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NURS 6050 Discussion 1: Evidence Base in Design

DQ :Improving Social Determinants of Health Act of 2021.

When politics and medical science intersect, there can be much debate. Sometimes anecdotes or
hearsay are misused as evidence to support a particular point. Despite these and other challenges,
however, evidence-based approaches are increasingly used to inform health policy decision-
making regarding causes of disease, intervention strategies, and issues impacting society. One
example is the introduction of childhood vaccinations and the use of evidence-based arguments
surrounding their safety.
In this Discussion, you will identify a recently proposed health policy and share your analysis of
the evidence in support of this policy.
To Prepare:
 Review the Congress website provided in the Resources and identify one recent (within
the past 5 years) proposed health policy.
 Review the health policy you identified and reflect on the background and development
of this health policy.
By Day 3 of Week 7
Post a description of the health policy you selected and a brief background for the problem or
issue being addressed. Explain whether you believe there is an evidence base to support the
proposed policy and explain why. Be specific and provide examples.
By Day 6 of Week 7
Respond to at least two of your colleagues* on two different days by either supporting or
respectfully challenging their explanation on whether there is an evidence base to support the
proposed health policy they described.
Click on the Reply button below to reveal the textbox for entering your message. Then click on
the Submit button to post your message.
*Note: Throughout this program, your fellow students are referred to as colleagues.

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1 year ago
Diana Quinones
RE: Discussion – Week 7
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Policy: S.104 Improving Social Determinants of Health Act of
2021
Sponsor: Sen. Smith, Tina (D-MN) Introduced 1/28/2021
Committee: Senate – Health, Education, Labor, and Pensions
Latest Action: Senate- 1/28/2021 Read twice and referred to the Committee on
Health, Education, Labor, and Pensions

This bill was introduced in the Senate of the United States on January 28, 2021. The
bill consists of Healthy People 2030 goals to create social, physical, and economic
environments that promote attaining the full potential for health and well-being for
all. Social determinants of health are conditions, such as the environments where
people are born, live, learn, work, play, worship, and age that affect a wide range of
health, functioning, and quality of life outcomes and risks. they developed a place
based organizing framework, reflecting five keys area of social determinants of
health which were economic stability, education access and quality, social and
community context, health care access and quality and neighborhood and built
environment. The program will enable social determinants of health program to
achieve improvements on health outcomes and reduce health inequities by
coordinating social determinants of health activities across the Centers for Disease
Control and Prevention, Improving the capacity of public health agencies and
community organizations to address social determinants of health in communities.
To reach these goals their proposal is to coordinate across the Centers for Disease
Control and Prevention to ensure that the relevant program and offer grants by the
Director to eligible entities that addresses social determinants of health in their
community. To apply, the entity shall be a State, Local, territorial, or Tribal health
agency or organization, a qualified nongovernmental entity. The grant will be used to
address social determinants of health in a target community by designing and

implementing innovative, evidence-based, cross-sector strategies. With a cost of
$50,000,000 for each fiscal year 2021 through 2026.

There is a related bill to this bill. H.R. 379 was referred 2/2/2021 to the
Subcommittee on Health. This bill requires the Centers for Disease Control and
Prevention (CDC) to establish a program to improve health outcomes and reduce
health inequities by coordinating activities across the CDC. The CDC will award grants
to eligible organizations to build capacity to address social determinants of health.
The CDC shall provide for an independent evaluation of certain grants and report
findings to Congress.

Evidence base:
Public Health Department  provided evidence of need and demonstrate
efficacy of policies and laws to promote health and address the SDOHs (Social
department of health). Both the health care sector and the public health sector are
needed to fully address SDOHs. The clinical side can respond to some individual
needs, while public health is best suited to meet the needs of an entire population,
to prevent unmet needs in the future.
The Bill authorizes the CDC to create a program to improve health outcomes and
reduce health inequities by coordinating CDC SDOH activities and improve capacity
of public health agencies and community organizations to address SDOHs (TFAH,
n.d.) The Center For Disease Control and Prevention has highlighted nonclinical,
community-wide approaches that showed positive health impacts results within 5
years, and cost effectiveness or cost savings over the lifetime of the population.
Reference

Text – S.104 – 117th Congress (2021-2022): Improving Social Determinants of Health Act of 2021. (2021, January
28). https://www.congress.gov/bill/117th-congress/senate-bill/104/text

Text – H.R.379 – 117th Congress (2021-2022): Improving Social Determinants of Health Act of 2021. (2021, February
2). https://www.congress.gov/bill/117th-congress/house-bill/379/text

THAF. (n.d.). The Improving Social Determinants of Health ACT of 2021. Retrieved on July 11, 2021,
from https://www.tfah.org/wp=content/uploads/2020/08/SDOH-bill-fact-sheet-pdf

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1 year ago
Lawren Sah
RE: Discussion – Week 7 – 1st Response
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Hello Eucharia,

I appreciate that I have gained insight from your post on the Healthcare Workplace
Resilience Act that addresses about enhancement of the nurses during the Covid-19 crisis
(Stacey et al., 2020). It is clear the sponsor of the bill and how far the bill went based on the
senate and the committee on the Judiciary. From the post, you have clearly stated the bill's main
goal: to address the shortage of healthcare workers based on the coronavirus pandemic. I agree
with your argument that healthcare has been experiencing an alarming rate of shortage of nurses,
which influenced the desire to establish a bill.

The impact of nurse shortage is greatly influenced by factors such as burnout and stress-
related through the pandemic response, heavy workloads, and insufficient resourcing (Wada,
2020). I support your argument that a rapidly dwindling nursing workforce is largely unnoticed
even when the media focus on the shortage of ventilators and personal protective equipment in a
healthcare setting. I have gained insight from your post based on the dilemma derived by the
unappreciated nursing staff, which greatly influences the failure to accomplish the infection
control requirements in a healthcare setting. I support the idea that enacting a flexible staffing
plan to cope with the full weight of a healthcare system is likely to be achieved, thus showing
respect to the staff.

References

Stacey, G., Cook, G., Aubeeluck, A., Stranks, B., Long, L., Krepa, M., & Lucre, K. (2020). The
implementation of resilience-based clinical supervision to support the transition to
practice in newly qualified healthcare professionals. Nurse Education Today, 94, 104564.
https://doi.org/10.1016/j.nedt.2020.104564

Wada, Y. Discuss Reasons for Acute and Chronic Problems with The Crisis of Nursing Shortage
in Relation to Nursing Education and Review The Strategies and Solutions. Nur Primary
Care. 2020; 4 (4): 1-4. Department of Human Nursing, Sonoda Women’s University,
Hyogo, Japan. http://scivisionpub.com/pdfs/discuss-reasons-for-acute-and-chronic-
problems-with-the-crisis-of-nursing-shortage-in-relation-to-nursing-education-and-
review-the-1337.pdf

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