NURS 6050 Walden University Wk 8 Advocating for the Nursing Role in Program Design Questions

Description

NURS 6050 Walden University Week 7 Achieving Universal Health Coverage Discussion

RESPOND to 2 students’ Discussions Evidence Base in Design

When politics and medical science intersect, there can be much debate. Sometimes anecdotes or hearsay are misused as evidence to support a particular point. Despite these and other challenges, however, evidence-based approaches are increasingly used to inform health policy decision-making regarding causes of disease, intervention strategies, and issues impacting society. One example is the introduction of childhood vaccinations and the use of evidence-based arguments surrounding their safety.

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In this Discussion, you will identify a recently proposed health policy and share your analysis of the evidence in support of this policy.

 

To Prepare:

• Review the Congress website provided in the Resources and identify one recent (within the past 5 years) proposed health policy. NURS 6050 Walden University Week 7 Achieving Universal Health Coverage Discussion
• Review the health policy you identified and reflect on the background and development of this health policy.

 

Respond to at least two of your colleagues* on two different days by either supporting or respectfully challenging their explanation on whether there is an evidence base to support the proposed health policy they described. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. One page long to each discussion student 1 CB, and student 2 AA. See below for the 2 discussions that you will respond.

 

 

 

Student 1 CB discussion

Mental Health Access 

Mental health access through the emergency department is a problem throughout the United States. Many people with acute mental health issues seek care through the emergency department simply because they have no other options for immediate help. The proposed bill H.R. 2519, addresses the problem of EDs not having enough resources to manage and treat patients with acute mental health episodes affectively. This bill would provide funding to aid in additional inpatient psychiatric beds, crisis clinics, and emergency psychiatric units for mental health patients with an acute episode. (Actions – H.R.2519 – 116th Congress (2019-2020): Improving Mental Health Access from the Emergency Department Act of 2020, n.d.). The issue remains that people come into the ED for suicidal or homicidal ideation, and we have no inpatient psych beds available to get them the help they desperately need. I have personally witnessed having to hold a suicidal patient in the ED for over 24 hours until either a bed becomes available, or released back on the street, only because we do not have the resources necessary to accommodate them.

I believe there is significant evidence to support this policy and the need for increased resources for mental health patients. Acute mental health patients are seeking emergency care at an alarming rate. One in eight patients in the emergency department seeks help for acute mental health issues or substance abuse. (Laderman et al., 2018). This number continues to grow despite the lack of resources emergency departments have to hand out. Lack of resources for these patients also results in increased wait times and delays in emergency care that they need. Mental health patients simply do not get the treatment they require by sitting in the emergency department for hours or even days. (PR Newswire, 2017). Acute mental health issues are a growing concern in emergency departments across the U.S., and something needs to be done.  NURS 6050 Walden University Week 7 Achieving Universal Health Coverage Discussion

References

Actions – h.r.2519 – 116th congress (2019-2020): Improving mental health access from the emergency department act of 2020. (n.d.). Congress.gov. Retrieved October 12, 2020, from https://www.congress.gov/bill/116th-congress/house-bill/2519/actions

Laderman, M., Dasgupta, A., Henderson, R., & Waghray, A. (2018, January 26). Tackling the mental health crisis in emergency departments: Look upstream for solutions. healthaffairs.org. Retrieved October 12, 2020, from https://www.healthaffairs.org/do/10.1377/hblog20180123.22248/full/

PR Newswire. (2017). Waits for care and hospital beds growing dramatically for psychiatric emergency patients. PR Newswire US.

 

Student 2 AA Discussion

S.4210-115^th Congress (2019-2020) desires for the Department of Homeland Security to transfer personal protective equipment or medically necessary equipment to the Department of Health and Human Services (HHS) during a declared public health emergency. These transfers must be made at the request of HHS and on a reimbursable basis (Congress.Gov., 2020). The proposer of this bill was Senator Ron Johnson, Republican party for Wisconsin 112^th-116^th (2011-present) (Congress.Gov, n.d.).

Before the equipment would be able to be requested, the Secretary of Health and Human Services would need to determine whether the personal protection equipment or medically necessary equipment would be available. The Secretary will also determine whether the personal protection equipment requested is excess equipment (Govtrack, 2020).

Association of State and Territorial Health Officials (2020), explains that the “Public Health Service Act (PHSA) provides the legal authority for the Department of Health and Human Services (HHS), among other things, to respond to public health emergencies”. The act authorizes the HHS secretary to guide federal public health as well as medical response to public health emergencies, determine if a public health emergency exists, and assists in states during their response activities. Seeing the responsibility HHS has in public health emergencies, it would be critical for them to have on hand the supplies needed for any type of declared emergency. This bill would address this critical need and heed the call of obtaining the equipment needed. NURS 6050 Walden University Week 7 Achieving Universal Health Coverage Discussion

Hospitals discussed how there were many challenges with obtaining personal protective equipment (PPE), testing, staffing, supplies and durable equipment, during our recent public health crisis of COVID-19 (U.S. Department of Health and Human Services, 2020). This is an example of where we need to support and have the assistance of all federal entities. The above proposed bill would be a resource much needed when public disasters occur.

References

Association of State and Territorial Health Officials. (2020). Public Health Service Act, Section

319 Public Health Emergencies. Retrieved from https://www.astho.org/Programs/Preparedness/Public-Health-Emergency-Law/Emergency-Authority-and-Immunity-Toolkit/Public-Health-Service-Act,-Section-319-Fact-Sheet/

Congress.Gov. (2020). S.4210 – SHARE Act of 2020. Retrieved from

https://www.congress.gov/bill/116th-congress/senate-bill/4210?q=%7B%22search%22%3A%5B%22S.+4210%3A+SHARE+Act+of+2020%22%5D%7D&s=4&r=1

 

Congress.Gov. (n.d.). Senator Ron Johnson. Retrieved from

https://www.congress.gov/member/ron-johnson/J000293?q={%22search%22:[%22S.+4210:+SHARE+Act+of+2020%22]}&r=1&searchResultViewType=expanded

Govtrack. (2020). S. 4210: SHARE Act of 2020. Retrieved from

https://www.govtrack.us/congress/bills/116/s4210/text

U.S. Department of Health and Human Services. (2020). Hospital Experiences Responding to the

COVID-19 Pandemic: Results of a National Pulse Survey March 23–27, 2020. Retrieved from https://www.oig.hhs.gov/oei/reports/oei-06-20-00300.pdf

 

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. NURS 6050 Walden University Week 7 Achieving Universal Health Coverage Discussion

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 5, “Public Policy Design” (pp. 87–95 only)
• Chapter 8, “The Impact of EHRs, Big Data, and Evidence-Informed Practice” (pp. 137–146)
• Chapter 9, “Interprofessional Practice” (pp. 152–160 only)
• Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 183–191 only)

American Nurses Association (ANA). (n.d.). Advocacy. Retrieved September 20, 2018, from https://www.nursingworld.org/practice-policy/advocacy/

Centers for Disease Control and Prevention (CDC). (n.d.). Step by step: Evaluating violence and injury prevention policies: Brief 4: Evaluating policy implementation. Retrieved from https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf

Congress.gov. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/

 

Klein, K. J., & Sorra, J. S. (1996). The challenge of innovation implementation. Academy of Management Review, 21(4), 1055–1080. doi:10.5465/AMR.1996.9704071863

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

Sacristán, J., & Dilla, T. D. (2015). No big data without small data: Learning health care systems begin and end with the individual patient. Journal of Evaluation in Clinical Practice, 21(6), 1014–1017. doi:10.1111/jep.12350

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

Tummers, L., & Bekkers, V. (2014). Policy implementation, street level bureaucracy, and the importance of discretion. Public Management Review, 16(4), 527–547. doi:10.1080/14719037.2013.841978.

Note: You will access this article from the Walden Library databases. NURS 6050 Walden University Week 7 Achieving Universal Health Coverage Discussion

Rubric Detail

 

Select Grid View or List View to change the rubric’s layout.

Name: NURS_6050_Module04_Week07_Discussion_Rubric

 

 

 

First Response	17 (17%) – 18 (18%) Response exhibits synthesis, critical thinking, and application to practice settings.   Communication is professional and respectful to colleagues.   Responses to faculty questions are fully answered, if posed.   Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.   Demonstrates synthesis and understanding of learning objectives.   Response is effectively written in standard, edited English.	.	sources are cited.	0 (0%) – 12 (12%) Response may not be on topic and lacks depth.   Responses posted in the discussion lack effective professional communication.   Responses to faculty questions are missing.   No credible sources are cited.
Second Response	16 (16%) – 17 (17%) Response exhibits synthesis, critical thinking, and application to practice settings.   Communication is professional and respectful to colleagues.   Responses to faculty questions are fully answered, if posed.   Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.   Demonstrates synthesis and understanding of learning objectives.   Response is effectively written in standard, edited English. NURS 6050 Walden University Week 7 Achieving Universal Health Coverage Discussion

 

NURS 6050 Walden University WK 9 Policy and Advocacy for Improving Population Health Responses

NURS 6050 Walden University Wk 11 Policy and Advocacy for Improving Population Health Worksheet

Module 6: Global Healthcare Issues (Week 11)

Learning Objectives

Students will:

• 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. NURS 6050 Walden University Wk 11 Policy and Advocacy for Improving Population Health Worksheet

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Assignment Week 11: Global Healthcare Comparison Matrix and Narrative Statement

Note: This Assignment is due on Day 5 of Week 11.

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. NURS 6050 Walden University Wk 11 Policy and Advocacy for Improving Population Health Worksheet

 

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; 1-page Plan for Social Change)

 

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. NURS 6050 Walden University Wk 11 Policy and Advocacy for Improving Population Health Worksheet

 

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
• References more than 5 from course list, and out side

By Day X of Week 11

Submit Part 1 and Part 2 of your Assignment.

 

 

Check Rubric Detail for Grading, please.

 

Select Grid View or List View to change the rubric’s layout.

Name: NURS_6050_Module06_Week11_Assignment_Rubric

• Grid View

		Excellent		Fair	Poor
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.		45 (45%) – 50 (50%) Response provides a clear and accurate explanation of the strengths and weaknesses of policies in the U.S. and another country. Response provides a clear and accurate explanation of how the social determinants of health impact the issue in the U.S. and in another country. Specific examples are provided. NURS 6050 Walden University Wk 11 Policy and Advocacy for Improving Population Health Worksheet Response provides a clear and accurate explanation of how the governments of the two countries address cost, quality, and access related to the issue. Response provides a clear and accurate explanation of how the policy in each of the two countries impacts the health of the global population. Detailed and accurate supporting examples are provided. Response provides a clear and complete explanation of how the policies in each country impact the role of the nurse. Response provides an accurate and detailed explanation of how the global health issues impact local healthcare organizations and policies in each of the two countries.		35 (35%) – 39 (39%) Explanation of the strengths and weaknesses of policies in the U.S. and another country is vague or inaccurate. Explanation of how the social determinants of health impact the issue in the U.S. and another country, and/or the examples, are vague or inaccurate. Explanation of how the governments of the two countries address cost, quality, and access related to the issue is vague or inaccurate. Explanation of how the policy in each of the two countries impacts the health of the global population, and/or supporting examples, is vague or inaccurate. Explanation of how the policies in each country impact the role of the nurse is vague or incomplete. Explanation of how global health issues impact local healthcare organizations and policies in each of the two countries is vague or inaccurate.	0 (0%) – 34 (34%) Explanation of the strengths and weaknesses of policies in the U.S. and another country is vague and inaccurate, or is missing. Explanation of how the social determinants of health impact the issue in the U.S. and in another country, and the examples, are vague and inaccurate, or is missing. Explanation of how the governments of the two countries address cost, quality, and access related to the issue is vague and inaccurate, or is missing. Explanation of how the policy in each of the two countries impacts the global population, and supporting examples, is missing. Explanation of how the policies in each country impact the role of the nurse is vague and inaccurate, or is missing. Explanation of how global health issues impact local healthcare organizations and policies in both countries is missing.
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.		32 (32%) – 35 (35%) Response provides a clear and thorough explanation of how one would advocate for the incorporation of a global perspective or lens into his/her role as a nurse leader. Response provides a clear and thorough explanation of how the incorporation of a global perspective or lens might impact local practice and the role as a nurse leader. Response clearly and thoroughly explains in detail how the incorporation of a global perspective or lens in one’s role as a nurse represents and contributes to social change. Accurate and detailed supporting examples are provided.		25 (25%) – 27 (27%) Explanation of how one would advocate for the incorporation of a global perspective or lens into his/her role as a nurse leader is vague or incomplete. Explanation of how the incorporation of a global perspective or lens might impact local practice and the role as a nurse leader is vague or incomplete. Explanation of how the incorporation of a global perspective or lens in one’s role as a nurse represents and contributes to social change, and/or supporting examples provided, are vague or incomplete.	0 (0%) – 24 (24%) Explanation of how one would advocate for the incorporation of a global perspective or lens into his/her role as a nurse leader is vague and incomplete, or is missing. Explanation of how the incorporation of a global perspective or lens might impact local practice and the role as a nurse leader is vague and incomplete, or is missing. Explanation of how the incorporation of a global perspective or lens in one’s role as a nurse represents and contributes to social change, and/or supporting examples, is missing.
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.		5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity. NURS 6050 Walden University Wk 11 Policy and Advocacy for Improving Population Health Worksheet A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.		3.5 (3.5%) – 3.5 (3.5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time. Purpose, introduction, and conclusion of the assignment is vague or off topic.	0 (0%) – 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion was provided.
Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation		5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors.		3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors.	0 (0%) – 3 (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
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.		5 (5%) – 5 (5%) Uses correct APA format with no errors.		3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) APA format errors.	0 (0%) – 3 (3%) Contains many (≥ 5) APA format errors.
Total Points: 100

Name: NURS_6050_Module06_Week11_Assignment_Rubric

 

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.

 

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.

 

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.

 

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

Document: Global Health Comparison Matrix (Word document) NURS 6050 Walden University Wk 11 Policy and Advocacy for Improving Population Health Worksheet