MT435 Unit 1

Begin your post with the label: Unit 1: Quality Management

Research the following topics related to quality management:

  1. Dimensions of quality
  2. Cost of quality
  3. Six Sigma
  4. ISO
  5. Quality tools

In a Word document, compose three paragraphs describing the topics: one paragraph per selected topic, based on your simulation activities, course material, and additional research you conduct online

Module 6: Cultural Considerations for Caring for the New Immigrant/Refugee and the Underprivileged and Uninsured

Assignment Description:

For this assignment, you will research Hispanic populations and the Lost Boys of Sudan, immigrant refugees.  Create a 1250-1500-word essay based on your research. 

According to the Pew Research Center (2016), the Hispanic population became the largest ethnic group in America, comprising 57 million people, or more than 18% of the population. In 2019, the population reached a record of 60.6 million in the U.S. (Pew Research Center, 2020). For this assignment, select 3 states that have the most Hispanic/Latinx populations. Name each state and discuss the Latinx/Hispanic population that is most represented in each state.

Part 1. Answer the following questions and/or discuss the following about your selected population:

  • Describe health-related problems encountered by the poor and uninsured in your selected population.
  • What socio-economic factors impact healthcare decision making and outcomes in your selected population?
  • Discuss the cultural diversity that exists between and among immigrant populations and the implications for nurses
  • How do cultural differences, language barriers, and poverty impact healthcare access for your selected population?

Part 2. Research the Lost Boys of Sudan and answer the followings questions:

  • What are some health challenges a nurse may encounter refugees? Include in your answer communicable and non-communicable diseases you may find in this population.
  • What are some cultural considerations a nurse should consider when caring for patients from this population?
  • Explain the role of the nurse in providing resources when caring for members of this population
  • Length: 1250–1500 words; answers must thoroughly address the questions clearly and concisely.
  • Structure: Include a title page and reference page in APA style. These do not count towards the minimum word count for this assignment. Be sure to use Level 1 and/or Level 2 heading titles to separate the sections you discuss.
  • References: Use the appropriate APA style in-text citations and references for all resources to answer the questions. Include at least three (3) scholarly sources to support your claims.

DQ 6: Module 6: Cultural Considerations for Caring for the New Immigrant/Refugee and the Underprivileged and Uninsured

Welcome to Module 6. In this module, we will discuss cultural care practices when caring for new immigrants and refugees. Consider the Lost Boys of Sudan. Also, in this module, we will explore the care needs of underprivileged and uninsured populations. In 2018, the approximate number of people in the United States (U. S.) without health insurance rose to 27.5 million, up from 25.6 million in 2017 (U. S. Census Bureau, 2019). Included in this number were many immigrants.

New immigrants often live in low-income housing in the U. S. Many new immigrants find employment earning low wages while working for employers that provide no benefits or health insurance coverage. Other new immigrants live with family members who have previously established residency in the U.S. Regardless, biases and discriminatory behaviors are often directed towards individuals who have immigrated from certain countries.

Because of the events of September 11, 2001, and the fear of terrorism, as well as the general public’s confusion about who is and who is not a citizen, some Americans express negative attitudes toward both legal and illegal immigrants and the laws intended to protect them. Consequently, some illegal immigrants avoid seeking medical intervention for fear of being discovered and being deported.

When immigrants who are ill remain underground and delay treatment for contagious illnesses or diseases, the population’s health and well-being are put at risk. For this reason, the problem of providing healthcare for immigrants, legal or undocumented, is one that ultimately affects all members of American society. Access to healthcare is also a challenge for underprivileged populations living below the poverty line in the U.S.

 

Discussion Question 6:

Chose two journal articles related to the healthcare of new immigrants or refugees and one related to people from marginalized populations who are indigent and uninsured. Conduct a review and summarize the articles. Present a summary of the journal article, and examine how the information presented may impact your nursing practice. Discuss what you have learned to improve diversity awareness and cultural competence in caring for people from each population. Please select journal articles that include a hyperlink (URL or DOI) so your peers can access the article should they want to learn more about your selected articles.

 

Grading Rubric: Content includes additional or novel points beyond the intent of the prompt. References are sufficient, scholarly in nature, and are formatted correctly in APA format.

Module 5: Cultural Considerations When Caring for Geographically Displaced and LGBTQIA Populations

Assignment Description:

For this assignment, create a PowerPoint presentation based on the following case studies:

Read the following two Case Studies and answer the questions presented.

1. Case Scenario: Milagros Amaro located in Chapter 8 on page 149

CASE SCENARIO Milagros Amaro is a 23-year-old Mexican American migrant agricultural worker who is traveling the migrant stream with her husband, Reynaldo; her mother, Rosa; and their three children, 6-year-old Carmencita, 4-year-old Angel, and 17-month-old Rosamel. Milagros and Reynaldo are currently harvesting peaches in a region of South Carolina known as the Midlands. They work long hours. When the weather is dry, they are in the orchards 7 days a week from 6 a.m. until dusk during the peak season. On rainy days, they work in the many packing sheds preparing fruit for shipping. There is plenty of work available; however, the season is short. While they are in the orchards, Rosa cares for the children in the migrant camp provided by the grower. The Amaro family generally works in South Carolina each year from the end of May until the end of July. They then move on to North Carolina to harvest vegetables and tobacco, then on to Delaware for tomatoes and peppers, then continue moving northward to New Jersey, Pennsylvania, and finally to New York to harvest onions, apples, and winter vegetables. When the season ends, they return to their home base in Frostproof, Florida, where they reside with Reynaldo’s extended family. They harvest citrus fruit throughout the winter months, then prepare for their annual trek upstream. Milagros tells the NP at the migrant health clinic that she is experiencing pain on urination, right-sided flank pain, and a low-grade fever. She suspects that she has 150a urinary tract infection (UTI). She would also like to discuss family planning issues. She is currently taking oral contraceptives and has questions about their long-term safety. She also would like the children to have physicals and to catch up on their vaccinations. Her command of English is excellent. She is a U.S. citizen and was raised in Florida. Carmencita is fully bilingual and Angel knows many words in both languages. Milagros tells the NP that her husband knows some English but is more comfortable communicating in Spanish. She states that Reynaldo has a hernia but is reluctant to come to the clinic for two reasons: First, he is a Mexican citizen who has an agricultural worker visa, which has now expired. Second, his hernia is in the groin area, and he feels self-conscious about having an examination. As the NP completes the health history on the Amaro children, she learns that Milagros does not have their vaccination records available. She shares information about when and where their vaccinations were administered. She has a variety of cards with her that identify a number of clinics where they sought services while traveling the stream. The NP notices that Milagros’s surname is different on some of the cards and asks the clinic’s social worker to telephone the clinics and request that health records be faxed after Milagros signs a consent form. Physical examination of the children reveals that all are above their recommended weight for height. Otherwise, they are healthy youngsters who have achieved their developmental milestones. The two older children are curious about the NP’s activities, and they want to listen to their heartbeat. Their mother disciplines them verbally, and they quiet immediately. While a nursing assistant talks with Carmencita and Angel about healthy snacks, the NP obtains a urine sample for culture and sensitivity from Milagros. She encourages her to increase her intake of water and juices and to take an over-the-counter analgesic as needed. Milagros explains that she does not have a kitchen or refrigerator in her room at the camp; all meals are taken in the camp’s cookhouse. She therefore has minimal control over her family’s diet but feels she can request extra fluids. The NP asks Milagros to call for her lab results in 48 hours to learn if she will need to begin antibiotic therapy. She then asks about Milagros’s current contraceptive practices and provides her with information about other options. The social worker returns and states that she cannot reach any of the clinics other than the one in Florida because they operate only during the harvesting season. The records from the Frostproof clinic do provide a list of immunizations received there and dates of administration. The social worker also accessed the Migrant Clinicians Network, but the only information in its database came from the Frostproof clinic. After the nursing staff expresses frustration, the NP decides to begin immunizing the children using the Centers for Disease Control (CDC) Catch-Up Schedule based on the official records from Florida. She also orders that a TB skin test be administered to the children and to Milagros. The NP tells Milagros that if her urine culture does not indicate infection and she therefore does not need to return to the clinic, she will drive out to the camp to read the skin tests. She then faxes the information about today’s immunizations back to the clinic in Frostproof. She also gives a copy of the vaccination records to Milagros. She asks if Milagros’s mother has any health-related needs. Milagros replies that Rosa takes medication for hypertension but her supply has run out; she requires a new prescriiption. The NP suggests that when Reynaldo visits the clinic it would be beneficial for him to bring Rosa with him for a blood pressure check and a prescriiption if indicated.

Questions:

• What is the response of the staff to Milagros’s incomplete health records on her children? What assumptions underlie this response?

• How could the N.P best communicate with Reynaldo while preserving his rights to privacy and confidentiality?

• What health-related issues are essential when caring for migrant agricultural workers? Why are these health-related issues important?

• What attributes do nurses working with migrant agricultural workers need to refine to function as effective advocates for their patients?

2. Scenario 4: John located in Chapter 9 on page 172

Scenario 4: John is a friendly and outgoing 23-year-old college senior with short hair, a slight build, and a thin beard. He and his friends were ecstatic after their team won its National Football League (NFL) division championship and would be heading to the Super Bowl. They were walking from the stadium to the local bars to celebrate when an impatient drunk driver leaving the game jumped the curb and hit him. John’s foot caught in a grate in the side walk, twisting his leg and breaking it, and he had fractured ribs. John was barely conscious and in incredible pain. The paramedics rushed him to the ER where the staff worked quickly, cutting off John’s clothes so they could attend to his injuries. They saw the tightly bound breasts under his team sweatshirt and T-shirt as they removed his clothing. John’s driver’s license indicated his name was Jeanne and listed his sex as female. John had been transitioning in college, and hoped to have the money to change legal documents and obtain top surgery as he began working after graduation.

Questions:

• How many interactions have you had with people who identify as LGBTQIA? Would you have known at the time that your patient was LGBTQIA? How might these experiences have prepared you for interactions with patients like John?

• What role do you play as a nurse when John’s family and friends become aware of his gender reassignment plans?

• What are some best practices that organizations can put in place to foster a more welcoming environment for patients who are LGBTQIA? Would you recognize when you need help to approach John’s situation because you are uncomfortable working with someone like him?

• Describe heterosexism, cissexism, homophobia, and transphobia exist? What steps should a nurse take to address these biases?

• What is the most sensitive way to elicit information about health practices that allows the LGBTQIA patient to answer questions honestly and enables the nurse to complete a practical assessment?

Your presentation should be 20 slides (not including title, objectives, and references slides) with detailed notes for each slide. Audio recording is required. Be sure to answer all the questions completely. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with citations throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end.

Follow best practices for PowerPoint presentations by going to the Writing and Resource center, Module 3: Assignments, Microsoft, and utilizing Microsoft Overview and the Creating a Quality PowerPoint video.

The following specifications are required for this assignment:

Length: At least 20 slides; answers must thoroughly address the questions in a clear, concise manner. Audio is required.

Structure:

References: Use the appropriate APA style in-text citations and references for all resources to answer the questions. Include at least three (3) scholarly sources to support your claims.

Format: Save your assignment as a Microsoft PowerPoint document