| Course | NURS 3030 Advocating for Diversity Equity and Inclusion in Healthcare |
|---|---|
| Week | Week 10 |
| Paper type | Final advocacy presentation |
| Length | About 940 words across 10 slides with speaker notes |
| Format | Slide deck with speaker notes, APA 7 |
| School | Walden University |
| Program | Bachelor of Science in Nursing (BSN) |
| Updated | October 2026 |
Free sample paper for NURS 3030 Week 10
Closing the Gap Between an Abnormal Mammogram and an Answer: A Nurse Navigator for Uninsured and Underinsured Women
Student Name
College of Nursing, Walden University
NURS 3030: Advocating for Diversity, Equity and Inclusion in Healthcare
Instructor Name
Month Day, Year
Slide 1: Closing the Gap Between an Abnormal Mammogram and an Answer
A proposal for a nurse navigator role
Presented to the hospital leadership team
Speaker notes: Thank you for the time. I am here to ask for one position: a nurse navigator for women whose screening mammogram is abnormal and who are uninsured or underinsured. The next slides explain the gap, the evidence, and exactly what I am asking you to fund.
Slide 2: The Population and the Gap
Women with an abnormal screening mammogram at our imaging center
Uninsured or underinsured: no insurance, high-deductible plans, or subsidized coverage
The gap: time from abnormal screen to diagnostic resolution
Speaker notes: An abnormal screening mammogram is not a diagnosis; it is a question that needs an answer, usually through more imaging and sometimes a biopsy. The time between the abnormal screen and that answer is called the interval to diagnostic resolution. For most women with good insurance, the next steps are scheduled within days. For women without insurance or with coverage that leaves large out-of-pocket costs, the steps can stall.
Slide 3: What the Research Shows About Delay
Delay follows insurance and access, not only clinical factors
Subsidized insurance associated with longer time to resolution in one urban hospital
Speaker notes: In an urban hospital serving a largely underserved population, women with subsidized insurance were among those with a longer time to diagnostic resolution after an uncertain screening mammogram in unadjusted analysis, and women without primary care inside the same institution were at particular risk of delay (Kumar et al., 2020). I am not quoting our own center's numbers, because we do not yet collect them by insurance type, which is itself part of the problem.
Slide 4: Why Delay Happens
Cost of diagnostic imaging and biopsy
Scheduling across departments
Transportation and time off work
Fear and confusion about what abnormal means
Speaker notes: The barriers are practical. Diagnostic imaging and biopsy cost more than screening. The steps involve several departments, and nobody owns the whole path. Women who work hourly jobs may not be able to come on short notice. And many women are frightened or unsure what an abnormal result means, which can lead to avoidance. Each of these is something a navigator can address directly: helping a woman apply for financial assistance before the diagnostic visit, booking the steps back to back, arranging transportation, and explaining what the result does and does not mean.
Slide 5: Freeman's Patient Navigation Model
One person removes the barriers between a finding and its resolution
Navigation began in Harlem in 1990
Focus on the interval from abnormal finding to diagnosis and treatment
Speaker notes: Harold Freeman developed patient navigation in Harlem in 1990, built on a simple central idea: a dedicated person can find and remove the barriers standing between an abnormal finding and its resolution, whether those barriers are financial, logistical, or emotional (Freeman & Rodriguez, 2011). The navigator does not replace clinicians; she makes sure the patient reaches them.
Slide 6: Evidence That Navigation Works
Patient Navigation Research Program: over 10,000 participants with abnormal screening tests
Most from racial and ethnic minority groups; many publicly insured or uninsured
Benefit on timely diagnostic resolution from 91 to 365 days
Greatest benefit where usual follow-up was slowest
Speaker notes: The largest study, the Patient Navigation Research Program, compared navigation with usual care for more than 10,000 people with abnormal screening tests, most from racial and ethnic minority groups and many publicly insured or uninsured. Navigation did not change the first 90 days, but from 91 days to a year it improved timely diagnostic resolution, and the benefit was greatest in centers with the longest delays under usual care (Freund et al., 2014). That last finding matters for us: navigation helps most where the gap is widest.
Slide 7: Stakeholders
Patients and families
Imaging center and breast surgery clinic
Financial counseling and charity care office
Primary care clinics that refer
Hospital leadership and finance
Speaker notes: From our earlier stakeholder analysis: patients gain a single person to call; the imaging center and surgery clinic gain fewer missed appointments; financial counseling gains earlier referrals for charity care; referring clinics gain a closed loop. Leadership bears the cost, which is why the ask is framed as a trial with measures.
Slide 8: Policy Fit
Financial assistance policy already exists
Community health needs assessment names cancer screening follow-up
Navigation connects patients to both
Speaker notes: Our hospital already has a financial assistance policy and a community health needs assessment that names cancer screening follow-up as a priority. The navigator would connect eligible women to the financial assistance that already exists, which many do not know to ask for.
Slide 9: The Ask
Fund one full-time registered nurse navigator for 12 months
Serve women with abnormal screening mammograms who are uninsured or underinsured
Measure: days from abnormal screen to diagnostic resolution, by insurance type
Report to this team at 6 and 12 months
Speaker notes: The ask is specific. Fund one full-time registered nurse navigator for 12 months to follow every uninsured or underinsured woman with an abnormal screening mammogram from the day of the result to diagnostic resolution. We will measure days to resolution by insurance type, starting with a baseline from the past year, and report to this team at 6 and 12 months. If the gap does not narrow, you will see it in our own numbers.
Slide 10: References
Freeman & Rodriguez, 2011
Freund et al., 2014
Kumar et al., 2020
Speaker notes: Full references are in the handout. Thank you for listening; I would welcome your questions, especially about how the trial would be measured.
References
Freeman, H. P., & Rodriguez, R. L. (2011). History and principles of patient navigation. Cancer, 117(S15), 3537-3540. https://doi.org/10.1002/cncr.26262
Freund, K. M., Battaglia, T. A., Calhoun, E., Darnell, J. S., Dudley, D. J., Fiscella, K., Hare, M. L., LaVerda, N., Lee, J.-H., Levine, P., Murray, D. M., Patierno, S. R., Raich, P. C., Roetzheim, R. G., Simon, M., Snyder, F. R., Warren-Mears, V., Whitley, E. M., Winters, P., . . . Paskett, E. D. (2014). Impact of patient navigation on timely cancer care: The Patient Navigation Research Program. Journal of the National Cancer Institute, 106(6), Article dju115. https://doi.org/10.1093/jnci/dju115
Kumar, A. J., Banco, D., Steinberger, E. E., Chen, J., Weidner, R., Makim, S., & Parsons, S. K. (2020). Time to diagnostic resolution after an uncertain screening mammogram in an underserved population. Cancer Medicine, 9(9), 3252-3258. https://doi.org/10.1002/cam4.2970
The Walden NURS 3030 Week 10 instructions
The tenth NURS 3030 week usually asks for a final advocacy project, often as a narrated presentation, that brings together problem, evidence, causes, a model, stakeholders, policy fit and a specific ask. Faculty spread credit widely, so a gap anywhere costs. Cite all sources in APA 7 on a references slide. Content from earlier weeks can be reused if revised. Speaker notes should carry the reasoning in full sentences. The ask should be specific enough to approve. Measures of success belong with the ask. NURS 3030 faculty want each slide to make one point and the ask to include cost, duration and measures. Speaker notes should be full sentences.
Inside the NURS 3030 Week 10 example
The project arrives as a slide deck with speaker notes, the form many sections accept, and the notes carry the argument in full sentences. Opening slides define the population and the gap, the interval from an abnormal screening mammogram to diagnostic resolution, compared between insured and uninsured women and cited to published research rather than quantified by the author. Evidence slides follow, one idea apiece. Freeman's patient navigation model is introduced for its central idea, that a dedicated person can remove the obstacles standing between a finding and its resolution. A stakeholder slide and a policy slide carry forward the earlier weeks' work. The ask slide is specific: a nurse-led navigation role for a defined pilot period, with evaluation measures stated. An APA reference slide closes the deck.
NURS 3030 Week 10 rubric: what earns full marks
Final projects in this course usually gather every earlier criterion into one document, so credit spreads widely and gaps anywhere are costly. The problem share rewards a precise population and measure, which the interval supplies. The evidence share rewards sources connected to the ask, and the example's navigation evidence bears directly on the proposed role. Stakeholder and policy analysis earn credit again here, and carrying earlier work forward shows development across the course. The ask is judged on specificity and feasibility, and a time-limited pilot with named measures meets both expectations. Presentation quality has its own share: slides holding one idea each, readable text, and notes that do the explaining. Projects lose most often through decks crowded with text, asks lacking any scope, and reference slides that omit sources quoted in the notes.
NURS 3030 Week 10 help: mistakes that cost marks
Final projects lose credit when one earlier element, such as stakeholders, is missing. Check every criterion. An ask as loose as "improve access" also loses marks. Name the role, cost and measures. Writers also crowd slides with text. Keep slides short and move detail into notes. Avoid evidence that does not match the population. Use navigation studies in underserved women. Cite the federal screening program correctly. Close with the measures that would show success after a year. Writers also forget to explain how women would be found and referred to the navigator. Describe the referral path. Another frequent slip is a references slide with missing items. Check every citation.
Get a NURS 3030 Week 10 example written to your instructions
Send the final project instructions, the rubric and your chosen issue, along with whether your section wants slides, a paper or both, and the desk builds the finished piece in that form. The first sample is free and lands inside 24-48 hours, speaker notes cited so the argument holds without a live presenter.
More NURS 3030 papers and BSN samples
- NURS 3030 Week 1: Equity Vocabulary Post
- NURS 3030 Week 2: Caseload Disparity Post
- NURS 3030 Week 3: Cultural Humility Thread
- NURS 3030 Week 4: Disparity Data Template
- NURS 3030 Week 5: Social Determinants Position
- NURS 3030 Week 6: Equity Barrier Template
- NURS 3030 Week 7: Advocacy Plan Draft
- NURS 3030 Week 8: Action Feasibility Thread
- NURS 3030 Week 9: Stakeholder and Policy Revision
- NURS 3030 Week 11: Advocacy Reflection Post
- NURS 3111 Week 10: Final Technology Proposal
- NURS 3025 Week 10: Head-to-Toe Write-Up
- NURS 4106 Week 10: Assembled Improvement Project
- NURS 3021 Week 10: Integrated Change Synthesis
NURS 3030 Week 10 questions, answered
Is the final advocacy project always a presentation?
No. Some sections require a narrated presentation, others a scholarly paper, and some a written proposal with an executive summary. The example uses slides with speaker notes because that form is common and shows the argument in two layers. The same content reorganizes into paper form easily, and a custom sample takes whichever form your instructions specify.
Does the example recommend navigation for every screening gap?
No. Navigation fits this gap because the evidence ties the delay to obstacles a person can help remove, such as scheduling, coverage questions and transportation. For a different disparity the evidence might support a policy change, a workflow redesign or community outreach instead. The example shows an ask matched to its evidence, and that matching is the part that carries over.
Can I reuse content from my earlier weeks in the final project?
Usually yes, and the example does so openly, since stakeholder and policy work from earlier weeks feeds the final deck. Some instructors expect revision rather than copying, so earlier sections ought to reflect feedback received. Your syllabus may also carry a policy on reusing submitted work, and a custom sample integrates earlier material in whatever way your course permits.
Where can I find a free NURS 3030 Week 10 sample paper?
The nurse navigator presentation is on this page with all ten slides, speaker notes, the evidence, stakeholders, policy fit and the ask.
What role does the NURS 3030 Week 10 deck propose?
A nurse navigator to close the gap between an abnormal mammogram and a diagnostic answer for uninsured and underinsured women.