NURS FPX 5003 Assessment 2: Interview of Health Care Professional

NURS FPX 5003 Assessment 2: Interview of Health Care Professional

Interview of Health Care Professional

This paper discusses healthcare organizations’ strategies for addressing healthcare needs and aligning them with National CLAS Standards. Healthcare professionals play a crucial role in addressing diverse population health needs, addressing challenges, and achieving National CLAS Standards. However, their perspectives and experiences are often overlooked, highlighting the challenges and rewards of this field.

Dr. Mitch Katz is a well-known healthcare administrator who has played a key role in transforming the healthcare system in Los Angeles County. As CEO of the Los Angeles County Health Agency, he oversees the largest public health system in the United States, which serves over 10 million residents. Under Dr. Katz’s leadership, the Los Angeles County Health Agency has implemented innovative programs and initiatives to improve access to healthcare, reduce health disparities, and address the social determinants of health. Some of these initiatives include expanding primary care services, increasing mental health resources, and creating new programs to address homelessness and food insecurity. Dr. Katz is also a strong advocate for healthcare reform and has been actively involved in policy discussions at the local, state, and national levels. He is recognized as a thought leader in the healthcare industry and has received numerous awards and accolades for his contributions to public health (NYC Health + Hospitals, n.d.).

Strategies to Address Identified Healthcare Needs

Healthcare organizations can implement various strategies to identify the healthcare needs of the community.  The PRECEDE-PROCEED model is a comprehensive planning framework for addressing various healthcare needs. It consists of eight phases that include social assessment, epidemiological assessment, educational/ecological assessment, administrative/policy assessment, intervention planning, implementation, process evaluation, and impact evaluation. Social assessment assesses social determinants of health, epidemiological assessment evaluates health problem prevalence and incidence, educational/ecological assessment evaluates individual, environmental, and organizational factors, administrative/policy assessment evaluates policies and regulations, intervention planning develops and implements interventions, implementation involves implementation, process evaluation evaluates implementation, and impact evaluation evaluates the effectiveness of interventions.

NURS FPX 5003 Assessment 2: Interview of Health Care Professional

The PRECEDE-PROCEED model effectively addresses hypertension in African Americans by conducting social, epidemiological, educational, administrative, policy, intervention planning, implementation, process evaluation, and impact evaluation. This approach involves interviews with medical professionals, analyzing demographic data, and holding stakeholder meetings. Epidemiological assessments help identify risk factors, resources, cultural beliefs, and knowledge levels in the African community. The policy assessments evaluate policies and regulations affecting hypertension, while intervention planning involves developing culturally appropriate interventions, evaluating their effectiveness, and implementing them into practice. Process evaluation helps identify challenges and recommendations for improvement. The National CLAS Standards (Culturally and Linguistically Appropriate Services) are a set of guidelines that healthcare organizations can use to ensure that they provide culturally and linguistically appropriate services to their patients. The standards cover a variety of areas, including language, communication, and cultural competence.

The PRECEDE-PROCEED model can be used to align with National CLAS Standards by ensuring culturally and linguistically appropriate interventions. This can be achieved through cultural assessments for African Americans with hypertension, the use of appropriate language and communication materials, and staff training. Healthcare organizations can evaluate the effectiveness of their strategies using criteria such as decreasing the prevalence and incidence of health problems, improving knowledge and attitudes, reducing behavioral changes, and ensuring patient satisfaction with interventions. By implementing the PRECEDE-PROCEED model and aligning strategies with National CLAS Standards, healthcare organizations can improve patient health outcomes and ensure culturally and linguistically appropriate services.

Benefits of Meeting CLAs Standards

Healthcare organizations meeting National CLAS Standards benefit hypertensive African Americans in California by addressing identified healthcare needs effectively, in various ways as stated. By providing culturally and linguistically appropriate services, healthcare organizations can improve the health outcomes of African Americans with hypertension. This is because these services are more likely to be effective in reaching and engaging this population, and they are more likely to be tailored to the specific needs of this population. By meeting the National CLAS Standards, healthcare organizations can help to reduce health disparities among African Americans. This is because these standards help to ensure that all patients, regardless of their race or ethnicity, receive the same quality of care (Agency for Healthcare Research and Quality, n.d.). NURS FPX 5003 Assessment 2: Interview of Health Care Professional

The finding of a study authored by Ibe et al. (2021), state that African Americans mostly women with hypertension who received culturally and linguistically appropriate care were more likely to have their blood pressure controlled than those who did not receive this type of care (Ibe et al., 2021). When African Americans feel that they are being treated with respect and understanding, they are more likely to trust their healthcare providers and be satisfied with the care they receive. This can lead to better adherence to treatment plans and improved health outcomes. A study published in the International Journal of Environmental Research and Public Health that African Americans who had a high level of trust in their healthcare providers were more likely to adhere to their treatment plans for hypertension (Adinkrah et al., 2020).

Identification of Challenges

Organizations facing challenges in implementing the National CLAS Standards for clinical prevention, population health, and health disparities in diverse populations, particularly hypertensive African Americans in California, may face several challenges. These include a lack of resources, such as hiring skilled interpreters, providing cultural competency training, and collecting race, ethnicity, and language data. Additionally, a lack of leadership support can be challenging, as the standards require a significant cultural shift within an organization (Curtis et al., 2019). Furthermore, access to data on the health status of African Americans is often unavailable or disaggregated by race or ethnicity, making it difficult to identify and address the specific needs of this population (Kauh et al., 2021).

Gaps in Knowledge

There are still gaps in our knowledge about the cultural factors that influence the health of African Americans. This makes it difficult to develop culturally appropriate interventions that are effective in reducing health disparities. To address challenges in implementing the National CLAS Standards, the federal government should increase funding for CLAS initiatives, including hiring skilled interpreters, providing cultural competency training, and collecting race, ethnicity, and language data. Support leadership development for staff to understand the importance of CLAS and implement the standards. Collect data on the health status of African Americans to identify their specific needs and develop culturally appropriate interventions. Support research on cultural factors to fill knowledge gaps and develop more effective interventions. NURS FPX 5003 Assessment 2: Interview of Health Care Professional

Organizational Strategies

Organizations can effectively address diverse health needs by communicating their strategies, strengths, and weaknesses in a clear and organized manner. This ensures accessibility and effectiveness in achieving desired outcomes. Cultural context is crucial when communicating with a diverse population in healthcare, as it influences how people understand and respond to health information. By understanding cultural beliefs and values, organizations can ensure their communication is more effective and relevant to the target audience (Aririguzoh, 2022).

The healthcare organization can effectively communicate its strategies and strengths in addressing diverse health needs using clear, concise language, visuals, logical organization, multiple channels of communication, and seeking feedback from the target audience. Visuals, such as graphs, charts, and infographics, help make complex information more understandable. Organizing information in a logical way and using multiple channels, such as print, digital, and in-person, ensures that the message is clear and effective (Ratna, 2019).

NURS FPX 5003 Assessment 2: Interview of Health Care Professional

To ensure clear communication, healthcare providers should use plain language, which is a concise, easy-to-understand writing style that avoids jargon and technical terms. Visuals should be used to illustrate complex information, explain processes, or present data. Communicate in various formats, such as print, digital, and in-person, to ensure the information reaches the target audience effectively. Get feedback from the patients to ensure the communication is clear and effective, which can be used to improve future communication (Licqurish et al., 2019).

Conclusion

The PRECEDE-PROCEED model offers a framework for planning and implementing interventions to address the healthcare needs of hypertensive African Americans in California. By providing culturally and linguistically appropriate services, these organizations can improve health outcomes, increase trust, reduce disparities, and comply with regulations. Trust in healthcare providers leads to better adherence to treatment plans and improved health outcomes. Challenges in implementing the National CLAS Standards include lack of resources, leadership support, and access to data. Effective communication requires clear language, visuals, logical organization, multiple channels, and feedback from the target audience.

References

Adinkrah, E., Bazargan, M., Wisseh, C., & Assari, S. (2020). Adherence to hypertension medications and lifestyle recommendations among underserved African American middle-aged and older adults. International Journal of Environmental Research and Public Health, 17(18), 6538.
https://doi.org/10.3390/ijerph17186538

Agency for Healthcare Research and Quality. (n.d.). Culturally and Linguistically Appropriate Services. Www.ahrq.gov. https://www.ahrq.gov/sdoh/clas/index.html

Aririguzoh, S. (2022). Communication competencies, culture, and SDGs: Effective processes to cross-cultural communication. Humanities and Social Sciences Communications, 9(1).
https://doi.org/10.1057/s41599-022-01109-4

Curtis, E., Jones, R., Tipene-Leach, D., Walker, C., Loring, B., Paine, S.-J., & Reid, P. (2019). Why cultural safety rather than cultural competency is required to achieve health equity: A literature review and recommended definition. International Journal for Equity in Health, 18(1), 1–17.
https://doi.org/10.1186/s12939-019-1082-3

Ibe, C. A., Haywood, D. R., Creighton, C., Cao, Y., Gabriel, A., Zare, H., Jones, W., Yang, M., Balamani, M., Gaston, M., Porter, G., Woods, D. L., & Gaskin, D. J. (2021). Study protocol of a randomized controlled trial evaluating the Prime Time Sister Circles (PTSC) program’s impact on hypertension among midlife African American women. BMC Public Health, 21(1).
https://doi.org/10.1186/s12889-021-10459-8

Kauh, T. J., Read, J. G., & Scheitler, A. J. (2021). The critical role of racial/ethnic data disaggregation for health equity. Population Research and Policy Review, 1–7. https://doi.org/10.1007/s11113-020-09631-6

Licqurish, S. M., Cook, O. Y., Pattuwage, L. P., Saunders, C., Jefford, M., Koczwara, B., Johnson, C. E., & Emery, J. D. (2019). Tools to facilitate communication during physician‐patient consultations in cancer care: An overview of systematic reviews. CA: A Cancer Journal for Clinicians, 69(6), 497–520. https://doi.org/10.3322/caac.21573

NYC Health + Hospitals. (n.d.). Dr. Mitchell Katz. NYC Health + Hospitals. Retrieved July 5, 2023, from https://www.nychealthandhospitals.org/leader/dr-mitchell-katz-2/

Ratna, H. (2019). The importance of effective communication in healthcare practice. Harvard Public Health Review, 23(23), 1–6.
https://doi.org/10.2307/48546767

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