NUR 302: Clinical Judgment and Holistic Assessment in Nursing – Project One: A Case of Oneonta Community Health Center

NUR 302 Project One: A Case of Oneonta Community Health Center

[Your Name]

NUR 302: Clinical Judgment and Holistic Assessment in Nursing

Southern New Hampshire University

[Your Instructor’s Name]

[Date]

NUR 302 Project One: A Case of Oneonta Community Health Center

Social Determinant of Health (SDOH)

The local healthcare clinic providing affordable or free care to community members is Oneonta Community Health Center located along 31 Main St, Oneonta, NY. Research shows that individual’s and households’ health outcomes significantly depend on SDOH (Rodriguez et al., 2023). The SDOH selected in this scenario is access to healthcare. Limited access to medical care adversely affects vulnerable populations particularly low-income earners from rural areas of Oneonta, NY. Multiple factors, including financial constraints and limited access to transportation, hinder individuals and households in the rural areas of Oneonta from accessing appropriate healthcare services, compromising their health outcomes and quality of life.

Health Inequity Factors

First, social factors contribute to health inequality among individuals and families living in rural Oneonta. Access to community health resources and social services in this rural area is limited. Additionally, social isolation limits individuals from this rural region from building strong networks that would enhance their access to healthcare services (George et al., 2023). Furthermore, this underserved population has limited social connections, which hinders advocacy efforts that would improve access to preventive care and healthcare services; thereby worsening health inequities. Secondly, cultural factors influence health inequality. For instance, residents of Oneonta rural areas are less likely to seek professional medical care if their cultural beliefs advocate for traditional healing techniques. Thus, these cultural factors jeopardize access to health care services or adherence to professional medical advice, leading to poor health outcomes. Thirdly, environmental factors contribute to health inequality. In rural areas, geographical isolation limits residents’ access to healthcare services due to an inadequate number of providers and healthcare facilities (Garnelo et al., 2020). Individuals living in Oneonta must travel long distances to access qualified medical professionals and specialists, compromising their access to healthcare services. Lastly, economic factors determine access to professional medical care. Particularly, economic hardship hinders low-income communities from rural Oneonta from accessing healthcare services due to underinsurance or lack of medical insurance coverage.

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Positive Impacts

Limited access to healthcare services among residents of rural Oneonta affects individuals’ overall health positively. First, Oneonta residents have strong family ties. Thus, family members support each other especially while facing challenges, reducing the likelihood of developing mental health issues, such as depression. Moreover, people living in this rural area have established social structures, that support individuals and households during health crises; thereby improving the population’s health outcomes. According to Andersen et al. (2021), social and community ties provide emotional support, improving an individual’s mental health. Thus, strong ties among residents of rural Oneonta boost their mental health outcomes and overall well-being. Lastly, rural Oneonta residents have strong cultural ties and well-established traditional healing techniques. For instance, the community’s cultural values advocate for healthier lifestyle practices, including participating in scheduled events and consuming homegrown food; thereby reducing potential health risks NUR 302: Clinical Judgment and Holistic Assessment in Nursing – Project One: A Case of Oneonta Community Health Center

Negative Impacts

Limited access to healthcare has a negative effect on individuals residing in rural Oneonta. First, limited access to preventive care increases the risk of chronic illnesses among rural Oneonta community members. For instance, the lack of regular breast cancer screening services and mammograms increases breast cancer risk among women from rural areas and underserved regions experiencing health inequalities (Pesapane et al., 2023). Thus, women residing in rural Oneonta are more likely to be diagnosed with breast cancer. Moreover, limited access to healthcare services delays diagnoses and management of chronic conditions. For this reason, the prevalence of chronic illnesses, including hypertension, diabetes, heart disease, and related deaths is significantly high among individuals living in rural Oneonta. Furthermore, delayed access to emergency care, exposes residents of rural Oneonta to preventable health complications. Lastly, limited access to professional mental care access among residents of rural Oneonta leads to poorer mental health outcomes.

Global Impact

The SDOH affecting individuals and households living in rural Oneonta has an impact at the global level. In particular, limited access to care services connects to the “Healthy People 2030.” This initiative focuses on improving the population’s health outcomes by minimizing health disparities and expanding access to healthcare, particularly among underserved populations. Research shows that economic barriers limit access to care services among low-income individuals (Frazier et al., 2023). Thus, addressing this factor would enhance access to care services among the residents of rural Oneonta. In particular, this goal would be achieved through Objective AHC-01 whose goal is to increase the percentage of community members accessing usual primary care providers. Therefore, among low-income rural Oneonta, improving access to healthcare services would improve the population’s health outcomes; thereby supporting Healthy People 2030 goal.

Initiative

Limited access to healthcare must be addressed to improve health outcomes for individuals and families living in rural Oneonta. The most appropriate solution for addressing this SDOH involves introducing a mobile health clinic. Research shows that mobile clinics enhance access to preventive and primary care services in rural areas (Gizaw et al., 2022). Therefore, introducing a mobile health clinic within rural Oneonta would enhance community member’s access to healthcare services, including preventive screenings, primary care, and mental health services. The new mobile health clinic would eliminate barriers to access to healthcare services in Oneonta by bringing medical care close to people. As a result, transportation challenges would be resolved, promoting early screening and timely access to treatment services. Thus, the mobile health clinic would eliminate health disparities affecting residents of this rural area, improving physical and mental health outcomes at individual and community levels.

Advocacy Method

Advocacy has gained popularity within the healthcare sector. Research shows that advocacy efforts play a significant role in resolving SDOH affecting a specific socio-demographic group (Hudson, 2024). However, the target audience in advocacy efforts differs significantly depending on the SDOH or clinical practice issue being addressed. In this case, public awareness campaigns should be designed to inform residents of Oneonta rural areas about challenges associated with limited healthcare access and the benefits of a mobile health clinic. Consequently, community members would advocate for the introduction of mobile health clinics that would eliminate the transport challenge; thereby enhancing access to quality and timely care among Oneonta community members. The campaign would be successful by partnering with various entities, including local community groups, schools, and churches to advocate for issues associated with limited access to healthcare services facing individuals and community members NUR 302: Clinical Judgment and Holistic Assessment in Nursing – Project One: A Case of Oneonta Community Health Center.

Influential Factors in Advocacy

First, public awareness campaigns would impact my belief in health equity as an advocate. Studies show that equal access to healthcare services reduces high disease burden in socio-demographic groups facing health disparity (Ram & Thakur, 2022). Thus, I would advocate for the introduction of a mobile health clinic to promote access to timely care services among residents of Oneonta rural areas. However, my biases concerning the impact of modern medical services on health outcomes would impact my advocacy efforts. Secondly, public awareness campaigns would significantly influence the values and perceptions of local people toward healthcare. Individuals’ strong beliefs about self-reliance would make them more reluctant to seek external support, including professional medical care despite the introduction of the mobile health clinic. Lastly, public awareness campaigns would impact political organizations. For instance, the willingness of local pollical areas to fund the implementation of new mobile health clinics would enhance access to primary and preventive care services among persons living in the Oneonta rural area.

References

Andersen, L. M. B., Rasmussen, A. N., Reavley, N. J., Bøggild, H., & Overgaard, C. (2021). The social route to mental health: a systematic review and synthesis of theories linking social relationships to mental health to inform interventions.
SSM-Mental Health
,
1
, 100042.
https://doi.org/10.1016/j.ssmmh.2021.100042

Frazier, T. L., Lopez, P. M., Islam, N., Wilson, A., Earle, K., Duliepre, N., … & Thorpe, L. E. (2023). Addressing financial barriers to health care among people who are low-income and insured in New York City, 2014–2017.
Journal of Community Health
,
48
(2), 353-366.
https://link.springer.com/article/10.1007/s10900-022-01173-6

Garnelo, L., Parente, R. C. P., Puchiarelli, M. L. R., Correia, P. C., Torres, M. V., & Herkrath, F. J. (2020). Barriers to access and organization of primary health care services for rural riverside populations in the Amazon.
International Journal for Equity in Health
,
19
, 1-14.
https://link.springer.com/article/10.1186/s12939-020-01171-x

George, M. S., Gaitonde, R., Davey, R., Sukumaran, V., Mohanty, I., & Upton, P. (2023). Social networks and their impact on access to health care: insights from older widows living alone in Kottayam, South India.
Ageing & Society
,
43
(5), 1141-1163. DOI:
https://doi.org/10.1017/S0144686X21001100

Gizaw, Z., Astale, T., & Kassie, G. M. (2022). What improves access to primary healthcare services in rural communities? A systematic review.
BMC Primary Care
,
23
(1), 313.
https://link.springer.com/article/10.1186/s12875-022-01919-0

Hudson, S. (2024). The Role of Social Determinants in Shaping Public Health Policies.
Global Perspectives in Health, Medicine, and Nursing
,
3
(1), 23-33.
https://forthworthjournals.org/journals/index.php/GPHMN/article/view/99

Pesapane, F., Tantrige, P., Rotili, A., Nicosia, L., Penco, S., Bozzini, A. C., … & Cassano, E. (2023). Disparities in breast cancer diagnostics: how radiologists can level the inequalities.
Cancers
,
16
(1), 130.
https://doi.org/10.3390/cancers16010130

Ram, B., & Thakur, R. (2022). Epidemiology and economic burden of continuing challenge of infectious diseases in India: analysis of socio-demographic differentials.
Frontiers in Public Health
,
10
, 901276.
https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2022.901276/full

Rodriguez, J. M., Koo, C., Di Pasquale, G., & Assari, S. (2023). Black-White differences in perceived lifetime discrimination by education and income in the MIDUS Study in the US.
Journal of Biosocial Science
,
55
(5), 795-811. DOI:
https://doi.org/10.1017/S0021932022000360

NUR 302: Clinical Judgment and Holistic Assessment in Nursing – Project One: A Case of Oneonta Community Health Cente

NUR 302 Project One Guidelines and Rubric

Competencies

In this project, you will demonstrate your mastery of the following competencies:

Integrate social determinants of health and cultural background to guide nursing care

Articulate interprofessional and holistic needs to promote person-centered care

Overview

As nurses, we are responsible for advocating for others to improve health outcomes. Through this assignment you will implement the steps involved in identifying areas where social justice and health equity are in need of advocacy methods. In understanding these steps and processes, you will be able to incorporate these actions into your practice to begin addressing the improvement of health outcomes within your community. You have completed formative assignments to help prepare you for this, so you will have a clinic and vulnerable population in mind to get started.

Scenario

Note
: Students should not physically visit a physical clinic site or contact it in any way to complete this project.

You plan to volunteer at a local healthcare clinic that offers free or affordable care to its community. The clinic management has asked for your guidance on decreasing health vulnerability associated with one of the populations it serves. You have been asked to prepare a presentation with your proposed solution. They have asked you to include a proposed solution to address social justice or health equity, a political or organizational advocacy method, and an explanation of how the proposed solution connects to global health initiatives.

Directions

Prepare a PowerPoint presentation that addresses the following criteria for the selected clinic. Be sure to keep text to a minimum on the slides and provide depth and detail in your speaker notes. Refer to the Supporting Materials section below for additional information. You must cite at least five current scholarly sources. To be considered current, scholarly sources must have been published within the last five years.

Social Determinant of Health:
Describe a social determinant of health (SDOH) related to a vulnerable population within your geographical area. Be sure to include the following:

Clinic name and location

A social determinant of health on which to focus

A vulnerable population that experiences the social determinant of health

Health Inequity Factors:
Describe how social, cultural, environmental, and economic factors contribute to health inequities within the identified area.

Positive Impacts:
Explain any positive impacts on individual health of the selected vulnerable population’s social determinant and culture.

Negative Impacts:
Explain any negative impacts on individual health of the selected vulnerable population’s social determinant and culture.

Global Impact:
Explain the connection between a Healthy People 2030 Social Determinants of Health Workgroup goal and objective and specific needs identified at the chosen health clinic.

Initiative:
Propose a solution to improve social justice or health equity for the vulnerable population. Be sure to include the impact the solution can have on the area of need.

Advocacy Method:
Describe an advocacy method (e.g., lobbying, strategic alliance, public awareness campaign) to raise awareness of the clinical strategy recommendation. Be sure to include the target audience.

Influential Factors in Advocacy:
Discuss how the recommended advocacy method is impacted by bias, values, or beliefs. Be sure to address one impact for each of the following:

Local population

Individual (you)

Political organizations

What to Submit

To complete this project, you must submit the following:

Submit your
Project One Presentation Template
or a completed PowerPoint presentation of your own design with speaker notes submitted as an additional Word document. Submission should include 10 to 15 slides that follows APA Style standards. Audio can be recorded optionally. The title and reference pages are not included in the slide count. Sources should be cited according to APA style. Use the “PowerPoint Speaker Notes Template” in the Supporting Materials section to submit your speaker notes.

Alternatively, you can submit a completed
Project One Presentation Template Text-Only Version
. Your submission should be a 5- to 7-page Word document that follows APA Style standards. The title and reference pages are not included in the page count. Sources should be cited according to APA style.

Supporting Materials

The following resources support your work on the project:

Shapiro Library FAQ:

How Can I Make an Effective PowerPoint Presentation?

Use this resource for support on creating your PowerPoint.

Reading:

Record a Presentation

Use this resource for support on creating your presentation in PowerPoint.

Reading:

How to – Add Audio to a PowerPoint Presentation in Office 365

Use this SNHU Knowledge Base article for support on adding audio to a presentation in PowerPoint.

Reading:
Record a Slide Show With Narration and Slide Timings

Use this resource for a step-by-step tutorial on how to add audio recording to a PowerPoint presentation.

Reading:
PowerPoint Speaker Notes Tutorial

Use this resource to help with adding speaker notes to your presentation.

Project One Rubric

Criteria

Exemplary (100%)

Proficient (85%)

Needs Improvement (55%)

Not Evident (0%)

Value

Social Determinant of Health