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Please reply to Michelle Sykes- Rowland– Please note minimum of 200 words. Please cite one scholarly source. In-text citation should be included.

Hospitals can guarantee they are meeting the needs of vulnerable populations within the community that they serve by offering available access and inexpensive care. Unfortunately, the vulnerable population lives in rural and urban areas in the United States of America. Disadvantaged neighborhoods face so many problems, getting health care is now added to the list. Corresponding to Nickitas et al. (2018), the United States of America has one of the highest healthcare systems in the world. We learn in the other modules the results of health care determinants are chronic medical conditions, such as diabetes, high blood pressure, and communicable diseases.  Communicable disease such as Human Immunodeficiency Virus and mental health conditions is a big part of the helpless population.

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There are big challenges to staying healthy besides not having health insurance. Another big problem that restricts vulnerable individuals from getting the health care they need is because of the shortage of healthcare professionals in rural areas.  One-way hospitals can assist in helping the susceptible population is by providing primary care services as the first entry point into the health system. This can be beneficial to individuals in rural areas and the racial and ethnic minorities. According to research from (Primary Care, n.d.) primary care is a provision that protects a range of prevention, wellness, and treatment for common illnesses. The primary care team includes doctors, nurses, nurse practitioners, and physician assistants. The benefit of having a primary care team is they maintain a long-term relationship with the patient and advise them with treatment that various conditions. The book also mentions one way to ensure hospitals are meeting the needs of the communities is by switching over to value-based care. Valued-based care help ensure affordable care provision and help with quality care services.

Agreeing to (Six Domains of Health Care Quality, n.d.), the six domains of health care is Safe, effective, patient-centered, timely, efficient, and equitable. Each one of the six domains of health is described differently. Safe care refers to avoiding injuries to patients. Effective care refers to providing care based on scientific knowledge. Patient-centered care provides respectful and responsive care that ensures that patient values guide the clinical decision. Timely care reduces waiting for patients and providers. For nurses to meet the six Institute of Medicine (IOM) Aims, the acute care setting needs to provide resources, education, and support, and involve the family and friends of the patient to be involved with treatment care.



Nickitas, D. M., Middaugh, D. J., & Feeg, V. (2018, September 5).  Policy and Politics for Nurses and Other Health Professionals: Advocacy and Action (3rd ed.). Jones & Bartlett Learning.

Primary Care. (n.d.). AAFP. Retrieved October 17, 2022, from  https://www.aafp.org/about/policies/all/primary-care.html

Six Domains of Health Care Quality. (n.d.). Agency for Healthcare Research and Quality. Retrieved October 18, 2022, from  https://www.ahrq.gov/talkingquality/measures/six-domains.html



Please reply to William Polanco– Please note minimum of 200 words. Please cite one scholarly source. In-text citation should be included.

Vulnerable communities find themselves behind the 8 ball so to speak right from the start. Making sure they are taken care of with regard to hospital services is tremendously important. For so many of that group the local hospital is their means of obtaining primary healthcare. Creating a place that they can meet healthcare needs in the community in which they reside can place them at an advantage that they rarely see. Health clinics that have outreach means to connect to the community and create that nexus to the group they are serving is everything. One of the IOM dimensions of patient care is patient centered care. This is where care is respectful and responsible to the groups/patients needs preferences and values (Shenoy, 2021)In addition to the one measurement, the remaining dimensions of patient centered care are -coordinated and integrated care, -provide information, communication, and education, -ensure physical comfort, -provide emotional comfort, – involvement of family and friends (Tzelepis et al, 2015). I feel that nurses working in this capacity, within a vulnerable population should carefully analyze themselves and see if they are working to follow the 6 IOM’s. Are we  providing physical comfort to our patients? It may be as little as a comforting touch or an open ear to hear what the true issue is. Are we listening to the patient, truly listening and providing some guidance to deal with the issue at hand.   Serious consideration should be  to involve  nurses from the community they are serving. Members of a vulnerable community would be apt to listen more closely to persons who closely resemble them. Employment of nurses who look like the community they are serving with regard to ethnic appearance and upbringing can make huge inroads with the public who is seeking guidance and comfort. This would help with providing emotional comfort for this vulnerable community, making a connection on a personal level. Involvement of family and friends with implementation of care plans will be helpful and just asking the community they are serving how they are doing is a great tool in measuring the success in outreach. They will be honest and forthcoming in their words and it will provide a true understanding  to make adjustments to how we can help and assist the vulnerable community in a greater manner. Following the IOMs for improving healthcare quality with regard to how they are specifically written will make the greatest difference in providing timely and efficient care to those who need it the most.

Tzelepis, F., Sanson-Fisher, R. W., Zucca, A. C., & Fradgley, E. A. (2015). Measuring the quality of patient-centered care: Why patient-reported measures are critical to reliable assessment. Patient Preference and Adherence, 9, 831-835.  https://doi.org/10.2147/PPA.S81975

Shenoy, A. (2021). Patient safety from the perspective of quality management frameworks: A

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