Nursing Theory


You will provided with a topic and 2 responses to the topic. please comment to each response. please provide reference to each response.

Topic information attached

Any clinical example made should be reference to emergency department

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Topic: Select one of the future issues presented this week. Examine the issue in terms of cultural diversity, health promotion, and communication methods. Discuss in detail how this issue affects healthcare delivery and advanced nursing.



Response 1: Samantha


Like mentioned in our text, there is a “ growing emphasis on health care financing, community-based care, health promotion, and access to care” (McEwen & Wills, 2017, p. 520). As the various political parties and people debate which will be the best direction to take healthcare for our nation, there is surely going to be an impact on healthcare delivery and nursing in general. I remember in my school-age years being taught that the U.S. is a melting pot nation, composed of a diverse population. This cultural diversity is expected to increase in the future per McEwen & Wills (2017), as is noted in the text. Unfortunately, there are health disparities and inequity to note and bias and prejudice remains in healthcare and can affect those in need. “Health disparities are not only partially caused by deleterious socioenvironmental conditions and behavior risk factors but may also be influenced by bias that results in unequal, inferior treatment” (McEwen & Wills, 2017, p. 520).


Furthermore, health disparities have an effect on access to care and can make it crippling for some to get the care that they need. Education and health promotion with a focus on prevention to help decrease need for medical intervention. As time has progressed, there is advancement with technology in society and within the healthcare system. Communication methods with patients often include health portals and telehealth options, which can be complicated when looking at health disparities and socioenvironmental conditions for not everyone has access and ability to use technology at some of the levels required of these changes. This affects healthcare delivery for not everything follows the traditional office visits that once used to be the norm. Nurses are expected to “keep up” with these changes, especially when it comes to learning new EHR systems in the clinics and hospitals.




Response 2: Ann


According to (McEwen & Wills, 2017) one of the future issues identified in the reading this week is the prevalence of chronic conditions such as hypertension, diabetes, and cardiovascular disease. The issue of chronic conditions in terms of cultural diversity is that their is a higher prevalence among those from minority groups. Health promotion has to be increased in areas where minorities are most likely to the information. All forms of communication need to be used in order to reach those that may not have access to mainstream information. We have to do better in providing education to all patients in order to promote healthy lifestyles.

Health promotion is so important in terms of ensuring our patients are getting the information needed. Even those that are not minorities need to be taught about the dangers of things such as hypertension. In September of 2021, I lost my sister to a sudden cardiac arrest due to her chronic hypertension that she was not treating. Even someone who had the information did not understand how serious it was to not take care of her hypertension. Had she been better informed about how hypertension was also know as the silent killer, she may have taken her medication therapy more seriously. It was heart breaking as a nurse to loose someone so close to me not knowing what she was dealing with or being able to coach her in her therapy.





Response 1: Samantha

I agree with you that diverse populations are the most affected by healthcare disparities in the US. Considering statistics of the prevalence of various diseases in the US it is therefore evident that diverse populations including racial minority groups have poor health outcomes compared to majority groups. For instance, considering lifestyle diseases such as obesity and diabetes, diverse communities have higher prevalence of such diseases compared to majority groups. As a result of the increasing cultural diversity in the US there is a significant need for healthcare practitioners to be more culturally competent so as to be able to provide quality healthcare services to diverse populations and also be involved in health promotion in such communities to adopt preventative strategies for diseases. Cultural competence can therefore help healthcare practitioners to be able to communicate effectively and have an impact on the health of diverse communities (Stubbe, 2020).




Stubbe, D. E. (2020). Practicing Cultural Competence and Cultural Humility in the Care of Diverse Patients. FOCUS, 18(1), 49–51.



Response 2: Ann

I agree with you that some of the important tools that healthcare practitioners can utilize to prevent chronic conditions, hypertension, diabetes and cardiovascular diseases among minority groups include culturally competent communication. Healthcare practitioners have to take courses to improve their cultural competence related to the different diverse communities that they serve. Acquiring cultural competence and therefore helps healthcare practitioners to communicate effectively with diverse operations and understand the health needs of such populations (Harrison et al., 2019). Through cultural competence healthcare practitioners and also be able to develop strategies related to health promotion that can help to prevent the onset of chronic diseases among diverse populations. Also confident communication in health promotion and help to eradicate disparities in healthcare outcomes between minority groups and the majority of the population (Harrison et al., 2019).




Harrison, R., Walton, M., Chauhan, A., Manias, E., Chitkara, U., Latanik, M., & Leone, D. (2019). What is the role of cultural competence in ethnic minority consumer engagement? An analysis in community healthcare. International Journal for Equity in Health, 18(1).