Topic: American Indians/Alaska Natives
Address the questions on the provided template:
Description of Issue, Indicator, and Focus
Describe approved transcultural nursing issue from Course Project
Describe approved Healthy People 2030 Leading Health Indicator
Describe approved cultural focus
References with Permalink
Provide APA references for two peer-reviewed scholarly professional journal articles related to your nursing issue, cultural focus and/or health indicator.
Articles must be published within the last five (5) years. If you are unsure whether the article is appropriate, ask your instructor.
Include the permalink to the article.
Summarize the key points from each peer-reviewed scholarly professional nursing journal articles selected in one or two paragraphs. Be clear and concise.
Imagine you are educating a group of fellow nurses.
Clearly describe what key points would you share with them?
What would you suggest as best practices?
What ethical issues or conflict of care could potentially exist?
I resent you last work because it is a continuation of the project.
Link to use for references besides other article. https://health.gov/healthypeople/objectives-and-data/leading-health-indicators
Directions: Prior to completing this template, carefully review Week 4: Course Project Part 2 Directions paying attention to how to name the document and all rubric requirements.
- Description of Issue, Indicator, and Focus
Obesity is a major healthcare challenge in the United States. It reflects poor lifestyle choices for children and adults, such as high consumption of high-carbohydrate foods and inadequate physical activity. Thus, it lowers an individual’s life expectancy. Obesity also makes them more vulnerable to illnesses, exposing systemic disparities they may face due to their socio-cultural identity.
American Indians/Alaska Natives have one of the highest obesity rates among ethnic groups in the United States. The trend starts during childhood (from as early as two years) and continues into later life unless there is a deliberate healthcare intervention.
Healthy People 2030 indicators for obesity include: reducing added sugars consumption for people over two years and increasing the proportion of adults meeting the basic activity guidelines. Thus, a healthcare provider can use these targets as fundamental objectives of health promotion efforts for the population.
- References with Permalink
Adakai, M., Sandoval-Rosario, M., Xu, F., Aseret-Manygoats, T., Allison, M., Greenlund, K. J., & Barbour, K. E. (2018). Health Disparities Among American Indians/Alaska Natives – Arizona, 2017. Morbidity and mortality weekly report, 67(47), 1314–1318. https://doi.org/10.15585/mmwr.mm6747a4
Johnson, S., Gold, M. R., & Baciu, A. (2020). Rethinking the Leading Health Indicators for Healthy People 2030. JAMA Health Forum, 1(5), e200426. https://jamanetwork.com/journals/jama-health-forum/fullarticle/2766503
Adakai et al. (2018) found that 15.7% of American Indians/Alaska Natives are active smokers, with an additional 4.8% being smokeless users. Other habits that may contribute to higher obesity rates in the population include binge drinking (17.6%), consuming sugar-sweetened beverages (33%), and leisure-time inactivity (31.1%). The last two factors showed a significant variation to other ethnic groups and could explain the higher obesity rates.
Meanwhile, Johnson et al. (2020) provided a new outlook on the Healthy People 2030 leading health indicators (LHIs). They categorized them as LHIs to measure well-being and adversity, Health Equity LHIs, priority health states LHIs, and LHIs from social, economic, and physical health determinants. In so doing, they found that no LHIs are addressing public health expenditure. Thus, public health stakeholders need to address how high or uneven healthcare costs affect a population’s overall well-being.
- Educational Plan
The education program would focus on the community’s lifestyle pattern (diet, drinking, smoking, and activity), the systematic disparities (e.g., health literacy levels, rural-urban residences, and income status), and cultural health products and practices that may assist in addressing the problem.
I would advise the nurses to use family-based approaches. This practice would allow them to develop family interventions, providing individual clients with the support they need to adjust their lifestyle. Furthermore, it would lower obesity comorbidities even for those who are yet to develop adverse symptoms.
Ethical issues in caring for American Indians/Alaska Natives would mainly arise from failing to acknowledge their culture. Hence, the nurses must respect the clients’ opinions and preferences. However, if their autonomy contradicts basic healthcare knowledge, there will be conflicts in the care process.