Health (il)literacy: Structural vulnerability in the nurse navigator service

2021 ◽  
Author(s):  
Amy‐Louise Byrne ◽  
Clare Harvey ◽  
Adele Baldwin
Keyword(s):  
Structural Vulnerability ◽  
Nurse Navigator

A Nurse Navigator Led Community-Based Cardio-Oncology Clinic

2021 ◽  
Vol 36 (3) ◽  
pp. 50-58
Author(s):  
Rachael Zirkelbach ◽  
Kerry Skurka ◽  
Vijay U. Rao
Keyword(s):  
Community Based ◽  
Nurse Navigator

Reduced Socioeconomic Disparities in Cleft Care After Implementing a Cleft Nurse Navigator Program

2021 ◽  
pp. 105566562110056
Author(s):  
Connor Wagner ◽  
Carrie E. Zimmerman ◽  
Carlos Barrero ◽  
Christopher L. Kalmar ◽  
Paris Butler ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Care Center ◽  
Tertiary Care ◽  
Multidisciplinary Care ◽  
Socioeconomic Disparities ◽  
Outpatient Appointment ◽  
Nurse Navigator ◽  
Insured Patients ◽  
The Impact

Objective: To evaluate the impact of a Cleft Nurse Navigator (CNN) program on care for patients with cleft lip and cleft palate and assess the programs efficacy to reduce existing socioeconomic disparities in care. Design: Retrospective review and outcomes analysis (n = 739). Setting: Academic tertiary care center. Patients: All patients presenting with cleft lip and/or cleft palate (CL/P) born between May 2009 and November 2019 with exclusions for atypical clefts, submucous cleft palates, international adoption, and very late presentation (after 250 days of life). Interventions: Multidisciplinary care coordination program facilitated by the CNN. Main Outcome Measures: Patient age at first outpatient appointment and age at surgery, reported feeding issues, weight gain, and patient-cleft team communications. Results: After CNN implementation, median age at outpatient appointment decreased from 20 to 16 days ( P = .021), volume of patient-cleft team communications increased from 1.5 to 2.8 ( P < .001), and frequency of reported feeding concerns decreased (50% to 35%; P < .001). In the pre-CNN cohort, nonwhite and publicly insured patients experienced delays in first outpatient appointment ( P < .001), cleft lip repair ( P < .011), and cleft palate repair ( P < .019) compared to white and privately insured patients, respectively. In the post-CNN cohort, there were no significant differences in first appointment timing by race nor surgical timing on the basis of racial identity nor insurance type. Conclusions: A variety of factors lead to delays in cleft care for marginalized patient populations. These findings suggest that a CNN can reduce disparities of access and communication and improve early feeding in at-risk cohorts.

scholarly journals Structural vulnerability: migration and health in social context

2021 ◽  
Vol 6 (Suppl 1) ◽  
pp. e005109
Author(s):  
Lauren Carruth ◽  
Carlos Martinez ◽  
Lahra Smith ◽  
Katharine Donato ◽  
Carlos Piñones-Rivera ◽  
...  
Keyword(s):  
Clinical Care ◽  
Professional Associations ◽  
Humanitarian Assistance ◽  
Structural Vulnerability ◽  
Global Migration ◽  
Humanitarian Interventions ◽  
Care Models ◽  
The Usa ◽  
Mexico Border ◽  
Training And Support

Based on the authors’ work in Latin America and Africa, this article describes and applies the concept ‘structural vulnerability’ to the challenges of clinical care and healthcare advocacy for migrants. This concept helps consider how specific social, economic and political hierarchies and policies produce and pattern poor health in two case studies: one at the USA–Mexico border and another in Djibouti. Migrants’ and providers’ various entanglements within inequitable and sometimes violent global migration systems can produce shared structural vulnerabilities that then differentially affect health and other outcomes. In response, we argue providers require specialised training and support; professional associations, healthcare institutions, universities and humanitarian organisations should work to end the criminalisation of medical and humanitarian assistance to migrants; migrants should help lead efforts to reform medical and humanitarian interventions; and alternative care models in Global South to address the structural vulnerabilities inherent to migration and asylum should be supported.

Power System Structural Vulnerability Assessment Based on an Improved Maximum Flow Approach

2018 ◽  
Vol 9 (2) ◽  
pp. 777-785 ◽  
Author(s):  
Jiakun Fang ◽  
Chi Su ◽  
Zhe Chen ◽  
Haishun Sun ◽  
Per Lund
Keyword(s):  
Power System ◽  
Vulnerability Assessment ◽  
Maximum Flow ◽  
Structural Vulnerability

scholarly journals Pseudo-Separation for Assessment of Structural Vulnerability of a Network

2017 ◽  
Vol 45 (1) ◽  
pp. 13-14 ◽  
Author(s):  
Alan Kuhnle ◽  
Tianyi Pan ◽  
Victoria G. Crawford ◽  
Md Abdul Alim ◽  
My T. Thai
Keyword(s):  
Structural Vulnerability
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