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.  Global health issue I select is STDs ( Sexual Transmitted Disease)
• Select at least one additional country to compare to the U.S. for this Assignment. one additional country is Australia. 
• 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.

   

Rubric:

Levels of Achievement:Excellent 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.Good 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.Fair 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.Poor 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.Feedback:

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.–

Levels of Achievement:Excellent 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.Good 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.Fair 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.Poor 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.Feedback:

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.–

Levels of Achievement:Excellent 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.Good 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.Fair 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.Poor 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.Feedback:

Written Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation–

Levels of Achievement:Excellent 5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors.Good 4 (4%) – 4 (4%) Contains a few (1-2) grammar, spelling, and punctuation errors.Fair 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors.Poor 0 (0%) – 3 (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Feedback:

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.–

Levels of Achievement:Excellent 5 (5%) – 5 (5%) Uses correct APA format with no errors.Good 4 (4%) – 4 (4%) Contains a few (1-2) APA format errors.Fair 3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) APA format errors.Poor 0 (0%) – 3 (3%) 

Provide a 3-4 sentence response to the below discussion question answer in apa format with in-text citations and references:

Answer: The statistical significance of evidence is the measurement of data that determines that the results are unlikely to have happened by chance. It also can mean that the results are “reliable and can be duplicated” (Polit & Beck, 2017) when applied in another situation The application of a p-value of five refers to the idea that in 100 times more than 95% the results will be the same. The clinical significance of evidence is whether when applied to patient care will have the same effect. The evidence is not just taken on face value or the results of the statistical results but also must best be evaluated by “making an informed expert judgment of the benefits and risks associated with research findings” (EL-Masri, 2016). 

Each of these findings can be used to advance evidence-based projects in different ways. The statistical tells us if the data is leading us in the right direction based on reliability and clinically the benefits to the patients will be seen.

Original Question: What is the difference between statistically significant evidence and clinically significant evidence? How would each of these findings be used to advance an evidenced-based project?

Write a paper (2,000-2,500 words) in which you apply the concepts of   epidemiology and nursing research to a communicable disease. Refer to   “Communicable Disease Chain,” “Chain of   Infection,” and the CDC website for assistance when completing   this assignment.

Communicable Disease Selection

Choose one communicable disease from the options below.

1. Chickenpox
2. Tuberculosis
3. Influenza
4. Mononucleosis
5. Hepatitis B
6. HIV
7. Ebola
8. Measles
9. Polio
10. Influenza

Epidemiology Paper Requirements

Address the following:

1. Describe the chosen communicable disease, including causes,     symptoms, mode of transmission, complications, treatment, and the     demographic of interest (mortality, morbidity, incidence, and     prevalence). Is this a reportable disease? If so, provide details     about reporting time, whom to report to, etc.
2. Describe the     social determinants of health and explain how those factors     contribute to the development of this disease.
3. Discuss the     epidemiologic triangle as it relates to the communicable disease you     have selected. Include the host factors, agent factors (presence or     absence), and environmental factors. Are there any special     considerations or notifications for the community, schools, or     general population?
4. Explain the role of the community     health nurse (case finding, reporting, data collection, data     analysis, and follow-up) and why demographic data are necessary to     the health of the community.
5. Identify at least one national     agency or organization that addresses the communicable disease     chosen and describe how the organizations contribute to resolving or     reducing the impact of disease.
6. Discuss a global     implication of the disease. How is this addressed in other countries     or cultures? Is this disease endemic to a particular area? Provide     an example.

A minimum of three peer-reviewed or professional references is required.

Prepare this assignment according to the guidelines found in the APA   Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to   beginning the assignment to become familiar with the 

The next part of your project will require you to navigate to the website of Johnson & Johnson and locate the most recent annual reports ( attached with link at the bottom along with sample paper). You will use the annual reports to create financial statements. These statements will become the reference statements for your case. Annual reports for JNJ can be found on the company’s website and are  usually located in a section titled Investors/SEC filings.

• Use the annual report to find the total current assets and total current liabilities.
• Compute the current ratio for JNJ for previous two fiscal years
• Review reports on data for the last two years.   
  • Net Cash Flows from Operating Activities
  • Net Cash used by Investing Activities
  • Net Cash used by Financing Activities
  • Cash and Cash Equivalents at the end of the Years
• Create a Balance Sheet or Statement of Cash Flows for most recent two years
• Identify trends with an indication of if the financial statements show a positive or negative for the organization and investors.
  • Use Microsoft Excel to create at least three (3) graphical displays to show the trends (i.e., bar graph, pivot table, histogram, etc). You should include a copy of your graphs in the body of your report.
• Discusses which year Johnson & Johnson appear to be in a stronger financial position and big differences between the 2 years (Keep in mind that dollar amounts in ( ) are negative or cash outflows).
• Imagine that this information represents information for your project case. Incorporate or reference financial information in your case to support the report.

Summarize your responses in a report using titles from the assignment requirements (i.e., assets and liabilities, cash flows/balance sheet, trends, financial position). This document will serve as your Financial Statements section of your project. 

  

Imagine that, for about a year, your nursing unit has been involved in an intensive campaign to improve patient satisfaction scores with pain management. You are getting good data from your patients, as the length of stay on this inpatient geriatric medical nursing unit is only about 6 days. Your hospital does 100% survey to inpatients, and the response rate is about 25%, which is higher than it has been. This notwithstanding, the percent of “patient very satisfied” (top box), with a score of 5, has been in the low 70s. The national benchmark for medical surgical units like yours is about 85% very satisfied. Of all the units in your hospital, your unit is the lowest scoring on this HCAPHS survey. But as your unit is the only geriatric medical nursing unit in the hospital, you’d always thought it was the nature of the patient population.

You have been the day shift representative to the QI team, and the scores on your unit are posted monthly. Here are the numerous strategies that have been tried on your unit and the timeframes.

For this Discussion, examine the strategies and interventions tried in your unit and consider the following questions: a) Were the strategies effective in creating a sustainable change on your nursing unit, and b) To what extent can your nurse manager and CNO count on your unit exceeding the national benchmark in the next quarter, the next year? That is, does this run chart have some predictive ability? Does the run chart support the nursing unit’s decision to celebrate? To what extent can the leadership be confident that the trend will continue?

By Day 3

Based on the scenario, explain what was done successfully and where improvement was needed in the quality improvement process. Identify the performance improvement tools, and explain how they contributed to the outcome.

Support your response with references from the Resources and professional nursing literature. Your posts need to be written at the capstone level (see checklist).

Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations.