics serve as a crucial source of affordable and confidential reproductive health care.
  2. Reduction of Unintended Pregnancies: By offering family planning services, including contraception, Title X contributes to the reduction of unintended pregnancies. This is particularly important for marginalized women and families who may face barriers to accessing contraceptive methods through other means. Access to effective family planning enables individuals to make informed decisions about their reproductive health and family size.
  3. Support for Maternal and Child Health: Title X plays a role in promoting maternal and child health by offering services that support preconception and prenatal care. Marginalized women, who may face challenges in accessing healthcare, benefit from the preventive care provided by Title X clinics, leading to improved health outcomes for both mothers and children.
Negative Impact on Marginalized Groups
  1. Implementation of the Gag Rule: The imposition of the gag rule in 2019 hurt Title X and its ability to provide comprehensive care. This rule prohibits healthcare providers receiving Title X funds from providing information or referrals for abortion services, even if requested by the patient. This restriction limits the ability of healthcare professionals to offer complete and unbiased counseling, negatively impacting women’s reproductive autonomy.
  2. Reduced Access to Services: Changes in funding and policy restrictions have led to the withdrawal of some healthcare providers from the Title X program. This has resulted in reduced access to services for marginalized individuals, particularly in areas where Title X clinics were a primary source of reproductive health care. Limited access can lead to delays in care, missed opportunities for preventive services, and potentially negative health outcomes.
  3. Impact on Comprehensive Reproductive Health Education: The controversy surrounding Title X has also impacted the provision of comprehensive reproductive health education. Restrictions on discussing abortion can hinder healthcare providers from offering comprehensive information to patients, limiting their ability to make fully informed decisions about their reproductive health.

References

Baah, F. O., Teitelman, A. M., & Riegel, B. (2020). Marginalization: Conceptualizing patient vulnerabilities in the framework of social determinants of health—An integrative review. Nursing Inquiry, 26(1), e12268. https://doi.org/10.1111/nin.12268

HHS. (2021). Title X service grants. HHS Office of Population Affairs. https://opa.hhs.gov/grant-programs/title-x-service-grants

Sacks, E., & Peca, E. (2020). Confronting the culture of care: a call to end disrespect, discrimination, and detainment of women and newborns in health facilities everywhere. BMC Pregnancy and Childbirth, 20(1). https://doi.org/10.1186/s12884-020-02894-z