633 Discussion IV

Evidence-Based Guidelines for Quality Improvement

Michael Moates, Ed.D.

Herzing University

Safety and Quality (NSG633-7H)

Dr. Aubrey Fox

September 23, 2025

Health disparity refers to a preventable difference in the burden of disease, injury, violence, or opportunities to achieve optimal health that is closely linked with social, economic, or environmental disadvantage (Centers for Disease Control and Prevention [CDC], 2022). These inequities often arise from systemic barriers that limit access to health-promoting resources, leading to poorer outcomes in marginalized communities.

One significant health disparity in the United States is the disproportionate rate of maternal mortality among Black women compared to White women. According to the CDC (2023), Black women are nearly three times more likely to die from pregnancy-related causes than their White counterparts. This disparity persists even after controlling for education and income levels, highlighting the role of structural racism and systemic inequities in health care delivery.

Several social determinants of health contribute to this disparity. First, access to quality prenatal and obstetric care remains limited in many communities, especially in rural and underserved areas. Second, socioeconomic status influences the ability to secure consistent medical care, nutritious food, and safe housing. Third, implicit bias in healthcare providers can affect the quality of communication, diagnosis, and treatment offered to Black women, leading to delayed or inappropriate interventions. Finally, broader social stressors, such as discrimination and chronic stress, also negatively impact maternal health outcomes.

Addressing maternal mortality among Black women requires a multifaceted approach, including expanding access to culturally competent prenatal care, improving community-based health programs, and implementing policies that address systemic racism in healthcare. By acknowledging and tackling these determinants, nursing leaders and healthcare systems can help close this persistent gap and promote equity in maternal health outcomes.

References

Centers for Disease Control and Prevention. (2022). Health disparities. https://www.cdc.gov/healthyyouth/disparities/index.htmLinks to an external site. (Removed by current administration)

Centers for Disease Control and Prevention. (2023). Racial and ethnic disparities continue in pregnancy-related deaths.