scholarly journals Health Disparities and Health Equity: a Health Care Educators' approach to Educating Nursing students

2015 ◽  
Vol 1 (2) ◽  
pp. 01-02
Author(s):  
Jodi Dampeer Moore
2019 ◽  
Vol 29 (Suppl 1) ◽  
pp. 193-200
Author(s):  
Eliseo J. Perez-Stable ◽  
Erik J. Rodriquez

Minority health research focuses on outcomes by race and ethnicity categories used in the United States census. Overall mortality has decreased significantly for African Americans, Latinos, and Asians over the past 20 years even though it has stopped improving for poor Whites and continues to increase for American Indians/ Alaska Natives. Prevention and treatment of cardiovascular disease partly account for this trend, but there is room for improvement. Health disparities research also includes persons of less privileged socioeconomic status, underserved rural residents, and sexual and gender minorities of any race and ethnicity when the outcomes are worse than a reference population. Understanding mechanisms that lead to health disparities from behavioral, biological, environmental and health care perspectives will lead to interventions that reduce these disparities and promote health equity. Experiences with racism and discrimination generate a chronic stress response with measurable effects on biological processes and study is needed to evaluate long-term effects on health outcomes. A clinical example of effective approaches to reducing disparities is management of hypertension to promote stroke reduction that requires health system changes, patient-clinician partnerships and engagement of community organiza­tions. Clinicians in health care settings have the potential to promote health equity by implementing standardized measures of social determinants, leveraging the power of health information technology, maxi­mizing cultural competence and socially precise care and engaging communities to reduce health disparities. Strategic partner­ships between health care institutions and community-based organizations need to parallel patient-clinician partnerships and are essential to promote health equity and reduce disparities. Ethn Dis. 2019;29(Suppl 1):193-200; doi:10.18865/ed.29.S1.193.


2019 ◽  
Vol 29 (Suppl 1) ◽  
pp. 193-200 ◽  
Author(s):  
Eliseo J. Perez-Stable ◽  
Erik J. Rodriquez

Minority health research focuses on outcomes by race and ethnicity categories used in the United States census. Overall mortality has decreased significantly for African Americans, Latinos, and Asians over the past 20 years even though it has stopped improving for poor Whites and continues to increase for American Indians/ Alaska Natives. Prevention and treatment of cardiovascular disease partly account for this trend, but there is room for improvement. Health disparities research also includes persons of less privileged socioeconomic status, underserved rural residents, and sexual and gender minorities of any race and ethnicity when the outcomes are worse than a reference population. Understanding mechanisms that lead to health disparities from behavioral, biological, environmental and health care perspectives will lead to interventions that reduce these disparities and promote health equity. Experiences with racism and discrimination generate a chronic stress response with measurable effects on biological processes and study is needed to evaluate long-term effects on health outcomes. A clinical example of effective approaches to reducing disparities is management of hypertension to promote stroke reduction that requires health system changes, patient-clinician partnerships and engagement of community organiza­tions. Clinicians in health care settings have the potential to promote health equity by implementing standardized measures of social determinants, leveraging the power of health information technology, maxi­mizing cultural competence and socially precise care and engaging communities to reduce health disparities. Strategic partner­ships between health care institutions and community-based organizations need to parallel patient-clinician partnerships and are essential to promote health equity and reduce disparities. Ethn Dis. 2019;29(Suppl 1):193-200; doi:10.18865/ed.29.S1.193.


2019 ◽  
Vol 5 (4) ◽  
pp. 297-301
Author(s):  
Carolyn M. Tucker ◽  
Shuchang Kang ◽  
Jaime L. Williams

Author(s):  
Quyen Phan ◽  
Naomi Johnson ◽  
JoAnna Hillman ◽  
Daniel Geller ◽  
Laura P. Kimble ◽  
...  

AbstractObjectiveFor nursing students, competency in population health management involves acquiring knowledge and forming attitudes about the impact of the social determinants of health (SDoH) on health equity. The purpose of this pilot study was to assess nursing students’ knowledge and attitudes about the SDoH and health equity following a focused simulation activity.MethodBaccalaureate nursing students (N=182) participated in a ninety-minute health equity simulation and a post-simulation debrief. Forty-four students (23%) completed a 19-item post-simulation survey.ResultsSixty-four percent of participants reported positive attitude change in working with marginalized populations caused by the SDoH, and 89% reported being knowledgeable about the role of the registered nurse in addressing health equity. Seventy-five percent reported enhanced knowledge of the SDoH through the health equity simulation.ConclusionUsing health equity simulation may be effective in enhancing students’ knowledge, as well as their attitudes in caring for the health of marginalized populations by addressing the SDoH.


2020 ◽  
Vol 66 (3-4) ◽  
pp. 217-221
Author(s):  
Yolanda Suarez‐Balcazar ◽  
Vincent T. Francisco ◽  
Noé Rubén Chávez

Author(s):  
Leandra Martin-Delgado ◽  
Blanca Goni-Fuste ◽  
Cristina Alfonso-Arias ◽  
MªAngeles de Juan ◽  
Laia Wennberg ◽  
...  

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 14-14
Author(s):  
Lynn Brown ◽  
Pao-feng Tsai

Abstract False ideas about the physical and psychosocial characteristics of older adults exist in America. It is especially important that nurses are not susceptible to myths and stereotypes as these myths can affect the quality of patient care. For example, some people stereotype older adults as forgetful, disabled, ill, and unable to understand new information. Misconceptions and negative stereotypes are also present in first year nursing students. It is vital that students assess their own attitudes about older adults to form positive attitudes and gain knowledge about aging and health care needs. To achieve this goal, the older adult lecture in a first semester theory and fundamental course begins with a PowerPoint slide presentation asking students to distinguish truths and myths. The truth or myth topics include a) developmental tasks; b) common physiological changes; c) a comparison of delirium, dementia, and depression; and d) addressing health concerns of older adults. Active discussion follows the activity. Seventy to ninety percent of students correctly answered nine of ten questions related to older adult content on the final exam. Considering the increasing number of older adults in the health care setting, nurse educators must dismantle negative stereotypes with creative teaching strategies.


2020 ◽  
Author(s):  
Tsion Zewdu Minas ◽  
Maeve Kiely ◽  
Anuoluwapo Ajao ◽  
Stefan Ambs

Abstract Cancer health disparities remain stubbornly entrenched in the US health care system. The Affordable Care Act was legislation to target these disparities in health outcomes. Expanded access to health care, reduction in tobacco use, uptake of other preventive measures and cancer screening, and improved cancer therapies greatly reduced cancer mortality among women and men and underserved communities in this country. Yet, disparities in cancer outcomes remain. Underserved populations continue to experience an excessive cancer burden. This burden is largely explained by health care disparities, lifestyle factors, cultural barriers, and disparate exposures to carcinogens and pathogens, as exemplified by the COVID-19 epidemic. However, research also shows that comorbidities, social stress, ancestral and immunobiological factors, and the microbiome, may contribute to health disparities in cancer risk and survival. Recent studies revealed that comorbid conditions can induce an adverse tumor biology, leading to a more aggressive disease and decreased patient survival. In this review, we will discuss unanswered questions and new opportunities in cancer health disparity research related to comorbid chronic diseases, stress signaling, the immune response, and the microbiome, and what contribution these factors may have as causes of cancer health disparities.


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