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Explore the impact of health disparities on TB cases in Virginia, highlighting the role of nurses and future research commitments to eliminate disparities. Discover the social determinants of health affecting TB incidence and the importance of inclusive leadership in closing gaps in diagnosis, treatment, and prevention.
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The Role of The Nurse Scientist And Health Disparities Denetra Hampton MHSA,BSN,RN
A REFLECTION ON NURSING SCIENCE Figure 1. 123rf Stock Photos, Langstrup Media, 2018
TUBERCULOSIS In Virginia 2017 204 Cases Verified TB Virginia has seen a 14% increase in TB cases since 2013. Note: Adapted from Virginia Department of Health Annual TB Update 2018 by Virginia Department of Health.
SOCIAL DETERMINANTS OF HEALTH Figure 2. Social Determinants of Health, New England Journal of Medicine Catalyst.
TUBERCULOSIS: FAST FACTS • Racial and ethnic minorities are disproportionately affected by TB disease. • Medical comorbidities are more common among patients with TB from racial or ethnic minority groups. • Globally, TB incidence is falling at about 2% per year. • In 2017, a total of 9,105 TB cases were reported in the United States, and fall from previous years. • TB is one of the top 10 leading diseases in the world. • Note: Adapted from the World Health Organization: Global Tuberculosis Report 2019.
THE FUTURE OF NURSING SCIENCE Figure 3. Courtesy of For Nurses By Nurses Production Company, 2011
THE BLACK ANGELS: THE UNTOLD STORY Figure 4. African American Nurses, New York Digital Public Library, 1942
TUBERCULOSIS: DR. ROBERT ROBITZECK Figure 5. Dr. Robert Robitzeck: Getty Images
THE LAST BLACK ANGEL: MARJORIE REED Figure 6. Marjorie Reed, For Nurses By Nurses Production Company, 2018
A HEALTH DISPARITY MOVEMENT The National Institutes of Health defines health disparities as “differences that exist among specific population groups in the United States in the attainment of full health potential that can be measured by differences in incidence, prevalence, mortality, burden of disease, and other adverse health conditions.
A HEALTH DISPARITY MOVEMENT Figure 7. Health and Human Services Secretary Margaret Heckler, left, with President Ronald Reagan at the White House in 1985. (Barry Thumma/AP) Washington Post.
The Heckler Report -Cultural Competence -Multi-disciplinary Teams -Health Literacy -Minority Clinical Trial Participation Photo Credit: Courtesy the National Library of Medicine, Digital Collections.
UNITED NATIONS GENERALLY ASSEMBLY Figure 8. United Nations Assembly, World Health Organization, Sept 2018
THE PLAQUE OF POVERTY & HEALTH DISPARITIES Figure 9. People in Poverty. 123rf.com Stock Photo
THE PLAQUE OF POVERTY & HEALTH DISPARITIES Figure 10. Man With Tuberculosis, New York Digital Public Library, 2018
RESEARCH COMMITMENTS • Commit to Research that Closes gaps on diagnosis, treatment and prevention. • Commit to Funding for Diverse Research • Commit to Research that is Equitable, Rights-based, & • Commit to Build Inclusive Leadership that is Committed to target high risk populations. • Commit to Research that Accelerates development of new tools to end disparities Note: Adapted from World Health Organization: Global Tuberculosis Report 2018.
ALL OF US Figure 11. Photo Credit: All of Us.
IN CONCLUSION: THE SCIENCE OF ELIMINATING HEALTH DISPARITIES Figure 12. 123rf Stock Photo, Wavebreak Media, Ltd, 2018.
References • Nursing. Image. Langstrup, Media, Retrieved 2018. 123rf.com Stock Photos. • Laura R. Young, Virginia Department of Health. Annual Tuberculosis Update 2018 Report. September 25, 2018. • Catalyst Social Determinants of Health. December 2017. New England Journal of Medicine. • 2018 Global Tuberculosis Report. September 2018. World Health Organization. • Diversity In Nursing, 2011. Image. For Nurses By Nurses Productions. • African American Nurses, 1942. Retrieved 2018. Image. New York Digital Library. • Getty Images. Dr. Robert Robitzcek, 1949. Image. • For Nurses By Nurses Productions, Marjorie Reed, 2018. Image.
References • “Health Disparities”. https://www.nimhd.nih.gov/. 2018. National Institutes of Health. • Health and Human Services Secretary Margaret Heckler, left, with President Ronald Reagan at the White House in 1985. Image. (Barry Thumma/AP) Washington Post. • Margaret M. Heckler. Report of the Secretary’s Task Force On Black Minority Health. 1985. Image. U.S. Department of Health and Human Services. • United Nations General Assembly, 2018. Image. World Health Organization. • Christmas Dinners for the Homeless, Visions of America, LLC. 2018. Media .Image. 123rf.com Stock Photo. • Man With Tuberculosis, Retrieved 2018. Image. New York Digital Library. • All of Us, Retrieved 2018. Image. https://allofus.nih.gov/about. • Medical Team, Wavebreak Media, Ltd. 2018. Image. 123rf.com Stock Photo.