week 2 policy-priority selection discussion

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Chamberlain College of Nursing *

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506

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Medicine

Date

Dec 6, 2023

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docx

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Uploaded by ConstableProtonReindeer38

One healthcare concern in the Milwaukee area would be the lack of medical translators for Rohingyan-speaking people. Near my hospital, resides the one of the largest Myanmar refugee camps in the United States, where the Rohingyan ethnic group has been undergoing a genocide the last few years, leading many to flee for a chance at a better life. However, there is a large health disparity in that this language is not prevalent in most communities and that the language itself is not easily translate to English, leading to poor outcomes for these individuals (Haider et al., 2022) . Just as well, many of these individuals are undocumented and face further economic disparity from their inability to find work and pay for medical services. These concerns are motivated by the fact that the lack of medical translators leads to a delay in treatment for many of these patients, and when we are unable to obtain a translator, we are miming and trying to guess what they are trying to tell us is wrong. From personal experience, many times a Rohingyan-speaking patient has come into our ER pointing to their chest, and when we don’t have a translator we spend a lot of time and resources doing full cardiac workups only to find out that they perhaps had GERD, cholecystitis, or something else that would have been diagnosed sooner had we been able to actually understand what their chief complaint was. Rationales for this concern are based on the ethical principle of equity and the goal of ensuring that everyone, regardless of ethnic or socioeconomic background, has access to high-quality care. A potential solution would be reaching out to community leaders and congregation areas to find those that speak both English and Rohingyan to not only provide translation services, but to also educate healthcare workers on helpful words and phrases in attempts to learn and speak with this population. In providing work for those that speak both languages, not only are we supporting the economic needs of the population, but we also allow for nurses and staff members to connect with this community on a personal level, creating a foundation of trust and mutual respect (Lokken et al., 2023). In working towards this goal of working together with the Rohingyan community, it is important to advocate for policies that allow many of these undocumented individuals to find work in this environment are medical translators or language educators, therefore encouraging more people to apply and qualify for the work they provide. Incrementalism would be best applied to this policy concern in that by taking small steps to approach this issue allows for frequent adjustments and reassessment of the needs of both the Rohingyan community and healthcare workers. This slow and steady approach allows us to ensure that those applying for these positions can translate appropriately in the medical setting. Incrementalism also allows for pilot studies to be formed to identify

positive health outcomes of these individuals and look for other disparity gaps. References Haider, S., Maheen, A., Ansari, M., & Stolley, M. (2022). Health beliefs and barriers to healthcare of Rohingya refugees. Journal of Racial and Ethnic Health Disparities , 10 (4), 1560–1568. https://doi.org/10.1007/s40615- 022-01342-2 Lokken, J., Oldani, M. J., Sanders, J., Wagner, C., Mauer, E., & Lee, T. (2023). How Rohingya language educational videos help improve refugee Interprofessional Health Service Delivery in Milwaukee. AMA Journal of Ethics , 25 (5). https://doi.org/10.1001/amajethics.2023.365

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