Assignment: Global Healthcare Comparison Matrix and Narrative Statement

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.
• Select at least one additional country to compare to the U.S. for this Assignment.
• 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

Many of us can think of leaders we have come to admire, be they historical figures, pillars of the industry we work in, or leaders we know personally. The leadership of individuals such as Abraham Lincoln and Margaret Thatcher has been studied and discussed repeatedly. However, you may have interacted with leaders you feel demonstrated equally competent leadership without ever having a book written about their approaches.

What makes great leaders great? Every leader is different, of course, but one area of commonality is the leadership philosophy that great leaders develop and practice. A leadership philosophy is basically an attitude held by leaders that acts as a guiding principle for their behavior. While formal theories on leadership continue to evolve over time, great leaders seem to adhere to an overarching philosophy that steers their actions.

What is your leadership philosophy? In this Assignment, you will explore what guides your own leadership.

To Prepare:

• Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
• Reflect on the leadership behaviors presented in the three resources that you selected for review.
• Reflect on your results of the CliftonStrengths Assessment, and consider how the results relate to your leadership traits.
• Download your Signature Theme Report to submit for this Assignment.

The Assignment (3 pages):

Personal Leadership Philosophies

Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader. Use the scholarly resources on leadership you selected to support your philosophy statement. Your personal leadership philosophy should include the following:

• A description of your core values.
• A personal mission/vision statement.
• An analysis of your CliftonStrengths Assessment summarizing the results of your profile
• A description of two key behaviors that you wish to strengthen.
• A development plan that explains how you plan to improve upon the two key behaviors you selected and an explanation of how you plan to achieve your personal vision. Be specific and provide examples.
• Be sure to incorporate your colleagues’ feedback on your CliftonStrengths Assessment from this Module’s Discussion 2.
• Note: Be sure to attach your Signature Theme Report to your Assignment submission.

I need a response to this assignment 

zero plagiarism

3 references

Quality of Life Depression Scale

The quality of life depression scale was developed in 1992. The QLDS assesses the impacts of depression on quality of life of a person.  QLDS is a widely used scale for measuring the quality of life in studies of depression and clinical trials (Woldetensay et al., 2018).  The QLDS presupposes that the quality of life of a person can be evaluated subjectively. The scale has been validated for use in many languages. QLDS is sensitive to changes in quality of life because it adopts the needs model. 

Psychometric properties refer to reliability and the validity of a measurement tool. The quality of life depression scale has a 34 self-rated questionnaire.  The questionnaire has dichotomous response questions, which are either true or not true (Christensen et al., 2020).  The scores are generated binomially, ranging from 0-10.  The highest score of the QLDS is an indication of the low quality of life. Various tests for internal and construct validity approved that QLDS is a good scale for measuring the quality of life.  When QLDS used in clinical trials should have both test and retest reliability coefficient of 0.85 as the minimum.  The internal consistency of clients with depression should be measured using Cronbach’s alpha coefficient with a minimum (Woldetensay et al., 2018).  

It is appropriate to use quality of life depression scale because it represents a significant in our ability to comprehend how depression impacts the quality of life. Feelings of the people influence the use of health services than the portrayed objective symptoms.  Moreover, compliance with the employment regime is dependent on impacts shown on the patient’s wellbeing (Christensen et al., 2020).  The QLDS helps meet these patients’ needs by assessing the needs of a patient’s progress throughout their health care system by assessing the impact of the disease on the patient’s quality of life.

Psychopharmacological medications are medicines used for stabilizing mood, managing behaviors, or treating patients with psychiatric disorders.  Some of the Psychopharmacological medications used are sedative-hypnotics, antipsychotics, antidepressants, and anxiolytics.  The validated clinical rating scales for depression are used to determine the effect and size of each treatment administered to a patient. For this reason, I believe that the quality of life depression scale can be used to assess psychopharmacologic medications (Vasiliu et al., 2017).  The scale ranges from 0-1. After measuring clients with depression, the results imply that patients who record low scores out of possibly 34 points indicate the high quality of life and vice versa. After the use of psychopharmacological medication, the QLDS test efficiency by determining whether the client score is declining from low to a high quality of life.  For instance, after a patient takes medication, QLDS measures scores recorded by a client at different intervals; thus, score differences indicate the efficiency of psycho-pharmacological medications. 

References

Christensen, A. V., Dixon, J. K., Juel, K., Ekholm, O., Rasmussen, T. B., Borregaard, B., Mols, R. E., Thrysøe, L., Thorup, C. B., & Berg, S. K. (2020). Psychometric properties of the Danish hospital anxiety and depression scale in patients with cardiac disease: Results from the DenHeart survey. Health and Quality of Life Outcomes, 18(1). https://doi.org/10.1186/s12955-019-1264-0

Vasiliu, O., Vasile, D., Vasiliu, D., Andreea Filareta, A., & Vasile, F. (2017). Quetiapine XR as an add-on to antidepressants in treatment-resistant late-life major depression. European Psychiatry, 41(S1), S144-S144. https://doi.org/10.1016/j.eurpsy.2017.01.1985

Woldetensay, Y. K., Belachew, T., Tesfaye, M., Spielman, K., Biesalski, H. K., Kantelhardt, E. J., & Scherbaum, V. (2018). Validation of the patient health questionnaire (PHQ-9) as a screening tool for depression in pregnant women: Afaan Oromo version. PLOS ONE, 13(2), e0191782. https://doi.org/10.1371/journal.pone.0191782

Discussion: Politics and the Patient Protection and Affordable Care Act

Regardless of political affiliation, individuals often grow concerned when considering perceived competing interests of government and their impact on topics of interest to them. The realm of healthcare is no different. Some people feel that local, state, and federal policies and legislation can be either helped or hindered by interests other than the benefit to society.

Consider for example that the number one job of a legislator is to be reelected. Cost can be measured in votes as well as dollars. Thus, it is important to consider the legislator’s perspective on either promoting or not promoting a certain initiative in the political landscape.

To Prepare:

• Review the Resources and reflect on efforts to repeal/replace the Affordable Care Act (ACA).
• Consider who benefits the most when policy is developed and in the context of policy implementation.

By Day 3 of Week 3

Post an explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA. Then, explain how analyses of the voters views may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid). Remember, the number one job of a legislator is to be re-elected. Please check your discussion grading rubric to ensure your responses meet the criteria.

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 3, “Government Response: Legislation” (pp. 37–56)
Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 180–183 only)

Congress.gov. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/

Taylor, D., Olshansky, E., Fugate-Woods, N., Johnson-Mallard, V., Safriet, B. J., & Hagan, T. (2017). Corrigendum to position statement: Political interference in sexual and reproductive health research and health professional education. Nursing Outlook, 65(2), 346–350. doi:10.1016/j.outlook.2017.05.003
Note: You will access this article from the Walden Library databases.

United States House of Representatives. (n.d.). Retrieved September 20, 2018, from https://www.house.gov/ 

United States Senate. (n.d.). Retrieved September 20, 2018, from https://www.senate.gov/

United States Senate. (n.d.). Senate organization chart for the 115th Congress. Retrieved September 20, 2018, from https://www.senate.gov/reference/org_chart.htm  

Document: Legislation Comparison Grid Template (Word document)

Required Media

Laureate Education (Producer). (2018). Working with Legislators [Video file]. Baltimore, MD: Author.