1- Chowdry et al. (2021) discuss the prevalence or migrants in the Canadian population, and the unmet health needs they are often faced with. My conducting a search of several major databases, the team was able to review the specific unmet needs of migrants and create recommendations on how they could be met. Overall, they identified five major themes amount immigrants, refuges and other migrants. Socio-cultural differences, communication challenges and lack of information in language often led to the creation of care gaps (Chowdry, et al., 2021). As a result of the work, the group discovered that further research is required to better understand the needs of specific cultural groups.
While keeping on theme, Hahn et al., (2019) viewed the specific group of refugees, and what the quality of healthcare looked like. The goal of the work was to identify reliable and measurable quality indicators that could be used to measure success of interventions. The study was a systematic review of various databases, resulting in the review of 474 unique works. It was determined that the most effective quality indicator to use when assessing the quality of healthcare for refugees was outcomes (Hahn, et al. 2019).
Canada’s Universal Healthcare system mandates that all residents of a province or territory are intitled to publicly funded health services (Senate of Canada, 2022). This presence challenges for those who have not received official residency. Caulford and D’Andrade (2022) utilized data from community health workers to better understand the large number of uninsured immigrants and refugees in Canadian cities. This research uncovered large amounts of evidence indicating a more sinister social problem: high numbers of people without adequate public health insurance in place. This results in many ethical questions that need to be addressed (Caulford & D’Andrade, 2022). The main concern, is that by accepting refuges and immigrants, we need to be prepared to support them in their recovery and journey to building a new life. In doing so, they can more adequately be prepared to become effective and contributing member to Canadian society. However, without the initial and ongoing support, negative health outcomes can inhibit their ability to effectively contribute.
This infomration and research is important to developoing effective nursing practice, as it advises on the very real current state for many immigrants and refuges in my Ccountry. In addition, it allows me to better understand and prepare for the management of these patients, especially those who have not been granted health care services. I think it is important to understand the very real disparities that migrants face, as well as the very real access challenges that exist. In addition, we must be prepared to assist people in accessing services they may not be insured for. Advocacy for true universal health care for all those in a country is paramount to improving access, outcomes and health
.2—– Refugees and cervical cancer screenings
The first article I researched and reviewed was regarding refugee women in the United States and their percentage of up to date status of cervical cancer screenings. To summarize the article, the reading stated that the percentage of refugee women who are up to date on cancer screenings in the United States is lower than people who were born and raised in the United States. The refugee percentage was 60% and the American’s percentage was 81%. There are many reasons for this, including the refugees’ fear, embarrassment, lack of insurance, culturally insensitive providers, lack of interpreters for their language, and limited healthcare access. The results of this article impact my nursing practice by opening my eyes to the refugees in our country who are women need to be monitored closer for needed cancer screening (Elmore et al., 2022).
Mexican immigrants and their self-reported health status
The second article I researched for this week’s discussion is regarding how New York’s Mexican immigration status is linked to poor health outcomes. A summarization of the writing, which was a study involving Mexican immigrants in New York over the age of 18, is regarding their self-reported health status. The results were reported as low due to the distrust they have in the healthcare system, lack of healthcare access, and lack of healthcare utilization due to them fearing being deported if found to be undocumented. The results of this article impact my nursing practice by making me understand a little more about the trials and tribulations Mexican immigrants go through regarding healthcare, which needs to be taken more into consideration. They may need to have encouragement to go to a clinic or hospital when having health-related issues (Gaitán-Rossi et al., 2023).
Healthcare of low-income people (marginalized, indigent, and non-insured)
The marginalized, indigent, and non-insured community I chose to research and review an article on are people who are considered low-income. The article I chose is regarding people with low income and the relationship of pharmaceutical access for chronic pain management issues. The summarization of the article is that low socioeconomic status is directly proportionate to a person’s incidence of having chronic pain, increased severity of chronic pain, and disabilities caused by this pain. Also, it was found that low-income people who have chronic pain are at a disadvantage when it comes to pharmaceutical access for chronic pain medication. The results of this article impact my nursing practice by raising my awareness to this issue and knowing I need to assess for the need to advocate for these patients (Atkins &