DNP Program: Disease Prevention in Immigrants - Clinical Essay

This essay addresses the escalating concern of lifestyle disorders among immigrants in the United States, particularly focusing on hypertension, obesity, stroke, and diabetes. It highlights the communication barriers faced by Asian and Hispanic immigrants, their limited awareness of available healthcare schemes, and the socio-cultural challenges impacting healthcare access. The essay emphasizes the need for a better framework to reduce disparities and improve care, suggesting that a multidisciplinary approach involving DNP-prepared nurses, doctors, and community health workers is crucial for providing effective healthcare and raising awareness within underprivileged communities. The role of DNP nurses is seen as vital in addressing the heterogeneous nature of cardiovascular diseases among diverse Asian ethnic populations, advocating for specific treatments and preventive measures to reduce disparities in America's growing diverse population. This document is a student contribution and Desklib offers a wide range of resources, including past papers and solved assignments, to support students' academic needs.

Running head: DISEASE PREVENTION IN IMMIGRANTS
DISEASE PREVENTION IN IMMIGRANTS
Name of the Student:
Name of the University:
Authors note:

1DISEASE PREVENTION IN IMMIGRANTS
The clinical problem has been focused on exceeding lifestyle disorder is an
escalating concern for people in United States. Here the leading causes are high cholesterol
diet, heavy smoking, heavy drinking, stress and genetic predisposition of the people which
cause Hypertension, Obesity, increases risk of stroke and diabetes (Kokubo et al., 2014). The
racial differences among people can also affect differently and the risk of cardiovascular
diseases are at risk as well. In a survey it was reported that from 2009 to 2011, there was
prevalence of hypertension about 29.1%. However, the awareness of treatment about the
control of hypertension was lower among Hispanics and non-Hispanic Asians (Nwankwo et
al., 2013).
The main research interest in this clinical problem is that there is a cross
communication barrier amongst immigrants especially of Asian and Hispanic origin. They
are mostly not aware of the schemes and benefits offered by the government of United States
of America (Taylor, Nicolle & Maguire, 2013). Effective communication is an important part
when it comes to healthcare professionals for appropriate health promotion and better
diagnosis. It is very tough for people who are not well adept with English language skills and
they might have limitations conveying their problems. There are racial disparities in health
due to the cultural competence and there are all socio cultural barriers which are there in
clinical, organisational and structural levels.
In relevance with current society, it can be noticed that the cross cultural
communication gap specifically in underprivileged communities of Asian backgrounds needs
immediate attention to cope up with the rising lifestyle and health disorders. In United States
healthcare is an extremely crucial concern and it is very expensive in nature due to various
administrative costs and drug costs. Though Affordable Care Act of 2010 has brought
promising administrative support, it is still complex in its implementation on enrolling the

2DISEASE PREVENTION IN IMMIGRANTS
documented and undocumented immigrants. Hence, the people are at loss when it comes to
healthcare benefits among the immigrants (Joseph, 2016).
Potentially warrants evidenced-based practice change
By going, through a thorough research it is evident that, in upcoming years,
demographics of Unites States would change and, in the near decade, the importance of
healthcare facilities will increase. A better framework would give a better organizational,
clinical and structural establishment that can reduce disparities among people and improve
care for every American in this country (Betancourt et al., 2016). It can be potential warrant
evidenced based practice change.
The role of the DNP prepared nurse in this project by the above discussion and going
through all the research work it can be understood that though there is an increased risk of
hypertension and stroke in Asians. According to report, it was surveyed that the hazard ratio
for intracranial haemorrhage or ICH it was inferred that Asians were greater mortality burden
ICH (Jose et al., 2014). Though there are many benefits and policies provided by the
government, the heterogeneous nature of cardiovascular related disease among various Asian
ethnic population needs imperative research, specific treatments and prevention from diseases
especially stroke, diabetes and hypertension is needed to reduce the disparities in the growing
diverse population of America. It needs a multidisciplinary approach where, the practicing
DNP-nurses, doctors, and all the health workers from different communities can work
together to provide healthcare to the underprivileged, which will not only create awareness in
different communities but will provide better healthcare among people.

3DISEASE PREVENTION IN IMMIGRANTS
References
Betancourt, J. R., Green, A. R., Carrillo, J. E., & Owusu Ananeh-Firempong, I. I. (2016).
Defining cultural competence: a practical framework for addressing racial/ethnic
disparities in health and health care. Public health reports.
Jose, P. O., Frank, A. T., Kapphahn, K. I., Goldstein, B. A., Eggleston, K., Hastings, K. G., ...
& Palaniappan, L. P. (2014). Cardiovascular disease mortality in Asian
Americans. Journal of the American College of Cardiology, 64(23), 2486-2494.
Joseph, T. D. (2016). What health care reform means for immigrants: comparing the
Affordable Care Act and Massachusetts health reforms. Journal of health politics,
policy and law, 41(1), 101-116.
Kokubo, Y. (2014). Prevention of hypertension and cardiovascular diseases: a comparison of
lifestyle factors in Westerners and East Asians. Hypertension, 63(4), 655-660.
Nwankwo, T., Yoon, S. S., Burt, V., & Gu, Q. (2013). Hypertension among adults in the
United States: National Health and Nutrition Examination Survey, 2011-2012. NCHS
data brief, (133), 1-8.
Taylor, S. P., Nicolle, C., & Maguire, M. (2013). Cross-cultural communication barriers in
health care. Nursing Standard (through 2013), 27(31), 35.