Module 3 – Case

GLOBAL, ENVIRONMENTAL, AND CULTURAL ASPECTS OF HEALTH

Assignment Overview

Global health is about worldwide improvement of health, reduction of disparities, and protection against global threats that disregard national borders. Regardless of where people live, their cultures and environments influence their health behaviors. In this assignment, you will explore concepts of Global, Environmental, and Cultural Aspects of Health as they relate to an outbreak among your specific target immigrant population.

Case Assignment

• Construct a table in which you use the PEN-3 Model as your framework to identify cultural influences on health that you must consider in addressing prevention and management of the outbreak among your chosen population. 
• Remember to include cultural factors that increase the occurrences of vaccine-preventable disease outbreaks among your population as well as cultural factors that influence vaccination adherence.
• See the table example provided.
• Note that in the column on the left you must add what the P, E, and N represent within each domain and clearly address each one. 

PEN-3 Domains

PEN-3 Domains

Positive

Negative 

Existential

Cultural Identity
P
E
N

Relationships
P
E
N

Cultural Empowerment
P
E
N

 Assignment Expectations

Length: 3 pages, excluding title page and references. You can single-space the table.

Assessment and Grading: Your paper will be assessed based on the performance assessment rubric. You can view it under Assessments at the top of the page. Review it before you begin working on the assignment. Your work should also follow these Assignment Expectations.

  

A 67-year-old man presents to the HCP with chief complaint of tremors in his arms. He also has noticed some tremors in his leg as well. The patient is accompanied by his son, who says that his father has become “stiff” and it takes him much longer to perform simple tasks. The son also relates that his father needs help rising from his chair. Physical exam demonstrates tremors in the hands at rest and fingers exhibit “pill rolling” movement. The patient’s face is not mobile and exhibits a mask-like appearance. His gait is uneven, and he shuffles when he walks and his head/neck, hips, and knees are flexed forward. He exhibits jerky or cogwheeling movement. The patient states that he has episodes of extreme sweating and flushing not associated with activity. Laboratory data unremarkable and the HCP has diagnosed the patient with Parkinson’s Disease.

 

In your Case Study Analysis related to the scenario provided, explain the following:

• Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms.
• Any racial/ethnic variables that may impact physiological functioning.
• How these processes interact to affect the patient.

 

How healthy is your workplace?

You may think your current organization operates seamlessly, or you may feel it has many issues. You may experience or even observe things that give you pause. Yet, much as you wouldn’t try to determine the health of a patient through mere observation, you should not attempt to gauge the health of your work environment based on observation and opinion. Often, there are issues you perceive as problems that others do not; similarly, issues may run much deeper than leadership recognizes.

There are many factors and measures that may impact organizational health. Among these is civility. While an organization can institute policies designed to promote such things as civility, how can it be sure these are managed effectively? In this Discussion, you will examine the use of tools in measuring workplace civility.

To Prepare:

• Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
• Review and complete the Work Environment Assessment Template in the Resources.

By Day 3 of Week 7

Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples.

By Day 6 of Week 7

Respond to at least two of your colleagues on two different days by sharing ideas for how shortcomings discovered in their evaluations and/or their examples of incivility could have been managed more effectively.

 In a 5-page paper (excluding title page and references), critically evaluate a study. instruction below.

  The final project presents a culmination of nursing research and evidence-based practice (EBP)knowledge as students choose a qualitative or quantitative study to critically evaluate, including making a recommendation for utilization in EBP.   

In a 5-page paper (excluding title page and references), critically evaluate the study blow.

Staff Practice, Attitudes, and Knowledge/Skills Regarding Evidence-Based Practice Before and After an Educational Intervention 

Please choose one to critically evaluate qualitative or quantitative.

Evaluate the credibility of professional citation, research design, and procedures in a research article. Include a discussion on how this study contributes to EBP.  Use the Final Project Rubric provided below to help you develop and organize your final paper.  Please remember to follow APA 6th edition formatting for the title page, body of the paper, and reference page. 

Rubric or Grading Criteria: use each Competency as sub heading in the paragraph.

  

Competency

10.5 points

6 points

4 points

0 points

Total

 

Evaluates credibility of research article   the components of the appropriate evaluation checklist in Houser (2018)

p. 23

Evaluates credibility of research article   using most of the components (Greater than 2/3) of the evaluation checklist   in Houser (2018).

Evaluates credibility of research article   using 2/3 of the evaluation checklist in Houser (2018).

Evaluates credibility of research article   using one-third or less of the evaluation checklist in Houser (2018)

No paper submitted, content missing.

 /10.5

 

Evaluates the problem statement and research   design using the components of the evaluation checklist in Houser (2018)

Design p.23

Problem statement p. 104

 

Evaluates the problem statement and research   design using most of the components of the evaluation checklists in Houser   (2018).

Evaluates the problem statement and research   design using half of the components of the evaluation checklists in Houser   (2018).

Evaluates the problem statement and research   design using one-third or less of the evaluation checklists in Houser (2018).

No paper submitted, content missing.

 /10.5

 

Evaluates ethical issues in the study using   most of the components of the evaluation checklist in Houser (2018).  

p. 75

Evaluates ethical issues in the study using   most of the components of the evaluation checklist in Houser (2018). 

Evaluates ethical issues in the study using   half of the components of the evaluation checklist in Houser (2018). 

Evaluates ethical issues in the study using   one-third or less of the  components  of the evaluation checklist   in Houser (2018).

No paper submitted, content missing.

 /10.5

 

Evaluates the purpose statement using most   of the components of the evaluation checklist in Houser (2018) 

p.104

Evaluates the purpose statement using most   of the components of the evaluation checklist in Houser (2018)

Evaluates the purpose statement using half   of the components of the evaluation checklist in Houser (2018)

Evaluates the purpose statement using   one-third or less of the  components of the evaluation checklist in   Houser (2018)

No paper submitted, content missing.

 /10.5

 

Evaluates the literature review  using   most of the components of the evaluation checklist in Houser (2018) 

p.117

Evaluates the literature review  using   most of the components of the evaluation checklist in Houser (2018)

Evaluates the literature review  using   half of the components of the evaluation checklist in Houser (2018)

Evaluates the literature review  using   one-third or less of the components of the evaluation checklist in Houser   (2018)

No paper submitted, content missing.

 /10.5

 

Evaluates the sampling strategy using most   of the components of the evaluation checklist in Houser (2018). 

p.179

Evaluates the sampling strategy using most   of the components of the evaluation checklist in Houser (2018).  

Evaluates the sampling strategy using half   of the components of the evaluation checklist in Houser (2018).  

Evaluates the sampling strategy using   one-third or less of the components of the evaluation checklist in Houser   (2018).  

No paper submitted, or content missing.

 /10.5

 

Evaluates the measurement strategy and   validity in quantitative studies using most of the evaluation checklist in   Houser (2018).  

pp. 345,221

OR

Evaluates trustworthiness of data in   qualitative studies using most of the checklist components in Houser   (2018). 

pp. 411,437

Evaluates the measurement strategy in   quantitative studies using most of the evaluation checklist in Houser (2018)

OR.  

Evaluates trustworthiness of data in   qualitative studies using most of the components in the checklist components   in Houser (2018). 

Evaluates the measurement strategy in   quantitative studies using half of the evaluation checklist in Houser   (2018).   

OR

Evaluates trustworthiness of data in   qualitative studies using half of the components of the checklist in Houser   (2018). 

Evaluates the measurement strategy in   quantitative studies using one-third of the evaluation checklist in Houser   (2018).  

OR

Evaluates trustworthiness of data in   qualitative studies using one-third or less of the components of the    checklist in Houser (2018). 

No paper submitted, content missing.

 /10.5

 

Evaluates how study results may (or may not)   be used to inform EBP.   

Evaluates how study results may (or may not)   be used to inform EBP.   

Discusses study results in general but not   how findings may or may not contribute to EBP. 

Does not discuss results or how study   findings can inform EBP.  

No paper submitted or content missing

 /10.5

 

Competency

7 points

5 points

2.5 points

0 points

Write a 2- to 3-page paper that addresses the following:

• Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
• Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.
• Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation. 
• Explain the process of writing prescriptions, including strategies to minimize medication errors.

Scenario: During your lunch break at the hospital, you read a journal article on pharmacoeconomics. You think of a couple of patients who have recently mentioned their financial difficulties. You wonder if some of the expensive drugs you have prescribed are sufficiently managing the patients’ health conditions and improving their quality of life.