Table of Contents
NURS FPX 6618 Mobilizing Care for an Immigrant Population Paper Example
NURS FPX 6618 Assessment 2 Mobilizing Care for an Immigrant Population
NURS FPX 6618 Mobilizing Care for an Immigrant Population Paper Assignment Brief
Course: NURS-FPX 6618 Leadership in Care Coordination
Assignment Title: NURS FPX 6618 Assessment 2 Mobilizing Care for an Immigrant Population
Assignment Overview & Understanding Assignment Objectives
This assignment seeks to evaluate your ability to develop a project plan to mobilize coordinated care for an immigrant or refugee population and draft an organizational policy addressing care for this group. You will assume the role of Director of Care Coordination and use your chosen practice setting from Assessment 1 to guide your project plan and policy development.
The Student’s Role
As the Director of Care Coordination, your role is to identify the healthcare needs of an undocumented immigrant or refugee population and develop strategies to address those needs effectively. You will analyze current organizational policies and assess assumptions and biases associated with caring for immigrant populations. Additionally, you will evaluate existing U.S. healthcare policies to ensure fair and ethical treatment for immigrant and refugee communities.
Competencies Measured
This assignment measures your ability to:
- Develop a project plan to address the healthcare needs of an immigrant or refugee population.
- Analyze organizational policies related to immigrant and refugee healthcare.
- Evaluate assumptions, biases, and cultural influences affecting access to care.
- Assess the impact of U.S. healthcare policies on immigrant and refugee populations.
- Communicate ideas clearly and concisely using correct grammar, mechanics, and APA style formatting.
You Can Also Check Other Related Assessments for the NURS-FPX 6618 Leadership in Care Coordination Course:
NURS FPX 6618 Assessment 1 Planning and Presenting a Care Coordination Project Example
NURS FPX 6618 Mobilizing Care for an Immigrant Population Paper Example
Introduction
In the contemporary context of globalization, the United States grapples with the challenge of accommodating and providing adequate healthcare to its diverse immigrant population, among which Mexican immigrants represent a significant demographic (American Immigration Council, 2021). This paper aims to elucidate the healthcare needs of Mexican immigrants in the United States and propose strategies for mobilizing care to address these needs effectively.
Rationale for Addressing Healthcare Needs
Mexican immigrants encounter formidable barriers to accessing healthcare services in the United States, including but not limited to, lack of health insurance, linguistic challenges, and cultural disparities (Bustamante et al., 2018). These barriers engender disparities in healthcare access and outcomes, exacerbating adverse health outcomes among Mexican immigrants. Consequently, addressing the healthcare needs of this population is imperative to advance health equity and improve overall health outcomes.
Selection Criteria
The selection of Mexican immigrants for this project is predicated on several criteria, including their substantial presence within the immigrant population, pressing healthcare needs, and vulnerability to various social, economic, and health-related challenges (The Library of Congress, n.d.). Notably, Mexican immigrants constitute one of the largest immigrant groups in the United States, with significant contributions to the labor force and cultural diversity (American Immigration Council, 2021). Their socioeconomic status, cultural background, and legal status within the country further underscore the importance of addressing their healthcare needs.
Assessing the Healthcare Needs
Utilizing the SWOT analysis framework, a comprehensive assessment of the healthcare needs of Mexican immigrants reveals a myriad of internal and external factors impacting healthcare access and outcomes. Weaknesses such as lack of health insurance coverage, language barriers, and limited awareness of available healthcare resources hinder access to care (National Alliance on Mental Illness, n.d.). Moreover, cultural differences and stigma surrounding immigration status pose additional challenges to healthcare utilization among Mexican immigrants. Opportunities for intervention include collaboration with community organizations, implementation of culturally competent healthcare practices, and advocacy for policy changes to improve healthcare access.
Characteristics That Define the Population
Mexican immigrants manifest diverse demographic and cultural characteristics that underscore the complexity of their healthcare needs. These include age distribution, gender representation, socioeconomic status, cultural background, and legal status within the United States (American Immigration Council, 2021). Notably, Mexican immigrants often belong to economically disadvantaged backgrounds, with limited educational attainment and employment opportunities. Cultural beliefs and practices, such as the importance of family and spirituality, significantly influence healthcare-seeking behaviors among Mexican immigrants (Canún, 2022). Understanding these cultural nuances is crucial for developing effective healthcare interventions tailored to the needs of the population.
Identifying Organizations & Stakeholders
A spectrum of organizations and stakeholders play pivotal roles in providing care for Mexican immigrants, including community health centers, nonprofit organizations, local government agencies, and faith-based organizations (The Office of Minority Health, n.d.). These entities collaborate to facilitate access to healthcare services and address the unique needs of Mexican immigrants. For example, community health centers serve as primary care providers for many Mexican immigrants, offering culturally competent care and support services. Nonprofit organizations focused on immigrant rights and advocacy provide essential resources and assistance to undocumented immigrants, while local government agencies collaborate with healthcare providers to enhance healthcare access.
Interpreting Current Organizational Policies for Healthcare Provision
Current organizational policies, notably the Affordable Care Act (ACA) and the Emergency Medical Treatment and Labor Act (EMTALA), serve as guiding frameworks for healthcare provision to Mexican immigrants in the United States. While the ACA extends healthcare coverage to a broader population, undocumented immigrants remain ineligible (National Immigration Forum, 2022). Consequently, Mexican immigrants without legal residency status face significant barriers to accessing affordable healthcare services. Conversely, EMTALA mandates emergency medical treatment for all individuals, irrespective of immigration status (Centers for Medicare & Medicaid Services, n.d.). This policy ensures that Mexican immigrants receive critical emergency care when needed, although it does not address their broader healthcare needs.
Assumptions & Biases Associated
Assumptions and biases inherent within the healthcare system impede equitable access to care for Mexican immigrants. These encompass cultural barriers, language disparities, and socioeconomic inequities that perpetuate disparities in healthcare access and outcomes (Gast et al., 2017). For instance, healthcare providers may hold implicit biases against Mexican immigrants, leading to substandard care or discriminatory treatment. Moreover, cultural and linguistic differences can create barriers to effective communication and understanding between healthcare providers and Mexican immigrants, resulting in misunderstandings and mistrust.
Evaluating Two U.S. Health Care Policies
The Affordable Care Act (ACA) and the Emergency Medical Treatment and Labor Act (EMTALA) constitute pivotal healthcare policies shaping the landscape of healthcare provision for Mexican immigrants in the United States. While the ACA extends healthcare coverage to a broader population, undocumented immigrants remain ineligible (National Immigration Forum, 2022). Consequently, Mexican immigrants without legal residency status face significant barriers to accessing affordable healthcare services. Conversely, EMTALA mandates emergency medical treatment for all individuals, irrespective of immigration status (Centers for Medicare & Medicaid Services, n.d.). This policy ensures that Mexican immigrants receive critical emergency care when needed, although it does not address their broader healthcare needs.
Conclusion
In summation, the imperative to address the healthcare needs of Mexican immigrants necessitates a multifaceted approach that entails collaboration between healthcare providers, community organizations, policymakers, and other stakeholders. By mobilizing coordinated care, implementing culturally competent practices, and advocating for policy changes, equitable access to healthcare services can be achieved, thereby advancing health equity for Mexican immigrant communities. Efforts to address assumptions and biases within the healthcare system are also essential to ensure fair and ethical treatment for all individuals, regardless of their immigration status.
References
American Immigration Council. (2021). Immigrants in the United States. https://www.americanimmigrationcouncil.org/research/immigrants-in-the-united-states
Bustamante, A. V., McKenna, R. M., Viana, J., Ortega, A. N., & Chen, J. (2018). Access-to-care differences between Mexican heritage and other Latinos in California after the affordable care act. Health Affairs, 37(9), 1400–1408. https://doi.org/10.1377/hlthaff.2018.0416
Canún, N. (2022, January 18). The Powerful Role of Family in Hispanic Culture [Unlike U.S. Culture]. Homeschool Spanish Academy. https://www.spanish.academy/blog/the-powerful-role-of-family-in-hispanic-culture-unlike-u-s-culture/
Centers for Medicare & Medicaid Services. (n.d.). Emergency Medical Treatment & Labor Act (EMTALA) | CMS. https://www.cms.gov/regulations-and-guidance/legislation/emtala
Gast, J., Peak, T., & Hunt, A. (2017). Latino health behavior: An exploratory analysis of health risk and health protective factors in a community sample. American Journal of Lifestyle Medicine, 14(1), 97–106. https://doi.org/10.1177/1559827617716613
National Alliance on Mental Illness. (n.d.). Immigrant and Refugee Health. https://www.nami.org/Find-Support/Diverse-Communities/Immigrant-and-Refugee-Mental-Health
National Immigration Forum. (2022, September 21). Fact Sheet: Undocumented Immigrants and Federal Health Care Benefits. https://immigrationforum.org/article/fact-sheet-undocumented-immigrants-and-federal-health-care-benefits/
The Library of Congress. (n.d.). A Growing Community | Mexican | Immigration, and Relocation in U.S. History | Classroom Materials at the Library of Congress | Library of Congress. https://www.loc.gov/classroom-materials/immigration/mexican/a-growing-community
The Office of Minority Health. (n.d.). National Alliance for Hispanic Health – The Office of Minority Health. https://minorityhealth.hhs.gov/omh/content.aspx?ID=9142
Detailed Assessment Instructions for the NURS FPX 6618 Mobilizing Care for an Immigrant Population Paper Example
Assessment 2 Instructions: Mobilizing Care for an Immigrant Population
Top of Form
Bottom of Form
- Develop a project plan to mobilize coordinated care for an immigrant or refugee population. Then, draft a 4–5 page organizational policy addressing care for this group, informed by the project plan, that meets current standards of practice.
Introduction
Note: The assessments in this course build upon the work you have completed in the previous assessments. Therefore, complete the assessments in the order in which they are presented.
The United States’ evolving diversity brings prospects and challenges for health care providers, health care systems, and policymakers to produce and deliver culturally-competent services for immigrant and refugee populations. For example, improving health outcomes for undocumented immigrant populations present unique and often difficult challenges for care coordinators at all levels. New arrivals in a community bring with them different cultural backgrounds, beliefs, perceptions, and biases that may influence their seeking access to care and exacerbate health disparities. In addition, they may struggle to navigate a complex and sometimes bewildering health care system.
This assessment provides an opportunity for you to examine an undocumented immigrant population of your choice, develop a project plan to address their care coordination needs, and craft an organizational policy addressing care that meets current standards of practice.
Note: Your work in Assessment 1 will inform your work in this assessment. Therefore, complete the assessments in the order in which they are presented.
Preparation
For this assessment, you will assume the role of Director of Care Coordination in the same practice setting you chose for Assessment 1. Within this context, you will develop a project plan to provide health care for an undocumented immigrant or refugee population of your choice. The population may be of local, national, or international interest, but must not have obtained permanent U.S. residency status.
After completing your project plan, you will then compose an organizational policy that addresses care for this group.
Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.
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Requirements
For this assessment:
- Develop a project plan to mobilize coordinated care for an undocumented immigrant or refugee population. Use the care coordination project plan you developed in Assessment 1 as a model for your project plan in this assessment. Include, in your plan, whatever information is appropriate for the specific population you have chosen to address.
- Compose an organizational policy addressing care for this group, informed by your project plan, that meets current standards of practice.
Project Plan and Policy Document Format and Length
Format your project plan and policy document using APA style.
. Use the APA Style Paper Tutorial [DOCX] to help you in writing and formatting your documents. There is not page length requirement for your project plan but be sure to include:
. A title page and references page. An abstract is not required.
. A running head on all pages.
. Appropriate section headings.
- Your policy document should be 4–5 pages in length, not includingthe title page and references page.
Supporting Evidence
Cite a combined total of 6–8 sources of scholarly or professional evidence to support your project plan and policy document.
Developing Your Project Plan and Policy Document
Note: The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that, at a minimum, you address each criterion. You may also want to read the Mobilizing Care for an Immigrant Population scoring guide to better understand how each criterion will be assessed.
Project Plan
- Provide a rationale for addressing the health care needs of the chosen undocumented immigrant or refugee population.
. Explain why you chose this particular population for your project plan.
. What criteria did you apply to your selection?
- Assess the health care needs of the chosen population.
. Apply a project management tool or model (SWOT, AI, Six Sigma) that you are familiar with or use in your organization.
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. What evidence supports your conclusions?
- Identify the organizations and stakeholders who must participate in caring for the chosen population.
. Consider coordinated care on a local, state, national, or international level, as applicable.
Policy Document
- Describe the characteristics that define the chosen population.
. Provide demographic information, such as the age, gender(s), location, social, psychological, economic, political, cultural, or other characteristics of the population that you believe are important.
- Interpret current policies in your organization for providing health care for immigrants and refugees who do not have permanent resident status in the United States.
. What are the key policy elements that guide practice?
. Do the policies and practices keep pace with environmental changes and current legislation?
- Analyze assumptions and biases associated with a particular immigrant or refugee population, and the influence of culture and linguistic differences on access to care.
. Do any of the assumptions have merit?
. What assumptions or biases might be particularly pernicious or harmful as the basis for decision making?
. How can culture and linguistic differences affect access to care?
- Evaluate two U.S. health care policies, national initiatives, or pieces of legislation that provide guidance on current standards of care for immigrant or refugee populations.
. Do these policies, initiatives, or laws guarantee fair and ethical treatment?
. Do they provide a sufficient basis for guiding professional practice in the provision of safe, high-quality, and equitable care?
Communications and Information Literacy
- Write clearly and concisely, using correct grammar and mechanics.
. Express your main points and conclusions coherently.
. Proofread your writing to minimize errors that could distract readers and make it difficult to focus on the substance of your evaluation.
- Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
. Is your supporting evidence clear and explicit?
. How or why does particular evidence support a claim?
. Will your audience see the connections?
Additional Requirements
Be sure that you have used the APA Style Paper Tutorial [DOCX] to format your project plan and policy document. Also, be sure that each document includes:
- A title page and references page.
- A running head on all pages.
- Appropriate section headings.
In addition, be sure that:
- Your policy document is approximately 4–5 pages in length, not including the title page and references page.
- You have cited a combined total of 6–8 sources of relevant and credible scholarly or professional evidence to support your project plan and policy document.
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Portfolio Prompt: You may choose to save your project plan and policy document to your ePortfolio.
How to use the scoring guide
Mobilizing Care for an Immigrant Population Scoring Guide
Use the scoring guide to enhance your learning.
VIEW SCORING GUIDE
This button will take you to the next available assessment attempt tab, where you will be able to submit your assessment.
SUBMIT ASSESSMENT
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By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Propose a project for change, for a community or population, within a care coordination setting.
Provide the rationale for addressing the health care needs of a particular immigrant or refugee population. Describe the characteristics that define a particular immigrant or refugee population. Interpret current organizational policies for providing health care to immigrants and refugees in the United States.
Competency 2: Align care coordination resources with community health care needs. Assess the health care needs of a particular immigrant or refugee population.
Competency 3: Apply project management best practices to affect ethical practice and support positive health outcomes in the delivery of safe, culturally competent care in compliance with applicable regulatory requirements.
Analyze assumptions and biases associated with a particular immigrant or refugee population and the influence of culture and linguistic differences on access to care. Evaluate two U.S. health care policies, national initiatives, or pieces of legislation that provide guidance on current standards of care for immigrant and refugee populations.
Competency 4: Identify ways in which the care coordinator leader supports collaboration between key stakeholders in the care coordination process.
Details Attempt 1 Evaluated Attempt 2 Available Attempt 3
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Identify the organizations and stakeholders who must participate in caring for a particular immigrant or refugee population.
Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.
Write clearly and concisely, using correct grammar and mechanics. Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
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Competency Map
Use this online tool to track your performance and progress through your course.
CHECK YOUR PROGRESS
Resources
Cultural Competence
Breen, C., Altman, L., Ging, J., Deverell, M., Woolfenden, S., & Zurynski, Y. (2018). Significant reductions in tertiary hospital encounters and less travel for families after implementation of paediatric care coordination in Australia. BMC Health Services Research, 18(1), 1–10. Chen, J., DuGoff, E. H., Novak, P., & Wang, M. Q. (2018). Variation of hospital-based adoption of care coordination services by community-level social determinants of health. Health Care Management Review, 1, 1–10. Fernández-Gutiérrez, M., Bas-Sarmiento, P., & Poza-Méndez, M. (2019). Effect of an mHealth intervention to improve health literacy in immigrant populations: A quasi-experimental study. Computers, Informatics, Nursing, 37(3), 142–150. Francis, L., DePriest, K., Wilson, M., & Gross, D. (2018). Child poverty, toxic stress, and social determinants of health: Screening and care coordination. Online Journal of Issues in Nursing, 23(3), 1–11. Li, T., Zhang, H., Shewade, H. D., Soe, K. T., Wang, L., & Du, X. (2018). Patient and health system delays before registration among migrant patients with tuberculosis who were transferred out in China. BMC Health Services Research, 18(1), 1–11. Prymula, R., Shaw, J., Chlibek, R., Urbancikova, I., & Prymulova, K. (2018). Vaccination in newly arrived immigrants to the European Union. Vaccine, 36(36), 5385–5390. Sritharan, B., & Koola, M. M. (2019). Barriers faced by immigrant families of children with autism: A program to address the challenges. Asian Journal of Psychiatry, 39, 53–57. Wylie, L., Van Meyel, R., Harder, H., Sukhera, J., Luc, C., Ganjavi, H., . . . Wardrop, N. (2018). Assessing trauma in a transcultural context: Challenges in mental health care with immigrants and refugees. Public Health Reviews, 39(1), 1–20.
Law, Policy, and Ethics
DeYoung, S. E. (2019). Time for coalitions to protect immigrant health. American Journal of Public Health, 109(4), 519. Luque, J. S., Soulen, G., Davila, C. B., & Cartmell, K. (2018). Access to health care for uninsured Latina immigrants in South Carolina. BMC Health Services Research, 18(1), 310–312.
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Van Natta, M., Burke, N. J., Yen, I. H., Fleming, M. D., Hanssmann, C. L., Rasidjan, M. P., & Shim, J. K. (2019). Stratified citizenship, stratified health: Examining Latinx legal status in the U.S. healthcare safety net. Social Science & Medicine, 220, 49–55.
Coordinating Care With Immigrant Populations
Markkula, N., Cabieses, B., Lehti, V., Uphoff, E., Astorga, S., & Stutzin, F. (2018). Use of health services among international migrant children: A systematic review. Globalization and Health, 14(1), 1–10. Trost, M., Wanke, E. M., Ohlendorf, D., Klingelhöfer, D., Braun, M., Bauer, J., . . . Brüggmann, D. (2018). Immigration: Analysis, trends and outlook on the global research activity. Journal of Global Health, 8(1), 1–11.
Research Resources
You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN Program Library Research Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you.
Writing Resources
You are encouraged to explore the following writing resources. You can use them to improve your writing skills and as source materials for seeking answers to specific questions.
APA Module. Academic Honesty & APA Style and Formatting. APA Style Paper Tutorial [DOCX].
Capella Resources
Smarthinking. ePortfolio.
This resource provides information about ePortfolio, including how to use the different features of the product.
Additional Resources
The following resources are books you may have used in your previous Care Coordination courses. You may find them helpful in providing background information for this course as well.
American Academy of Ambulatory Care Nursing. (2016). Scope and standards of practice for registered nurses in care coordination and transition management. Pitman, NJ: Author. American Nurses Association. (2018). Care coordination: A blueprint for action for RNs. Silver Spring, MD: Author.
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