Category: uncategorised

Purpose

It is important for nurses to understand how determinants of health impact global health issues and be able to identify solutions. (I provided Part 1 below)

Competency

Integrate social determinants, ethical concerns, and human rights for high-risk and vulnerable global populations.

Scenario for Part 2 of Course Project

You are continuing to prepare for the upcoming global health conference where you will present a poster presentation. In part 1 of your project, you chose a significant global health issue as your focus and researched the incidence, prevalence and implications. Now, you will explore how determinants of health impact your identified global health issue.

Instructions

In essay format, do the following:

• Identify and describe your global health issue
• Identify and discuss at least three determinants of health and how they impact your issue
• Discuss at least three ways to address the determinants of health to positively impact your issue

Your final essay should be 3-4 pages. Use APA format for citations and references.

Resources

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Read each story and comment separately. do not compare both stories. Story 1 One issue that has ethical, legal, and accreditation implications for my practice as an Informatics Nurse Specialist (INS) is telehealth neurological assessments for suspected stroke patients in the emergency department (ED), especially when workflow gaps occur. In a busy ED, neuro carts are sometimes misplaced, not charged, or stored in another pod, which delays connection with the remote neurologist and slows NIH Stroke Scale completion. Those minutes matter when determining eligibility for thrombolytic therapy such as tenecteplase, and delays directly affect door to implementation times of stroke certification standards from The Joint Commission and clinical guidance from the American Heart Association. Compounding this, my hospital still relies on paper documentation for TNK administration. Paper forms increase the risk of incomplete time capture, missing contraindication checks, scanning delays, and documentation that is not immediately visible to the interdisciplinary team. From an informatics perspective, this creates legal exposure and quality reporting challenges because time stamps, dosing verification, and eligibility criteria are not structured or easily retrievable for audit. In practice, I would standardize cart placement, explore real time location tracking, embed structured NIHSS and TNK eligibility tools directly into the EHR, and transition from paper to electronic stroke documentation with mandatory fields and automated time stamps. I would also partner with ED leadership to review door to intervention metrics and reinforce rapid stroke alert activation processes. Aligning technology, workflow, and documentation strengthens patient safety, supports accreditation compliance, and reduces organizational risk. Story 2 Since the end of 2020, many rural hospitals have either stopped delivering babies or announced they will do so before the end of 2026. This represents a 10% reduction in rural labor and delivery units. The accreditation issue in rural areas is a significant concern given the high costs of labor and delivery services. Rural hospitals often face financial challenges, including high fixed labor and delivery unit costs, which can lead to the closure of these services. To build a collective response, it is crucial to prioritize workforce training and education. Preparing physicians, advanced practice providers, nurses, dentists, and other healthcare professionals to work in rural settings can strengthen maternal health services. Strategies such as Grow Your Own and Career Ladder Programs, along with investments in rural healthcare education, can support recruitment and retention efforts. Interprofessional education and telehealth training are vital tools for addressing staffing challenges faced by providers and hospitals operating in isolation, thereby encouraging collaborative solutions

Evidence Based Practice Paper

This assignment focuses on the integration of evidence based practice (EBP) and research in health care. EBP is an integration of research evidence, clinical expertise and a patient’s preferences. This problem-solving approach to clinical practice encourages health care providers to provide individualized patient care. The inclusion of EBP in nursing provides nurses with the scientific research to make well-founded decisions. Through EBP, nurses and providers can stay updated about new medical protocols for patient care. By searching for documented interventions that fit the profiles of their patients, nurses can increase their patients’ chances for recovery.

EBP enables nurses to evaluate research so they understand the risks or effectiveness of a diagnostic test or treatments. The application of EBP enables nurses to include patients in their care plan. This allows patients to have a proactive role in their own healthcare since they can voice concerns, share their values and preferences and make suggestions on how they want to proceed.

EBP strategies allow nurse practitioners (NPs) and other health care providers to translate research findings into clinical practice. With efficient literature-searching skills and the application of formal rules of evidence in evaluating research findings, providers can apply existing scientific knowledge in their clinical practice for each individual patient.

Directions for Paper Assignment

1. Introduction and Thesis Statement. What is your paper about? Why is research and evidence based practice important in health care?
2. Identify your POI. Why is the topic important to your future advanced practice role (FNP, educator, leader, informaticist) and your expected population? CHOSEN POI: improved diabetes education improving patient outcomes-DSMES-Diabetes self management Education and support-
3. Based on the evidence what process, structure, or outcome measure related to your POI will you expect to change in your practice? You can choose management of a disease process, a protocol that needs updating, a process change, additional diagnostic tools and procedures…. Choose a topic that will improve patient outcomes, reduce costs, or save time in treatment protocols (just some ideas).
4. Identify a change theory you will use. Discuss the specific parts/steps of change you will use in advocating a change in practice. To review change theories, please refer to Week 4 material.
5. Search the current literature (last five years) for two research articles related to the selected POI/topic and what area you are proposing change. One article must be quantitative research and one must be qualitative research.
6. Briefly discuss the following for each article.
7. Purpose, research design, and methodology of studies (steps, procedures, and strategies for gathering and analyzing data)
8. Data collection. Describe the procedures developed to guide the collection of data for each study, and sampling of participants.
9. Results and clinical implications for each study
10. Applicability of study findings to practice.

Conclusion. Summarize the major points of the paper. Do no include new information or new citations/references in the conclusion.

References

1. Chowdhury, H. A., Harrison, C. L., Siddiquea, B. N., Tissera, S., Afroz, A., Ali, L., Joham, A. E., & Billah, B. (2024). The effectiveness of diabetes self-management education intervention on glycaemic control and cardiometabolic risk in adults with type 2 diabetes in low- and middle-income countries: A systematic review and meta-analysis. PloS one, 19(2), e0297328.
2. Nguyen, P. V. N., Thach, P. T., Tran, H. K., Nguyen, H. T. H., Truong, D. L., Lam, U., Tran, V. Q., To, N. Y., Luong, N. T. H., Le, D. T. T., Tran, K. Q., & Ly, L. D. (2025). Effectiveness of a digital diabetes self-management education and support program in Vietnamese adults with type 2 diabetes. Scientific reports, 15(1), 41369.
3. The paper should be 6-8 pages (excluding title page and reference page) and should include at least 5 peer reviewed references (can include your textbooks). APA formatted. No abstract. Use level one and level two headings within the body of the paper to help organize the contents. See grading rubric for allocation of points. Deductions will be made for late submissions.