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.

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.

Despite increased abilities across developmental realms, including the maturation of pain systems involving self-regulation and the coordination of affect and cognition, the transition to young adulthood is accompanied by higher rates of mortality, greater engagement in health-damaging behaviors, and an increase in chronic conditions.  Rates of motor vehicle fatality and homicide peak during young adulthood, as do mental health problems, substance abuse, unintentional pregnancies, and sexually transmitted infections.  

Describe how the advanced practice nurse can play a role in improving the health of young adults through preventive screening and intervention.  

Instructions: 

Post your discussion to the Moodle Discussion Forum.  Word limit 500 words.  Support your answers with the literature and provide citations and references in APA format.  

CASE STUDY

An elderly Arab American Muslim man who spoke little English was admitted to the hospital for increasing pain at rest in his left foot. His foot was cool and pale, and he had a history of vascular surgical procedures. He had many chronic health problems, including type 2 diabetes, hypertension, and chronic obstructive pulmonary disease. He also had had a myocardial infarction and several cerebral vascular accidents. While in the hospital, he developed abdominal pain and underwent a cholecystectomy. This elderly grandfather had a large family, including a wife, nine children, and many grandchildren. His wife insisted that all family members visit him daily while he was in the hospital. The family wanted the man’s face turned toward Mecca (toward the east) while they prayed with him. They brought audiotaped passages from the Koran, which they played at his bedside. Other families who were visiting their sick relatives complained to the nurses that the Arab family was taking up the entire waiting room, and there was no place for anyone else to sit.

As a transcultural nurse, how might you use the three modes of culture care decisions and actions from the theory of culture care diversity and universality to provide culturally congruent care for this elderly man and his family and for the other clients and their families in the critical care unit?

Write a 750-1,000 word paper in which you review public policy and how it affects employment. Address the following scenarios:

Scenario 1: Nurse Deb was due for her annual flu vaccination as mandated by her hospital’s policy. Nurse Deb is a big supporter of the antivaccination movement and refused to obtain her annual flu vaccination. Upon notice that nurse Deb did not obtain the vaccination, the nurse manager fired Nurse Deb. Nurse Deb has decide to file a wrongful termination suit. As the director of nursing, how would you handle this situation?

1. What evidence does Nurse Deb have that could help her win the case?
2. What law protects the hospital’s mandated vaccination procedures?
3. How concerned should the hospital be if the lawsuit is a success?
4. If the lawsuit is a success, how does this impact workplace safety and the obligation of the health care facility to provide protection?

Scenario 2: Joe Gomez worked as a plant operations specialist at Premier Hospital. While Joe’s manager was working on the HVAC system that protects patients from harmful viruses and bacteria, he noticed that he was not using OSHA-approved filters. Joe felt that it was important to report this to the compliance officer. The day following his report, Joe was fired by his manager. As the CEO of Premier Hospital, how would you handle the situation?

1. How concerned should you be about the termination of Joe?
2. What legal principles are involved and how do they reinforce workplace safety?
3. If Joe was a member of the local employee services union, does this make the termination different?

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 expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance

Discussion Question:

Reflecting on what you have learned about the social determinants of health, SDOH, how can nurses work collaboratively with physicians and other health care professionals to improve primary care, reduce overutilization and improve underutilization of healthcare services? Include in your response how fostering an environment of diversity and cultural awareness among healthcare providers builds a stronger healthcare team and improves care delivery to healthcare consumers.

Initial 400 words. Reference APA format 7th edition.