Discussion: What Can Nurses Do?

    Many people, most of them in tropical countries of the Third World, die of preventable, curable diseases. . . . Malaria, tuberculosis, acute lower-respiratory infections—in 1998, these claimed 6.1 million lives. People died because the drugs to treat those illnesses are nonexistent or are no longer effective. They died because it doesn’t pay to keep them alive.

    –Ken Silverstein, Millions for Viagra. Pennies for Diseases of the Poor, The Nation, July 19, 1999

Unfortunately, since 1998, little has changed. For many individuals living in impoverished underdeveloped countries, even basic medical care is difficult to obtain. Although international agencies sponsor outreach programs and corporations, and although nonprofit organizations donate goods and services, the level of health care remains far below what is necessary to meet the needs of struggling populations. Polluted water supplies, unsanitary conditions, and poor nutrition only exacerbate the poor health prevalent in these environments. Nurses working in developed nations have many opportunities/advantages that typically are not available to those in underdeveloped countries. What can nurses do to support their international colleagues and advocate for the poor and underserved of the world?

In this Discussion, you will consider the challenges of providing health care for the world’s neediest citizens, as well as how nurses can advocate for these citizens.

                                                  To prepare:

    Consider the challenges of providing health care in underdeveloped countries.
    Conduct research in the Walden Library and other reliable resources to determine strategies being used to address these challenges.
    Using this week’s Learning Resources, note the factors that impact the ability of individuals in underdeveloped nations to obtain adequate health care.
    Consider strategies nurses can use to advocate for health care at the global level. What can one nurse do to make a difference?

                                        Required Readings

    Knickman, J. R., & Kovner, A. R. (Eds.). (2015). Health care delivery in the united states (11th ed.). New York, NY: Springer Publishing.

        Chapter 4, “Comparative Health Systems” (pp. 53–72)

        The chapter showcases different models of health care systems in order to help policymakers and managers critically assess and improve health care in the United States.

        Chapter 10, “The Health Workforce” (pp. 213–225)

        Review this section of Chapter 10, which details health workforce issues for nurses and nurse practitioners.

    Milstead,  J. A. (2019). Health policy and politics: A nurse’s guide (6th ed.).  Burlington, MA: Jones and Bartlett Publishers.

        Chapter 11, “The Impact of Globalization: Nurses Influencing Global Health Policy” (pp. 192-204)

        This chapter addresses how the health status of individuals and populations around the world can affect policymaking in a country.

    Bloch, G., Rozmovits, L., & Giambrone, B. (2011). Barriers to primary care responsiveness to poverty as a risk factor for health. BMC Family Practice, 12(1), 62–67.

    Retrieved from the Walden Library databases.

    This article details a qualitative study that was conducted to explore the barriers to primary care responsiveness to poverty. The authors explicate a variety of health impacts attributable to poverty.

    Harrowing, J. N. (2009). The impact of HIV education on the lives of Ugandan nurses and nurse-midwives. Advances in Nursing Science, 32(2), E94–E108.

    Retrieved from the Walden Library databases.

    This article explores the impact of an HIV/AIDS education program for Ugandan nurses and nurse-midwives. The author details the motivations behind the program and recommendations for the future.

    Koplan, J. P., Bond, C., Merson, M. H., Reddy, K. S., Rodriquez, M. H., Sewankambo, N. K., & Wasserheit, J. N. (2009). Towards a common definition of global health. The Lancet, 373(9679), 1993–1995.

    Retrieved from the Walden Library databases.

    This article provides a full description of the components that comprise global health care in detail.

    Gapminder. (2011). Retrieved from http://www.gapminder.org

    This website explains statistical graphs and tables of life expectancy and incomes around the world.

    Global Health Council. (2012). Retrieved from http://www.globalhealth.org

    This website houses the productivity and efforts of the Global Health Council as the world’s largest alliance dedicated to improving health throughout the world.

    Henry J. Kaiser Family Foundation: U.S. Global Health Policy. (2010). Retrieved from http://kff.org/globaldata/

    This website focuses on major health care issues facing the United States, as well as the U.S. role in global health policy.

    International Council of Nurses. (2011). Retrieved from http://www.icn.ch/

    This website documents the efforts of the International Council of Nurses to ensure quality nursing care for all, as well as sound health policies globally through the advancement of nursing knowledge and presence worldwide.

    United Nations Statistics Division. (2011). Retrieved from http://unstats.un.org/unsd/default.htm

    This website examines global statistical information compiled by the United Nations Statistics Division.

    University of Pittsburgh Center for Global Health. (2009). Retrieved from http://www.globalhealth.pitt.edu/

    This website analyzes health issues that affect populations around the globe through research at the University of Pittsburgh.

    The World Bank (n.d.) The costs of attaining the millennium development goals. Retrieved from http://www.nationalacademies.org/hmd/Global/News%20Announcements/Crossing-the-Quality-Chasm-The-IOM-Health-Care-Quality-Initiative.aspx.

    This article states that many countries will have to reform their policies and improve service delivery to make additional spending effective because the additional aid for education and health with not be enough.

One of the most basic principles of public health is that all people  have a right to health. Unfortunately, a right to health does not  guarantee good health or equivalent health status amongst people.  Although the term “disparities” is often interpreted to mean racial or  ethnic disparities, many dimensions of disparities exist in the United  States, particularly in health. If a health outcome is seen in a greater  or lesser extent between populations, there is disparity. Race,  ethnicity, sex, sexual identity, age, disability, socioeconomic status,  and geographic location all contribute to an individual’s ability to  achieve good health.
The purpose of this assignment is to consider the historic background  of health disparities. You will also relate this history to the current  state of healthcare, changes that have occurred over time and changes  that are still needed in public health.
Using the readings for this module, Argosy University online library resources, and the Internet, respond to the following:

Examine the differences between health equity, health disparity, and  health inequality, using examples and scholarly references for support.
Review the article and answer the question that follows:

What aspects of the article do you think are still applicable in health services today and which do you think are not?

Support your statements with appropriate examples and scholarly references.
Write your initial response in approximately 200 words. Apply APA standards to citation of sources.

There are many integrated delivery system organizations providing health care.

Identify a specific company, by name, and identify which type of IDS it is.
“North Shore is my pick”
North Shore – Long Island Jewish Health System (Great Neck, N.Y.) — 13 hospitals. This system was named one of the top 30 most integrated by SDI Health in 2010. It is the nation’s second-largest non-profit, secular healthcare system, with more than 5,600 hospital and long-term care beds, more than 9,000 physicians and 10,000 nurses and other healthcare professionals. It has 42,000 employees, making it the largest employer on Long Island. North Shore won the National Quality Forum’s 2010 National Quality Healthcare Award and the Joint Commission’s Codman Award, the first health system to attain this distinction. www.northshorelij.com

What is the difference between this business model for a health care provider versus a PPO where patients can choose the various components of providers from anywhere?

 Details:

Throughout this course, you have identified, examined, and provided individual as well as collaborative analysis on multiple facets of risk management in the health care setting.
Addressing the knowledge you have gained, and building on that knowledge to add your evaluation of the role that the managed care organization (MCO) plays in today’s health care environment, develop a 250-500 word reflection to incorporate the following:

What is a health care organization’s administrative role regarding oversight of risk management policies and ensuring compliance with managed care organization (MCOs) standards?
What is your assessment of the value provided to an organization that stems from the regulatory statutes of a typical MCO? Consider the establishment of conflict resolution and risk management strategies within the health care organization from the employer/employee perspective as well as in regards to patient conflict circumstances.
What MCO responsibilities pertain to the Patient Protection and Affordable Care Act (PPACA) and Center for Medicare and Medicaid Services (CMS) focus on fraud, waste, and abuse laws?

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

DiscussionCOLLAPSE
Raising children today is not easy. Their health is impaired by diet, lack of exercise, environmental toxins, and stress. They are subject to bullies in school, negative influences in the media, and they are pressured to grow up too fast. Technology has exposed children to so much more than they used to be exposed to. Given all of these impacts, discuss the factors that lead to raising healthy children. What would you do to raise your children to be well-adjusted physically and emotionally? How would you handle the attraction of technology in your household? Support your discussion with readings from the textbook or other authoritative sources found via the College Library. Cite your sources (APA style). 
Remember the criteria for the discussions:

100-200 word original post
50-100 word reply post
Covers every detail in the discussion description
Submitted on time

Grading Criteria YesNo1. Good post; covered all the required information?  2. Post was the required length?  3. Replied to one or more students?  4. Work was college-level writing, spell-checked, grammatically correct, and student used proper punctuation and capitalization?