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Logic Model: Healthcare Administration
Write a 825-1,250 word draft of your business research paper. Use your logic model to develop the sequence for your paper. Include:
1.Describe the health care administration issue or barrier you are addressing.
2.Discuss resources needed, including key stakeholders, and the role they play in your plan.
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3.Identify any external or internal regulation that must be considered to ensure compliance with any legislative, institutional, or agency policy or expectation.
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The Ebola virus
The Ebola virus, and other infectious diseases like it, scare many in the healthcare industry. Some feel called to visit those infected areas to help with the efforts, educate the citizens, and care for the sick. If a loved one were considering taking part in these efforts, what thoughts would run through your mind? Would you be supportive, or would you try to talk him or her out of it? Would you also want to help? Explain your thinking.
Ebola Virus Disease (EVD) is a rare and deadly disease in people and nonhuman primates. The viruses that cause EVD are located mainly in sub-Saharan Africa. People can get EVD through direct contact with an infected animal (bat or nonhuman primate) or a sick or dead person infected with Ebola virus.
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Diverse Population Memo/Issue Brief
Order Instructions:
Leadership Role in Healthcare Policy: Diverse Population
The purpose of this assignment is to provide your audience with healthcare information necessary to provide person-centered-care for the vulnerable/diverse population you selected
Because of the disproportionate risk, cost, quality, overlapping issues (intersectionality), you will need at least two or three-pages (SINGLE SPACED) for an Issue Brief. APA for references and in-text citations (The link below takes you to an excellent example of an issue brief).
Be sure to speak to your audience when writing. You can keep the audience you used previously or select another audience.
You may use any or all of the information you submitted for the Diverse Population Assignment in Lesson 5
Kaiser Family Foundation has an Issue Brief that should be very helpful
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Issue Brief Part II Instructions
Use the following as a guide for your issue brief (formally named issue memo). I know it will be impossible to cover all of the information below, cover key issues/components.
1) Identify the vulnerable/diverse population you selected
Briefly explain to your audience why the diverse groups are vulnerable to disparities and why the disparities matter.
2) What is the status of the diverse group currently
Is the vulnerable/diverse population you selected, at disproportionate risk of being uninsured, lack access to care, and unable to pay for care, likely experience worse/adverse health outcomes.
Is the vulnerable/diverse population you face overlapping systems (intersectionality) with various social stratification, such as class, race, sexual orientation, age, income, disability, and gender, etc
Diverse Population Memo/Issue Brief
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4) What are some vital healthcare reform initiatives to address the vulnerable/diverse population selected?
5) What are some of the significant risks for the diverse group if there are no healthcare system changes to the population you selected?
6) As a professional nurse, at what point(s) in the Public Policy Process (Lesson 2) would you recommend advocating for the population you selected?
7) Are there risks for a professional nurse regarding professional nursing standards and the Nursing Practice Act when providing care for the selected population? (Example: During the Pandemic, nurses were allowed to work in other states, strong feelings about a population can cause nurses to do more than within their scope of practice, etc.) Cite the nursing standards or practice act you are aligning with in your brief.
8) References
Diverse Population Memo/Issue Brief
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Effective communication in Consumer Health Education
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Effective communication in Consumer Health Education
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Effective communication in Consumer Health Education
Purpose
The purpose of this assignment is to engage learners in evaluating factors that contribute to effective communication and health literacy in consumer health education materials.
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Effective communication in Consumer Health Education
STEP 2: EVALUATE
Publication Information
Identify the publication title, author(s), year/date of publication, and source location (URL).
Purpose and Intended Audience
In one paragraph, summarize the purpose of the material and the intended audience. Describe the target audience that the authors want to address (e.g., persons who have diabetes, are sexually active, are caregivers to persons with dementia, the general public, etc.).
Effective communication in Consumer Health Education
Category Analysis
Evaluate the material using the 7 categories of the CDC Clear Communication Index: 1) Main Message and Call to Action; 2) Language; 3) Information Design; 4) State of the Science; 5) Behavioral Recommendations; 6) Numbers; and 7) Risk.
This section can be formatted as a list, bullet points, or in paragraph format. Include examples of how clearly the main message is communicated and prominently located within the material, how main ideas and supporting ideas are organized, use of visual cues and headings, language considerations, how graphics, colors reinforce the main message; how or whether scientific evidence or authoritative sources inform the main message or recommendations; how or whether actionable behavioral recommendations are provided; whether and how numbers are used to communicate recommendations or risk, and how the risk associated with the health condition or behavior applies to the target audience or health outcomes.
Strengths and Recommendations for Improvement
In one-to-two paragraphs describe three strengths of the material and at least one recommendation for improvement based on your evaluation.
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Effective communication in Consumer Health Education
STEP 3: SUBMIT
Prepare your evaluation using a word processor such as MS Word. Upload the file to the assignment link as either a Word document or PDF.
Review your work for content quality and depth, organization, and grammar. Use the grading rubric to guide your preparation.
Be sure to include the reference for the resource in APA Style format.
If the material is not available electronically, please scan and upload the document with your analysis.
Effective communication in Consumer Health Education
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Health Literacy Evaluation
Purpose
The purpose of this assignment is to engage learners in evaluating factors that contribute to effective communication and health literacy in consumer health education materials.
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STEP 2: EVALUATE
Publication Information
Identify the publication title, author(s), year/date of publication, and source location (URL).
Purpose and Intended Audience
In one paragraph, summarize the purpose of the material and the intended audience. Describe the target audience that the authors want to address (e.g., persons who have diabetes, are sexually active, are caregivers to persons with dementia, the general public, etc.).
Category Analysis
Evaluate the material using the 7 categories of the CDC Clear Communication Index: 1) Main Message and Call to Action; 2) Language; 3) Information Design; 4) State of the Science; 5) Behavioral Recommendations; 6) Numbers; and 7) Risk.
This section can be formatted as a list, bullet points, or in paragraph format. Include examples of how clearly the main message is communicated and prominently located within the material, how main ideas and supporting ideas are organized, use of visual cues and headings, language considerations, how graphics, colors reinforce the main message; how or whether scientific evidence or authoritative sources inform the main message or recommendations; how or whether actionable behavioral recommendations are provided; whether and how numbers are used to communicate recommendations or risk, and how the risk associated with the health condition or behavior applies to the target audience or health outcomes.
Health Literacy Evaluation: Strengths and Recommendations for Improvement.
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Theory Application in Practice
Discussion Overview
The purpose of this discussion is to assist you in exploring the relevance and value of applying health promotion theories and models within nursing practice.
Discussion Instructions
STEP 1: Initial Post
Review the discussion grading rubric
Select one of the health promotion theories or models presented within the lesson (from the reading or presentation) that you find most relevant to your current practice population or setting.
Locate one scholarly article related to the theory or model that you selected. Describe how the source informed your understanding of the theory/model or expanded your awareness relative to health promotion and nursing practice.
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The federal government has the central role in shaping all aspects of the health care sector. Strong federal leadership, a clear direction in pursuit of common aims, and consistent policies and practices across all government health care functions and programs are needed to raise the level of quality for the programs’ beneficiaries and to drive improvement in the health care sector overall.
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Urban Emergency Room
You are an acute care nurse practitioner who works in an urban emergency room (ER). You see many people who come to the ER who have overdosed (OD) on heroin. Emergency medical services personnel may administer a drug that might reverse the overdose such as naloxone (Narcan). You may see three ODs during each 12-hour shift; some of these patients are admitted to the hospital, and others are sent home with a consultation for psychiatric follow-up. You are becoming hardened to the issue and have begun to question what you can do to address this epidemic.
You hear that the state health director is convening a task force. List four actions you can take to be invited to participate in this task force.
Which other healthcare professionals should be included in the task force?
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Determinants of health and ways they impact persons health
Introduction
To improve the health status of the community, there is need to reduce the health inequalities. This is only achieved by understanding factors that promote as well as protect health of the community, which are commonly referred to as determinants of health (Fane & Ward, 2014). These determinants are categorised into social, cultural and economic factors.
This is important because despite the fact that the USA government is spending fortune in medical care, the health outcomes still remains low than most of the developed countries. In fact, the USA IS ranked the 34th in infant mortality in the world (Potter, Trussell, & Moreau, 2009).
However, it is possible to envision the more promising end of this medical story if number of strategies are employed to understand as well as promoting the health of the community. This is achieved through analysis of health determinants as outlined by logic models (Blanchard et al., 2013).
These models are important because they are oversimplified and approximate, thus helping the identification of complex interplay, which would be important in taking action to improve the health of the population, which are developed by the new framework of health goals for USA, commonly referred to as “ Healthy People 2020 (Fane & Ward, 2014).”
This paper summarizes the main sociocultural and economic determinants of health and ways they impact the health of a person, leading to inequalities. Understanding these determinants is important because it helps improve the health of the community, thereby reducing healthcare inequalities. This aid in the identification of the specific areas for actions, which also facilitates the identification of the most feasible interventions that could aid promote quality care.
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Determinants of health
Evidence based study indicates that certain healthcare behaviours affects personal and community health. These includes behaviours such as smoking, poor nutrition, physical inactiveness, and excessive alcohol consumptions. Similarly, the amount of household income, educational achievement, ethnic background, employment and neighbourhoods also associated with profound effects of health (Perrin, 2013).
To start with, income and wealth determinants impact the health of a person. Research indicates that increased income improves the health outcomes. However, the relationship between health and income is not linear (Potter, Trussell, & Moreau, 2009). This is because money itself does not translate into good health. Instead, wealth is generally considered to give someone position within the society, which makes them, have better access to better economic opportunities (Salt, 2014).
This makes them live in healthy and safe communities, with better equipped facilities. Additionally, they are able to afford health insurance, and thus can access health more easily. Most have great amount of wealth and assets such as savings, low debt and high amount of savings that can be disposed to meet the health demands of the person where necessary (Blanchard et al., 2013).
Conversely, poor people are restricted to these amenities and are often exposed to environments that are health damaging. They lack sufficient amenities such as recreational facilities, grocery stores or even health care facilities (Fane & Ward, 2014). These people will lack social supports or relationships, have poor self-esteem, lack sense of control and are more likely to suffer from chronic diseases and acute stress. This impact is particularly vital in children and infants. Low income is associated with increased infant and childhood mortality.
It is also suggested that the hardship and economic deprivation in childhood significantly affect the adult health (Fane & Ward, 2014). Thus, children in low income households are more likely to suffer from poor nutrition, which results to health complications in their adult life including obesity, cancer, mental health, and cardiovascular diseases. This forms a vicious cycle of poverty and health (Potter, Trussell, & Moreau, 2009).
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The link between socioeconomic factors and health is clearer. However, the communities in which people live also influences their health. Literature indicates that people living in poor neighbourhoods report higher mortality rates, high incidences of chronic diseases and poorer health standards as compared with people living in safer neighbourhoods (Potter, Trussell, & Moreau, 2009). One study conducted in Wake County, North Carolina indicated that people living in poorer neighbourhoods reported higher incidences of pre-term birth, greater levels of depression, high level of teen pregnancy and increased resistance and disorders among the adolescents (Fane & Ward, 2014).
Additionally, different neighbourhoods makes it difficult to access healthy food, availability of parks and sidewalks and open spaces where people can exercise. The proximity of the people to environmental hazards also influences the quality of care (Diaz de León-Castañeda, RamÃrez-Fernández, & Pinzon Florez, 2013).
Housing also influences the health being of an individual. Living in houses that are poorly ventilated, damp, overcrowded or with poor waste disposal strategies are associated with increased diseases, communicable infections and other preventive diseases (Salt, 2014). Housing structures are very important as people spend approximately 90% of their time within their home, and thus poor housing can put people at risk of developing health complications due exposure to environmental hazards (Fane & Ward, 2014).
Additionally, overcrowding increases the risks of transmitting infectious diseases such as tuberculosis as well as other respiratory diseases (Blanchard et al., 2013). It could lead to more healthcare complication in events of pandemics such as virulent influenza. Research estimated that low income households live in overcrowded conditions, where more than 70,000 housing units in USA are overcrowded (Potter, Trussell, & Moreau, 2009). The issue is more complicated with most people facing foreclosures which is associated with the downturn of the economy. This accelerates the risk of sharing housing, and doubling up of people with their families and friends (Cai & McAdam-Marx, 2013).
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Academic achievement is strongly correlated with increased lifespan. Generally, people with less education are associated with more chronic complications and their life expectancies are shorter as compared with people with higher level of education (Blanchard et al., 2013). This is indicated by the healthcare study, where adults who have finished high school are more likely to have better health outcomes as compared with dropouts (Salt, 2014). In the USA, the ager adjusted mortality of people who dropped out of high school is two folds higher than those who completed their education.
These people are more likely to suffer from chronic and acute healthcare complications such as hypertension, stroke, diabetes, asthma, ulcers and emphysema. On average, it is estimated that the college graduates live five years longer as compared to those who failed to complete high school education (Diaz de León-Castañeda, RamÃrez-Fernández, & Pinzon Florez, 2013).
Research indicates that education achievement and health are not only correlated at personal level but also in their future generation. For example, maternal education is associated with better health for the children. Similarly, children born by high school dropout’s parents are two folds likely to suffer from premature death. Educated mothers’ infant mortality rates are considerably lower than uneducated parents. This is because educational achievements, wealth and health are interrelated, and have significant impacts on person’s health.
Another important health determinant is social exclusion, which is often associated with poverty. Social exclusion is associated with huge impacts in health such as premature deaths. Absolute poverty results to lack of basic materials, and is still rampant in developed countries (Salt, 2014). Most of the unemployed people, ethnic groups, refugees, homeless and the disabled are often socially excluded. This denies them the opportunity to access decent living opportunities such as education, housing, transport or even the ability to participate in various activities of the lives that makes them participate fully. This exclusion and being treated as lesser beings leads to health complications (Cai & McAdam-Marx, 2013).
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The social exclusions occurs inform of racism, discrimination, hostility, stigmatization as well as unemployment. These denies people their ability to participate in educative training, prevention programs or even accessing potential beneficial healthcare capacities. These issues are socially as well as psychologically damaging, and can have detrimental effects to these discriminated people (Pegram & Bloomfield, 2013).
The longer these people live in prisons, psychiatric facilities and children’s homes, and the more likelihood of them to suffer from a wide range of disorders. These incidences are also associated with increased risk of divorce, addictions and disabilities. Research indicates that people with strong family relations have better health outcomes. For instance, the highest incidences of mental illness are from single parent families (Pegram & Bloomfield, 2013).
Addiction is a public health issue of concern as it is associated with social breakdown, which worsens the issue of healthcare disparities. Addiction in this context refers to overreliance of drug use such as alcohol and cigarrette smoking. This is associated with increased mortality associated with suicides, injuries and poisoning. Although unclear, cultural values and beliefs tend to influence the quality of care (Salt, 2014).
This includes activities such as religious values that prohibits people from seeking medical assistance. Other determinants includes population based healthcare facilities as well as services. These includes activities such as sewerage and water to ensure that people’s health is maintained. The extent of funding of these activities dictates the level of the maintenance of this infrastructure, their developments and also usages.
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Ways the determinants of health impact people’s health
Most of the social factors mentioned above are described to have both interactive and independent effects. For instance, people with high level of incomes are more likely to have achieved higher education. They are also more likely to have more opportunities to live in safe, standard and healthy environments. Their neighbourhoods are more likely to be secure, thus promoting physical activeness. They are also able to purchase organic food as compared to those with low income households. These people are also more likely to have medical cover, which facilitates access to quality care (Cai & McAdam-Marx, 2013).
Conversely, people living with poverty are more likely to have lower education achievement, indicating that they are most likely unemployed. They will often live in substandard housing, putting them at risk of communicable diseases due to overcrowding effects and poor sanitation (Cai & McAdam-Marx, 2013). These people lack enough resources to purchase quality foods, hence depends mainly with fast food, increasing the risk of obesity. These people are more likely to engage in risky behaviours such as drug abuse and prostitutions, putting them at greater risk. This makes them experience higher levels of stress as compared with their counterparts (Pegram & Bloomfield, 2013).
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Whereas most of these factors are interconnected as described above, there is growing evidence that these factors independently determine the health of the people. For instance, in the USA, the health status of all ethnic communities decreases as income level decreases. It is reported that people with 100% federal poverty guidelines (FPG) reports the worse health as compared to people in other income level (Pegram & Bloomfield, 2013). However, within each income levels, specific communities have worse health outcome as compared with others.
For instance, the African American normally reports poor healthcare outcomes as compares to the Hispanics and non-Hispanics white (Cai & McAdam-Marx, 2013). These marked differences across the ethnic communities are observed in other determinants of health. Therefore, to effectively reduce the increased healthcare disparities, issues such as accessibility of educations, standard housing, safe living as well as working environments, healthcare facilities and all other opportunities that facilitate the healthy living of the community must be addressed (Diaz de León-Castañeda, RamÃrez-Fernández, & Pinzon Florez, 2013).
Conclusion
As indicated, it is evident that there is strong correlation between the health and people’s incomes and way of life including community environment, educational achievement, and ethnicity and housing conditions. It is indicated that those people with higher incomes, higher education achievement and those living in a health as well as safe environments have been associated with longer life expectancies and are associated with better health outcomes. Conversely, people with lower education levels, living below poverty line, substandard housing and those in poor neighbourhoods have poor health outcomes. This is attributable to the fact that these lack sufficient resources to treat even the preventable diseases. This translates to increased health disparities among the various ethnic groups.
References
Blanchard, C., Gibbs, M., Narle, G., & Brookes, C. (2013). Learning from communities in the USA and England to promote equity and address the social determinants of health. Global Health Promotion, 20(4 Suppl), 104-112. http://dx.doi.org/10.1177/1757975913501006
Cai, B., & McAdam-Marx, C. (2013). The determinants of antihypertensive use and expenditure in patients with hypertension in the USA. Journal Of Pharmaceutical Health Services Research, 5(1), 11-18. http://dx.doi.org/10.1111/jphs.12041
Diaz de León-Castañeda, C., RamÃrez-Fernández, D., & Pinzon Florez, C. (2013). Compared Analysis of Inequalities in Health and Influence of Social Determinants of Health in Cuba and USA. Value In Health, 16(7), A711. http://dx.doi.org/10.1016/j.jval.2013.08.2189
Fane, J., & Ward, P. (2014). How can we increase children’s understanding of the social determinants of health? Why charitable drives in schools reinforce individualism, responsibilisation and inequity. Critical Public Health, 1-9. http://dx.doi.org/10.1080/09581596.2014.935703
Pegram, A., & Bloomfield, J. (2013). The importance of measuring blood pressure in mental health care. Mental Health Practice, 16(6), 33-36. http://dx.doi.org/10.7748/mhp2013.03.16.6.33.e849
Potter, J., Trussell, J., & Moreau, C. (2009). Trends and determinants of reproductive health service use among young women in the USA. Human Reproduction, 24(12), 3010-3018. http://dx.doi.org/10.1093/humrep/dep333
