NURS 302 Project One Presentation Speaker Notes Example
Speaker Notes: NURS 302 Project One Presentation: Addressing Social Justice & Health Equity Issues
NURS 302 Project One Presentation: Addressing Social Justice & Health Equity Issues
Slide One: [Title]
Hello, I am XXXX, welcome to this presentation on social justice and health equity issues in an identified vulnerable population.
Slide Two: Introduction and Purpose
Identifying areas of social injustice and health inequity is imperative to advocacy. Nurses and other healthcare providers should identify social determinants of health and find ways to advocate for interventions or policies that would address health disparities and improve health outcomes. This presentation aims to identify and evaluate a specific vulnerable population’s social determinants of health. Next, we propose an initiative/solution and identify an advocacy method.
Slide Three: Social Determinants of Health
The clinic selected for the analysis is a community health center in Nashua, Manchester, NH. It is in one of the most populous areas in Manchester, with an estimated population of 90,345 as of 2025. The majority of the population are Whites at 71.4 per cent; others are Hispanic (14%) and Asian (7.6%) (CUBIT, 2025). The health center serves the community of 229 Main Street and beyond. The social determinant of health that affects vulnerable populations and minorities in the community is access to healthcare services. One vulnerable population of interest is elderly individuals 65 years and above, particularly those with chronic health conditions, including diabetes, heart disease, and arthritis. The Office of Disease Prevention and Health Promotion (ODPHP) reported that 1 in 5 individuals aged 65 years and above have at least a chronic condition. Their vulnerability to these diseases makes healthcare access essential (ODPHP, 2025). In the rest of the presentation, we will focus on the selected SDOH and how it affects older adults NURS 302 Project One Presentation Speaker notes example.
Slide Four: Health Inequity Factors -I
There are health inequity factors associated with healthcare access. Here, we examine the socio-cultural issues. Older adults 65 years and above, particularly those from racial minorities, might not access health services due to social factors like language barriers. Lack of social support is another issue that prevents older people from accessing care. Elderly persons with dementia or other chronic conditions who live alone or without family support may not honor appointments or reach healthcare facilities when necessary. Cultural factors include beliefs about health and illness, which one’s belief system influences. The perception of the severity of symptoms and the effects determine if a person goes for healthcare. Some older people may want to apply traditional medicine to treat various symptoms. Lack of trust in the healthcare providers is another cultural factor affecting healthcare access among racial minorities and migrant senior U.S. citizens (ODPHP, 2025). These social and cultural factors may cause health disparities driven by a lack of access to healthcare services among older adults.
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Slide Five: Health Inequity Factors (Environment and Economic)
Environmental and economic factors also cause health inequity among older adults. The environmental issues include transportation barriers, proximity to healthcare facilities, and housing or neighborhood conditions. Elderly persons in rural areas or neighborhoods of Nashua that are less accessible may face challenges getting to the nearest healthcare facility. Likewise, the healthcare facilities could be far from where they live. Aging comes with decreased mobility. Individuals may find long distances physically strenuous (ODPHP, 2025; Perez et al., 2022). Environmental factors can be a barrier to accessing care, leading to poor health outcomes.
The economic factors influencing healthcare access among elderly persons are income inequality, health insurance status, and high healthcare costs. Older adults 65 years and above from low-income households may not access quality healthcare (New Hampshire Fiscal Policy Institute, 2024). With most of these individuals retired, their families may not manage their health bills. Also, some are underinsured, making it difficult to access care services. While others may have Medicare, rising healthcare costs may cover some, making them incur substantial out-of-pocket expenditures (ODPHP, 2025). These economic issues contribute to health disparities among older adults in Nashua.
Slide Six: Positive Impacts of Social Determinants on Individual Health
Healthcare access has positive effects on individual health. Among older adults 65 years and above, accessing screening, health checkups, prescription medication, and various chronic disease management interventions improves health outcomes. In addition, timely diagnosis, regular monitoring of vitals, such as blood glucose and blood pressure, and effective self-care reduces emergency visits and hospitalizations. Accessing healthcare to manage chronic diseases also enhances the quality of life for elderly persons. Increasing healthcare access should be prioritized for this vulnerable population to improve health outcomes and quality of life.
Slide Seven: Positive Impacts of Cultural Sensitivity/Culturally Competent Care
Demonstrating cultural sensitivity and providing culturally competent care also positively influences individual health. It enhances communication between patients and healthcare providers, which helps build effective therapeutic relationships. It also improves healthcare trust, boosting treatment adherence. Besides, offering culturally competent care decreases health disparities among individuals from different racial or ethnic groups (Perez et al., 2022). Enhancing cultural competence can increase healthcare access and outcomes among elderly patients NURS 302 Project One Presentation Speaker notes example.
Slide Eight: Negative Impacts: Healthcare Access
Lack of or limited healthcare access has negative effects on individual health. They include delays in seeking necessary care, increased prevalence of preventive illnesses, high risk of complications, and declined quality of life. Older adults may delay seeking care due to the inability to access the services, which could lead to exacerbation of existing conditions or late-stage diagnosis of undiagnosed health issues. Not accessing preventive services, such as disease screening, can cause a rise in the number of preventive diseases among older adults. Also, failure to access timely care can enhance an individual’s risk of complications and lead to declined quality of life (Perez et al., 2022). These negative effects are linked to healthcare access (SDOH) and negatively affect individual health.
Slide Nine: Negative Impacts: Culture
An individual’s culture and lack of culturally competent care causes misunderstandings and suboptimal care, Influences health-seeking behaviors, and leads to treatment non-adherence (Perez et al., 2022). Language barriers may lead to infective communication between the patients and healthcare providers, misunderstandings and poor care. The patient’s cultural beliefs about health and illness may prevent them from seeking care in time. Lastly, older patients who do not trust modern medicine or feel their cultural needs are not met may decline to adhere to treatment.
Slide Ten: Global Impact
Healthy People 2030 Objectives that relate to the clinic’s SDOH include the following:
“Increase the proportion of people with health insurance — AHS‑01” (Health People 2030, 2025). As noted, health insurance status is a key determinant of access to healthcare. This goal calls for an increase in the number of adults with health insurance, including older adults (ODPHP, 2025).
“Reduce the proportion of people under 65 years who are underinsured — AHS‑R03” (Healthy People 2030, 2025).
The goal emphasizes the need to decrease the number of underinsured older adults as it enhances access to essential healthcare services and limits out-of-pocket spending (ODPHP, 2025).
“Increase the proportion of adults who get recommended evidence-based preventive health care — AHS‑08” (Healthy People 2030, 2025). By increasing the number of elderly persons who access preventive care, their overall health and quality of life can improve. It can also reduce emergency visits and unnecessary hospitalizations (Perez et al., 2022).
“Increase the number of community organizations that provide prevention services — ECBP‑D07” (Healthy People 2030, 2025). Community-based services can bridge older adults’ transportation barriers when accessing healthcare care in the Nashua area (ODPHP, 2025).
Slide Eleven: Initiative
Based on the evaluation of the social determinants influencing the older adults served by the Community Health Center at Nashua, NH, the solution would be to develop a mobile clinic program to deliver care directly to older adults in the community. Community-based clinics help bring health services to the people, particularly in underserved areas and ensure care continuity (Boucher et al., 2024). The initiative would improve access to preventive health services and routine care. It would reduce the transportation burden on patients and enhance health outcomes among elderly patients. Overall, the solution proposed addresses the transportation and geographical barriers to healthcare access.
Slide Twelve: Advocacy Method
The appropriate advocacy method is a public awareness campaign targeting local communities and policymakers. The rationale for focusing on the local communities and policymakers is that they are core stakeholders in community health. Any related program, such as the mobile clinics, would require the support of these interest groups. Various approaches will facilitate advocacy, including community meetings to gain support, social media outreach, and partnerships with local non-governmental organizations (NGOs) or community-based organizations. The advocacy goal would be to communicate the proposed initiative for addressing healthcare access barriers for older adults to the stakeholders.
Slide Thirteen: Influential Factors in Advocacy
Three factors can influence advocacy through public awareness campaigns, including bias, values, and beliefs. These are the biases, values, and belief systems of the target audience, the healthcare providers in charge of advocacy, and policymakers. The advocate’s personal bias can influence message framing. For instance, they may have particular perceptions of older adults, which may be untrue and could influence the messages they frame. Likewise, their values may influence advocacy content and delivery. The locals’ beliefs may lead to mistrust in the mobile clinic program NURS 302 Project One Presentation Speaker notes example. Lastly, the political organizations or policymakers ’perception of mobile clinics may affect support for the program (Shoucri et al., 2021).
Slide Fourteen: Conclusion
Healthcare access is a major social determinant of health among older adults in the community served by the Community Health Center, Nashua, NH. Transportation barriers, being underinsured, and cultural factors are some factors that influence access to care in this vulnerable population. The priority is to increase healthcare access. The proposed mobile clinic program can enable older adults to get preventive, routine care and other health services they may require to improve health outcomes and quality of life.
Slide Fifteen: References
Boucher, V., Jouhair, E.-M., Sirois, M.-J., Tailleur, L., Voyer, P., Mercier, É., Giguère, A., Dionne, C. E., Légaré, F., Dallaire, C., Bergeron, S., Carmichael, P.-H., & Emond, M. (2024). The mobile seniors’ clinic – an innovative transition of care for frail older adults.
BMC Geriatrics
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24
(1).
https://doi.org/10.1186/s12877-024-05490-4
CUBIT. (2024).
Nashua demographics | Current New Hampshire Census data
. Newhampshire-Demographics.com.
https://www.newhampshire-demographics.com/nashua-demographics
Healthy People 2030. (2025).
Health Care Access and Quality – Healthy People 2030 | health.gov
. Health.gov. https://odphp.health.gov/healthypeople/objectives-and-data/browse-objectives/health-care-access-and-quality
New Hampshire Fiscal Policy Institute (2024, November 19).
The social determinants of health – and their impacts on New Hampshire’s economy – New Hampshire Bulletin.
New Hampshire Fiscal Policy Institute.
Office of Disease Prevention and Health Promotion.(ODPHP). (2020).
Social determinants of health and older adults
. Health.gov.
https://odphp.health.gov/our-work/national-health-initiatives/healthy-aging/social-determinants-health-and-older-adults
Perez, F. P., Perez, C. A., & Chumbiauca, M. N. (2022). Insights into the social determinants of health in older adults.
Journal of Biomedical Science and Engineering
,
15
(11), 261–268.
https://doi.org/10.4236/jbise.2022.1511023
Shoucri, R., Dorman, K., Green, S., Bloch, G., & Swartz, A. (2021). Integrating social justice advocacy into a family health team.
Canadian Family Physician
,
67
(12), 923–929. https://doi.org/10.46747/cfp.6712923 NURS 302 Project One Presentation Speaker notes example
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