NURS FPX 6026 Assessment 1 Analysis of Position Papers for Vulnerable Populations

NURS FPX 6026 Assessment 1 Analysis of Position Papers for Vulnerable Populations

Analysis of Position Papers for Vulnerable Populations

The position papers supporting incorporating vulnerable populations impacted by alcohol misuse highlight several significant issues. According to these publications, developing interventions and support systems that are efficient and inclusive requires considering the needs of these particular populations (Wang et al., 2020). They contend that people who are already disadvantaged or experiencing social disadvantages, such as members of low-income groups, the homeless, and those with mental health difficulties, are more likely to be impacted by alcohol misuse.

Position with Regard to Health Outcomes

Alcohol addiction in Native American communities is a serious and pervasive problem that greatly impacts people’s physical and mental health. The World Health Organization (WHO) states that alcohol-related disorders are a serious public health issue, with alcohol consumption considered responsible for 5.1% of all illness and injury burden worldwide (World Health Organization, 2022). According to the Centers for Disease Control and Prevention (CDC), roughly 14.4 million persons in the US who are 18 years of age and older suffer from an alcohol consumption disorder (CDC, 2022).

Current State of Care

In many cases, the current level of treatment for people who drink alcohol in Native American communities falls short of meeting the particular requirements of vulnerable groups. Most patients do not get the best treatment due to financial concerns and less access to care, which will cause depression and anxiety among individuals. The goal to enhance care and outcomes for this population is based on the knowledge that alcohol misuse is a complicated issue driven by social determinants of health, such as poverty, trauma, and a shortage of access to healthcare (Butler et al., 2022). 

Improve the Care and Outcomes

The position paper suggests several approaches to enhance the care and results for those who are alcohol dependent. It underlines the significance of expanding access to evidence-based therapy and rehabilitation options. This involves making more detoxification programs, treatment facilities, and counseling services accessible (Dar et al., 2023). 

Importance of Taking Actions

For several reasons, taking action on this situation is essential. First off, excessive alcohol consumption has negative effects on one’s health, such as liver disease, heart issues, and mental health issues (Rehm & Shield, 2019). The pressure on healthcare systems can be lessened by taking proactive measures to enhance overall health outcomes and lower costs. In addition, tackling alcohol abuse in marginalized populations can help to close health gaps and advance healthcare equality (Rehm & Shield, 2019).

Assumption 

The underlying assumption is that the general health and well-being of the target population may be considerably enhanced by addressing this issue, allocating resources, and putting evidence-based policies into practice (Fishbein & Sloboda, 2022). Better health outcomes are predicted to be possible by developing strategies that target these underlying causes. Furthermore, the strategy is predicated on tackling alcohol consumption in vulnerable populations and requires a multifaceted strategy that includes early intervention, treatment, prevention, and continuous support (Fishbein & Sloboda, 2022).

Role of the Interprofessional Team in Facilitating Improvements

For thorough and successful interventions, the contribution of the interprofessional team in promoting changes for alcohol misuse in the Native American population is essential (Jahan  & Burgess, 2021). Healthcare practitioners, mental health specialists, social service providers, counselors, and individuals are frequently members of an interprofessional team.  The interprofessional team has various important roles to play. Medical professionals, such as doctors and nurses, provide their medical expertise, perform tests, and administer essential treatments. The psychological components of addiction are addressed by mental health specialists offering therapeutic services, such as psychiatrists or counselors (Mukhtar, 2020). Social workers assist people in navigating the social and economic difficulties brought on by alcohol consumption by contacting them with community resources and support services. Community health workers serve as a bridge between the medical staff and the local population by providing assistance, education, and information pertinent to their culture (Mukhtar, 2020).

Interprofessional Approach Better Facilitates Improvements

By addressing the multifaceted nature of the issue, the interprofessional strategy better enables improvements for alcohol consumers (Doherty et al., 2022). Collaboration between experts in several fields enables a comprehensive understanding of the person’s needs, considering their physical, mental, social, and cultural facets. This all-encompassing strategy encourages improved participation and adherence to treatment programs, improves care coordination, and optimizes treatment results (Doherty et al., 2022).

Challenges 

However, the interprofessional team may encounter difficulties collaborating or promoting advances. Communication and coordination between team members from many disciplines can be challenging, necessitating strong collaboration and open lines of interaction. All team members must be sensitive and culturally competent to deal with the cultural and historical aspects that contribute to alcohol misuse in the Native American population (Smith et al., 2022). In addition, a lack of finance or access to specialized services may make it difficult to provide comprehensive care.

Evidence and Positions of Others that Support’s Team’s ApproachTrauma Informed Care, Peer Support, and Community Networks

The main goals of trauma-informed methods are to integrate trauma-sensitive methods into treatments, recognize the effects of trauma on individuals, and establish safe and helpful environments. The team’s strategy aligns with the research by incorporating trauma-informed concepts into their care delivery, such as assessing for trauma and offering trauma-focused therapy across the whole care continuum (Jewkes et al., 2019). Mutual-help support groups, like Alcoholics Anonymous (AA), have been proven to be successful in assisting people in their rehabilitation from alcohol dependence (Kelly et al., 2019). The interprofessional team can link members of the Native American community with these support organizations and offer continuing counseling and inspiration (Kelly et al., 2019). 

Holistic and Integrated Approach

Evidence supports the need for a comprehensive and integrated approach to care for Native Americans who drink alcohol. As a result of recognizing that alcohol consumption has various effects, positions promote the incorporation of the physical, mental, and spiritual facets of health in therapies (Hadjistavropoulos et al., 2019). The interprofessional team can use interventions like Cognitive Behavioral Therapy (CBT) and Motivational Interviewing (MI) for alcohol abuse individuals. The team can support CBT and MI by offering one-on-one or group counseling sessions where people can gain coping mechanisms, create relapse prevention plans, and address the psychological underpinnings of their alcohol misuse A sympathetic and nonjudgmental setting, the inclusion of cultural values and beliefs, and the adaptation of treatments to the particular needs of the Native American population are all aspects of the team’s approach that enhance individuals quality of care (Li et al., 2020).

Knowledge Gaps and Areas for Further Information

Even while interventions are supported by evidence, there are still knowledge gaps and unanswered questions about their precise effectiveness and suitability for the Native American community. Additional study is required to assess the results of these interventions when they are catered to this demographic. To create effective therapies, it’s also essential to comprehend the community’s distinctive cultural practices, healing traditions, and social dynamics (Langford et al., 2019). 

Evidence Contrary to a Team Approach to Improving the Quality

Fragment Care 

Those who hold opposing views can claim that treating alcohol misuse is adequately addressed by a fragmented care system, in which many providers concentrate on different areas of care without coordination (Frazer et al., 2019). They could advise people toward assistance from multiple sources, like primary care doctors, mental health specialists, or community groups. However, it is critical to draw attention to the possible disadvantages, such as a lack of coordination, fragmented care plans, and gaps in the provision of treatment for people who abuse alcohol (Frazer et al., 2019). By highlighting the significance of an integrated strategy, the team can show how cooperation and thorough planning can lead to improved results.

Culture Insensitivity 

Cultural factors may not be important in alcohol consumption interventions, according to opposing viewpoints, who claim that doing so could reinforce stereotypes or separate communities (Carvalho et al., 2019). In response to this, it is essential to emphasize that cultural sensitivity does not involve maintaining stereotypes but rather involves acknowledging the distinctive experiences, customs, and healing methods of the Native American population. By incorporating cultural concerns, the team can better engage people, establish trust, and create interventions consistent with their values and beliefs. Highlighting the team’s dedication to delivering equitable and person-centered care, recognizing the value of cultural competence, and encouraging diversity help to foster buy-in (Komro et al., 2022).

Community Resistance 

Conflicting viewpoints might be a sign of resistance by the Native American community, expressing doubt about outside interventions or looking for answers inside their own traditional frameworks (Caputo et al., 2020). When reacting to this, it is vital to approach the community with respect and humility, acknowledging their autonomy and the worth of their viewpoints. Openly speak with them, pay attention to their worries, and look for ways to work together. The team can establish trust, determine shared objectives, and jointly develop solutions that align with the community’s values and ambitions by showing a willingness to learn from them (Caputo et al., 2020).

Impartial Response to Conflicting Data

Maintaining an open mind and respecting others is essential when responding to contradictory data and viewpoints. The entire group can encourage buy-in and establish an environment of cooperation where various viewpoints are valued and incorporated into the overall strategy to enhance the standard and outcomes of care for those addicted to alcohol (Heilig et al., 2019).

Conclusion NURS FPX 6026 Assessment 1 Analysis of Position Papers for Vulnerable Populations

An interdisciplinary team approach incorporating evidence-based therapies, cultural sensitivity, community participation, and an emphasis on comprehensive treatment is necessary to improve the quality and results of care for alcohol misuse in the Native American community. Although there can be opposing viewpoints and statistics, it is important to reply objectively while addressing concerns and identifying common ground. The team can encourage collaboration by highlighting the value of coordination, cultural sensitivity, and all-encompassing care. 

References

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Caputo, F., Cibin, M., Loche, A., De Giorgio, R., & Zoli, G. (2020). The recognition and management of protracted alcohol withdrawal may improve and modulate the pharmacological treatment of alcohol use disorder. Journal of Psychopharmacologyhttps://doi.org/10.1177/0269881120936483

Carvalho, A. F., Heilig, M., Perez, A., Probst, C., & Rehm, J. (2019). Alcohol use disorders. The Lancet394(10200), 781–792. https://doi.org/10.1016/s0140-6736(19)31775-1

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Dar, M. A., Gani, I., & Ara, I. (2023). Overview of substance use disorder and available treatments. International Journal of Current Research in Physiology and Pharmacology, 3–7. https://www.ijcrpp.com/index.php/ijcrpp/article/view/60

Doherty, E., Kingsland, M., Elliott, E. J., Tully, B., Wolfenden, L., Dunlop, A., Symonds, I., Attia, J., Ward, S., Hunter, M., Azzopardi, C., Rissel, C., Gillham, K., Tsang, T. W., Reeves, P., & Wiggers, J. (2022). Practice change intervention to improve antenatal care addressing alcohol consumption during pregnancy: A randomised stepped-wedge controlled trial. BMC Pregnancy and Childbirth22(1). https://doi.org/10.1186/s12884-022-04646-7

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Frazer, Z., McConnell, K., & Jansson, L. M. (2019). Treatment for substance use disorders in pregnant women: Motivators and barriers. Drug and Alcohol Dependence205https://doi.org/10.1016/j.drugalcdep.2019.107652

Hadjistavropoulos, H. D., Mehta, S., Wilhelms, A., Keough, M. T., & Sundström, C. (2019). A systematic review of internet-delivered cognitive behavior therapy for alcohol misuse: study characteristics, program content and outcomes. Cognitive Behaviour Therapy, 1–20. https://doi.org/10.1080/16506073.2019.1663258

Heilig, M., Augier, E., Pfarr, S., & Sommer, W. H. (2019). Developing neuroscience-based treatments for alcohol addiction: A matter of choice? Translational Psychiatry, 9(1), 1–11. https://doi.org/10.1038/s41398-019-0591-6

Jahan , & Burgess . (2021). Substance use disorder. Europepmc.org. https://europepmc.org/article/NBK/nbk570642

Jewkes, Y., Jordan, M., Wright, S., & Bendelow, G. (2019). Designing “healthy” prisons for women: Incorporating Trauma-Informed Care and Practice (TICP) into prison planning and design. International Journal of Environmental Research and Public Health16(20), 3818. https://doi.org/10.3390/ijerph16203818

Kelly, J. F., Abry, A. W., & Fallah-Sohy, N. (2019). Mutual help and peer support models for opioid use disorder recovery. Treating Opioid Addiction, 139–167. https://doi.org/10.1007/978-3-030-16257-3_7

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Langford, D. J., Gordon, D. B., Loeseer, J. D., Tauben, D. J., & Doorenbos, A. Z. (2019). Evaluation of an interprofessional active learning session on acute pain and opioid use disorder using the interprofessional collaborative competency attainment scale. Journal of Interprofessional Care, 1–9. https://doi.org/10.1080/13561820.2019.1629398

Li, X., Yang, S., Wang, Y., Yang, B., & Zhang, J. (2020). Effects of a transtheoretical model – based intervention and motivational interviewing on the management of depression in hospitalized patients with coronary heart disease: A randomized controlled trial. BMC Public Health20(1). https://doi.org/10.1186/s12889-020-08568-x

Mukhtar, Ms. S. (2020). Mental health and psychosocial aspects of coronavirus outbreak: Psychological intervention for public mental health crisis. Asian Journal of Psychiatryhttps://doi.org/10.1016/j.ajp.2020.102069

Rehm, J., & Shield, K. D. (2019). Global burden of alcohol use disorders and alcohol liver disease. Biomedicines7(4), 99. https://doi.org/10.3390/biomedicines7040099

Smith, E. P., Yzaguirre, M. M., Dwanyen, L., & Wieling, E. (2022). Culturally relevant parenting approaches among African American and Latinx children and families: Toward resilient, strengths-based, trauma-informed practices. Adversity and Resilience Sciencehttps://doi.org/10.1007/s42844-022-00059-9

Wang, S.-C., Chen, Y.-C., Chen, S.-J., Lee, C.-H., & Cheng, C.-M. (2020). Alcohol addiction, gut microbiota, and alcoholism treatment: A review. International Journal of Molecular Sciences21(17), 6413. https://doi.org/10.3390/ijms21176413

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