Essentials of Advanced Nursing Practice 5 assigned assistant nurse manager, who is their direct point of contact. The use of the open-door policy and chain of command are highly promoted. A3. Primary Needs of the Population Served The community that KPSF serves includes the city and county of San Francisco. The primary focus of KPSF’s Community Benefit Programs is on the basic needs of vulnerable populations, which include low-income residents with health disparities and significant barriers to care. Below is a chart of a demographic profile of the community served: Race/ethnicity Socioeconomic Data Total Population 850,282 Living in poverty (<100% federal poverty level) 12.5% Asian 33.8% Children in poverty 11.5% Black 5.3% Unemployment 2.3% Native American/Alaska Native 0.4% Uninsured population 6.9% Pacific Islander/Native Hawaiian 0.3% Adults with no high school diploma 12.6%
Essentials of Advanced Nursing Practice 6 Some other race 7.0% Multiple races 4.9% White 48.2% Hispanic/Latino 15.3% The data shows that San Francisco has a relatively small proportion of households with children (19%) as compared to the state overall (34%). Meanwhile, the proportion of San Francisco's population that is 65 years and older is expected to increase from 17% in 2018 to 21% in 2030. The proportion of working-age residents (25 to 64 years old) is estimated to decrease from 61% in 2018 to 56% in 2030. In 2018, the age demographic profile of San Francisco was as follows: 17% ages 65 and older; 61% ages 25 to 64; 7% ages 18 to 25; 10% ages 5 to 17; and 5% ages birth to 4 years (Kaiser Permanente, 2019). The primary needs of the population served by this facility include treatment for substance abuse, heart disease, stroke, lung cancer, and mental health. These, excluding treatment for mental health, are also the primary causes of death in San Francisco. Even though in 2104, 97,000 residents obtained health insurance through the Affordable Care Act, access to care remains a barrier (Kaiser Permanente, 2019). To adequately treat the needs of the community, KPSF needs to attain and maintain adequate staffing. According to the department manager, this has been an ongoing issue for the past 2 years. This is due to the growing rate of residents gaining membership to the facility, along
Essentials of Advanced Nursing Practice 7 with the high turnover rate of the employees. An issue has been of concern that some of the population are unable to access medical care. This causes an increase in community-acquired infections and a higher mortality rate (San Francisco Department of Public Health, 2017). A4. Nurse Leader’s Role I interviewed the assistant nurse manager (ANM) of both the cardiovascular and intensive care units. The ANM is required to be a bachelor’s level nurse, but it is currently moving towards master’s level requirements. His role is very important, as he is the liaison between the department manager and the staff nurses and PCTs. He manages approximately 40-60 full-time employees and 2 units. He works very closely with the department manager, conducting the daily operations of the unit. He coordinates all admissions into to unit with the house supervisor
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- Spring '17
- Advanced Practice Nursing