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NURS FPX 5003 Assessment 2: Interview of Healthcare Professional

Assessment 2: Interview of Healthcare Professional

Name

Capella University

NURS-FPX 5003

Professor’s Name

May, 2024

Interview of Healthcare Professional

Interviews with healthcare professionals provide invaluable insights into how organizations address healthcare needs and promote quality care. In my recent interview with Dr. Rachel Johnson, Chief Medical Officer at Mercy Medical Centre, we delved into the strategies employed by the organization to enhance care quality for diabetes patients in California. Dr. Johnson emphasized aligning these strategies with the National CLAS Standards to ensure cultural and linguistic competence. The organization has implemented tailored communication protocols to bridge the gap between healthcare providers and diverse patient populations, focusing on clear language, culturally sensitive materials, and interpreter services where necessary.

Furthermore, Dr. Johnson highlighted the benefits of meeting the National CLAS Standards, noting that it improves patient-provider communication and enhances trust, engagement, and health outcomes among diverse communities (Golden, 2022). Mercy Medical Centre Healthcare’s strengths in this area lie in its robust clinical prevention programs, population health initiatives, and targeted interventions to address health disparities among vulnerable populations affected by diabetes. However, challenges such as resource allocation, training staff on cultural competency, and maintaining consistency across all levels of care were also acknowledged as areas requiring continuous improvement to meet the National CLAS Standards.

Strategies Implemented by the Organization

Patient Education Programs

Mercy Medical Centre implements comprehensive programs focused on diabetes management. Patient education programs include individualized counseling sessions, group education workshops, and multimedia resources to educate patients about diabetes, its complications, and self-management strategies (Hildebrand et al., 2020). By empowering patients with knowledge and skills, Mercy Medical Centre strives to enhance patient results and alleviate the impact of complications associated with diabetes.

Multidisciplinary Care Teams

The organization utilizes multidisciplinary care teams consisting of healthcare professionals such as endocrinologists, diabetes educators, dietitians, and social workers. These teams collaborate to deliver customized care plans designed to meet the unique requirements of individual patients (Sorber & Abularrage, 2021). By leveraging the expertise of diverse healthcare professionals, Mercy Medical Centre ensures comprehensive and holistic care for individuals with diabetes, addressing not just medical needs but also psychosocial and lifestyle factors.

Technology Integration

Mercy Medical Centre integrates technology solutions such as telehealth services, remote monitoring devices, and electronic health records (EHRs) to enhance diabetes care delivery. Telehealth services facilitate virtual appointments and remote supervision, enhancing healthcare accessibility for patients residing in distant or underprivileged regions (Kao et al., 2020). Electronic Health Records (EHRs) promote effortless exchange of information among healthcare professionals, guaranteeing a consistent flow of patient care and promoting evidence-based practices in diabetes management.

Criteria for Evaluation of the Strategies

To evaluate the effectiveness of these strategies, Mercy Medical Centre can consider the following criteria:

Patient Outcomes

Assessing patient outcomes such as glycemic control, adherence to treatment plans, incidence of diabetes-related complications, and patient satisfaction with care (Abera et al., 2022).

Healthcare Quality Metrics

Monitoring healthcare quality metrics such as adherence to clinical guidelines, rates of preventive screenings, continuity of care, and patient engagement in self-management.

Cost-effectiveness

Evaluating the cost-effectiveness of implemented strategies by analyzing healthcare utilization, resource allocation, and return on investment in terms of improved health outcomes and reduced long-term costs.

By evaluating these criteria, Mercy Medical Centre can measure the impact of its strategies on improving diabetes care and outcomes, conforming to the National CLAS Standards to deliver a linguistic and cultural perspective suitable care to diverse communities impacted by diabetes.

Benefits of Meeting the National CLAS Standards

Certainly! Here are long and clearly explained paragraphs addressing the benefits of meeting the National CLAS Standards for a healthcare organization like Mercy Medical Centre in addressing the identified healthcare needs of the diverse population in California related to diabetes:

Improved Patient Outcomes and Satisfaction

Meeting the National CLAS Standards enhances patient outcomes and satisfaction by promoting culturally and linguistically appropriate services. Patients from diverse backgrounds feel more understood and respected, leading to better engagement with healthcare services (Ocloo et al., 2021). This inclusivity fosters trust between patients and healthcare providers, resulting in improved treatment adherence, reduced medical errors, and ultimately, better health outcomes.

Enhanced Access to Healthcare Services

Adhering to the National CLAS Standards ensures that healthcare services are accessible to all individuals, regardless of their cultural or linguistic backgrounds. This inclusivity extends to marginalized and vulnerable populations, such as non-english speakers or ethnic minorities, who may face barriers to accessing healthcare. By addressing these barriers, healthcare organizations like Mercy Medical Centre can reach a broader patient base and ensure equitable healthcare delivery.

Culturally Competent Care Delivery

Compliance with the National CLAS Standards promotes cultural competence among healthcare providers. This requires comprehension and appreciation of the cultural beliefs, values, and customs of different patient groups. Culturally competent care leads to more accurate diagnoses, personalized treatment plans, and culturally sensitive communication, all of which contribute to better health outcomes and patient satisfaction (Young & Guo, 2020).

Reduced Health Disparities

Meeting the National CLAS Standards is instrumental in reducing health disparities among diverse populations. By addressing cultural and linguistic barriers, healthcare organizations can bridge gaps in healthcare access and quality. This proactive approach helps in identifying and addressing health disparities early, leading to more effective interventions and improved health equity across different demographic groups.

Legal and Ethical Compliance

Adhering to the National CLAS Standards ensures legal and ethical compliance in healthcare delivery. It aligns healthcare practices with federal regulations and guidelines, promoting fairness, transparency, and accountability in patient care (Singhal et al., 2024). This compliance not only protects the rights of patients but also upholds the ethical principles of healthcare, such as respect for diversity, patient autonomy, and non-discrimination.

By incorporating these benefits into their practices, healthcare organizations like Mercy Medical Centre can create a more inclusive and patient-centered healthcare environment, resulting in better health results and improved standards of care for the diverse demographic impacted by diabetes in California.

Strengths in Addressing the National CLAS Standards

There are several strengths to address the National CLAS Standards:

Cultural Competence and Sensitivity

Mercy Medical Centre demonstrates a strong commitment to cultural competence and sensitivity. They developed tailored communication strategies that respect the cultural beliefs, practices, and languages of diverse populations within California. This ensures that patients receive information in a manner that they can understand and relate to, improving patient-provider communication and trust.

Language Access

The institution demonstrates proficiency in offering language support services such as interpreters and translated resources, addressing linguistic hurdles effectively (AuYoung et al., 2022). This proactive approach ensures that patients with limited English proficiency can fully participate in their healthcare decision-making process and receive quality care tailored to their needs.

Community Engagement

Mercy Medical Centre actively engages with the community to comprehend the distinct healthcare requirements and obstacles encountered by varied demographic groups. By collaborating with community leaders, organizations, and stakeholders, they develop targeted health promotion and education programs that resonate with the community, leading to better health outcomes and increased health literacy.

Patient-Centered Care

The organization prioritizes patient-centered care by involving patients in decision-making, respecting their preferences and values, and promoting shared decision-making (Grover et al., 2021). This approach fosters a supportive healthcare environment where patients feel empowered and valued, contributing to improved treatment adherence and health outcomes.

Training and Education

Mercy Medical Centre invests in ongoing training and education for healthcare providers to enhance their cultural competence, communication skills, and understanding of health disparities. This continuous learning culture ensures that providers are equipped to deliver equitable and patient-centered care to diverse populations, addressing health disparities effectively.

Challenges in Addressing the National CLAS Standards

Exploring the difficulties in meeting the Standards and pinpointing areas of insufficient understanding regarding clinical prevention, public health, and health inequalities in varied and at-risk communities:

Cultural Competence Training

One significant challenge faced by healthcare organizations in addressing the National CLAS Standards is the need for comprehensive cultural competence training among healthcare providers (Hurrell et al., 2021). While awareness of cultural differences is crucial, translating this awareness into practical skills that improve patient-provider communication and care delivery can be complex. Healthcare institutions must invest in ongoing training programs that go beyond basic cultural awareness to include communication strategies, cultural humility, and addressing implicit biases.

Language Access Services

Another obstacle involves guaranteeing efficient language assistance for patients with limited proficiency in English. Providing interpreters or translated materials is essential but can be logistically challenging, especially in areas with diverse language needs (Ramirez et al., 2022). Healthcare organizations must navigate issues such as interpreter availability, quality of translation services, and ensuring confidentiality during language interpretation.

Health Literacy and Education

Addressing health literacy levels among diverse populations poses a significant challenge. Many communities face barriers related to understanding healthcare information, navigating complex health systems, and making informed decisions about their health. Healthcare organizations must develop culturally appropriate educational materials, utilize plain language communication, and engage in community outreach to improve health literacy and promote patient empowerment.

Social Determinants of Health

Healthcare organizations often struggle to tackle the factors influencing health disparities known as social determinants of health (SDOH) among diverse and vulnerable populations. Factors such as socioeconomic status, access to healthy food, housing stability, and transportation can significantly impact health outcomes (Magnan, 2021). Organizations need to collaborate with community partners, advocate for policy changes, and implement interventions that address SDOH to achieve equitable healthcare delivery.

Data Collection and Disaggregation

Collecting and disaggregating data to identify disparities and track progress in addressing health inequities is a challenge for many healthcare organizations. Without accurate data on race, ethnicity, language preference, socioeconomic status, and other demographic factors, it is difficult to measure the impact of interventions and tailor care appropriately. Improved data collection methods and standardized reporting practices are needed to support equity-focused initiatives.

Knowledge Gaps

Significant knowledge gaps exist in assessing the effectiveness of cultural competence initiatives among healthcare providers, understanding the impact of language access services on promoting linguistic and cultural concordance, evaluating the long-term effectiveness and scalability of interventions targeting social determinants of health, establishing standardized approaches to collect and report demographic data that prioritize inclusivity and accuracy, and comprehensively addressing the intersectionality of multiple social identities in shaping health disparities. Research is needed to develop validated assessment tools for cultural competence, examine the effectiveness of language access services and interventions addressing social determinants, establish equitable data collection and reporting practices, and explore the complex interplay of social identities in healthcare disparities.

Strategies to Ensure Clear Communication

Cultural Competence Training

Healthcare institutions have the option to offer training on cultural competence to their employees to ensure they understand the diverse backgrounds of patients and communities. This training includes awareness of cultural beliefs, values, and practices that may impact communication and healthcare decisions (Lekas et al., 2020). By promoting cultural competence, organizations can foster trust and improve communication with diverse populations.

Language Services

Offering language interpretation and translation services is crucial for effective communication with non-English-speaking patients. This includes providing access to qualified interpreters, translating written materials into multiple languages, and using language assistance tools during patient-provider interactions  (Ramirez et al., 2022). Language services help bridge communication gaps and ensure patients understand their healthcare information accurately.

Health Literacy Initiatives

Implementing health literacy initiatives involves creating patient education materials that are easy to understand, using plain language, visual aids, and interactive tools. Health literacy programs aim to empower patients to make informed decisions about their health by improving their understanding of medical terminology, treatment options, and preventive measures. Clear and concise communication enhances patient engagement and promotes better health outcomes.

Community Engagement

Engaging with community organizations and leaders is essential for effective communication about health promotion and education. Healthcare organizations can collaborate with community partners to host health fairs, workshops, and outreach events tailored to specific cultural and linguistic needs (Stellefson et al., 2020). Building strong relationships with the community fosters trust, encourages active participation in healthcare initiatives, and ensures that communication strategies are culturally relevant and effective.

By implementing these strategies, healthcare organizations can enhance communication with diverse populations, promote health literacy, and enhance the quality of care for patients with diabetes in California.

NURS FPX 5003 Assessment 2: Interview of Healthcare Professional Conclusion

Effective communication strategies are paramount in meeting the healthcare requirements of varied demographic groups, particularly regarding diabetes management in California. Through cultural competence training, language services, health literacy initiatives, and community engagement, healthcare organizations can improve communication with patients and communities, leading to better health outcomes and quality of care. These strategies enhance patient-provider interactions and promote patient empowerment, trust, and engagement in healthcare decision-making. By aligning communication practices with the National CLAS Standards, healthcare organizations can ensure that their services are accessible, equitable, and culturally sensitive, ultimately contributing to improved health outcomes and reduced health disparities among diverse and vulnerable populations affected by diabetes in California.

NURS FPX 5003 Assessment 2: Interview of Healthcare Professional References

Abera, R. G., Demesse, E. S., & Boko, W. D. (2022). Evaluation of glycemic control and related factors among outpatients with type 2 diabetes at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. BMC Endocrine Disorders, 22(1). https://doi.org/10.1186/s12902-022-00974-z

AuYoung, M., Rodriguez, P., Chen, W., Juturu, P., Young, M.E., Casillas, A., Adkins, P., Hopfer, S., Kissam, E., Alo, A. K., Vargas, R. A., & Brown, A. F. (2022). Addressing racial/ethnic inequities in vaccine hesitancy and uptake: Lessons learned from the California alliance against COVID-19. Journal of Behavioral Medicine. https://doi.org/10.1007/s10865-022-00284-8

Golden, S. H. (2022). Disruptive innovations to achieve health equity through healthcare and research transformation. Clinical Pharmacology & Therapeutics. https://doi.org/10.1002/cpt.2812

Grover, S., Fitzpatrick, A., Azim, F. T., Ariza, P., Bellwood, P., Burns, J., Burton, E., Fleig, L., Clemson, L., Hoppmann, C. A., Madden, K. M., Price, M., Langford, D., & Ashe, M. C. (2021). Defining and implementing patient-centered care. Patient Education and Counseling, 105(7). https://doi.org/10.1016/j.pec.2021.11.004

Hildebrand, J. A., Billimek, J., Lee, J. A., Sorkin, D. H., Olshansky, E. F., Clancy, S. L., & Evangelista, L. S. (2020). Effect of diabetes self-management education on glycemic control in Latino adults with type 2 diabetes. Patient Education and Counseling, 103(2). https://doi.org/10.1016/j.pec.2019.09.009

Hurrell, S. R., Cliff, T. L., & Robertson, C. L. (2021). School nurse cultural competency development using the national class standards: A quality improvement project. The Journal of School Nursing, 37(6), 105984051987743. https://doi.org/10.1177/1059840519877436

Kao, D. P., Trinkley, K. E., & Lin, C. T. (2020). Heart failure management innovation enabled by electronic health records. JACC: Heart Failure, 8(3), 223–233. https://doi.org/10.1016/j.jchf.2019.09.008

Magnan, S. (2021). Social determinants of health 201 for health care: Plan, Do, Study, Act. NAM Perspectives, 2021. https://doi.org/10.31478/202106c

Ocloo, J., Garfield, S., Franklin, B. D., & Dawson, S. (2021). Exploring the theory, barriers, and enablers for patient and public involvement across health, social care, and patient safety. Health Research Policy and Systems, 19(1), 1–21. https://doi.org/10.1186/s12961-020-00644-3

Ramirez, N., Shi, K., Yabroff, K. R., Han, X., Fedewa, S. A., & Nogueira, L. M. (2022). Access to care among adults with limited English proficiency. Journal of General Internal Medicine. https://doi.org/10.1007/s11606-022-07690-3

Singhal, A., Neveditsin, N., Tanveer, H., & Mago, V. (2024). Toward fairness, accountability, transparency, and ethics in AI for social media and health care. JMIR Medical Informatics, 12(1), e50048. https://doi.org/10.2196/50048

Sorber, R., & Abularrage, C. J. (2021). Diabetic foot ulcers: Epidemiology and the role of multidisciplinary care teams. Seminars in Vascular Surgery, 34(1), 47–53. https://doi.org/10.1053/j.semvascsurg.2021.02.006

Stellefson, M., Paige, S. R., Chaney, B. H., & Chaney, J. D. (2020). Evolving role of social media in health promotion: Updated responsibilities for health education specialists. International Journal of Environmental Research and Public Health, 17(4), 1153. https://doi.org/10.3390/ijerph17041153

Young, S., & Guo, K. L. (2020). Cultural diversity training: The necessity of cultural competence for health care providers and in nursing practice. The Health Care Manager, 39(2), 100–108. https://doi.org/10.1097/hcm.0000000000000294

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