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Social impacts on marginalized women and/or children

Identify and describe three actions you can take as an NP to mitigate the social impacts on marginalized women and/or children. As healthcare providers it is crucial that every patient feels significant and heard in their healthcare needs. Three ways to improve the social impacts of marginalized women and children is to create a welcoming environment for all patients, support policies that advance health equality, and advocate for educational programs on social determinants of health. Poor quality of care further alienates marginalized families from seeking medical care. One way to remedy this is to provide a welcoming, respectful, and dignified atmosphere for the patient (Sacks & Peca, 2020). Work with local government agencies to spread awareness of marginalized groups and how their position in society aKects their access to quality healthcare. Lastly identifying the individuals that can aKect change and educating them on the ways to improve the health care system to work for marginalized groups. Using evidence backed research or creating new data sets with new information, sharing data collection can help shape future healthcare initiatives (Peek et al., 2023). Discuss the role of federal, state, and local health policy in the marginalization of women, children, and childbearing families. Unfortunately, the government at the state, federal, and local levels have yet to pass any form of paid family medical leave, childcare reform, and recent changes to regulations on abortions from state to state have further marginalized women, children and childbearing families. In families that already struggle financially paid medical leave in the event of birth, a sick child, or sick family member will add to the burden. Childcare costs in the United States are continuing to grow making it challenging for parents that must work. Although these topics are high talking points during election periods, actions on the policies discussed have been sparse in legislation. Identify one policy that impacts marginalized groups (include whether the policy is at the federal, state, or local level). Discuss how the selected policy impacts marginalized groups either, positively or negatively. The United States Supreme Court made the decision to overturn Roe v. Wade on June 24, 2022. Since then, 14 states have banned abortion, and aKected access in some states to contraceptives. While this policy started with a decision at the federal level, the decision brings decisions on abortions back to the states leading some states to have freedom of choice and some states to have strict limitations. Marginalized women and childbearing families living in states with abortion bans or strict limits will not have abortion as an option in the event they need one. Those with low socioeconomic status do not have the means to travel to a diKerent state to obtain the healthcare they need, further adding to the disparity negatively impacting marginalized groups. Instructions- Cite all references and provide references for all citations. Engage by oKering new insights, applications, perspectives, information, or implications for practice. Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice. Communicate with minimal errors in English grammar, spelling, syntax, and punctuation. Use current APA format to format citations and references and is free of errors. Please use scholarly references within 5 years and ONLY

Full Answer Section

. Arrival Rate

The arrival rate (λ) for each customer is calculated as:

λ = 1 service call / 50 hours of operation = 0.02 calls/hour/customer

2. Service Rate

The service rate (μ) is calculated as:

μ = 1 / (travel time + repair time) = 1 / (1 hour + 1.5 hours) = 0.4 customers/hour

3. Waiting Line Model and Travel Time

OEI's service model differs from traditional queuing systems due to the travel time component. The total customer waiting time (Tw) is the sum of waiting time in the queue (Wq) and travel time (Tt):

Tw = Wq + Tt

4. OEI Service Capabilities with One Technician (10 Customers)

Using the M/M/1 queuing model (single server, Poisson arrivals, exponential service times) with λ = 0.02 calls/hour/customer and μ = 0.4 customers/hour, we can calculate the following performance metrics:

Probability of no customers in the system (Po):
- Po = 1 - (λ/μ) = 1 - (0.02/0.4) = 0.95
Average number of customers in the waiting line (Lq):
- Lq = (λ^2) / (μ * (μ - λ)) = (0.02^2) / (0.4 * (0.4 - 0.02)) = 0.0028 customers
Average number of customers in the system (L):
- L = λ / (μ - λ) = 0.02 / (0.4 - 0.02) = 0.0526 customers
Average time a customer waits until the service technician arrives (Wq):
- Wq = Lq / λ = 0.0028 customers / 0.02 calls/hour/customer = 0.14 hours (8.4 minutes)
Average time a customer waits until the machine is back in operation (Tw):
- Tw = Wq + Tt = 0.14 hours + 1 hour = 1.14 hours (68.4 minutes)
Probability of a customer waiting more than one hour for the technician (P(Wq > 1)):
- This probability can be calculated using the M/M/1 queueing model and probability tables.
Total cost per hour for service operation:
- Technician cost: $80/hour
- Downtime cost: $100/hour * L = $100/hour * 0.0526 customers = $5.26/hour
- Total cost: $80/hour + $5.26/hour = $85.26/hour

5. Can One Technician Meet the Guarantee?

Based on the calculated average waiting time (Tw = 68.4 minutes), it appears that one technician can currently meet the 3-hour service call guarantee with the existing customer base of 10.

6. Recommendation for 20 Customers

With 20 customers, the arrival rate increases to λ = 20 * 0.02 calls/hour = 0.4 calls/hour. Using the M/M/1 model, re-calculate the performance metrics. If the calculated Wq results in a high probability of exceeding the 3-hour guarantee or the total cost becomes excessive, adding a second technician is recommended.

7. Recommendation for 30 Customers

With 30 customers, the arrival rate increases to λ = 30 * 0.02 calls/hour = 0.6 calls/hour. Again, use the M/M/1 model to evaluate performance with one or two technicians. If two technicians still cannot meet the service level agreement while keeping costs reasonable, adding a third technician may be necessary.

8. Annual Savings Calculation

Initial Proposal (3 technicians for 30 customers):
- Cost per hour: 3 technicians * $80/hour/technician = $240/hour
- Annual cost: $240/hour * 250 operating days/year * 24 hours/day = $1,440,000
Recommended Staffing (calculate based on your analysis in steps 6 and 7):
- Determine the optimal number of technicians for 20 and 30 customers.
- Calculate the annual cost for the recommended staffing levels.
Annual Savings:
- Calculate the difference between the annual cost of the initial proposal and the annual cost of your recommended staffing levels.

Sample Answer

This is for informational purposes only. For medical advice or diagnosis, consult a professional.

Managerial Report: Analysis of OEI Service Capabilities

Date: July 5, 2024

To: OEI Management

From: [Your Name/Position]

Subject: Analysis of OEI Service Capabilities and Staffing Recommendations

This report analyzes OEI's current service capabilities and provides recommendations for staffing levels as the customer base expands. The analysis focuses on meeting the company's service level agreement (SLA) of an average 3-hour response time while minimizing operational costs.