Marginalized Women and Childbearing Families PDF

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Week 8 Discussion: Marginalized Women and Childbearing Families 1. As an advanced practice nurse, what are three actions you can take to mitigate social impacts to marginalized women? As a Nurse Practitioner, one action I can implement to mitigate social impacts to marginalized women is by providing advocacy for policies that will protect women from social discrimination and promote accessibility. These policies will aim at creating a welcoming and comfortable environment, promote emotional safety, trust, and increase overall quality of care. Studies have shown that there are many policies at the government, state, and local levels that prevent women from accessing healthcare (Andermann, 2020). For example, women or even single mothers with mental illness and substance abuse have difficulties in accessing treatments than do men with the same issues. (Prodan‐ Bhalla & Browne, 2019). Since nurse practitioners can work with and influence policymakers, this gives the NP the advantage to advocate for policies that protect women from marginalization. Another way is by improving access and quality of care to marginalized women. The NP can use a range of approaches which include: providing patients with bus fare and child care services to make it easier for them to attend appointments; documenting language preferences of patients, identifying language skills of practitioners and providing interpreter services; extending clinic hours and locating clinics close to where people live and work; offering a welcoming and culturally safe practice environment and also creating opportunities to provide health care services beyond the clinic walls, such as outreach to disadvantage communities by partnering with community groups and religious organizations (Andermann, 2016). Another action as an NP would be providing women-friendly healthcare services that are individualized per patient needs, building trust with the women, and making health services easily accessible to them. focus on unearthing policies that promote discrimination of women and recommend more women-friendly policies (Andermann, 2016) 2. What role does policy at either government, state, or local level play in the marginalization of women and childbearing families? Policies at government, state, or local levels have played a role in the marginalization of women and miority families. Studies have shown that in communities, there are discriminative and unjust structural policies that limit women's access to healthcare and promote health inequities. There are state policies, that encourages structural racism in health care and social service delivery which means marginalized women often receive poorer quality care than men in the same social ranking (Michener & Brower, 2020). It means the denial of care when women seek help when enduring pain or that health care and social service providers fail to treat them with dignity and respect (Michener & Brower, 2020). These stressors and the cumulative experience of racism and sexism, especially during sensitive developmental periods, trigger a chain of biological processes, that undermines the women’s physical and mental health. Other policies do not promote women access to employment opportunities, often leading women to low income, high employment rates, and lack of opportunities to get educated (Prodan‐ Bhalla & Browne, 2019). Nurse practitioners can advocate for better policies from government, state, or local levels to reduce social injustices towards women. 3. Identify one policy that impacts marginalized groups (include whether the policy is at the federal, state, or local level).

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, called determinants of health (Michener & Brower, 2020). Among the policies that have an impact on marginalized groups in the United States is the healthcare policy. The policy, which is funded at the federal level, should make healthcare accessible and affordable to all citizens in the country. Even though these policies seek to create and implement laws, rules, and regulations to govern every citizen, the young and the most disadvantage women are not able to access highquality healthcare services due to their socio-demographic background (Prodan‐ Bhalla & Browne, 2019). The federal policy should implement health equity by ensuring universal healthcare access to all citizens in the country. 4. Discuss how policy impacts marginalized group either positively or negatively. Policies implemented by the government or states can affect marginalized groups positively or negatively. These policies are implemented in such a way that it affects all the individuals or sectors of that community it is meant for. In this case, these policies can affect marginalized communities either negatively or positively. For example, policies that deny women equal opportunities for employment will lead to many women having low or no source of income (Michener & Brower, 2020). In this case, this policy affects the marginalized section negatively. An example of such policy is the 1970s and 1980s, economic nondiscrimination policies such as the Equal Employment Opportunity Act (EEO) that was intended to reduce gender inequality in the labor force, it did not shift racialized inequality among women. While the EEO had the largest effect on women’s economic position compared with men, women still experienced less wage gains overall compared with men (Michener & Brower, 2020). However, there are policies that could result in positivity for the marginalized woman. For example, health policies ensure healthcare services are accessible and affordable to all citizens through programs such as Medicare and Medicaid (Michener & Brower, 2020). Through the policy, even lowincome earners, disabled, and older adults are able to access and afford high-quality healthcare. It shows how policy impact marginalized groups in a positive way. Policymakers should strive to ensure that policies have positive as opposed to negative impacts (Michener & Brower, 2020). Hi Jacki, I loved reading through your presentation. It is always surprising what one can learn from a research project like this one. I was surprise what I learnt about women being marginalized especially in the healthcare sector. I have been doing clinicals in an Internal medicine clinic and more than 90% of our patients are white women. It took me a while to understand that women in this category are being marginalized. However, reading through your presentation, you said, most of these marginalized women are mostly women of minority sector and most of the time cannot speak or read English. This captures the real idea as presented by Michener & Brower, 2020. These writers researched on the inequalities between white women and women of color, (Michener & Brower, 2020). I think your ideas of relieving this social impact on women’s marginalization seem very real and appropriate. Finding interpreters, locating clinics closer to the patients, and creating outreach are all unique ways an NP can do to help marginalized population. Being an NP, gives us the ability and opportunities to treat not just the illness but the whole person. In this light, we should strive to engage with policy makers to ensure that good policies are being passed that will have a positive impact to our patients.

Hi Dr. Wines, as I read through your remarks, one thing is very interesting. I understand when you said not all women feel empower or even capable of advocacy. This is really true because according to this article I read, in order to increase the women participation in policy making, the woman most be able take the power in to her own hands in order to rise above the marginalization so as to protect her socio-economic rights. However, despite these constraints and barriers that marginalize women face, it is believe that these women have more resilient and resistance than one can imagine. This author writes extensively on the everyday resistance of black mothers as they work to overcome controlling images through self-definition and also to show how poor women use cooperative care work, as a strategy to deal with economic disadvantage. This brings me to the point where I believe that even though most women in decision making are regarded as insufficient when compared to their male counterpart, it is still possible to build this leadership and give women the rights they deserve. As an NP, I will strive to advocate for women who are marginalized, letting them know they matter, and that it is okay to stand up for oneself. Andermann, A., (2016). Taking Action on the social determinants of health in clinical practice: a framework for health professionals. Canadian Medical Association journal, 188(17-18). https://doi.org/10.1503/cmaj.160177

Michener, J & Brower, T M. (2020). What’or even s Policy Got to Do with It? Race, Gender & Economic Inequality in the United States. An American Academy of Arts and Sciences. (109117). Retrieved from https://www.amacad.org/sites/default/files/publication/downloads/Daedalus_Wi20_7_Michener %20Brower.pdf/. References Andermann, A., (2016). Taking Action on the social determinants of health in clinical practice: a framework for health professionals. Canadian Medical Association journal, 188(17-18). https://doi.org/10.1503/cmaj.160177 Michener, J & Brower, T M. (2020). What’s Policy Got to Do with It? Race, Gender & Economic Inequality in the United States. An American Academy of Arts and Sciences. (109-117). Retrieved from https://www.amacad.org/sites/default/files/publication/downloads/Daedalus_Wi20_7_Mi chener%20Brower.pdf/. Prodan‐ Bhalla, N., & Browne, A. J. (2019). Exploring women's health care experiences through an equity lens: Findings from a community clinic serving marginalized women. Journal of clinical nursing, 28(19-20), 3459-3469. https://doi.org/10.1111/jocn.14937...