Assignment: Global Healthcare Comparison Matrix and Narrative Statement

Sample Answer for Assignment: Global Healthcare Comparison Matrix and Narrative Statement Included After Question

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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A Sample Answer For the Assignment: Assignment: Global Healthcare Comparison Matrix and Narrative Statement

Title: Assignment: Global Healthcare Comparison Matrix and Narrative Statement

Health care issues like access and coverage affect the overall health of the world population. According to the World Health Organization, attainment of a universal health coverage (UHC) is critical to improving a country’s population and access to health services. The need for universal health coverage (UHC) implores nations, both developed and developing, to initiate policies and frameworks that allow their citizens to have access to affordable and quality care (Milstead & Short, 2019). The enactment of the Patient Protection and Affordable Care Act (PPACA) in 2010 heralded a new chapter in the provision of care for millions of uninsured Americans. While the United States lags behind her peers in provision of UHC, the ACA passage and implementation demonstrates that all people, irrespective of their status, need health care services. The purpose of this health comparison matrix is to compare efforts by the U.S. and Canada to have UHC for their populations. The comparison considers the policies and how they can attain UHC and provides a narrative statement to advocate for UHC in the United States like in Canada.

Global Healthcare Issue	Universal Health Coverage
Description	According to the World Health Organization (WHO), UHC implies that all individuals and communities get health services they require without incurring financial burden or hardship. UHC includes the full spectrum of essential, quality health service, health promotion and disease prevention activities, treatment, rehabilitation and even palliative care for those with chronic conditions. WHO (2021) asserts that for nations to deliver UHC, they need adequate and competent health and care workers who possess skills mix at facility, outreach and community level, and are distributed equitably with sufficient support and have descent work environment. In this case, the comparison is between UHC in Canada and efforts through ACA by the U.S. to have universal health coverage.
Country	United States	Canada
Describe the policy in each country related to the identified healthcare issue	The U.S. does not offer a universal health coverage. However, the Affordable Care Act of 2010 and its subsequent amendments focuses on the realization of a UHC model for many Americans, particularly from low-income households and communities among the racial minorities (Courtemanche et al., 2018). ACA focuses in increasing access to healthcare, improving quality, and lowering the cost of care for millions without medical cover. The federal government finances over 90% of the ACA for states that participate in the program.	The Canadian Medicare is the country’s universal and publicly funded health care coverage. The Canada Health Act of 1984 established Medicare. Provincial and territorial health insurance plans meet certain requirements to be eligible for full federal funding under the program. These include being publicly administered, comprehensive in covering conditions, universal, portable across the provinces and territories, accessible without user’s fees (The Commonwealth, 2020).
What are the strengths of this policy?	The primary strengths of this policy is expansion of health coverage to low income individuals, increased access to health care services, covers preexisting conditions, focuses on primary care promotion and prevention (Courtemanche et al., 2018). Dependents also use their parents’ coverage. The ACA does not have any limitations on benefits for members.	In their article, Martin et al. (2018) assert that the Canadian UHC’s main strengths include portability where one can transfer their coverage to different provinces and territories, covers the public at 100% and ensures free access to a basket of services. The other strength is that it is highly decentralized and values diversity in the population, particularly for Indigenous peoples. Public coverage of the policy is 100% as all attain automatic coverage through the Medicare which is funded and administered by provinces and territories.
What are the weaknesses of this policy?	The implementation of ACA has some weak area that include rising cost of premiums, mandatory contribution that necessitates penalties, and non-compliance in some states like Texas.	The policy has no nationally defined statutory benefit package. Provincial and territorial governments made decision on coverage in collaboration with the medical providers or professionals (Santhanam, 2020). Imperatively, coverage varies across the plans in based on the area for services that are not funded by the federal government. These include prescription drugs, home care, midwifery services, mental and dental care among others.
Explain how the social determinants of health may impact the specified global health issue. (Be specific and provide examples)	Individuals and governments fail to implement UHC because of different factors that impact people’s lives. The social determinants of health (SDOH) affect coverage to ACA and the need for UHC because some families cannot afford even the least premiums. Many people from the low-income settings had no coverage before the enactment of the ACA (Courtemanche et al., 2018). Through the ACA, over 20 million people with poor SDOH, could now have access to health insurance coverage.	The implementation of UHC in Canada provides benefits to millions of people, especially those from low-income households and Indigenous racial minorities. For instance, individuals based on their age and without any discrimination can access a host of services to improve their overall health conditions (The Commonwealth, 2020). The implication is that the UHC in Canada is impacted by different SDOH and the overall accessibility to care for millions of beneficiaries.
How has each country’ government addressed cost, quality, and access to the selected global health issue?	The U.S. has addressed the cost, quality, access to healthcare through the ACA based on its components like Medicare, prescription drugs, preexisting conditions, and the focus on primary care and health promotion.	The Canadian federal government has decentralized the UHC so that provinces and territories and their governments in collaboration with health professionals, organizations and providers can make decisions about accessibility and associated aspects of care provision.
How has the identified health policy impacted the health of the global population? (Be specific and provide examples)	The implementation of the ACA is critical to the global population’s health as it means that more people access quality care to reduce disparities and improve overall health conditions. This implies that the global population’s health is better and focused on preventive measure and primary health promotion to reduce cost burden, prevalence and increased resources to provide treatment interventions.	The UHC in Canada ensures that all Canadians have access to quality and affordable care. This improves the health of the global population as it means that less people lead poor quality lives. The UHC complies with efforts by WHO to reduce the prevalence of different health conditions, especially through preventive measures.
Describe the potential impact of the identified health policy on the role of nurse in each country.	The ACA policy has significant impacts on the role of nurses as it creates new delivery models in the healthcare systems. These models imply that nurses have increased responsibilities and role as primary care providers and patient educators (Tao et al., 2020). The implication is that nurses must increase their focus on disease prevention and patient education in their communities and practice settings.	Under the UHC policy, nurses have increased roles as primary care providers and patient advocates. They work with provincial and territorial governments to develop effective interventions within the UHC framework to deliver quality care to millions of Canadians (Santhanam, 2020). The implication is that the UHC increases the role of nurses in health care provision.
Explain how global health issues impact local healthcare organizations and policies in both countries. (Be specific and provide examples)	UHC affects local healthcare organizations and policies in the U.S. as it means that while the ACA offers a wide range of opportunities to be insured, the country does not have universal health care coverage. Local organizations and policies should focus on how the U.S. can have a universal health coverage for all its people like in Canada and other developed nations (Tao et al., 2020). For instance, the COVID-19 pandemic demonstrated the need for the U.S. to increase its coverage as it experienced the highest death toll in the world due to its health care system.	The UHC in Canada means that all organizations and policies must align with the provisions of the act that established it (The Commonwealth, 2020). This implies that local organizations should work in collaboration with governments at provincial and territorial levels to develop interventions based on their population needs.
General Notes/Comments	The ACA is an effective policy that the U.S. can leverage to attain UHC as mandated by the WHO. The adoption of a UHC will allow Canada to offer better interventions for its diverse population.	The UHC in Canada guarantees Canadians access to quality, affordable and safe care. The policy should increase its benefits to ensure that more Canadians prefer it as opposed to private health coverage plans that still exist in the market.

Part 2: Narrative Statement

An analytical approach to the two policies shows the critical roles that nurses can play to evaluate and review the impacts that they have on care provision and health of the population. The integration of a global perspective, implementation on local level and advocacy for social change are critical aspects of this policy approach (Milstead & Short, 2019). In this case, nurses can advocate for the integration of a global approach based on their role as nurses and in their practice. A global perspective implies that one focuses on best evidence and practice interventions to improve the delivery of health for the local population. Imperatively, nurse leaders need broader perspectives that enable them to integrate and use best evidence aimed at increasing accessibility, lowering the cost burden, and improving quality of care. Therefore, through a global perspective, I will incorporate effective approaches to enhance access and implore local leaders to embrace such approaches to improve overall care delivery.

Possessing a global perspective would impact my practice as it will imply providing quality and cost-effective and value-based care. As a leader, I would integrate best practices in different areas, especially in psychiatric mental health, where many people require mental health care to deal with different issues. I will also implore my unit nurses to deploy evidence-based practice (EBP) interventions to improve mental health care quality and accessibility.

The integration of a global perspective will represent and contribute to social change in various ways. These include advocacy for policy changes and positions to support patient care by assisting them to understand their health care needs and improvement of social determinants of health like the level of education and incomes (Milstead & Short, 2019). Furthermore, I will integrate the social approach to address healthcare challenges to improve their acceptance through the generation of local solutions to address any condition experienced by the population and individuals in need of health or medical interventions.

Conclusion

The global health comparison matrix and the social change narrative show the critical role that nurses play and their need to understand healthcare issues; both locally and internationally, to develop effective solutions that can address identified practice challenges or issues in their settings. Nurse leaders and practitioners need a global perspective even to integrate EBP and get best approaches to care delivery. The need for social change cannot be overemphasized as illustrated by a comparison of the two countries’ approach to universal health coverage (UHC).

References

Courtemanche, C., Marton, J., Ukert, B., Yelowitz, A., & Zapata, D. (2018). Effects of the Affordable Care Act on health

care access and self-assessed health after 3 years. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 55, 0046958018796361.

Martin, D., Miller, A. P., Quesnel-Vallée, A., Caron, N. R., Vissandjée, B., & Marchildon, G. P. (2018). Canada’s universal

health-care system: achieving its potential. The Lancet, 391(10131), 1718-1735. DOI: 10.1016/S0140-6736(18)30181-8

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

Bartlett Learning.

Santhanam, L. (2020 August 31). How Canada got universal health care and what the U.S. could learn.

https://www.pbs.org/newshour/health/how-canada-got-universal-health-care-and-what-the-u-s-could-learn

Tao, W., Zeng, Z., Dang, H., Lu, B., Chuong, L., Yue, D., … & Kominski, G. F. (2020). Towards universal health coverage:

lessons from 10 years of healthcare reform in China. BMJ Global Health, 5(3), e002086. http://dx.doi.org/10.1136/bmjgh-2019-002086

The Commonwealth (2020 June 5). International Health Care System Profiles Canada.

https://www.commonwealthfund.org/international-health-policy-center/countries/canada

World Health Organization (WHO) (2021 April 1). Universal health coverage (UHC).

https://www.who.int/news-room/fact-sheets/detail/universal-health-coverage-(uhc)

Assignment Global Healthcare Comparison Matrix and Narrative Statement

Evaluation is a methodical way of gathering, examining, and applying data to look into the success and performance of the program. The objective of a program evaluation is to invigorate the program policies and improve the results. Dr, Frieden January 21, 2014, said “We have to have a healthy obsession with impact to always be asking ourselves what is the real impact of our work on improving health?”

Nurses play a crucial role in examining program/policy evaluation for the same reason that they can be during program design.

Nurses can fight for better services and clean up continuing problems by talking about issues they have seen firsthand during the implantation phase of the program. The attestations provided by nurses give decision-makers foundational information that will help them to analyze the data collected and make a projection of the outcomes (Lewinski & Simmons, 2018).

Nurses can also give suggestions on how the program should be changed to meet the patients’ safety needs. For Instance, the nurses’ input can be used during the implementation phase of the program and this will result in better resource allocation which in turn will lead to quality decisions.

Nurses call also take part in program evaluations by conducting a study on patient satisfaction. The results of the study will be used by the decision-maker to target areas that need improvement. “Research seeks to prove, the evaluation seeks to improve” Michael Quinn Patton – Founder and Director of Utilization-Focused evaluation.

Since nurses implement policies, they are in a better position to analyze the policy in question and provide feedback on what is working and not working. The feedback provided by the nurses will guide decision-makers to single out policies that need an overhaul (Garwood, 1982).

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.

Click here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS: ON Assignment: Global Healthcare Comparison Matrix and Narrative Statement

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:

Assignment: Global Healthcare Comparison Matrix and Narrative Statement 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

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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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.
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Assignment Global Healthcare Comparison Matrix and Narrative Statement Grading Criteria

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Week 11 Assignment Rubric

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Submit your Week 11 Assignment draft and review the originality report.

Submit Your Assignment by Day 5 of Week 11

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Week 11 Assignment

Congratulations! After you have finished all of the assignments for this Module, you have completed the course. Please submit your Course Evaluation by Day 7.

Module 6: Global Healthcare Issues (Week 11)

Laureate Education (Producer). (2018). Global Healthcare Issues [Video file]. Baltimore, MD: Author.

Learning Objectives

Students will:

Compare healthcare policies related to global healthcare issues in the U.S. and abroad

Assignment Global Healthcare Comparison Matrix and Narrative Statement

Analyze the impact of the social determinants of health on global healthcare issues
Analyze how policy impacts the health of the global population
Analyze how policy impacts the role of the nurse
Compare how global health issues impact local healthcare organizations and policies in the U.S and abroad
Recommend advocacy for the incorporation of a global perspective into local practice and the role of the nurse leader
Analyze impacts of the incorporation of a global perspective into local practice and the role of the nurse leader
Analyze how a global perspective represents and contributes to social change

Due By
Assignment
Week 11, Days 1–2
Read/Watch/Listen to the Learning Resources.
Week 11, Day 3-4
Begin to compose your Assignment.
Week 11, Day 5
Deadline to submit your Assignment.

Learning Resources

Required Readings

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

Chapter 11, “The Impact of Globalization: Nurses Influencing Global Health Policy” (pp. 194–208)

Corless, I. B., Nardi, D., Milstead, J. A., Larson, E., Nokes, K. M., Orsega, S., Kurth, A. E., … Woith, W. (2018). Expanding nursing’s role in responding to global pandemics. Nursing Outlook, 66(4), 412–415.

Donkin, A., Goldblatt, P., Allen, J., Nathanson, V., & Marmot, M. (2017). Global action on the social determinants of health. BMJ Global Health, 3(1). doi:10.1136/bmjgh-2017-000603.

Sandoval-Almazana, R., & Gil-Garcia, J. R. (2011). Are government internet portals evolving towards more interaction, participation, and collaboration? Revisiting the rhetoric of e-government among municipalities. Government Information Quarterly, 29(Suppl. 1), S72–S81.

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

Document: Global Health Comparison Matrix (Word document)

Required Media

Laureate Education (Producer). (2018). Global Healthcare Issues [Video file]. Baltimore, MD: Author.

Laureate Education (Producer). (2018). Final Thoughts [Video file]. Baltimore, MD: Author.

Assignment Global Healthcare Comparison Matrix and Narrative Statement Rubric Detail

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Name: NURS_6050_Module06_Week11_Assignment_Rubric

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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.

Points Range: 45 (45%) – 50 (50%)

Response provides a clear and accurate explanation of the strengths and weaknesses of policies in the U.S. and another country.

Response provides a clear and accurate explanation of how the social determinants of health impact the issue in the U.S. and in another country. Specific examples are provided.

Response provides a clear and accurate explanation of how the governments of the two countries address cost, quality, and access related to the issue.

Response provides a clear and accurate explanation of how the policy in each of the two countries impacts the health of the global population. Detailed and accurate supporting examples are provided.

Response provides a clear and complete explanation of how the policies in each country impact the role of the nurse.

Response provides an accurate and detailed explanation of how the global health issues impact local healthcare organizations and policies in each of the two countries.

Points Range: 40 (40%) – 44 (44%)

Response provides an explanation of the strengths and weaknesses of policies in the U.S. and another country.

Response provides an explanation of how the social determinants of health impact the issue in the U.S. and in another country. Specific examples may be provided.

Response provides an explanation of how the governments of the two countries address cost, quality, and access related to the issue.

Response provides an explanation of how the policy in each of the two countries impacts the health of the global population. Supporting examples may be provided.

Response provides an explanation of how the policies in each country impact the role of the nurse.

Response provides an explanation of how the global health issues impact local healthcare organizations and policies in each of the two countries.

Points Range: 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.

Points Range: 0 (0%) – 34 (34%)

Explanation of the strengths and weaknesses of policies in the U.S. and another country is vague and inaccurate, or is missing.

Explanation of how the social determinants of health impact the issue in the U.S. and in another country, and the examples, are vague and inaccurate, or is missing.

Explanation of how the governments of the two countries address cost, quality, and access related to the issue is vague and inaccurate, or is missing.

Explanation of how the policy in each of the two countries impacts the global population, and supporting examples, is missing.

Explanation of how the policies in each country impact the role of the nurse is vague and inaccurate, or is missing.

Explanation of how global health issues impact local healthcare organizations and policies in both countries is missing.
The Nurse’s Role in Global Healthcare

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment. In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

• Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.

• Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.

• Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples.

Points Range: 32 (32%) – 35 (35%)

Response provides a clear and thorough explanation of how one would advocate for the incorporation of a global perspective or lens into his/her role as a nurse leader.

Response provides a clear and thorough explanation of how the incorporation of a global perspective or lens might impact local practice and the role as a nurse leader.

Response clearly and thoroughly explains in detail how the incorporation of a global perspective or lens in one’s role as a nurse represents and contributes to social change. Accurate and detailed supporting examples are provided.

Points Range: 28 (28%) – 31 (31%)

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.

Points Range: 25 (25%) – 27 (27%)

Explanation of how one would advocate for the incorporation of a global perspective or lens into his/her role as a nurse leader is vague or incomplete.

Explanation of how the incorporation of a global perspective or lens might impact local practice and the role as a nurse leader is vague or incomplete.

Explanation of how the incorporation of a global perspective or lens in one’s role as a nurse represents and contributes to social change, and/or supporting examples provided, are vague or incomplete.

Points Range: 0 (0%) – 24 (24%)

Explanation of how one would advocate for the incorporation of a global perspective or lens into his/her role as a nurse leader is vague and incomplete, or is missing.

Explanation of how the incorporation of a global perspective or lens might impact local practice and the role as a nurse leader is vague and incomplete, or is missing.

Explanation of how the incorporation of a global perspective or lens in one’s role as a nurse represents and contributes to social change, and/or supporting examples, is missing.
Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.

Points Range: 5 (5%) – 5 (5%)

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.

Points Range: 4 (4%) – 4 (4%)

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.

Points Range: 3.5 (3.5%) – 3.5 (3.5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.

Purpose, introduction, and conclusion of the assignment is vague or off topic.

Points Range: 0 (0%) – 3 (3%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

No purpose statement, introduction, or conclusion was provided.
Written Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation

Points Range: 5 (5%) – 5 (5%)

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

Points Range: 4 (4%) – 4 (4%)

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

Points Range: 3.5 (3.5%) – 3.5 (3.5%)

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

Points Range: 0 (0%) – 3 (3%)

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.

Points Range: 5 (5%) – 5 (5%)

Uses correct APA format with no errors.

Points Range: 4 (4%) – 4 (4%)

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

Points Range: 3.5 (3.5%) – 3.5 (3.5%)

Contains several (3-4) APA format errors.

Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) APA format errors.
Total Points: 100

If you were to ask 10 people what they believe to be the most significant issue facing healthcare
today, you might get 10 different answers. Escalating costs? Regulation? Technology disruption?
These and many other topics are worthy of discussion. Not surprisingly, much has been said in
the research, within the profession, and in the news about these topics. Whether they are issues
of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed.
In this Discussion, you examine a national healthcare issue and consider how that issue may
impact your work setting. You also analyze how your organization has responded to this issue.

Global Health Comparison Grid Template

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.

Assignment Global Healthcare Comparison Matrix and Narrative Statement 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.

Assignment Global Healthcare Comparison Matrix and Narrative Statement 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.

Assignment: Global Healthcare Comparison Matrix and Narrative Statement

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

If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?

You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.

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

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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Assignment Global Healthcare Comparison Matrix and Narrative Statement Grading Rubric Guidelines DQ

Performance Category	10	9	8	4	0
Scholarliness Demonstrates achievement of scholarly inquiry for professional and academic decisions.	Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions Evaluates literature resources to develop a comprehensive analysis or synthesis. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion	Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions. Evaluates information from source(s) to develop a coherent analysis or synthesis. Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis. Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion. Demonstrates little or no understanding of the topic.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) without any interpretation/evaluation. The posting uses information that is not valid, relevant, or reliable	No evidence of the use of scholarly inquiry to inform or change professional or academic decisions. Information is not valid, relevant, or reliable
Performance Category	10	9	8	4	0
Application of Course Knowledge – Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources; Applies concepts to personal experience in the professional setting and or relevant application to real life.	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources. Applies concepts to personal experience in their professional setting and or relevant application to real life Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content	Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson. Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life Does not demonstrate a solid understanding of the principles and concepts presented in the lesson	Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post. Posts are superficial and do not reflect an understanding of the lesson content Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life	Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category	5	4	3	2	0
Interactive Dialogue Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days. *(5 points possible per graded thread)*	Exceeds minimum post requirements Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days. Replies to a post posed by faculty and to a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days Replies to a question posed by a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Meets expectations of 2 posts on 2 different days. The main post is not made by the Wednesday deadline Does not reply to a question posed by a peer or faculty	Has only one post for the week Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments	Does not post to the thread No connections are made to the topic
	Minus 1 Point	Minus 2 Point	Minus 3 Point	Minus 4 Point	Minus 5 Point
Grammar, Syntax, APA Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted. Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition	2-3 errors in APA format. Written responses have 2-3 grammatical, spelling, and punctuation errors. Writing style is generally clear, focused, and facilitates communication.	4-5 errors in APA format. Writing responses have 4-5 grammatical, spelling and punctuation errors. Writing style is somewhat focused.	6-7 errors in APA format. Writing responses have 6-7 grammatical, spelling and punctuation errors. Writing style is slightly focused making discussion difficult to understand.	8-10 errors in APA format. Writing responses have 8-10 grammatical, spelling and punctuation errors. Writing style is not focused, making discussion difficult to understand.	Post contains greater than 10 errors in APA format. Written responses have more than 10 grammatical, spelling and punctuation errors. Writing style does not facilitate communication. The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
	0 points lost				-5 points lost
Total Participation Requirements *per discussion thread*	The student answers the threaded discussion question or topic on one day and posts a second response on another day.				The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement *per discussion thread*	The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.				The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.

A Sample Answer 2 For the Assignment: Assignment: Global Healthcare Comparison Matrix and Narrative Statement

Title: Assignment: Global Healthcare Comparison Matrix and Narrative Statement

I have selected a health program promoting health for children and adolescents in United states. This program includes reducing obesity risk in ECE facilities, preventing chronic diseases, and preventing tobacco use among school students (CDC). For promoting children’s health CDC recommended improving health food options in schools, encouraging good nutrition and physical activity for early obesity prevention, health education, survey, and monitoring youth tobacco through National Youth tobacco survey (CDC). These strategies are listed here to measure and compare the evolution strategies. According to Walden University, LLC “we need to think about evaluation of the program from the very beginning, when first crafting the policy and when we are first implementing the policy”. So, it is critical to design evolution strategies while designing and implementing a program and to vision ahead on measuring the effectiveness.

Walden University, LLC said that “If you cannot measure you would not know its effectiveness”. To measure the evaluation CDC has framework of program evaluation which includes “engaging stakeholders, describing program, focus evaluation design, gathering credible evidence, justifying conclusions, ensuring use, and sharing lessons. According to CDC, “evolution program selecting an evaluation consultant, gain consensus among stakeholders, develop process evaluation questions”. For example, “for increasing implementation of effective physical activity, nutrition, and tobacco –use prevention (PANT) strategies in schools and schools district within a CSH framework” (CDC). The questionnaire for evaluation for these strategies will be – “to what extent does the program provide model CSH and PANT policies, how many schools and school district are aware of CSH and PANT, how useful the technical assistance in helping schools for implementing these strategies”. Additionally, data collection and analysis are another way to measure effectiveness of the program and in the end, there will be evaluation reports that will justify how successful the strategies for the program were.

This heath care program to promote children’s health design is based on improving nutrition, tobacco control campaign and physical activities improving in school children. Recent research suggested that improving health in schools and health programs promoting health bring positive influence on the students improve their physical health and academic grades. Datas collected shows “42% of US high schools students mostly A’s, ate breakfast all 7 days, 66% Us high school students mostly A’s ate vegetables, 41% student did not drink soda or pop achieve A grades” (CDC). Datas illustrated good dietary habits not only give good health but also make students focused and sharp in studies. In 2021 2.55 million (9.3%) reported using tobacco products in high school. An estimated 15.8 million (60.9%) students reported and recognized in the high schools and middle schools participate in antitobacco campaign programs (US Food & Drug administration).

Social determinants are education, poverty, and discrimination directly and indirectly of health, where families live and work, “families and care givers directly influence the health of young children” (Mistry et al, 2012). Poverty can be managed by taking help from government and community resources and providing healthy food to children. School also provides free healthy foods to children who are under the poverty line, health education regarding healthy diets, healthy environment physically, mentally required for children to grow in favorable conditions to be better health wise. Accordiing to Mistry et al (2012), another social determinate is institutional resources include parks, fresh food markets and early education centers play important roles in promoting health and developments of young children”.