Literature Review and Evidence-Based Practice Recommendations

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Literature Review and Evidence-Based Practice RecommendationsLiterature Review and Evidence-Based Practice RecommendationsPlease only use articles published in the last 5 years or less.problem: lack of, or inadequate health insurance related to equity, access, affordability, and/or social justiceSee attached the first part of this paper. Literature Review and Evidence-Based Practice RecommendationsIn the first part of this project, you identified a consumer challenge related to equity, access, affordability, and/or social justice in health care and analyzed the impact of legislation on the problem. Now, you will be searching the literature to identify potential solutions and ways of recommending them. UMUC Literature Review and Evidence-Based Practice RecommendationsSearching for evidence is a critical step in evidence-based practice. You must perform this step to be prepared to offer evidence-based solutions. In this assignment, you will conduct a literature review to find evidence-based approaches to address your identified issue.Completion of this assignment will demonstrate your achievement of the following course outcomes:4. analyze the impact of sociocultural, economic, and environmental influences on health care policies to understand consumer challenges related to equity, access, affordability, and social justice in health care5. evaluate the political advocacy process to identify opportunities for nursing professional involvementASSIGNMENT GUIDELINESIdentify at least five sources pertinent to the consumer challenge you identified in the first part of this project. At least three of the sources must be articles from professional peer-reviewed publications.In a minimum of 1300 words paper, complete the following:Synthesize your findings from the literature.Based on your findings, identify evidence-based solutions to the problem.Describe methods of advocacy that you could use to present your recommendations.Use APA style for your citations and references.Please review the instructions and let me know if you need clarification.I attached a copy of the first part of this paper, just for reference for part 2. social_justice_part_1_updated.docxORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERSSocial justice part 1: Summary of problem and legislation Adella N Kweyila University of Maryland, Global College NURS 420 Professor Jenkins 8/31/19 Identification of the problem According to World Health Organization (WHO), equity is the lack of unfair, preventable and remediable differences among a set of people, whether they are defined by economy, demography social factors or any other means (WHO, 2019). There are several healthcare issues that are compounded or made worse by lack of equity, access, affordability, and social justice. One of these health care issues is the lack of, or inadequate health insurance. According to the National Center for Health Statistics, 11.1 % of people aged 65 and above were uninsured, while 5.2% of children under the age of 18 were also uninsured. In the age range between 18 to 64, this study also found that 13.3% did not have health insurance (National Health Statistics, 2017) Population affected by this problem The poor and marginalized, racial and ethnic minorities, women, and children tend to be the most affected in this category. The vulnerability of this group of people is compounded by their lack of social, economic, and political power. Therefore, for any solution to be sustainable and practical, the solution must not only target a specific health inequity but must also aim at empowering the affected population to contact and engage their respective political figures to advocate for long lasting legislations that would remedy their situation. (WHO, 2019). Health disparities related to the problem Health disparities are systematic, plausibly and avoidable health differences according to race/ethnicity, skin color, religion, or nationality; socioeconomic resources or position as reflected by income, wealth education or occupation, gender, sexual orientation, age, geography, disability, illness, political or other affiliation; or other characteristics associated with discrimination or marginalization (Braveman, Kumanyika, Fielding, LaVeist, Borrell, Manderscheid, & Troutman, 2011). Healthcare disparities reflect the social advantage or disadvantage placed on an individual or group, based on their position in a social hierarchy. Disparities in health and healthcare have been around, unfortunately, for more than two centuries. Evidence suggests that health disparities in ethnic and racial minorities have always been a problem, and the progress towards eliminating these disparities over the years have been very little and slow. (Baldwin, 2013). It is well documented that ethnic/racial minorities are disproportionately affected by many healthcare conditions that impact their overall health in comparison to their white counterparts (Baldwin, 2003). Unfortunately, the reasons for the existence of ethnic and racial disparities tend to be very complex. These reasons include, but not limited to; socioeconomic status, health behaviors of the minority groups, access to health care, environmental factors, and direct and indirect manifestations of discrimination.Other reasons cited for health disparities include lack of health insurance (Collins, Hall, & Neuhaus, 1999), over dependence on publicly funded facilities by minority groups, and barriers to health care such as insufficient transportation, geographical location (not enough providers in an area), and cost of services (Collins et al., 1999). It should be noted that health disparities are not only limited to medical care, but also the quality of social and physical conditions in which people live, work, learn, and play. Evidence of disparities in health determinants is thus relevant in assessing disparities in health. Society will generally be more motivated to address health differences that appear to result from modifiable circumstances over which individuals may have little control. (Braveman et al, 2011) Legislation and/or political activities related to the problem. Health Equity and Accountability Act of 2018 is one of the legislative acts which aim at improving the health of minority individuals. This act aims at making advancements of affordable care act (ACA). Other stakeholders of health such as the CDC and the World Health Organization are also responsible for advocating for the bill. CDC and their partners use CDC health disparities & inequalities report –United States 2013 and disparities analytics fact sheets and topics table to create awareness and understand the groups which are more vulnerable. The findings will also help in motivating the increased efforts to intervene at tribal, state, and local levels to address best the health inequalities and disparities (Penman-Aguilar, Talih, Huang, Moonesinghe, Bouye & Beckles, 2016). Healthy people 2020 aims to achieve equity in health, get rid of inequalities, and better the health of all the groups. To accomplish this, there is a need to value everyone equally with focused and ongoing efforts in the society to address the inequalities which can be avoided, contemporary and historical injustices and get rid of the health and health care disparities. (Baldwin 2003). Effect of Legislature on consumer Gaining insurance coverage through the expansions decreased the probability of not receiving medical care between 20.9% and 25% while gaining insurance coverage also increased the probability of having a primary place of care. These findings suggest that not only has the ACA decreased the number of uninsured Americans but has substantially improved access to care for those who gained coverage. (Glied, Ma, and Borja, 2017). Many prior studies had also examined the relationship between insurance coverage and access to care. And virtually all have found that people with health insurance, whether Medicaid or private coverage, have better access to services (Glied et al, 2017). Before implementation of the ACA’s coverage expansions, many Americans had inadequate access to care. However, on an individual basis, gaining insurance coverage through the ACA has decreased the probability of not receiving medical care because of costs. It is worth noting that others have argued that the insurance coverage provided to consumers under the ACA provides insufficient protection against high costs and offers such limited networks that the newly insured cannot find care. Although these arguments imply that the ACA has not improved access to healthcare, there is ample evidence, however, based on this analysis, that this implication or assumption is false. (Glied et al, 2017) …Purchase answer to see full attachmentStudent has agreed that all tutoring, explanations, and answers provided by the tutor will be used to help in the learning process and in accordance with Studypool’s honor code & terms of service. Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10 Order NowjQuery(document).ready(function($) { $.post(‘’, {action: ‘wpt_view_count’, id: ‘12709’});});jQuery(document).ready(function($) { $.post(‘’, {action: ‘mts_view_count’, id: ‘12709’});});

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