Week 4

Leading Through Ethical Relationships



First activity


The purpose of this discussion is to prepare the DNP-prepared nurse leader to guide social justice reform.


For this discussion, address the following:

1. Identify a health inequity in your healthcare setting, community, or population.

2. Propose how you could address this identified healthcare inequity describing attributes of an effective leader guiding a healthcare team.

Construct your responses using the CARE Plan method.

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

·     Link (webpage): DNP Discussion Guidelines





NR703 Applied Organizational and Leadership Concepts

Week 4 discussion- Leading Through Ethical Relationships

January 2022


Health care disparities for the elderly have been amplified throughout our communities and nation due to COVID-19. The pandemic has shown a light on the already obvious imbalance in health care for the elderly population. These inequities are not new, and are not just found in the United States, but globally. The United States may be ranked amongst the highest in overall quality health care, but the gaps for underserved populations such as the elderly continue. The elderly are socially isolated, may have low incomes, and mobility issues that impact their risk of contracting illnesses such as COVID-19, and their ability to access help. In my role as a nurse for a home health agency I see a large population of elderly for their post-op knee and hip surgeries and have witnessed their social isolation and fear (Bottomley, 2021). These inequities are formed due to not only the differences in health status across the population but also due to determinants of health. These determinants include personal, economic, social, and environmental factors that impact the overall health status of an individual. We must take these determinants into account when we look to address the problem (The National Academic Press, 2017).

To address the inequity the elderly face as a DNP-prepared nurse leader I propose increasing telemedicine to this population. Due to issues some face with technology, technical support and setup will be a key part of this process. This has proved to be a powerful tool in connection with those socially isolated or at risk for contracting the virus by going out in the community. Virtual visits can address many areas of care from the physical to the psychosocial aspects. I would advocate for a full multi-disciplinary team approach to ensure they have all the team members needed to address their needs beyond just the physical. This can offer fast and convenient access to care which promotes health equity and has been a proven tool in underserved communities. The attributes I would use in advocating for this in my home health organization would be engagement, determination, and the ability to be transparent and influence others on the needs of this population.



Jennifer M Bottomley. (2021). COVID-19 amplifies health care disparities for elderly and low-income populations. GeriNotes28(5), 9–14. https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_proquest_reports_2599947056 (Links to an external site.)

The National Academies Press. (2017). Communities in action: Pathways to health equity.https://doi.org/10.17226/24624



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