NURS 6050 Module 6: Global Healthcare Issues

Assignment: Global Healthcare Comparison Matrix and Narrative Statement

Week 11-Look at the WHO organization link in your Resources.  Go to the Global Health Agenda- There are seven.  Investing in Health to Reduce Poverty is number 1, or 3 Universal Coverage, Gender equality, Health Related Human Rights.  Alternatively, Tackling Health Determinants of Health. Number 4.  Here you could address Diet, nutrition; environmental issues like measles, roundworm, TB, West Nile and Zika.  You pick a country and then compare it to the US. The Sustainable goals, which are published by the United Nations (WHO part of), will be quite helpful.  

If you chose obesity look at Japan and how they regulate weight where in the US the Obesity epidemic is skyrocketing.  

Learning Objectives

• Compare healthcare policies related to global healthcare issues in the U.S. and abroad

• Analyze the impact of the social determinants of health on global healthcare issues
• Analyze how policy impacts the health of the global population
• Analyze how policy impacts the role of the nurse
• Compare how global health issues impact local healthcare organizations and policies in the U.S and abroad
• Recommend advocacy for the incorporation of a global perspective into local practice and the role of the nurse leader

• Analyze impacts of the incorporation of a global perspective into local practice and the role of the nurse leader
• Analyze how a global perspective represents and contributes to social change

Learning Resources

Required Readings

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.).

Burlington, MA: Jones & Bartlett Learning.

Chapter 11, “The Impact of Globalization: Nurses Influencing Global Health Policy” (pp. 194–208)

Corless, I. B., Nardi, D., Milstead, J. A., Larson, E., Nokes, K. M., Orsega, S., Kurth, A. E., … Woith, W. (2018). Expanding nursing’s role in responding to global pandemics. Nursing Outlook, 66(4), 412–415. doi:10.1016/j.outlook.2018.06.003

Note: You will access this article from the Walden Library databases.

Donkin, A., Goldblatt, P., Allen, J., Nathanson, V., & Marmot, M. (2017). Global action on the social determinants of health. BMJ Global Health, 3(1). doi:10.1136/bmjgh-2017-000603

Note: You will access this article from the Walden Library databases.

Sandoval-Almazana, R., & Gil-Garcia, J. R. (2011). Are government internet portals evolving towards more interaction, participation, and collaboration? Revisiting the rhetoric of e- government among municipalities. Government Information Quarterly, 29(Suppl. 1), S72–S81. doi:10.1016/j.giq.2011.09.004

Note: You will access this article from the Walden Library databases.

World Health Organization (WHO). (n.d.). Global health agenda. Retrieved September 20, 2018, from http://www.who.int/about/vision/global_health_agen…

Assignment: Global Healthcare Comparison Matrix and Narrative Statement

If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?

You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.

Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.

In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.

To Prepare:

• Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
• Select at least one additional country to compare to the U.S. for this Assignment.
• Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
• Review and download the Global Health Comparison Matrix provided in the Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix;– 3 references are needed 1-page Plan for Social Change) – 3 References are needed

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

• Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.

• Explain the strengths and weaknesses of each policy.
• Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
• Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
• Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
• Explain how the health policy you selected might impact the role of the nurse in each country.

• Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

• Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples.

Global Healthcare Issues and Policies

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

• Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study

The Nurse’s Role in Global Healthcare

• Part 2: A Plan for Social Change

  Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment. In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

  • Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.

  • Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.

  • Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples

• Written Expression and Formatting – Paragraph Development and Organization:

  Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.

• A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria

• Written Expression and Formatting – English writing standards:

  Correct grammar, mechanics, and proper punctuation

• Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.

Healthcare Program/Policy Evaluation Analysis Template Healthcare Program/Policy Evaluation Analysis Template Use this document to complete the Module 5 Assessment Assessing a Healthcare Program/Policy Evaluation. Healthcare Program/Policy Evaluation Description The impact of the ACA on access to healthcare services by adults living with diabetes ACA is the most transformational nationwide healthcare policy in America’s recent history. Commissioned by Pres. Obama in 2010, the program has been the driver of healthcare transformation in the country. The CDC looks at how the program has benefited adults with diabetes in terms of accessing healthcare services. How was the success of the program or policy measured? The evaluation looked at the impact of the program on the healthcare outcomes for people living with diabetes. It compared the outcomes for insured with uninsured persons. Some of the aspects of the evaluation included access to care and the expenditure on health services. The success of the program was measured against the outcomes for insured persons by looking at access between the groups, the uptake of healthcare services, and healthcare expenses. How many people were reached by the program or policy At least 29 million Americans were living with diabetes in 2012. When ACA came into force, it was supposed to provide access and cover to Americans who had remained uninsured for long. Within four years of implementation, ACA had reduced the number of uninsured persons by at © 2020 Walden University 1 selected? How much of an impact was realized with the program or policy selected? least 9 million. A breakdown specific for adults living with diabetes is not available, but data shows that millions of Americans became a part of the nationwide program. In the years after the implementation of the program, about 2 million adults living with diabetes did not have healthcare insurance. During the first two years, ACA did not have significant healthcare improvements for people with diabetes. What data was used to conduct the program or policy evaluation? The evaluation utilized data from the Medical Expenditure Panel Survey (MEPS) for 2011 and 2012. MEPS keeps a record of different kinds of healthcare data, including the amount of money people pay out of pocket for health services, the number of uninsured at any given time, the quality of service, and the healthcare outcomes. The evaluators examined the demographics of adults living with diabetes aged 19 to 64 years. They also considered other health-related information like access to care, expenditures, and the uptake of healthcare services. What was the specific information on unintended consequences identified? What stakeholders were identified in the evaluation of the program or policy? Who would benefit the most from the results and reporting of the program or policy evaluation? Be © 2020 Walden University The evaluation noted that while ACA had the potential to improve healthcare outcomes in the long-term, it would increase the country’s expenditure on healthcare in the short-term. Also, the program will result in increased cost of care for people with diabetes in the short-term, which is one of the unintended outcomes. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) was a significant stakeholder in the evaluation. The results of the assessment would benefit the federal government in understanding the impact of the program so far. Results of the evaluation would also benefit health policymakers. They will be able to know the role of ACA in improving healthcare outcomes for special populations. Adults living with diabetes will also benefit from the evaluation because it points out key areas of success that could benefit them. For instance, they will know from the results the position of ACA in addressing the challenges they face while accessing care. 2 specific and provide examples. Did the program or policy meet the original intent and objectives? Why or why not? It is still too early to know the impact of ACA. Based on the evaluation, however, the policy did not have significant implications during the first two years. It did reduce the number of uninsured persons in the country, which is one of its primary goals. Future evaluations will tell whether the policy has positive impacts and whether or not it meets its purpose. Would you recommend implementing this program or policy in your place of work? Why or why not? ACA has many benefits despite its weaknesses. I think it is a good policy for the country, mainly because it reduces the number of people who do not have healthcare insurance. The ability to pay for healthcare services is a massive impediment to healthcare access, and I think I would support the implementation of this policy because it improves the ability to pay for millions of people. Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after one year of implementation. One of the ways through which I could help in the evaluation of ACA is by advocating for resources to aid in the assessment of the policy one year into its implementation. I could also promote record-keeping by hospitals to make sure there is adequate data to support the evaluation after one year. General Notes/Comments © 2020 Walden University ACA is a transformational policy. It may increase the cost of healthcare for the country in the short-term, but it will reduce healthcare expenditure for people. In the long-term, it will reduce the 3 cost of care for the country. Regular evaluations are, however, necessary to determine its impacts and suggest improvements. © 2020 Walden University 4 Global Health Comparison Grid Template Global Health Comparison Grid Template Use this document to complete the Module 6 Assessment Global Healthcare Comparison Matrix and Narrative Statement Global Healthcare Issue Description Country United States Describe the policy in each country related to the identified healthcare issue © 2018 Laureate Education Inc. 1 What are the strengths of this policy? What are the weaknesses of this policy? Explain how the social determinants of health may impact the specified global health issue. (Be specific and provide examples) © 2018 Laureate Education Inc. 2 How has each country’ government addressed cost, quality, and access to the selected global health issue? How has the identified health policy impacted the health of the global population? (Be specific and provide examples) Describe the potential impact of the identified health policy on the role of nurse in each country. © 2018 Laureate Education Inc. 3 Explain how global health issues impact local healthcare organizations and policies in both countries. (Be specific and provide examples) General Notes/Comments © 2018 Laureate Education Inc. 4

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