This activity will allow you to demonstrate your ability to:
LO1: relate the social determinants of health to the experience of individuals, families and communities and identify how this influences the scope and nature of nursing practice in primary and community settings;
LO2: apply the principles of primary health care when working as a nurse in primary and community care;
For Assessment 1 you are asked to reflect on the Social Determinants of Health (SDoH) by choosing one that you consider to be vital for a healthy life. Then, describe how one vulnerable population’s reduced access to that determinant may have an impact on health outcomes for them. You are then expected to then discuss actions a nurse may take to improve accessibility to that SDoH for the nominated population.
In your response, you are encouraged to use Rolfe et al.’s (2001) framework reflective model (What? So what? Now what?). You should be able to demonstrate a reasonable level of understanding of what the SDoH are. You will also be assessed on your understanding of reflective practice, and should explore why the NMBA include it within their standards of practice, as well as how reflection could be of benefit to those working in community settings. Follow the steps below:
Using Rolfe’ et al.’s 2001
Structure and presentation
Your response should follow essay format (Introduction- identify the model of reflection you will use, body [using the above headings], and a conclusion). You are required to use complete paragraphs and are not allowed to use dot points, lists or tables. As this is a reflective paper you are allowed to use personal pronouns (I, me, mine, etc.)
IntroductionAboriginal and Torres Strait Islander people, also referred to as the ‘Indigenous Australians’, have a low status of living and also have to suffer due to the poorer health in comparison to the non-Indigenous Australians. Through this paper, the purpose of the social determinants of health-related to the "Aboriginal and Torres Strait Islander people” would be analyzed along with providing a detailed experience in identifying the health gaps faced by the individuals, families, and communities. It is important to understand the scope and nature of nursing practice as per the primary and community setting. It is important to identify the influences which would be introspected (Nurses and Midwifery Board of Australia [NMBA, 2015). Social Determinants of Health
The social determinants of the health which has been identified includes such as the link and connectedness related to the family, culture along with having set identity for the country and land, Access to early childhood services along with education. needs to have the freedom and independence framework and overcome the problem of the racism and racial discrimination along with holding the adequate housing needs and have preventive approach to reduce overcrowding and consistently facing the issues of homelessness. It is important to secure and provide better housing tenure to access the transport (Nurses and Midwifery Board of Australia, 2017). Have an access to the participation and having adequate attainment of the education levels within the primary, secondary, tertiary along vocational education/ training. Reduce incarceration along with the culturally-determined decisions and actions. It can be integrated through the criminal justice system and adequate employment and participation within the labor force. Lastly gain freedom from the addiction
The identified social determinant which most of the Aboriginal fail to get is the social inequality and constantly facing the racism and discrimination.
The difficulty of Aboriginal and Torres Strait Islanders and accessing the determinant
The government of Australia has to ensure that all the citizens, including the Aboriginal and Torres Strait Islanders, should get adequate access to the problems such as not getting a social justice and inequality while availing the quality health along with the accessible health care delivery systems that can support the indigenous population. It is important to note, how there would be a health gap that can exist between the aboriginal and non-aboriginal people, due to the lack of health care and the opportunity to get social justice (Fisher, 2019). The Aboriginal people have to continuously face the issue of racial discrimination along with the racial injustice, which can result in providing differentiated health prosperity that can cover the uncountable aboriginals. It is also important to note, how the role of indigenous health plays a vital role in bridging the health gaps. It has also been considered as the human rights within the international community and as identified from the United Nations. It has also been identified as one of the issues which have to be resolved by the government of Australia.
From the lens of Zubrick (2014), the theory of social determinants which can help to identify how there can be a problem of employment that can be understood through the elements through reducing the gaps in between the health disparities which have been faced by the aboriginal population. It is also important to note how there can be better access to the interrelated social factors which can help to bring the social inequality and factors related to the violation of tenets along with identifying the problems of the human right laws, that can help to derive explicitly.
When understanding from the lens of Rolfe et al.’s (2001) reflective model the social determinant of inequality, injustice and facing the problem of racial discrimination can help to understand the impact. For example, not getting full access in the healthcare set up and as a nurse, what can be a role to bridge the health gap between the understanding of healthcare workers and approach towards such people. It is important to have the framework of the violation which can help to determine the rightful framework of the human right which can equally address the problem of the direct negative impact on the rights of the people and causing the negative chain reaction (Rolfe, 2001). Subsequently to the discourse of human rights, it is also important to link with the potential impacts of government policies related to the health aspects of the aboriginal population
As identified from the of Rolfe et al.’s framework, I think it is important to educate the masses and create an awareness campaigning, in making the Indigenous and the Non Indigenous people to be aware of their human rights and overcome the racial discrimination (Fisher, 2019). It is also necessary for the health care workers to view the differences under the one lens. As a nurse and the health workers, one cannot discriminate and it is necessary to provide the one framework of the care and better health outcomes that can help to reduce the disparity.
In the view shared, it is important to determine the inequality phases and to control racial discrimination issues. I think it is important to provide better care in terms of the lack of effective health care and it is necessary for the access facilities that would control the overall impact of the aboriginal population. It is important to represent the concerned population which can create the emphasis to form quality health. For example, while treating the patients under community setting like that of aboriginal community, use of reflective practice ensure that nurses can avoid any racial discrimination, and remain successful in providing the care and social health in a positive manner. Another benefit of reflective practice in primary care settings is self-directed learning. The nurse or care giver learns from his/her experience about any critical situation or incident encountered while communicating with patients in need of therapeutic communication and apply practical experience in managing such critical situations.
To conclude, the social determinants can be overcome through the step by step and consistent approach of the healthcare framework and practicing ethically. Such as while reviewing the patient, it is necessary to review the patient's health under the one framework to avoid any source of the equality that can access effective health care to the aboriginal population. The nurse role can help to represent the implementation depending on the effective health care delivery system which can further reduce the health gap and it would jeopardize the health of the aboriginals.