Respond to this discussion, by suggesting an additional practice change or other intervention that y

Respond to this discussion, by suggesting an additional practice change or other intervention that your colleague might consider to address the need, challenge, or issue facing the community of practice selected. supported with scholarly evidence (within the last 5 years) from your research and/or the Learning Resources, and properly cited using apa. Community Health Centers And The Challenge Of Integrating Healthcare Services Introduction This discussion will consider healthcare challenges encountered by people experiencing homelessness. A study by Baggett et al. (2021) found that homeless individuals are more likely to suffer from conditions such as hypertension, diabetes, respiratory diseases, and mental health conditions compared to the general population. These issues are intensified by obstacles in accessing care. This population encounters difficulties in meeting appointments and subsequently obtaining care before their problems become so great that they have to go to Emergency Departments ED). I will propose two ways to increase the availability of healthcare services to the homeless population. Community Practice Challenge Many homeless individuals suffer from chronic health conditions, substance use disorders, and mental health issues, which are exacerbated by their living conditions and lack of stable support systems (Pruitt & Barile, 2022). A community of practice focused on addressing the health needs of the homeless population often involves community health centers (clinics) that provide comprehensive medical care, mental health services, and social support (Health Care for People Experiencing Homelessness—What Outcomes Matter?, 2021) A challenge in working with the homeless population is that they may fail to refill their prescriptions, miss healthcare appointments, or neglect their chronic diseases until they become so severe that they require care in an ED. Gaps in care result in their conditions worsening, and when they go to the ED rage clinic that set up for them is underutilized. Limited clinic hours and lack of transportation to the clinics may prohibit people to access care in the clinics. My Perspective As A Future DNP-prepared Nurse, & Why Utilizing Healthcare Clinics Is Important As a DNP-prepared nurse, it is vital to understand the problem of homeless people not using the services of community clinics and make efforts to alleviate it. To patients this is important because of the consequences of not treating their diseases such as amputations for diabetics (Burt et al., 2020). Also, using the ED for basic medical care is expensive. Better use of community clinics will decrease healthcare cost by less frequent utilizing expensive EDs. DNPs are in a strong position to use evidence-based practice to establish better ways to make access to healthcare more available. Community Practice Changes To facilitate better access to healthcare in community clinics, I would recommend: 1. Increase the number of hours healthcare availability by opening clinics on weekends and keeping clinics open longer hours each day. Expanding hours and days of clinic availability would require changes in the operational practices of the clinic itself. Increased staff would be needed, and consequently there would be a need for changes in budgeting as well as hiring. This may require the services of grant-writers for funding. 2. Mobile Units (MUs) that can bring healthcare to where the homeless are would significantly reduce ED usage and hospitalizations by providing timely and accessible care in the homeless. Additionally, MUs help build trust and rapport with individuals experiencing homelessness, which is crucial for ongoing engagement in healthcare services (Malone et al., 2020). My Recommendations Align With Essential Domains The suggestions for increasing the availability of healthcare services to the homeless align with specific Domains from The Essentials, which delineate the competencies and knowledge necessary for Doctor of Nursing Practice (DNP) graduates. Below are three Domains that relate to these suggested modifications: Domain 1: Scientific Underpinnings For Practice Improving the healthcare of people who experience homelessness by increasing available clinics is scientifically sound. Currently, there is the issue of homeless people suffering from many chronic illnesses and yet not treating them in a timely manner. Untreated conditions tend to get worse over time. Increasing hours of treatment availability and bringing healthcare to where they are will allow for medical treatment before chronic conditions become catastrophic. By acknowledging that homeless people frequently confront various overlapping health challenges DNP-prepared nurses can apply evidence-based approaches to create care delivery models that meet these complex needs. Domain 6: Inter-professional Partnerships Expanding community clinic availability and offering mobile services for the homeless are two sides of the same coin: that of increasing access to care. This concept closely aligned with Domain 6, which emphasizes inter-professional collaboration for improved health outcomes. Successful outreach necessitates teamwork among nurses themselves and also with different healthcare providers, including Social Workers, mental health experts, and even may extend to collaboration among community organizations. DNP-prepared nurses can establish a supportive network that improves care access for homeless individuals. One van might be purchased and utilized by two or more agencies. The value of collaborative strategies in meeting the varied needs of the homeless population results in enhancing health outcomes through teamwork and shared resources. Domain 7: Clinical Prevention And Population Health For Improving The Nation’s Health Both my recommendations—increased hours of clinic availability and outreach programs—are based on the principles of illness prevention and population health, which are key to Domain 7. By prioritizing preventive care, or at least early intervention, these practice changes are intended to lower the prevalence/effects of chronic diseases and mental health issues among the homeless population. Burt et al. (2020) highlight that proactive outreach can lessen the reliance on emergency services, ultimately fostering healthier communities and decreasing healthcare expenses. This is consistent with the DNP’s objective of enhancing public health. Conclusions In summary, better meeting the health needs of the homeless through increased hours of on-site available services and establishing mobile outreach programs is vital to enhancing the well-being of the homeless population. These proposals not only align with The Essential Domains but also highlight the important of a comprehensive and cooperative approach to healthcare. Ultimately, these proposed changes would reduce healthcare costs and support the overall public health. By facilitating these practice modifications, DNP-prepared nurses can greatly improve access to care and promote health outcomes for this at-risk population.

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