Environmental Contexts of Vulnerable Populations

Health disparities research has been identified as a priority by the National Institute of Nursing Research (NINR). Training nurse scholars in Vulnerable Populations (VP) research has been one strategy to address this issue. Involvement of university sponsored pre- and postdoctoral nurse fellows in groupdeveloped projects are coordinated to advance the science of VP. A group of pre- and postdoctoral nurse fellows report on research that illustrates environmentally-induced barriers to health care experienced by VP. Topics cover health disparities, VP research, and culturally appropriate approaches to enhance access and acceptability of quality health care. Five studies are presented that illustrate the interplay of biologic, social, economic, behavioral, environmental, and cultural influences in the health and healthcare of individuals, populations, and sub-groups. These studies have common factors as well as unique barriers requiring exploration for better understanding and culturally appropriate intervention. The studies drew upon the VP Conceptualization Framework (VPCF) to describe the unique barriers encountered. These barriers are of significant concern and have implications for nursing practice, research, and education. Key recommendations to address these barriers are provided.