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NURS 6050 Discussion 1 Evidence Base in Design Sample

NURS 6050 Discussion 1 Evidence Base in Design Sample

The Families First Coronavirus Response Act 2020 is a strategy for responding to an outbreak of coronavirus. It focuses on providing free coronavirus testing, paid sick leave, food assistance, and unemployment benefits in particular. Employers are required by the regulation to provide additional protection for clinical care professionals, such as personal respiratory protective devices. The bill seeks supplemental appropriations for the United States Department of Agriculture (USDA) in order to expand food assistance and nutrition programs. Specifically, the law provides for certain waivers for school lunch programs and increases the federal medical assistance percentage for Medicaid (FMAP). The legislation contributes to populace protection by strengthening emergency preparedness and public health education (Wyte-Lake et al., 2018). Effective implementation of this health policy will require careful coordination of clinical and social interventions throughout the pandemic.

Background of the Problem

The coronavirus epidemic has significant adverse effects on the global population. The respective governments ought to formulate and implement robust measures to promote disaster preparedness to counter the prevalence of infection. The Families First Coronavirus Response Act proposes a review of the national budget to increase allocations for the Emergency Food Assistance Program (TEFAP), Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and nutrition assistance grants for U.S territories. The approach is in line with the Global Health Security Agenda (GHSA) for the revamping healthcare sector. In addition, it denotes the commitment of the government to build a strong health system to stop, detect, and contain the spread of illnesses (Gostin, 2017). Therefore, increasing the funding for basic healthcare amenities, screening, and testing for the viruses is in line with the World Health Organization (WHO) directives for ensuring a safer world. NURS 6050 Discussion 1 Evidence Base in Design

Evidence for the Policy

There is a lot of evidence to support the enactment of the Families First Coronavirus Response Act 2020. Primarily, governments across the world are initiating appropriate measures to ensure containment of the spread of the virus. Some of the key recommendations encompass proper hand hygiene, coughing and/or sneezing in your elbow, working from home, distant learning, social distancing, and staying at least six feet away from one another. However, there are critical implications on the supply of food, drugs, and testing kits. Besides, the federal policymakers are interested in preventing any possible economic downfall. The policy is handy in supporting corporate interventions like providing paid leave for workers and personal protective equipment.

The government has a fundamental responsibility for developing and maintaining healthcare infrastructure and service delivery. Nonetheless, there is always a conflict between public health objectives and industry interests (Collin et al., 2017). The legislators must strive to determine the mechanism to build consensus within and across the sectors of the economy. An integrated policy, such as the Families First Coronavirus Response Act 2020, will help achieve healthcare goals. Furthermore, the legislation will be essential in promoting a synchronized medical response to the virus. It shows the need for a holistic and joint collective approach to eradicating the risk factors for the complication, as well as guaranteeing public and private sector participation in the process. NURS 6050 Discussion 1 Evidence Base in Design

Families First Coronavirus Response Act 2020 is a government guideline to support the implementation of emergency interventions.

The health policy covers the broad areas of healthcare financing and the provision of appropriate clinical services like screening and testing. Also, through the policy, the government proposes to offer subsidies for nutritional and food programs to ensure social distancing and self-quarantine. The policy plays an important role in the attainment of universal healthcare coverage and public safety. Furthermore, its proper enforcement will necessitate coordination of decision planning to accomplish the global and national health goals during this pandemic.

NURS 6050 Discussion 1 Evidence Base in Design Sample

NURS 6050 Discussion 1 Evidence Base in Design Sample

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References

Collin, J., Hill, S. E., Kandlik Eltanani, M., Plotnikova, E., Ralston, R., & Smith, K. E. (2017). Can public health reconcile profits and pandemics? An analysis of attitudes to commercial sector engagement in health policy and research. Plos One, 12(9), e0182612. https://doi-org.ezp.waldenulibrary.org/10.1371/journal.pone.0182612

Gostin, L. O. (2017). “America First”: Prospects for Global Health. The Milbank Quarterly, 95(2), 224–228. https://doi-org.ezp.waldenulibrary.org/10.1111/1468-0009.12254

Wyte-Lake, T., Claver, M., Der-Martirosian, C., Davis, D., & Dobalian, A. (2018). Education of elderly patients about emergency preparedness by health care practitioners. American Journal of Public Heath, 108, S207–S208. https://doi-org.ezp.waldenulibrary.org/10.2105/AJPH.2018.304608

Hello Dr. D,

Without a doubt, COVID-19 has blurred the role in public health. On a daily basis, whether it is through watching television, listening to the radio, or scrolling though social media, we are educated by healthcare professionals, the president, the governor, etc. on how to contain this virus – social distancing, hand hygiene, staying 6 feet away from one another, at first wearing a mask if you had a cough, but now requiring individuals to wear a mask whenever in public, no visitations in healthcare settings, and coughing/sneezing in your elbow. Although these are all effective measures to take, there are still dilemmas in efforts to flatten the curve. This pandemic is demonstrating the consequences of underfunding public health. For example, delays in diagnostic testing and results, shortage of personal protective equipment (PPE), and shortage of ventilators. As the federal government scrambles to rapidly boost the nation’s capacity to test for the novel coronavirus, cutting red tape and leaning on the speed and technology of the private sector, new delays are developing because of a shortage of raw materials and vital items: chemical solutions, swabs and even face masks for health-care workers (The Washington Post, 2020). Not as if this is new news, but healthcare professionals are being asked to reuse surgical masks, N95s, surgical caps, etc. Furthermore, the Centers for Disease Control and Prevention (CDC) is recommending wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain (e.g., grocery stores and pharmacies), especially in areas of significant community-based transmission (CDC, 2020). This is recommended for our public, in attempts to reserve N95s and surgical masks for healthcare professionals. I believe these measures are put into place, simply because there is a mass shortage of PPE. In addition, I have seen firsthand what delays in diagnostic testing results look like. Thankfully, we have rapid testing, in which individuals receive their results within 24 – 48 hours, but prior results took 5 – 7 days to come back. Unfortunately, some samples were lost, resulting in individuals needing to be re-swapped, contributing to spreading the virus to the community.  NURS 6050 Discussion 1 Evidence Base in Design

References

Centers for Disease Control and Prevention. (2020). Use of Cloth Face Coverings to Help Slow the Spread of COVID-19.

Retrieved from  https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/diy-cloth-face-coverings.html

The Washington Post. (2020). Shortages of face masks, swabs and basic supplies pose a new challenge to coronavirus

testing. Retrieved from  https://www.washingtonpost.com/climate-environment/2020/03/18/shortages-face-masks-

cotton-swabs-basic-supplies-pose-new-challenge-coronavirus-testing/

RE: Main Question Post

Hello Colleague,

I noted that your health policy you have chosen was The Families First Coronavirus Response Act 2020. I found your chosen health policy interesting in reading seeing the public is in a current pandemic related to this novel virus as in the coronavirus. It was interesting to see what The Families First Coronavirus Response Act 2020 was focusing on. You stated in your paper that The Families First Coronavirus Response Act 2020 is a response strategy to the coronavirus outbreak, and its focus was on the provision of free coronavirus testing, paid sick leave, food assistance, and unemployment. I found it partially as in The Families First Coronavirus Response Act 2020 to be a bit biased.

There is so much about this virus that is unfolding before our eyes. We are learning more and each day something new about this virus (Coronavirus).

According to the Washington Post in the United States, the Coronavirus appears to be infecting and killing African Americans at a disproportionately high rate (Thebault, Ba William, 2020).). This emerging stark racial disparity led the Surgeon General to acknowledge in personal terms the increased risk for African Americans amid growing demands that the public-health officials release more data on the race of those who are sick, hospitalized and dying of a contagion that has killed more than 12,000 people in the United States (Thebault et al., 2020). NURS 6050 Discussion 1 Evidence Base in Design

It was stated in the Washing Post that the reason for African Americans being affected at a disproportionate rate had to with African Americans having higher rates of diabetes, heart disease, and lung disease are well documented, and noted by  Louisiana Governor John Bel Edwards that health problems make people more vulnerable to the new respiratory disease, but there has never has been a pandemic that brought the disparities so vividly into focus (Thebault et al., 2020).

Because of this crisis, the Lawyers’ Committee for Civil Rights Under Law and hundreds of doctors joined a group of Democratic lawmakers, including Senators Elizabeth Warren (Mass.), Cory Booker (N.J), and Kamal D. Harris (Calif), in demanding the federal government to release daily race and ethnicity data on coronavirus testing, patients and their health outcomes, seeing that the data for the Centers for Disease Control and Prevention has only released figures by age and gender (Thebault et al., 2020).

The data being reported by the Centers for Disease Control and Prevention is only including age and gender and leaving out racial or ethnic data. I find this data to be disturbing and biased. Civil rights law prohibit federally funded health care providers from administering services in a discriminatory manner, said Kristen Clarke, president and executive director of the Lawyers’ Committee of Civil Rights Under Law, which joined with medical professionals to call for the immediate release of racial and ethnic data on coronavirus infections, testing, and deaths (Wambsgans, 2020)

According to the Washington Post article, 2020, even though some activists argued African Americans have been more exposed because many held low-wage or essential jobs, such as food service, public transit, and health care, that required African Americans to interact with the public, I find this to be a poor argument in that is still does not address data on race and ethnicity not being reported, as being left out of data for the Center for Disease Control and Prevention.

According to the Center for Disease and Prevention Control (CDC), guidelines in every state is legally required to track data on testing and treatment by race, as it has done during other outbreaks. Fewer than a dozen have released that data so far (Evelyn, 2020). According to what is being found, African Americans are particularly more vulnerable. According to Kristen Clarke president and executive director of the Lawyers’ Committee of Civil Rights, this is a social, economic and racial justice issue (Evelyn, 2020). NURS 6050 Discussion 1 Evidence Base in Design

I feel that the Families First Coronavirus Response Act 2020, needs to be re-assessed, in that health care officials need to consider different factors that should be included for this health care policy to be justifiable (unbiased).

REFERENCES

Reise Thebault, Andrew Ba Tran, & Vanessa Williams (2020). Washington Post. The coronavirus is infecting and killing black Americans at an alarmingly high rate. Retrieved April 09, 2020, from

Https://www.washingtonpost.com/archive

Jason E. Wambsgans (2020). National Broadcasting Company news. African Americans may be dying from COVID 19 at a higher rate. Better data is essential, experts say. Retrieved April 10, 2020, from

Https://nbcnews.com

Kenya Evelyn (2020). The Guardian. It’s a racial justice issue: Black Americans are dying in greater numbers from COVID-19. Retrieved April 10, 2020, from

Https://www.theguardian.com

Discussion 1: Evidence Base in Design

In this Discussion, you will identify a recently proposed health policy and share your analysis of the evidence in support of this policy.

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.

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.

*Note: Throughout this program, your fellow students are referred to as colleagues.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 7 Discussion Rubric

Post by Day 3 and Respond by Day 6 of Week 7

To participate in this Discussion:

Week 7 Discussion

Excellent Good Fair Poor
Main Posting
45 (45%) – 50 (50%)

Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

40 (40%) – 44 (44%)

Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

At least 75% of post has exceptional depth and breadth.

Supported by at least three credible sources.

Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

35 (35%) – 39 (39%)

Responds to some of the discussion question(s).

One or two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Post is cited with two credible sources.

Written somewhat concisely; may contain more than two spelling or grammatical errors.

Contains some APA formatting errors.

(0%) – 34 (34%)

Does not respond to the discussion question(s) adequately.

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible sources.

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.

Main Post: Timeliness
10 (10%) – 10 (10%)
Posts main post by day 3.
(0%) – 0 (0%)
(0%) – 0 (0%)
(0%) – 0 (0%)
Does not post by day 3.
First Response
17 (17%) – 18 (18%)

Response exhibits synthesis, critical thinking, and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Response is effectively written in standard, edited English.

15 (15%) – 16 (16%)

Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

13 (13%) – 14 (14%)

Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

(0%) – 12 (12%)

Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.

Second Response
16 (16%) – 17 (17%)

Response exhibits synthesis, critical thinking, and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Response is effectively written in standard, edited English.

14 (14%) – 15 (15%)

Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

12 (12%) – 13 (13%)

Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

(0%) – 11 (11%)

Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.

Participation
(5%) – 5 (5%)
Meets requirements for participation by posting on three different days.
(0%) – 0 (0%)
(0%) – 0 (0%)
(0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days.
Total Points: 100
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