Global Healthcare Comparison Matrix and Narrative Statement Essay
f 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
Global Healthcare Comparison Matrix and Narrative Statement
Part 1: Global Healthcare Comparison Matrix
|Global health issue: Maternal mortality||The United States has among the highest maternal mortality rates, for a developed country. The maternal mortality rate since 1987 has steadily increased standing at 16.7 deaths in every 100,000 births in 2016 (Hayes & McNeil, 2019).||In Canada, the maternal mortality rate currently stands at 8.3 death for every 100,000 live births, as at 2018 (Statistics Canada, 2018). This figure is lower than the U.S’|
|Healthcare Policies||In 2019, the US passed the Maternal Health Quality Improvement Act of 2019 whose goal is to enhance obstetric care and enhance maternal health outcomes and rural obstetric network for women (KFF, 2019).Global Healthcare Comparison Matrix and Narrative Statement Essay.||In 2015, the Canadian government committed $3.5 billion to enhance the health and rights of women and children around the world, including in Canada. This fund is aimed at enhancing maternal health and child health by providing immunizations and improving their nutrition, especially those in the rural areas.|
|Strengths and Weaknesses||A major strength with this policy is that it commits about $9 million annually to the HHS to fund its programs in enhancing rural maternal health especially for the mothers with inadequate knowledge on maternal care.
A major weakness is that it only focuses on rural mothers, considering that mothers in urban areas are also susceptible to maternal mortality.
|A major strength is that the funds provided through the policy are instrumental in reducing maternal mortality because they fund programs that cater to needs such as proper nutrition and obstetrics care for the mothers.
A major weakness with this policy is that it does no focus solely on Canada but also includes other countries; hence, may not be as effective in reducing maternal mortality especially among the indigenous Canadians in the rural areas
|Social determinants of health||A major social determinant that affects maternal mortality is the availability of the resources to meet daily needs. Some of these needs include proper nutrition, safe housing, and medication. For instance, if a mother lives in a poor neighborhood that is unsafe, they may have difficulties accessing healthcare facilities in the middle of the night because of the insecurity, hence, leading to maternal mortality. Improper nutrition could also be an impediment to the mother’s health during and after delivery, causing their death. Global Healthcare Comparison Matrix and Narrative Statement Essay.
Another social determinant that could contribute to maternal mortality is access to healthcare services. The United States and Canada have higher mortality rates among the rural mothers with the main reason being access to health services.
|Addressing costs, quality, and access to maternal health||Under the ACA, the U.S provides maternal services for mothers as essential services. The government has lowered maternal health costs for mothers so as to reduce morbidity and mortality. Additionally, through the Triple Aims that cover all healthcare services, maternal health quality is improved.||The Canadian government provides maternal health services for its patients through public health units funded by the government. The Canadian government also provides its citizens with access to the Prenatal Nutrition Program, which is a community based program that helps pregnant women with information on nutrition to sustain their pregnancies.|
|Maternal mortality and global population||A high maternal mortality rate would reduce the global population because most times, the mother and child are often at risk and succumb to the complications during or after child birth.|
|Maternal mortality and role of the nurse||Maternal mortality in both countries would enhance the nurse’s role, especially those who specialize in midwifery to increase their professional abilities so that they can guide mothers on precautions to take before and after birth. It also reinforces the role of the nurse as a caregiver since some mothers die from complications after child birth due to negligence from the clinicians.|
Part 2: Plan for Social Change
To advocate for the incorporation of a global perspective into local practice as a nurse leader, I would seek to hold meetings with the organization’s shareholders and do presentations on the various factors that lead to maternal mortality in the country. I would then use these perspectives and apply them with regards to the healthcare facility in which I work, to conceptualize the information. Global Healthcare Comparison Matrix and Narrative Statement Essay. For instance, from a global perspective, maternal mortality is caused by poor nutrition, I would assess the state of the healthcare facility’s nutritional status and check for improvements. The goal is to assess whether the global factors affect the patients at hospital level, and seek improvements if any problem arises.
Incorporating the global perspectives at local levels would enhance my professionalism as a nurse, and qualify me as competent to work in any global scenario. Additionally, it would increase my leadership skills in nursing because I would understand how to apply global perspectives in local situations, after seeking approval from the shareholders . As a nurse leader, I believe that I would bring social change because I would help mothers manage their maternal health better. I would also contribute to reduced maternal mortality rates because of the changes I would incorporate into the organization. Global Healthcare Comparison Matrix and Narrative Statement Essay.
Hayes, T., & McNeil, C. (2019). Maternal Mortality in the United States – AAF. AAF. Retrieved 28 January 2021, from https://www.americanactionforum.org/insight/maternal-mortality-in-the-united-states/.
KFF. (2019). Analysis of Federal Bills to Strengthen Maternal Health Care. KFF. Retrieved 28 January 2021, from https://www.kff.org/womens-health-policy/fact-sheet/analysis-of-federal-bills-to-strengthen-maternal-health-care/.
Statistics Canada. (2018). The Daily — Deaths, 2018. Www150.statcan.gc.ca. Retrieved 28 January 2021, from https://www150.statcan.gc.ca/n1/daily-quotidien/191126/dq191126c-eng.htm. Global Healthcare Comparison Matrix and Narrative Statement Essay.