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NR 586 Concept Map Summary Worksheet
Student Name
Chamberlain University
NR-586: Population Health and Epidemiology for Advanced Nursing Practice
Prof. Name
Date
Concept Map Summary
Description of Concept Map
Individuals with disabilities—whether those disabilities are physical, developmental, or cognitive—frequently face significant barriers that limit their participation in society. These barriers affect multiple areas such as employment, education, transportation, and social interaction. To promote inclusion, individuals with disabilities often require tailored accommodations and supportive services that enable them to actively engage in community life (Dixon-Ibarra & Horner-Johnson, 2014).
A major contributor to vulnerability among people with disabilities is poor accessibility. Barriers in the physical environment, such as the absence of ramps or insufficient transportation services, and communication challenges, like limited interpreter access, hinder timely and equitable healthcare. Consequently, these issues lead to delayed diagnoses and inadequate treatment (Matin et al., 2021).
Socioeconomic inequalities—including unemployment, low income, and limited access to essential resources such as housing and education—further increase health disparities. In addition, stigma and discrimination in healthcare and social systems discourage individuals with disabilities from seeking medical attention, thereby exacerbating untreated illnesses and worsening existing conditions. As a result, this population experiences elevated rates of chronic illnesses, secondary conditions, and poorer mental health outcomes (CDC, 2020).
The concept map illustrates how accessibility barriers, socioeconomic disparities, and stigma are interrelated and collectively sustain health inequities. A comprehensive, systems-level response is necessary to remove structural barriers, promote inclusivity, and prioritize equity in healthcare delivery (Baciu et al., 2017; Krahn et al., 2015).
Intervention Proposal
National Initiative
One significant national initiative addressing these disparities is Healthy People 2030, which outlines strategic objectives aimed at improving healthcare access, reducing inequities, and enhancing inclusivity for people with disabilities. The program focuses on dismantling systemic barriers, improving accessibility, and advancing the overall quality of life for individuals with disabilities (Office of Disease Prevention and Health Promotion, n.d.).
Advanced Practice Nurses’ (APNs) Role
Advanced Practice Nurses (APNs) play a vital role in fostering health equity for individuals with disabilities. Their impact extends beyond clinical care to include leadership in policy advocacy, community engagement, and care coordination:
| Area of Role | Description | Supporting Source |
|---|---|---|
| Policy Advocacy | Collaborating with legislators and organizations to design and implement disability-inclusive health policies. | CDC, 2020 |
| Community Engagement | Creating and leading programs that raise awareness, reduce stigma, and promote inclusive practices. | CDC, 2020 |
| Care Coordination | Ensuring patients receive appropriate, timely, and accessible care across healthcare settings. | CDC, 2020 |
Through these initiatives, APNs are uniquely positioned to advocate for systemic reform and equity in healthcare delivery and community support.
Collaboration with Stakeholders
To achieve effective inclusion, collaboration among diverse stakeholders is crucial. APNs can foster partnerships with the following groups:
| Stakeholder | Role in Inclusion Efforts | Reference |
|---|---|---|
| Healthcare Providers | Improve accessibility and integrate disability-sensitive practices. | CDC, 2020 |
| Policymakers | Develop, enforce, and regularly update inclusive laws and policies. | CDC, 2020 |
| Community Organizations | Provide outreach, patient education, and local support services. | CDC, 2020 |
| Advocacy Groups | Amplify the voices of individuals with disabilities and protect their rights. | CDC, 2020 |
Concept Map Summary (Tabular Format)
| Heading | Details |
|---|---|
| Description of Concept Map | Individuals with disabilities face barriers in education, employment, transportation, and social life, requiring personalized support (Dixon-Ibarra & Horner-Johnson, 2014). |
| Variables That Increase Risk | Accessibility: Limited ramps, transportation, and interpreters hinder access (Matin et al., 2021). Socioeconomic Factors: Poverty and unemployment restrict essential resources (Matin et al., 2021). Stigma & Discrimination: Negative perceptions discourage healthcare utilization (Matin et al., 2021). |
| Health Risks and Disparities | Socioeconomic Challenges: Poverty and low education reduce access to food, housing, and transportation (CDC, 2020). Accessibility Issues: Delays in diagnosis and treatment. Healthcare Discrimination: Stigma prevents service use. Overall Impact: Increased chronic illness, mental health disorders, and preventable secondary conditions (Dixon-Ibarra & Horner-Johnson, 2014). |
| Concept Map Relationships | Accessibility barriers, socioeconomic inequalities, and stigma collectively deepen health inequities. Systemic policy reform and inclusive healthcare practices are needed (Baciu et al., 2017; Krahn et al., 2015). |
| Intervention Proposal | Healthy People 2030: National initiative to expand healthcare access, reduce disparities, and promote social inclusion (Office of Disease Prevention and Health Promotion, n.d.). |
| Advanced Practice Nurse’s Role | Advocacy: Promote disability-friendly policies. Community Programs: Raise awareness and reduce stigma. Care Coordination: Ensure timely, accessible care (CDC, 2020). |
| Stakeholders for Collaboration | Healthcare Providers: Ensure inclusive care. Policymakers: Maintain inclusive laws. Community Organizations: Provide education and outreach. Advocacy Groups: Protect rights and raise awareness (CDC, 2020). |
References
Baciu, A., Negussie, Y., & Geller, A. (2017, January 11). The root causes of health inequity. In Communities in Action: Pathways to Health Equity. National Academies Press. https://www.ncbi.nlm.nih.gov/books/NBK425845/
Centers for Disease Control and Prevention. (2020, September 16). Disability and health disability barriers. CDC. https://www.cdc.gov/ncbddd/disabilityandhealth/disability-barriers.html
Dixon-Ibarra, A., & Horner-Johnson, W. (2014). Disability status as an antecedent to chronic conditions: National Health Interview Survey, 2006–2012. Preventing Chronic Disease, 11(130251). http://dx.doi.org/10.5888/pcd11.130251
Krahn, G. L., Walker, D. K., & Correa-De-Araujo, R. (2015). Persons with disabilities as an unrecognized health disparity population. American Journal of Public Health, 105(Suppl 2), S198–S206. https://doi.org/10.2105/AJPH.2014.302182
NR 586 Concept Map Summary Worksheet
Matin, B. K., Williamson, H. J., Karyani, A. K., Rezaei, S., Soofi, M., & Soltani, S. (2021). Barriers in access to healthcare for women with disabilities: A systematic review in qualitative studies. BMC Women’s Health, 21(1), 44. https://doi.org/10.1186/s12905-021-01189-5
Office of Disease Prevention and Health Promotion. (n.d.). Social determinants of health. Healthy People 2030. https://health.gov/healthypeople
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