GLOBAL HEALTHCARE COMPARISON MATRIX AND NARRATIVE STATEMENT


GLOBAL HEALTHCARE COMPARISON MATRIX AND NARRATIVE STATEMENT

Note: This Assignment (both Parts 1 & 2) 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.

RESOURCES

 

Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources.

WEEKLY RESOURCES

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.

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

BY DAY 5 OF WEEK 11

Submit both  Part 1 and Part 2  of your Assignment.

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Rubric

NURS_6050_Module06_Week11_Assignment_Rubric

NURS_6050_Module06_Week11_Assignment_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeGlobal Healthcare Issues and PoliciesPart 1: Global Health Comparison MatrixFocusing 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.
50 to >44.0 pts

Excellent

Response uses sufficient evidence and provides clear, accurate, and detailed explanation of: …-strengths and weaknesses of policies in the U.S. and another country …-how the social determinants of health impact the issue in the U.S. and in another country. Specific examples are provided. …-how the governments of the two countries address cost, quality, and access related to the issue. …-how the policy in each of the two countries impacts the health of the global population. Detailed and accurate supporting examples are provided. …-how the policies in each country impact the role of the nurse. …-how the global health issues impact local healthcare organizations and policies in each of the two countries.

44 to >39.0 pts

Good

Response uses sufficient evidence and provides an explanation of: …-the strengths and weaknesses of policies in the U.S. and another country. …-how the social determinants of health impact the issue in the U.S. and in another country. Specific examples may be provided. …-how the governments of the two countries address cost, quality, and access related to the issue. …-how the policy in each of the two countries impacts the health of the global population. Supporting examples may be provided. …-how the policies in each country impact the role of the nurse. …-how the global health issues impact local healthcare organizations and policies in each of the two countries.

39 to >34.0 pts

Fair

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.

34 to >0 pts

Poor

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.

 

50 pts
This criterion is linked to a Learning OutcomeThe Nurse’s Role in Global HealthcarePart 2: A Plan for Social ChangeReflect 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.
35 to >31.0 pts

Excellent

Using sufficient evidence, 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.

31 to >27.0 pts

Good

Using sufficient evidence, Response provides an 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 an explanation of how the incorporation of a global perspective or lens might impact local practice and the role as a nurse leader. …Response explains how the incorporation of a global perspective or lens in one’s role as a nurse represents and contributes to social change. Some supporting examples are provided.

27 to >24.0 pts

Fair

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.

24 to >0 pts

Poor

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.

 

35 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well developed ideas, low 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 to >4.0 pts

Excellent

Paragraphs and sentences follow writing standards for flow, continuity, and clarity. …A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

4 to >3.0 pts

Good

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. …Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.

3 to >2.0 pts

Fair

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.

2 to >0 pts

Poor

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. …Purpose, introduction, and conclusion of the assignment is incomplete or missing.

 

5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English Writing Standards: Correct grammar, mechanics, and proper punctuation
5 to >4.0 pts

Excellent

Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.0 pts

Good

Contains a few (1-2) grammar, spelling, and punctuation errors.

3 to >2.0 pts

Fair

Contains several (3-4) grammar, spelling, and punctuation errors.

2 to >0 pts

Poor

Contains many (≥5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

 

5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting:The paper follows correct APA format for title page, font, spacing, parenthetical/in-text citations, and reference list).
5 to >4.0 pts

Excellent

Uses correct APA format with no errors.

4 to >3.0 pts

Good

Contains a few (1-2) APA format errors.

3 to >2.0 pts

Fair

Contains several (3-4) APA format errors.

2 to >0 pts

Poor

Contains many (≥5) APA format errors.

 

5 pts
Total Points: 100

LEARNING RESOURCES

Required Readings

· Milstead, J. A., & Short, N. M. (2019).  Health policy and politics: A nurse’s guide (6th ed.). 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 pandemicsLinks to an external site. .  Nursing Outlook, 66(4), 412–415.

· Donkin, A., Goldblatt, P., Allen, J., Nathanson, V., & Marmot, M. (2017).  Global action on the social determinants of healthLinks to an external site. .  BMJ Global Health, 3(1).

· 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 municipalitiesLinks to an external site. .  Government Information Quarterly, 29(Suppl. 1), S72–S81.

· World Health OrganizationLinks to an external site.  (WHO). (2021).  World Health Organization  (WHO). http://www.who.int

· Document:  Global Health Comparison Matrix (Word document) Download Global Health Comparison Matrix (Word document)

To address the assignment requirements, let’s start by filling out the Global Health Comparison Matrix:

 

**Global Health Issue:** Physical monitoring before prescribing medication for mental health conditions

 

| Categories                        | United States                               | United Kingdom                              |

|———————————-|———————————————|———————————————|

| National/Federal Health Policies | The U.S. has guidelines from organizations like the APA and CDC regarding mental health treatment, but specific federal policies mandating physical monitoring before prescribing medication for mental health conditions may vary by state or institution. | The UK’s National Institute for Health and Care Excellence (NICE) provides guidelines for mental health treatment, including recommendations for physical monitoring before prescribing medication. Additionally, the National Health Service (NHS) may have specific protocols in place. |

| Strengths                        | – Comprehensive mental health treatment guidelines exist.
– Access to technology and resources for physical monitoring. | – Centralized healthcare system allows for uniform implementation of guidelines.
– Emphasis on evidence-based practice. |

| Weaknesses                       | – Lack of uniform federal mandate may lead to inconsistency in practice.
– Variability in access to mental healthcare services. | – Resource constraints within the NHS may limit implementation.
– Potential for long wait times for mental healthcare services. |

| Social Determinants of Health    | Socioeconomic status, access to healthcare, stigma surrounding mental health, cultural beliefs about medication and treatment. | Socioeconomic status, access to healthcare, cultural beliefs about mental health and treatment, stigma surrounding mental illness. |

| Government Approach              | Cost: Utilization of public and private funding for mental healthcare services.
Quality: Oversight by regulatory bodies like the CDC and APA.
Access: Support for mental health services through initiatives like Medicaid and the Affordable Care Act. | Cost: NHS-funded mental healthcare services aim to provide free or low-cost care.
Quality: NICE guidelines ensure evidence-based practice.
Access: NHS provides universal access to healthcare services, including mental health treatment. |

| Impact on Global Population      | Improved mental health treatment outcomes can lead to reduced societal burden and improved productivity. However, disparities in access may persist, affecting marginalized populations disproportionately. | Similar to the U.S., improved treatment outcomes can benefit the global population, but inequities in access and quality may persist, particularly in low-income countries. |

| Impact on Nursing Role           | Nurses play a crucial role in patient education, monitoring, and advocacy for holistic care. Policies may influence nursing scope of practice and documentation requirements. | Nurses are frontline providers of mental healthcare, implementing treatment plans and providing support to patients. Policies may influence nurse staffing ratios and resource allocation. |

| Local Healthcare Organizations   | Mental health clinics, hospitals, community health centers. Policies may impact funding, staffing, and services offered. | NHS trusts, mental health facilities, primary care clinics. Policies may influence service availability, wait times, and patient outcomes. |

 

**Now, let’s move on to Part 2: A Plan for Social Change:**

 

Incorporating a global perspective into local nursing practice is crucial for addressing the complexities of healthcare in a diverse world. As a nurse leader, advocating for this incorporation involves several key steps:

 

  1. **Education and Training:** Provide ongoing education and training for nurses on cultural competence, global health issues, and the impact of social determinants of health on patient outcomes.

 

  1. **Policy Advocacy:** Advocate for policies within the healthcare organization that prioritize cultural sensitivity and global health equity. This may involve supporting initiatives to increase diversity in the nursing workforce and improve access to care for underserved populations.

 

  1. **Community Engagement:** Engage with local communities to understand their unique healthcare needs and collaborate on solutions that address cultural, social, and economic barriers to care.

 

  1. **Research and Collaboration:** Foster partnerships with international organizations and researchers to exchange knowledge and best practices in global health. Encourage participation in research projects that explore the intersection of culture, health, and nursing practice.

 

Incorporating a global perspective into local nursing practice can lead to several positive outcomes:

 

– Improved patient satisfaction and outcomes through culturally competent care.

– Increased diversity and inclusion within the nursing workforce.

– Enhanced collaboration and communication across healthcare settings and disciplines.

– Greater resilience and adaptability in responding to global health challenges, such as pandemics or humanitarian crises.

 

By embracing a global perspective, nurses can contribute to social change by promoting health equity, advocating for vulnerable populations, and advancing the goals of the global health agenda. This approach not only benefits individual patients but also strengthens healthcare systems and communities worldwide.

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