NURS 6050: Global Healthcare Comparison Matrix and Narrative Statement Portfolio Assignment

NURS 6050: Global Healthcare Comparison Matrix and Narrative Statement Portfolio Assignment
Sample Answer for NURS 6050: Global Healthcare Comparison Matrix and Narrative Statement Portfolio Assignment Included After Question
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.

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 Part 1 and Part 2 of your Assignment.

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A Sample Answer For the Assignment: NURS 6050: Global Healthcare Comparison Matrix and Narrative Statement Portfolio Assignment
Title: NURS 6050: Global Healthcare Comparison Matrix and Narrative Statement Portfolio Assignment
NURS 6050 Global Healthcare Comparison Matrix and Narrative Statement Portfolio Assignment

The emergence of coronavirus disease of 2019 and the subsequent declaration by the World Health Organization as a public health concern caused a lot of panic, anxiety and restrictive practices and measures to control its spread and lethal effects. Over 300 million people have been infected by the virus so far with over 4.5 million dead. The U.S. leads in the number of deaths and infections. Efforts to contain the COVID-19 pandemic include vaccination of at high risk populations and individuals (WHO, 2021). Many countries, including the United States, do not have vaccine policies and this has affected intake of the jabs that were rolled out nearly a year ago. The purpose of this comparison matrix is to evaluate vaccination policies in the United States and Mexico, especially in relation to COVID-19 as recommended by the World Health Organization for countries to get a herd immunity and stop and prevent the spreads.  

Global Healthcare Issue   

Immunization/ Vaccination  for COVID-19 

Description  The international or global perspective on vaccines and immunization has always differed from one nation to another. The World Health Organization has always encouraged and implored its member states to embrace vaccines and immunizations as means of preventing infectious diseases and reducing their adverse effects if contracted. Vaccination for COVID-19 remains a global issue as the world focuses on stopping the spread of the infectious disease first detected in a wet Chinese market.  
Country  United States 

Mexico 
Describe the policy in each country related to the identified healthcare issue  While no federal policy exists on vaccinations in the country, with each state having its own requirements for children getting into public schools, the COVID-19 pandemic necessitated several mandates at all levels of government (CMS, 2021). Policies by the federal government include latest revised ones requiring employees to be fully vaccinated against COVID-19 disease.   In Mexico, no mandatory COVID-19 vaccine policies exist but efforts focus on ensuring that more individuals get the jab. Like the U.S. the country has no vaccine policies, except for children enrolling in schools.  
What are the strengths of this policy?  All states allow exemptions from vaccines on medical grounds while 45 allow on religious reasons. Another 15 states exempt people from vaccines on philosophical or personal beliefs. Subsequently, the rollout of COVID-19 jab also follows these guidelines with some states relaxing vaccination mandates and requirements (CMS, 2021).   Mexico allows exemption from vaccination on religious and medical grounds. However, personal reasons cannot enable one to get exemption from vaccination (Jimenez & Gandy, 2021). The country’s efforts to vaccine against COVID-19 follows these trends as it is not mandatory.  
What are the weaknesses of this policy?  Individuals and parents continue to express concerns about the number of vaccines that one should get apart from the COVID-19 jabs. The safety of these vaccines remains an issue of concern (The White House, 2021b). The population requires effective education to understand the impact of the vaccines.   Vaccine-preventable diseases account for significant mortality and morbidity in developing nations like Mexico. The enforcement of increased vaccination against infectious diseases and even COVID-19 remains a challenge due to funding and infrastructural challenges (2020).  
Explain how the social determinants of health may impact the specified global health issue. (Be specific and provide examples)  Social determinants of health impact routine immunization for children; especially among lo-income populations. For instance too reduce mortality and morbidity associated with vaccinations, the needs of different populations must be met, especially access to better living conditions and information.  Immunization obstacles reduce the rates of vaccination. For instance, lack of awareness on the importance of COVID-19 jab and other vaccines can impact herd immunity.  
How has each country’ government addressed cost, quality, and access to the selected global health issue?  The U.S. continues to address cost, quality and access through policies like the Affordable Care Act and using legislations as well as executive orders by the Biden administration (The White House, 2021). These include vaccine mandates to enhance the rate of vaccination against CIOVID-19.  

Mexico experiences funding challenges making it difficult for health populations to access vaccines on time. For instance, most of its COVID-19 vaccines are donated by nations like the U.S. and the World Health Organization under the COVAX facility (WHO, 2020).  
How has the identified health policy impacted the health of the global population? (Be specific and provide examples)  The existing policies on vaccination in the U.S. impacts global population’s health as they ensure that as many Americans as possible get vaccines, especially the COVID-19 vaccines.  

Exemptions impacts the ability of the world to ensure that all eligible persons get vaccinated to control the spread of COVID-19 disease (Jimenez & Gandy, 2021).  
Describe the potential impact of the identified health policy on the role of nurse in each country.  Policies on vaccinations and immunizations impact the role of nurses in the U.S. as they are health promoters and educators (Corless et al., 2018). As primary care providers, they offer education and interact with patients to encourage them to take vaccines.   Low rates of vaccinated individuals, especially against COVID-19, exposes nurses to life threatening diseases that affect their ability to offer quality care interventions (Jimenez & Gandy, 2021). Because of these challenges, they cannot execute their roles well and meet care needs.  
Explain how global health issues impact local healthcare organizations and policies in both countries. (Be specific and provide examples)  The issues impact local healthcare organizations and policies as it implores providers to get training on management of COVID-19 and its effects on patients (The White House, 2021). Training on public health emergencies is essential to address increased rates of infection.  

Global health issues like pandemics and epidemics affect local health organizations and policies in Mexico by requiring the government to develop responsive policies to encounter adverse effects of infectious diseases and protect its population while providing high quality care.  
General Notes/Comments  The U.S. response to the COVID-19 pandemic and need to vaccinate its population demonstrate efforts to tackle global health care issues (The White House, 2021b). The existing policies on vaccination should be altered to help the country and its population prepare for and tackle any future health emergencies.   Mexico continues to make efforts to access vaccines and offer to its population despite limited resources (Jimenez & Gandy, 2021). The vaccination policies in the country illustrate the need for a global approach to diseases by leveraging existing local resources.  

Part 2: A Plan for Social Change 

Social change is a deliberate process focused on the creation and application of ideas, and actions to promote the development of communities. Nurse leaders have a critical advocacy role for their patients and colleagues. As a nurse leader, having a global perspective is essential as it allows to advocate for patient’s education and awareness about COVID-19 jab and other critical vaccines, especially for children (Milstead & Short, 2019). Many Americans decline to take vaccines for different reasons due to the diversity that exists. However, a majority do not have sufficient education and awareness about the positive effects of vaccines and the protection that they offer. When patients have sufficient information on vaccines, they can make better and informed choices and decisions.   

The incorporation of a global perspective impacts my local practice and role as a nurse leader as it implores one to work collaboratively with other in development of interventions to reduce exposure to infectious diseases. As a nurse leader, one must prioritize education and awareness among peers and the general population to minimize exposure and its adverse effects. The policy encourages nurse leaders to educate their communities so that they accept vaccines.  

Further, the incorporation of global lens into local practice as a nurse leader represents and contributes to social change by imploring me to develop interventions that leverage the existing resources and tackles inequalities that hinder uptake of vaccines (Milstead & Short, 2019). The incorporation also means that I should develop effective interventions to minimize exposure among healthcare workers in various settings. The need for vaccines is important in the current dispensation as one must consider the effects of exposure to emerging infectious diseases that require effective control because of their adverse effects on populations.  

Conclusion 

COVID-19 pandemic has demonstrated the need to have active vaccine policies targeted at different health populations and individuals. Vaccine exempt policies make health populations vulnerable to adverse effects of emerging infectious diseases like the coronavirus disease. Therefore, the analysis based on this comparison implores healthcare providers like nurses to focus on effective interventions to reduce exposure and apply a global lens in their nursing practice.  

 References 

Centers for Medicare & Medicaid Services (CMS) (2021). COVID-19. https://www.cms.gov/covidvax-provider 

Corless, I. B., Nardi, D., Milstead, J. A., Larson, E., Nokes, K. M., Orsega, S., … & Woith, W. (2018). Expanding nursing’s  

role in responding to global pandemics 5/14/2018. Nursing outlook, 66(4), 412-415. DOI: https://doi.org/10.1016/j.outlook.2018.06.003 

Jimenez, S. K. & Gandy, A. (2021). Infographic | Mexico’s Vaccine Supply and Distribution Efforts.  

https://www.wilsoncenter.org/article/infographic-mexicos-vaccine-supply-and-distribution-efforts 

The White House (2021 November 4). Fact Sheet: Biden Administration Announces Details of Two Major Vaccination  

Policies. https://www.whitehouse.gov/briefing-room/statements-releases/2021/11/04/fact-sheet-biden-administration-announces-details-of-two-major-vaccination-policies/ 

The White House (2021b September 9). Executive Order on Requiring Coronavirus Disease 2019 Vaccination for Federal  

Employees. https://www.whitehouse.gov/briefing-room/presidential-actions/2021/09/09/executive-order-on-requiring-coronavirus-disease-2019-vaccination-for-federal-employees/ 

World Health Organization (WHO). (2021). Coronavirus disease (COVID-19) pandemic.  

https://www.who.int/emergencies/diseases/novel-coronavirus-2019 

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

Learning. 

A Sample Answer 2 For the Assignment: NURS 6050: Global Healthcare Comparison Matrix and Narrative Statement Portfolio Assignment
Title: NURS 6050: Global Healthcare Comparison Matrix and Narrative Statement Portfolio Assignment

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

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.

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.

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.

The policy means that nurses should actively engage in patient education, contribute to surveillance of the condition, and offer patient education to enhance awareness.

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.

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.

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.

https://www.canada.ca/en/public-health/services/publications/drugs-health-products/pan-canadian-action-plan-antimicrobial-resistance.html

World Health Organization (WHO) (2023 November 21). Antimicrobial resistance.

https://www.who.int/news-room/fact-sheets/detail/antimicrobial-resistance

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. 

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 Part 1 and Part 2 of your Assignment. 

Submission and Grading Information 
To submit your completed Assignment for review and grading, do the following: 
Please save your Assignment using the naming convention “WK11Assgn+last name+first initial.(extension)” as the name. 
Click the Week 11 Assignment Rubric to review the Grading Criteria for the Assignment. 
Click the Week 11 Assignment link. You will also be able to “View Rubric” for grading criteria from this area. 
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK11Assgn+last name+first initial.(extension)” and click Open. 
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database. 
Click on the Submit button to complete your submission. 

Rubric
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  Excellent Good 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 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.

40 (40%) – 44 (44%)

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.

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 globa