Compare vulnerable populations. Describe an example of one of these groups in the United States or from another country. Explain why the population is designated as “vulnerable.” Include the number of individuals belonging to this group and the specific challenges or issues involved. Discuss why these populations are unable to advocate for themselves, the ethical issues that must be considered when working with these groups, and how nursing advocacy would be beneficial. 300 words
Vulnerable populations refer to groups of individuals who are prone to experiencing poorer health outcomes and face various socioeconomic challenges compared to the general population. These groups are considered vulnerable due to certain characteristics or circumstances that increase their susceptibility to health disparities and hinder their ability to access healthcare and other essential resources. This paper will compare vulnerable populations and illustrate an example of one of these groups, discussing their specific challenges and highlighting the reasons for their vulnerability. Furthermore, it will address their inability to advocate for themselves, the ethical issues related to working with them, and the role of nursing advocacy in supporting these populations.
Vulnerable populations encompass diverse groups, such as racial and ethnic minorities, low-income individuals, the elderly, people with disabilities, immigrants, and those experiencing homelessness (Shi & Stevens, 2019). These groups may face a range of challenges, including poverty, limited access to healthcare services, educational disparities, discrimination, and inadequate social support systems. Additionally, they are often confronted with multiple chronic illnesses and mental health disorders, which further exacerbate their vulnerabilities (CDC, 2020).
To better understand the concept of vulnerability, let us examine the case of the Native American population in the United States. Native Americans represent a historically marginalized group, originating from various tribes with distinct cultural traditions and languages. According to the U.S. Census Bureau, as of 2019, the estimated number of individuals belonging to this group was 5.7 million (U.S. Census Bureau, 2019). Native Americans face a multitude of challenges that contribute to their vulnerability.
One key challenge for Native Americans is the limited access to quality healthcare services. Many Native American communities are located in rural and remote areas, where there is a scarcity of healthcare facilities and providers. This geographical isolation results in barriers to healthcare access, leading to delayed or inadequate treatment for various health conditions. Moreover, Native Americans often encounter cultural and linguistic barriers when seeking care in mainstream healthcare settings, which further hampers their ability to access appropriate healthcare services (Barnes et al., 2019).
Another factor contributing to the vulnerability of this population is the disproportionately high rates of poverty and limited educational opportunities. The poverty rate among Native Americans is higher compared to the national average, which restricts their access to resources and hinders socioeconomic mobility (Bachman & Scott, 2013). Furthermore, historical trauma resulting from colonization, forced assimilation, and loss of lands and resources has had enduring effects on Native American communities. These traumatic experiences have contributed to higher rates of mental health issues, substance abuse, and suicide within this population (Walters et al., 2018).
The inability of vulnerable populations, such as Native Americans, to advocate for themselves stems from several factors, including structural inequalities and power imbalances. Socioeconomic disadvantages and limited access to education restrict their ability to navigate complex healthcare systems and advocate for their healthcare needs. Furthermore, cultural and linguistic barriers may prevent them from effectively communicating their concerns and accessing necessary resources and support. The historical mistreatment and ongoing discrimination experienced by these populations also contribute to a sense of disenfranchisement, which may hinder their confidence in self-advocacy (Beltran-Sanchez et al., 2016).
Working with vulnerable populations raises ethical considerations for healthcare professionals. The principle of justice and fairness demands that resources and healthcare services be distributed equitably, ensuring that vulnerable populations receive adequate support and access to care comparable to that of the general population. However, resource limitations and systemic biases within healthcare systems often perpetuate disparities, making it ethically crucial to address these issues to provide equitable care (Wear & Kuczewski, 2019).
Nursing advocacy plays a vital role in addressing the needs and challenges of vulnerable populations. Nurses, as frontline practitioners, possess a unique understanding of the complex and multifaceted issues affecting these populations. They can advocate for policy changes that promote equitable access to healthcare, culturally competent care, and community-based resources. Additionally, nurses can collaborate with other healthcare professionals and community organizations to provide targeted education and support to address the specific health concerns of vulnerable populations (Cohen & Cesta, 2019).