NURS-FXP 4000: Assessment 2 Applying Research Skills

Sample Answer for NURS-FXP 4000: Assessment 2 Applying Research Skills

Limited Access to Healthcare

Applying Research Skills: Limited Access to Healthcare

Access to healthcare for all is important for the realization of optimum health outcomes globally. However, most of the populations in America currently experience challenges in accessing the care that they need because of factors such as cost, geographical location, and shortage of physicians in remote locations. Nurses and other healthcare providers should be proactively involved in implementing responsive strategies to address the limited access to healthcare for the diverse populations. The incorporation of novel technologies such as telemedicine could help overcome this problem in healthcare.

Nurses are responsible for ensuring the promotion and protection of diverse population’s right to access high-quality, safe and efficient care. A recent experience with a diabetic patient increased the understanding of the severe impacts that limited access to healthcare has on patients and their significant others. The patient was elderly, residing in a rural setting and had diabetic foot. He had not received diabetes care for the last two months because of the distance to specialized care, unaffordable care, and lack of diabetes specialists in her location. As a result, he came with a septic, diabetic wound and hyperglycemia, requiring his admission to the hospital for further management. This experience raised interest on examining the factors that limit access to healthcare for different populations.

Identifying Academic Peer-Reviewed Journal Articles

A search for relevant literature on the effectiveness of telemedicine in reducing limited access to healthcare was performed in different databases. They included PubMed, ProQuest Central, CINAHL, and EBSCO. The keywords that were used in the process included telemedicine, telemedicine and access to healthcare, telemedicine and eliminating barriers in healthcare, and telemedicine efficacy in healthcare. The search was only limited to peer-reviewed journals that focused on medicine or nursing and published within the last five years in English language.

Assessing Credibility and Relevance of Information Sources

The credibility of the selected journals was done in some ways. First, the journals must have been indexed in nursing and medical databases to be selected for the review. They must have also been peer-reviewed to provide quality data on the topic. The articles must also have a high impact factor, translating into their considerable influence on nursing practice. The journal authors must have also been individuals with experience in nursing or medical fields.

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Annotated Bibliography

Beauchamp, M. L. H., Amorim, K., Wunderlich, S. N., Lai, J., Scorah, J., & Elsabbagh, M. (2022). Barriers to access and utilization of healthcare services for minority-language speakers with neurodevelopmental disorders: A scoping review. Frontiers in Psychiatry, 13, 915999. https://doi.org/10.3389/fpsyt.2022.915999

The above study examined the barriers to healthcare access for minority-language speakers diagnosed with neurodevelopmental disorder. The researchers used 30 articles that met the developed inclusion criteria. Data analysis on the selected articles showed that minority language speakers with neurodevelopmental disorders and their families experienced barriers in accessing healthcare that included provider, systems, and family experience levels. The barriers affected the outcomes of the affected populations and their families as well. This article was included in this review because it expounds on the different level of factors that limit population’s access to healthcare. The article will provide insights into the different levels of barriers that contribute to limited access to healthcare for individuals with disabilities such as neurodevelopmental disorder.

Huot, S., Ho, H., Ko, A., Lam, S., Tactay, P., MacLachlan, J., & Raanaas, R. K. (2019). Identifying barriers to healthcare delivery and access in the Circumpolar North: Important insights for health professionals. International Journal of Circumpolar Health, 78(1):1571385. doi: 10.1080/22423982.2019.1571385

The above study identified the specific challenges to healthcare service access and delivery for populations in the Circumpolar Noth. The research was a scoping review that used 43 articles published between 2005 and 2016. The researchers found that limited access to healthcare in the Circumpolar North is attributed to factors that include healthcare provider-related, physical geography, language and culture, and systemic-related factors. The results highlight the opportunities that should be explored to increase the access to healthcare for the diverse populations of the Circumpolar North. This article was included in the review because it explores the potential factors contributing to limited access to healthcare that may be applicable to America. The article will be used to explore the effect of factors such as physical geography, culture, and language among others on healthcare access.

Malik-Soni, N., Shaker, A., Luck, H., Mullin, A. E., Wiley, R. E., Lewis, M. E. S., Fuentes, J., & Frazier, T. W. (2022). Tackling healthcare access barriers for individuals with autism from diagnosis to adulthood. Pediatric Research, 91(5), Article 5. https://doi.org/10.1038/s41390-021-01465-y

The above study examined the common barriers to healthcare access, barriers encountered during childhood, and advances in research for better healthcare access for individuals with autism spectrum disorder. The researchers undertook a review of literature on scholarly resources that were obtained from PubMed database using MeSH terms. The search yielded 248 publications that were assessed to identify the factors contributing to limited access to healthcare for this population. The analysis of data obtained from the selected articles identified barriers contributing to limited access to healthcare for those with autism spectrum disorders, to include shortage of healthcare services, physician knowledge, cost of services, family and individual knowledge, stigma, and language. This article was included in this review because it provides insights into the factors contributing to limited access to healthcare for those with autism spectrum disorder. The article will be used to inform the analysis of the potential causes of limited access to healthcare and determination if it can be applied to the wider population.

Matin, B. K., Williamson, H. J., Karyani, A. K., Rezaei, S., Soofi, M., & Soltani, S. (2021). Barriers in access to healthcare for women with disabilities: A systematic review in qualitative studies. BMC Women’s Health, 21(1), Article 1. https://doi.org/10.1186/s12905-021-01189-5

The above study was a systematic review of qualitative studies that identified the barriers in access to healthcare services for women with disabilities internationally. The researchers used evidence obtained from 24 articles obtained from databases that included Scopus, Web of Science, and PubMed. The results showed that women with disabilities experienced limited access to healthcare because of sociocultural, financial, and structural factors. This article was included in this review because it provides insights into the factors contributing to limited access to healthcare, which aligns with the selected topic. In addition, the article will be used to explore further the effect of structural and socioeconomic factors on access to healthcare for women with disabilities.

Learning from Research

Several things can be learnt from the above annotated bibliography. First, vulnerable populations such as those with disabilities are highly affected by the limited access to healthcare. The challenges include shortage and cost of services, stigma, physician awareness, and suboptimal physician awareness of the needs of this population. The review also reveals the impact of socioeconomic and structural factors on access to healthcare for different populations. Therefore, the understanding informs nurses’ approach to addressing the issue of limited access to healthcare in practice.

References

Huot, S., Ho, H., Ko, A., Lam, S., Tactay, P., MacLachlan, J., & Raanaas, R. K. (2019). Identifying barriers to healthcare delivery and access in the Circumpolar North: Important insights for health professionals. International Journal of Circumpolar Health, 78(1):1571385. doi: 10.1080/22423982.2019.1571385

Healthcare systems face serious difficulties because of nursing burnout. Burnout may
lead to reduced job satisfaction, high turnover rates, discontent, and disenchantment with the
profession. The aforementioned may then lead to disruptions in the continuity of treatment and
poor work performance which leads to lower standards of patient care. Key elements of burnout,
like exhaustion, cynicism, and diminished efficacy, can impair a nurse’s capacity to deliver the
best care possible which then impairs the patients’ health outcome. Besides the impact of
burnout on patient care and outcomes, nursing burnout leads to job dissatisfaction and an
increased rate of workplace hazards and may also cause reputational damage to health facilities.
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There is a need to develop adequate interventions to prevent nursing burnout. To reduce
nursing burnout and promote nurse well-being, supportive work environments, competent
leadership, and extensive self-care programs are crucial. Understanding and addressing nursing
burnout is essential for preserving the integrity of healthcare systems, guaranteeing the health of
both patients and providers and retaining a strong and competent healthcare workforce.

INSTRUCTOR RESPONSE

You are ready to move to assessment three. In the next assessment you will be writing a research paper so make sure it is filled with lots of intext citations in each section of your paper to support your thoughts. You can do it! Please see the rubric for detailed feedback. You have done a great job meeting the rubric requirements of this paper at proficient and distinguished levels. Please don’t be discouraged when earning proficient levels, as proficient means you are right where you belong and you are able to proficiently do the work required. Moving to distinguished is a jump that often takes some time and practice to get to. The more you write the better you become! Thank you for your diligent work and wonderful attention to detail! You provided great depth, detail, and supporting resources to support your thoughts! The headings were well done and helped make your paper flow. Thank you for carefully following my directions! Keep challenging yourself by digging deep into the literature and evidence and critically thinking about how to apply all this learning to your life as a nurse. You got this!