Assignment: NURS 6050 Global Healthcare Comparison Matrix and Narrative Statement
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The introduction for the Walden University Assignment: NURS 6050 Global Healthcare Comparison Matrix and Narrative Statement is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for Assignment: NURS 6050 Global Healthcare Comparison Matrix and Narrative Statement
After the introduction, move into the main part of the Assignment: NURS 6050 Global Healthcare Comparison Matrix and Narrative Statement assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
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After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for Assignment: NURS 6050 Global Healthcare Comparison Matrix and Narrative Statement
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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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.
Global Health Comparison Grid Template
Use this document to complete the Module 6 Assessment Global Healthcare Comparison Matrix and Narrative Statement.
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Sample Answer for Assignment: NURS 6050 Global Healthcare Comparison Matrix and Narrative Statement
Global Healthcare Issue |
HIV& AIDS |
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Description | The human immunodeficiency virus (HIV) attacks cells of the immune system and impairs or destroys their function. The attack and infection by the virus cause gradual deterioration of the immune system resulting in immune deficiency (Deeks, Overbaugh, Phillips & Buchbinder, 2015).
Acquired immunodeficiency syndrome (AIDS) is a term that refers to the most advanced stages of HIV infection. AIDS is diagnosed when there is a manifestation of any of more than 20 opportunistic infections or HIV-related cancers. |
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Country | United States
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Canada |
Describe the policy in each country related to the identified healthcare issue | Declaration of Commitment on HIV/AIDS.
In June 2001, 189 national governments including the US took up the policy on the Declaration of Commitment on HIV/AIDS, at the United Nations General Assembly Special Session on HIV/AIDS (UNGASS) (Assembly, 2015). The policy commits the US government to improve its response to the domestic AIDS epidemic and set targets for financing, policies, and programming of AIDS programs. The UNGASS Declaration commits the US government to do the following:
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Federal Initiative to Address HIV/AIDS in Canada
This is a key policy of the Government of Canada’s comprehensive approach to HIV/AIDs. The Federal Initiative funds HIV/AIDS prevention and support programs directed to key priority populations (Public Health Agency of Canada [PHAC], 2012). It also funds for research, public awareness, surveillance, and evaluation programs. The Federal Initiative policy indicates a renewed and enhanced role in the Canadian response to HIV/AIDS. The goals of the policy are to:
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What are the strengths of this policy? | The Declaration policy requires that the government performs periodic reviews to evaluate progress on realizing their UNGASS commitments.
Secondly, the Declarations urges the government to involve civil society and people living with HIV/AIDS in the review process (Assembly, 2015). The policy highlights that an effective response to HIV/AIDS should be grounded in respect for the rights of people living with HIV/AIDS. It gives priority to vulnerable groups such as children, women, and other groups who are at the highest risk and susceptible to new infections (Assembly, 2015). |
The Federal initiative has policy directions that guide federal action.
The policy promotes coherent action at the local, national, and global level by individuals, organizations, and systems that are involved in the HIV/AIDS response (PHAC, 2012). This has been vital in attaining the goals of the Federal initiative. In addition, the Federal Initiative policy promotes integrated treatment for people living with HIV/AIDS due to their complex health needs and vulnerability to communicable diseases (PHAC, 2012). |
What are the weaknesses of this policy? | The policy does not offer a comprehensive national strategy to address HIV/AIDS in key areas such as prevention, support services, and treatment. | The Federal Initiative policy does not provide directions on how knowledge from research and surveillance should be shared and applied to policy and practice to advance public health action in HIV/AIDS. |
Explain how the social determinants of health may impact the specified global health issue. | Social stratification by race and economic class in the US may impact the HIV epidemic, by increasing individuals’ vulnerability to HIV infection and hindering access to, and utilization of, HIV-related care.
HIV is more prevalent in individuals who are faced with poverty, poor health care, inadequate education, unemployment, and “social disintegration.” |
Individuals living in poverty are more vulnerable to HIV infections and mortality related to AIDS due to lack of access to health services where they can be tested and provided preventive services.
Stigma and discrimination faced by key populations, insufficient funds, and lack of inclusion of Marginalized groups such as sex workers and drug users are key challenges in the response to HIV/AIDS. |
How has each country’ government addressed cost, quality, and access to the selected global health issue? | HIV/AIDS prevention and treatment services are financed by a wide range of public and private sources at the federal, state, and local level.
Programs such as Medicaid and Medicare have facilitated access to treatment and support services for Americans. |
The Federal Initiative is funded by the Public Health Agency of Canada’s HIV and Hepatitis C Community Action Fund. The Action fund supports excellent community programming that addresses priority public health issues (PHAC, 2012).
The Agency invests $26.4 million a year in community-based programs across the country to address HIV, hepatitis C and other sexually transmitted and blood-borne infections (STBBI) (Bourgeois et al., 2017). |
How has the identified health policy impacted the health of the global population? (Be specific and provide examples) | The HIV/AIDS policy has helped to improve HIV testing rates among Americans and has increased the population that is aware of their HIV status.
It has enhanced the treatment of people living with HIV/AIDS, including treatment of opportunistic infections which contribute to the highest mortality rates. |
Through the Federal initiative policy, Canada has supported HIV/AIDS research and prevention activities.
The policy has facilitated access to diagnosis, treatment, and care particularly for vulnerable populations (PHAC, 2012). This has contributed to a low general HIV prevalence and decreased infection rates in Canada. Furthermore, the policy has contributed to the global effort to reduce the spread of HIV and mitigate the impact of the disease (PHAC, 2012). |
Describe the potential impact of the identified health policy on the role of the nurse in each country. | The nurse has a role of providing testing services for HIV and referring individuals who have tested positive for the virus for treatment services (Deeks et al., 2015).
Besides, the nurse is obliged to provide HIV/AIDS preventive services to all individuals to lower HIV infections rates in the US. |
The policy has influenced nurses to promote greater integration of HIV/AIDS prevention, care and treatment interventions with those of other diseases (Bourgeois et al., 2017). |
Explain how global health issues impact local healthcare organizations and policies in both countries. (Be specific and provide examples) | Global health issues are a threat to the health of US citizens. Local health organizations are economically affected, as their resources are often strained.
Health policies are also modified to direct the emergency response of the health issues. |
The Public Health department in Canada builds alliances at the national, regional and community level with healthcare organizations to address health concerns (PHAC, 2012).
It also involves consumers and communities in planning and program development to address global health issues. |
General Notes/Comments | The HIV/AIDS policy needs to be modified to address the need for an effective way of targeting resources to deal with racial disparities.
An outcome-oriented strategic plan also needs to be developed to improve prevention and HIV/AIDS treatment. |
The Federal Initiative is in line with the mandate of each federal government partners. The policy has outlined a clear role of the federal government, which includes national and international leadership, coordination and knowledge translation for HIV/AIDS prevention, diagnosis, care, treatment, support and research. |
References
Assembly, U. U. N. G. (2015). Final declaration of commitment on HIV/AIDS (A/s-26/L. 2). New York; 2011.
Bourgeois, A. C., Edmunds, M., Awan, A., Jonah, L., Varsaneux, O., & Siu, W. (2017). Can we eliminate HIV? HIV in Canada—surveillance report, 2016. Canada Communicable Disease Report, 43(12), 248.
Deeks, S. G., Overbaugh, J., Phillips, A., & Buchbinder, S. (2015). HIV infection. Nature reviews Disease primers, 1(1), 1-22.
Public Health Agency of Canada. (2012). Government of Canada. Retrieved from https://www.canada.ca/en/public-health/services/hiv-aids/federal-initiative-address-hiv-aids-canada/strengthening-federal-action-canadian-response-hiv-aids/hiv-aids/federal-initiative-address-hiv-aids-canada.html
Sample Answer 2 for Assignment: NURS 6050 Global Healthcare Comparison Matrix and Narrative Statement
The problem of non-communicable diseases across the globe is a challenge that is growing on an annual basis. This issue of non-communicable diseases is a global challenge that WHO tries to prevent. Given the disease cannot be treated such as diabetes and high blood pressure they can be successfully prevented in various communities (World Health Organization (WHO). (n.d.). The issue is a global problem that requires mitigation from different countries which include the US and Canada.
Global Healthcare Issue |
Prevention of Non-Communicable Diseases |
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Description | The cost of medication and management of the non-communicable disease is rising. The increased cost of care delivery and the need for nurses is due to non-communicable diseases. The fact that non-communicable disease is rarely cured due to its chronic nature requires lifelong management which is expensive for the patient and the country as well. The covid-19 pandemic has also revealed non-communicable to be a major weakness of human beings since it resulted in many deaths due to underlying conditions. Therefore, a need for prevention is essential. | |
Country | United States
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Canada |
Describe the policy in each country related to the identified healthcare issue | Adopted prevention of non-communicable disease through education, institution, and public-private partnership. The government has a special institution that focuses on each specific issue such as diabetes association, cancer centers, and cardiovascular diseases (Bhattacharya, Juyal, Hossain & Singh, 2020). The government through mass communication emphasizes the issue and provision of information through the center for disease control. | The country adopts the policy of research, support, and collaborative initiative for the affected people (Milsom, Smith, Baker & Walls, 2021). |
What are the strengths of this policy? |
The policy of adopting and focusing on medical research is to bring solutions that will help only solve the problem. The public-private partnership ensures medical equipment and drugs needed are subsidized for patients. |
In Canada, the education of the public is the primary focus that will help prevent non-communicable diseases. The sharing of ideas and understanding the non-communicable disease by population is the primary focus (Milsom, Smith, Baker & Walls, 2021). |
What are the weaknesses of this policy? | The major weakness of the dominant policy research is that it is relatively expensive and takes time for medications to be discovered. The subsidies given to specific industries result in complaints from other drug manufacturing firms. | Education of masses and the general public take a long period to materialize. This requires the need to have interventions. |
Explain how the social determinants of health may impact the specified global health issue. (Be specific and provide examples)
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The problem of non-communicable disease is mainly attributed to the type of food consumed. The ability to buy and access food is a social determinant that is characterized by a level of education, income, and availability of food. The case of obesity is due to consumption of food that reaches in sugar as compared to a balanced diet. | The social determinants in Canada include drug abuse such as smoking and alcohol intake. Also, a high intake of red meat and salt is a major social determinant of health. |
How has each country’s government addressed cost, quality, and access to the selected global health issue? | The united states have addressed the issue of non-communicable by offering subsidies to insulin, provision of free medical management for non-communicable diseases, and subsiding of cancer treatments. The equality of services has been achieved since the issue is managed by government facilities. | The government focuses on the provision of medication equal to all people with standardization of prices and medical costs to all. |
How has the identified health policy impacted the health of the global population? (Be specific and provide examples) |
The policy of research has resulted in the identification of issues that result in non-communicable diseases. For instance, through research, it has been shown that excess weight gain can result in other comorbidities such as high blood pressure and diabetes. This has been replicated across the world to help promote physical practice |
Through education of the public and having physical exercise the cases of diabetes have been significantly reduced. |
Describe the potential impact of the identified health policy on the role of the nurse in each country. | The nurses in the US will be able to educate and make a decision based on the research findings. This will help the patient and the rest of the population to reduce the incidences of non-communicable diseases. | Through the education of patients, nurses can mitigate this problem effectively. |
Explain how global health issues impact local healthcare organizations and policies in both countries. (Be specific and provide examples) |
The policies made in the medical arena in the country should always be in line with the issue of non-communicable diseases. Consequently, a lot of resources are channeled by the government to healthcare as compared to other sectors.
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The country focuses more on the problem and hence requires more resources both labor, equipment, and money. The country’s budget within healthcare has been shaped by this issue. |
General Notes/Comments | The policy has resulted in significant management of non-communicable causes. | The policy helps reduce new cases and promotes effective management of the existing ones. |
Part 2: A Plan for Social Change
Evidence-based practices are the basis of mitigating the problem of non-communicable diseases. The social change needed within the medical community as far as the issue of non-communicable disease is a concern is the use of evidence-based practices. The problem of non-communicable disease is not the same as a vector-borne disease which requires stopping the vector or the agent itself but requires prevention of the onset of the condition (Akseer et al., 2020). This evidence-practice includes having regular physical exercises, reduce intake of alcohol, and cessation of smoking. In the nutritional realm, the need to reduce the high intake of calories is essential as well as embracing a balanced diet. The country should be able to subsidize healthy food such as fruits, vegetables, and approved sources of proteins. World health organization’s guidelines should be promoted and adhered to to ensure good health and safety for all people.
Conclusion
Conclusively, the issue of non-communicable disease is a major global problem in the arena of health. The best policies that remain viable are the prevention and management of existing cases. US and Canada are two examples of countries that strive to overcome the problem of non-communicable disease through various policies. This is a long way impact how other countries will mitigate this problem of non-communicable diseases.
References
Akseer, N., Mehta, S., Wigle, J., Chera, R., Brickman, Z. J., Al-Gashm, S., … & Bhutta, Z. A. (2020). Non-communicable diseases among adolescents: current status, determinants, interventions and policies. BMC public health, 20(1), 1-20. https://link.springer.com/article/10.1186/s12889-020-09988-5
Bhattacharya, S., Juyal, R., Hossain, M. M., & Singh, A. (2020). Non-communicable diseases viewed as “collateral damage” of our decisions: Fixing accountabilities and finding sloutions in primary care settings. Journal of Family Medicine and Primary Care, 9(5), 2176. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7380828/
Milsom, P., Smith, R., Baker, P., & Walls, H. (2021). Corporate power and the international trade regime preventing progressive policy action on non-communicable diseases: a realist review. Health policy and planning, 36(4), 493-508. https://academic.oup.com/heapol/article/36/4/493/6024433
World Health Organization (WHO). (n.d.). Global health agenda. Retrieved September 20, 2018, from http://www.who.int/about/vision/global_health_agenda/en/
Sample Answer 3 for Assignment: NURS 6050 Global Healthcare Comparison Matrix and Narrative Statement
The World Health Organization (WHO) identifies different issues that affect people’s health, including resistance to drugs, and antimicrobial resistance. According to the WHO, antimicrobial resistance has negative effects on the global efforts to end certain diseases, especially infectious and chronic conditions (World Health Organization, 2023). Different countries, including the United States and Canada, have developed policies to address antimicrobial resistance. The purpose of this comparison matrix and narrative statement is to explore the issue and advocate interventions through social change to prevent its occurrence.
Part 1
Global Healthcare Issue | Antimicrobial Resistance | |
Description | The development of antibiotics, antiviral medications, and antimalarial drugs is considered a critical success in improving health among populations in different parts of the world. However, antimicrobial resistance is a threat to the successes aimed at reducing and preventing diseases like salmonellosis, tuberculosis, and pneumonia among others (American Society for Microbiology, 2023). The inability to have effective interventions for these conditions presents a threat to patients suffering from these diseases and even surgical processes. | |
Country | United States
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Canada |
Describe the policy in each country related to the identified healthcare issue | The U.S. has a federal policy focused on three aspects of antimicrobial resistance. These include tracking for antibiotic-resistant bacteria, increasing the life of current antibiotics, and improving the discovery and development of new antibiotic strains and interventions (CDC, 2023). | The policy in Canada focuses on increasing awareness about antimicrobial resistance, its impacts, and associated ailments. The policy also identifies populations and individuals at most risk and offers resources for different activities like research, surveillance, and occurrence in animals.
Government of Canada, 2023) |
What are the strengths of this policy? | The policy’s strengths include a proactive approach, partnerships with other players, investing in research to develop new antimicrobials, increasing understanding among the population, and better surveillance CDC, 2023). | Like the U.S., policy, the Canadian policy is proactive, values collaboration and partnership with all stakeholders, and enhances understanding of the issue through surveillance, research, and education (Canadian government, 2023). |
What are the weaknesses of this policy? | The policy relies on government funding and is rigid, with changes being limited since antimicrobials remain largely the same. | Conversely, the policy depends mainly on federal funding, has limited scope, and requires an expanded approach to the issue. |
Explain how the social determinants of health may impact the specified global health issue. (Be specific and provide examples) | Social determinants of health impact the issue in different ways. Access to healthcare improves knowledge levels on antimicrobial resistance and effective or proper use. Socioeconomic status dictates whether individuals and health populations can access services and reduce the chances of developing resistance. | Social determinants of health impact the issue as they influence access to health care and consumption of information. Education improves awareness and approach to antibiotic resistance.
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How has each country’s government addressed cost, quality, and access to the selected global health issue? | The policy mandates the federal government to provide different interventions like prevention, treatment, and enforcement. Through these aspects, individuals can access quality care and reduce costs since the government provides resources in different areas of the interventions (CDC, 2021). | The Canadian government funds all activities focused on antimicrobial resistance, from prevention to treatment and enforcement. Through these activities, the public enhances its information and ways to reduce resistance.
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How has the identified health policy impacted the health of the global population? (Be specific and provide examples) | The policy means that more people across the world can prevent antimicrobial resistance and attain better health. The policy means that chances of increased resistance to antibiotics reduce as the population gets information on preventive approaches and measures. | The policy means that there will be a reduction in the prevalence of individuals encountering antimicrobial resistance because of the decrease in Canada. It also enhances access to quality care, starting with the provision of information. |
Describe the potential impact of the identified health policy on the role of nurses in each country. | The policy enhances nurses’ role in providing information to at-risk individuals. The nurse can also enhance surveillance and patient education activities to improve awareness.
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The policy means that nurses should actively engage in patient education, contribute to surveillance of the condition, and offer patient education to enhance awareness.
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Explain how global health issues impact local healthcare organizations and policies in both countries. (Be specific and provide examples) | Drug resistance impacts local healthcare organizations through increased cost of care and reduced productivity of the population, especially those affected by chronic conditions requiring medications (WHO, 2023). For instance, the cost of managing drug-resistant infections is high. Secondly, people take time to recover and become productive again. | Global health issues like antimicrobial resistance impact local healthcare organizations as they increase the cost of care through more resource allocation (WHO, 2023). For instance, dealing with antibiotic resistance requires more resources for research and other interventions to reduce the prevalence.
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General Notes/Comments | The policy uses a generalized approach to antimicrobial resistance. Consequently, the federal government and its agencies should consider improving these aspects to improve impacts on the target population. | The policy is general and should be reviewed to ensure that it gives specific approaches to reducing antimicrobial resistance among those affected.
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Part 2
Antimicrobial resistance remains a critical issue as advanced by the World Health Organization (WHO). The policies developed by both the U.S. and Canadian governments are largely reactive and general. They focus more on surveillance and developing new medications to counter those resistant to treatment. However, these policies ignore that antimicrobials are prescribed and used daily for the conditions leading to their resistance. A global perspective or lens into local practice and understanding the role of a nurse leader in this situation are necessary to increase information and awareness. Having a global perspective in local practice will allow nurses to understand the magnitude of the issue and its effects on health populations (WHO, 2023). I will advocate for this perspective in local practice by encouraging nurses to expand their perceptions and imaginations. Nurse leaders should have a vision of improving interventions to reduce antimicrobial resistance as they can get patients from different parts of the world for treatment due to the condition.
The integration of a global perspective into local practice for nurse leaders presents and contributes to social change in different ways. Firstly, it improves understanding of the health issue from a global level, especially in population health. Secondly, it means that nurse leaders should widen their imagination and integrate a global approach to healthcare issues affecting their workplace and employees. They should influence policy-making and implementation through effective collaboration with all stakeholders (CDC, 2023). For instance, patient profiling ensures that they get culturally competent care, especially those with antimicrobial resistance problems. Nurses can leverage information resources to develop drug resistance strategies for different health populations.
Conclusion
The policies by Canada and the United States on antimicrobial resistance are founded on evidence-based practice (EBP) and take a proactive approach. However, they should be more realistic and practical by expanding the role of nurses in information and awareness through patient education. The two countries advance the current policies to reduce the cost of care and enhance quality of life.
References
American Society for Microbiology (2023). Policy pathways to combat the global crisis of antimicrobial resistance.
https://asm.org/getmedia/5f665383-881a-493d-ae05-04a960a25548/AMR-Policy-Paper-2023.pdf
Canada Government (2023 June). Antibiotic (antimicrobial) resistance.
https://www.canada.ca/en/public-health/services/antibiotic-antimicrobial-resistance.html
Centers for Disease Control and Prevention (CDC) (2021 November 23). Antimicrobial resistance: U.S. National Action
Plan. https://www.cdc.gov/drugresistance/us-activities/national-action-plan.html
Government of Canada (2023). Pan-Canadian action plan on antimicrobial resistance.
World Health Organization (WHO) (2023 November 21). Antimicrobial resistance.
https://www.who.int/news-room/fact-sheets/detail/antimicrobial-resistance
Sample Answer 4 for Assignment: NURS 6050 Global Healthcare Comparison Matrix and Narrative Statement
Use this document to complete the Module 6 Assessment Global Healthcare Comparison Matrix and Narrative Statement
Global Healthcare Issue |
Mental Health |
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Description | The World Health Organization (WHO) considers mental health as an essential component of healthcare delivery, especially at this time of the pandemic. The WHO special initiatives focuses on ensuring universal health access to quality and affordable mental health conditions in over ten countries with over 100 million more people (WHO, 2019). This initiative seeks to advance policies, advocacy and increasing quality interventions and services for individuals with mental health conditions, that include substance use and neurological diseases. The matrix considers mental health in the United States and Germany.
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Country | United States
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Germany |
Describe the policy in each country related to the identified healthcare issue | The House of Representatives’ bill, H. R. 2646 focuses on
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Germany has the Network for Mental Health as an integrated mental health care initiative executed in 2009 through collaboration between health insurance organizations and community health providers. The program has over the thousand patients in different parts of the country. |
What are the strengths of this policy? | The policy encourages family involvement and maintenance of individual privacy, prioritizes community-based services and planning, and supports meaningful parity guidance and oversight (Milstead & Short, 2019). It also focuses on growing behavioral health practitioners’ workforce to increases access to mental health services.
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The initiative focuses on combating near lack of mental health services, particularly for the refugee population (Mueller-Stierlin et al., 2018). The program provides training for refugees to become counselors and later on, teach the newly-arriving counterparts. |
What are the weaknesses of this policy? | Insufficient supply of mental health treatment, especially for certain populations in rural areas, low-income urban neighborhoods and minority population and those in correctional facilities.
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The country does not have a mental health policy leading to regional disparities in mental health services provision. The country also suffers from disintegrated mental health services’ provision. |
Explain how the social determinants of health may impact the specified global health issue. (Be specific and provide examples)
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Social determinants of health include conditions that make it easy to access health services like education, economic status and job opportunities. Mental health services are limited to racial minorities, low-income households and individuals, and those in rural areas due to social determinants of health like education | The reunification of Germany after the fall of Berlin wall in 1990 had significant impact on mental health services. community-based approach to mental health care services is a result of the need to increase access due to existing social determinants of health. |
How has each country’ government addressed cost, quality, and access to the selected global health issue? | Individuals with mental health issues are more likely to be uninsured and this leads to a decline in private medical insurance and a rise in public insurance for individuals with mental issues. The federal government has addressed accessibility issue through the enactment of the Affordable Care Act as it expands parity provision based on new plans and specifies that mental health and substance abuse services are critical benefits to individuals.
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The health care system in Germany works as a subsidiary system where regulation and planning for mental health is the duty of the 16 regional or state governments. The country’s mental health care provision is managed by different sectors and characterized by significant regional variations. Economic analysis of the system shows that a substantial amount of resources is used on inpatient treatment and drug prescriptions for outpatient cases (Mueller-Stierlin et al., 2018). A small percentage of the mental health budget goes to outpatient services. |
How has the identified health policy impacted the health of the global population? (Be specific and provide examples) | The health of the global population requires effective mechanisms within nations that improve access to primary care interventions for mental health issues. The policy has affected the population by ensuring that more Americans can access mental health care to address mental health challenges and substance abuse disorders (Donkin et al., 2017). Access to mental health implies that as part of the global population, these individuals are protected from mental health problems by accessing care on time.
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The aim of the policy in Germany is to prevent psychiatric admissions through the provision of need-based community-oriented acute and long-term mental health care, especially for global refugees. |
Describe the potential impact of the identified health policy on the role of nurse in each country. | If enacted, the act will ensure that close to 4 million adults with severe mental illness access coverage. The implication is that more psychiatric nurse practitioners will be required to address the increased demand (Corless et al., 2018). Further, nurses will get the opportunity to treat patients holistically by focusing on outcomes for their mental and physical health.
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Nurses in the country can enhance their effectiveness and efficiency of the mental health care system through this policy. The nurses can influence the shift of resources from inpatient to outpatient care to improve overall access to mental health services. |
Explain how global health issues impact local healthcare organizations and policies in both countries. (Be specific and provide examples) | Global health issues affect local health care organizations and policies in the U.S. as it implies that the entities and policies must on development of responsive solutions and strategies. mental health challenges are among the leading causes of diseases and disability in the world. Depressive disorders are among the leading causes of global disease burden (Corless et al., 2018). Therefore, the mental health issue requires effective policies to ensure increased access to care interventions.
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The program can increase treatment satisfaction and perceived patient’s participation in broad spectrum of psychiatric diagnoses and severity of illnesses to reduce global disease burden (Donkin et al., 2017). Local healthcare organizations and policies in Germany should focus on community-based interventions and increased integration to enhance access and quality of care for mental health issues. |
General Notes/Comments | Federal and state legislation should focus on increasing accessibility to mental health care services to address mental health challenges affecting millions of American. The mentioned bill is essential in ensuring that mental health patients get access to primary care interventions to reduce disease burden in the country and around the world.
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Germany’s mental healthcare system is among the leading in mental health treatment and provision based on its increased integration. The use of community-based interventions in mental health care provision in the country allows it to cater for different patient populations. |
Part 2: Social Change
Being a nurse leader is a significant responsibility and entails incorporation of others’ thoughts and opinions. One way of incorporating a global perspective into my present practice is to have an international forum on best practices in mental health care services. Developing the platform would offer a broader perspective on the overall treatment interventions for mental health patients in different settings across the world and even domestically (Edmonson et al., 2017). The incorporation of a global perspective in mental health care delivery is essential in attainment of increased accessibility and implementation of evidence-based practice interventions to expand service provision, especially among underserved communities and populations.
Incorporation of a global perspective would enable nurse leaders to develop evidence-based care planning interventions to enhance quality care delivery for mental health patients. All stakeholders have an opportunity to generate and bring their ideas on the table and having more information leads to better decision making. An effective nurse leader is open to suggestions and allows subordinates to participate in decision making through their contributions (Miles & Scott, 2019). Through the interventions, they deliver quality mental health services. A global perspective would also influence my practice through the use of peer-reviewed care interventions and consistent use of healthcare standards based on international best practices. Through the intervention, a nurse leader and her team will build patient trust and enhance their overall care experience.
A global perspective promotes social change through increased use of culturally-competent care. being informed by other nurses across the world will allow me to offer care without any cultural barriers and prejudices. Many times, we judge others based on what is portrayed about their cultures by mainstream and social media. These portrayals are not always true representation of the cultural attributes in question (Miles & Scott, 2019). Other ways or creating change through a global perspective is provision of mental health care to underserved communities like the LGBTQ community and understanding disparities in healthcare among certain racial minorities.
References
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.
Edmonson, C., McCarthy, C., Trent-Adams, S., McCain, C., Marshall, J., (2017). Emerging
global health issues: a nurse’s role. OJIN: The Online Journal of Issues in Nursing, 22(1), Manuscript 2. doi: 10.3912/OJIN.Vol22No01Man02
Miles, J. M., & Scott, E. S. (2019). A new leadership development model for nursing education.
Journal of Professional Nursing, 35(1), 5-11.
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).
Mueller-Stierlin, A. S., Helmbrecht, M. J., Herder, K., Prinz, S., Rosenfeld, N., Walendzik, J., . . . Kilian, R. (2017). Does
one size really fit all? The effectiveness of a non-diagnosis-specific integrated mental health care program in Germany in a prospective, parallel-group controlled multi-center trial. BMC Psychiatry, 17(1). doi:10.1186/s12888-017-1441-9.
WHO. (2019, May 02). Mental Health.https://www.who.int/mental_health/en
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Name: NURS_6050_Module01_ Week01_Discussion_Rubric
Excellent | Good | Fair | Poor | |
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Main Posting |
45 (45%) – 50 (50%)
Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. Supported by at least three current, credible sources. Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. |
40 (40%) – 44 (44%)
Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. At least 75% of post has exceptional depth and breadth. Supported by at least three credible sources. Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. |
35 (35%) – 39 (39%)
Responds to some of the discussion question(s). One or two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Post is cited with two credible sources. Written somewhat concisely; may contain more than two spelling or grammatical errors. Contains some APA formatting errors. |
0 (0%) – 34 (34%)
Does not respond to the discussion question(s) adequately. Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible sources. Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style. |
Main Post: Timeliness |
10 (10%) – 10 (10%)
Posts main post by day 3.
|
0 (0%) – 0 (0%)
|
0 (0%) – 0 (0%)
|
0 (0%) – 0 (0%)
Does not post by day 3.
|
First Response |
17 (17%) – 18 (18%)
Response exhibits synthesis, critical thinking, and application to practice settings. Responds fully to questions posed by faculty. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English. |
15 (15%) – 16 (16%)
Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. |
13 (13%) – 14 (14%)
Response is on topic and may have some depth. Responses posted in the discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible 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. Responds fully to questions posed by faculty. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English. |
14 (14%) – 15 (15%)
Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. |
12 (12%) – 13 (13%)
Response is on topic and may have some depth. Responses posted in the discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. |
0 (0%) – 11 (11%)
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. |
Participation |
5 (5%) – 5 (5%)
Meets requirements for participation by posting on three different days.
|
0 (0%) – 0 (0%)
|
0 (0%) – 0 (0%)
|
0 (0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days.
|
Total Points: 100 |
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