NURS FPX 6026 Assessment 1 Free Download Student name NURSE-FPX 6026-A1 Capella University Instructor Name Submission Date Analysis of Position Papers for Vulnerable Populations Position papers are the documents used to articulate the findings on critical health problems. One such nursing and health policy position paper is one example of a request for information on the acceptable boundaries of advocating for the vulnerable. This review seeks to evaluate nursing and health policy position papers on the problem of depression in black/african american adults using community-based primary healthcare services. Depression among blacks is an under-reported health issue where there is evidence indicating that these people develop more severe conditions before they access health care services compared to other non-black Americans (Yelton et al., 2022). The purpose of the paper is to evaluate arguments of the pro and con side in order to guide the response of the interprofessional response team. Position Regarding Health Outcomes Health Equity is one of the vital components of Public Health. In 2024, African American/Black adults were 36% less likely than the general population of the U.S. to have received mental health services in the past year (U.S. Department of Health and Human Services [DHHS], Office of Minority Health, 2025). This statistic illustrates a mental health equity problem among Black Americans and not an issue of insufficient mental health service demand. This is an inequity embedded within the Health Care System. Improving depression health outcomes for this Black Population requires the use of certain targeted interventions for primary care providers. In the period from April 2020 to January 2022, indicators from the behavioral health screener for non-Hispanic Black individuals showed a significant increase from 25.6% to 35.2% (Bolt 2023). For many years, Black Americans have been and continue to be discriminated against and poorly or under-treated in the healthcare system, which has resulted in many being hesitant to seek out healthcare services (Yelton et al., 2022). Addressing the current barriers and disparities will create the building blocks to ameliorate depression for Black Americans. Assumptions Underlying the Plan There are a multitude of assumptions that exist across various types of interprofessional interventions; they all have assumptions concerning the populations being served and/or the healthcare system. As a team, we have assumed that the systematic underdiagnosis of depression among black adults is due to a combination of provider bias and institutional racism. We have also assumed that models of culturally competent care are both feasible and acceptable to community primary care practice (Meredith et al., 2021). Thus, we have assumed that a variety of different models of culturally competent care would both be feasible and acceptable to community primary care practice (Meredith et al., 2021). As such, a multifactorial collection of care and support models would be thought to both address and overcome the mental health inequities that exist today. The basic assumptions underpinning this team are founded upon existing evidence, but these assumptions must be modified as additional evidence becomes available. Collaborative Role of the Interdisciplinary Team To address the depression care gap in primary care for Black adults, an effective interprofessional team is required. The application of collaborative care models in addressing the entire continuum of care, including evaluation, treatment initiation, reimbursement, and referral challenges, indicates that interprofessional teams using collaborative care models have a comparative advantage over single-component intervention models in narrowing gaps in care. Collaborative care models focus on the full continuum of care. The greatest distance collaborative care models can cover seems to be care gaps. These gaps primarily include assessment, initiation of care, evaluation, provision of care, and referral care gaps. When considering collaborative care models in conjunction with interprofessional teams, care gaps can be addressed. Nurses, as primary care providers, play a crucial role in identifying patients with depression, patient education, and coordination of services. Quality improvement programs focused on patients and explanatory models, sociocultural factors, and treatment options have been found to be useful in improving depression outcomes among African Americans (Mariman et al., 2023). Interprofessional teams, which include nurses and primary care physicians, social workers, psychiatrists, and community health workers, have the ability to provide distinct roles for the delivery of comprehensive and integrated health services. Challenges in Team Collaboration Barriers to accessing quality healthcare add to the obstacles that racial and ethnic minorities encounter when attempting to access healthcare services delivered by various professions (Panchal et al., 2024). For example, they often struggle to find accepting providers who have similar racial and ethnic backgrounds. Furthermore, they face barriers to obtaining information, and negative stigmas and feelings of embarrassment are present when they seek assistance from the various professionals who comprise the healthcare workforce (Panchal et al., 2024). Thus, to successfully address these barriers, teams must be able to provide educational and training opportunities on a consistent basis; establish clear lines and methods of communication; and use culturally relevant delivery frameworks. Evaluation of Evidence and Positions Supporting the Team’s Approach Additional support for the team’s approach is provided by numerous large studies and organizational position statements. Regarding health and mental health, data from the Kaiser Family Foundation illustrates disparities in access and outcomes along racial lines. People of color tend to be undiagnosed and/or untreated for mental health conditions. This may help to provide an explanation for the observed higher rates of suicide and drug overdose among people of color as compared to White individuals. Considering the evidence above, the team’s interprofessional, culturally competent treatment approach is evidence-based and, from an ethical standpoint, is appropriate. Knowledge Gaps and Areas of Uncertainty Research has already demonstrated that there are knowledge gaps that will preclude the development of better quality evidence-based guidance. Culturally relevant collaborative care research recognizes the need for additional studies to fully understand the implementation of these strategies in community settings with different cultures. More specific to this research on culturally responsive care, the missing link has yet to determine the types of culturally responsive care interventions that are most efficient and effective in addressing the needs of
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