NURS 6050 Discussion 1 Evidence Base in Design SAMPLE
NURS 6050 Discussion 1 Evidence Base in Design SAMPLE
The selected policy for this discussion is the S. 610: Dr. Lorna Breen Health Care Provider Protection Act of 2021 sponsored by Junior Senator for Virginia Timothy Kaine. The purpose of the bill is to mandate the federal government through the Department of Health and Human Services (DHHS) to create grants and require facilities to develop other activities to enhance mental and behavioral health among health care providers – NURS 6050 Discussion 1 Evidence Base in Design SAMPLE. The agency must award grants to healthcare facilities, medical professional associations, and other healthcare entities for interventions to promote mental health and resiliency among healthcare workers (GovTrack.US., 2021). The agency should also offer relevant mental and behavioral health training for health care students, residents and professionals.
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The issue of mental and behavioral health is essential as many healthcare workers suffer from mental health problems. The proposed legislation will ensure that health care organizations and employers prioritize mental and behavioral health for their employees. Through the bill, more providers will gain access to mental health services and enhance their overall performance. The bill also encourages health care providers to seek support and treatment for mental and behavioral health concerns. It also implores them to disseminate best practices to prevent suicide and improve their mental health resiliency, especially when handling public health emergencies like the COVID-19 pandemic.
Evidence exist to support the proposed policy as many health care workers face mental and behavioral health issues. The increased demand for healthcare services and nursing shortage are some of the issues that place constraints on healthcare workers and the need for mental health services and support. Studies by Lai et al. (2020) and Spoorthy, Pratapa, and Mahant (2020) show that the COVID-19 pandemic has placed increased stress on healthcare workers and they need interventions to help them navigate the new challenges. As such, evidence exists to demonstrate the need for mental and behavioral services for healthcare workers as proposed by this bill.
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GovTrack.US. (2021). S. 610: Dr. Lorna Breen Health Care Provider Protection Act.
Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., … & Hu, S. (2020). Factors associated with
mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA network open, 3(3), e203976-e203976. doi:10.1001/jamanetworkopen.2020.3976
Spoorthy, M. S. Pratapa, S. K. & Mahant, S. (2020). Mental health problems faced by healthcare
workers due to the COVID-19 pandemic–A review. Asian Journal of Psychiatry, 51: 102119. DOI: 10.1016/j.ajp.2020.102119
I agree with your post. Healthcare providers need support mentally and physically as patients, yet those are the people who seek less help for their health. Our busy work schedule sometimes causes us to neglect to take care of our health. If this bill passes, we may have more time and access to healthcare for our mental and physical health.
The nursing shortage has been a big problem in the healthcare system. Nurses are the largest segment of healthcare providers, yet not enough nurses are out there. According to World Health Organization, There are 28 million nurses worldwide, but there is still around a 6 million nursing shortage overall. They also predict that 1 out of 6 nurses will be retiring in the next ten years.
I also found an interesting article about the correlations between burnout and the self-stigma of seeking help among healthcare professionals. Endriulaitiene et al. researched two different countries (Lithuania and the US) among healthcare provider attitudes toward seeking help – NURS 6050 Discussion 1 Evidence Base in Design SAMPLE . Lithuania is a Post-Soviet country and has its challenges socially and economically. In contrast, America is known for its norms of strong masculinity. Their study found that the two completely different countries have similar attitudes regarding seeking help, and show the same link between higher levels of self-stigma related to seeking help and higher scores on burnouts. If we have more access to seek help like the bill you suggested in your post, it will prevent healthcare providers’ burnouts, thus erasing some shortfalls of nursing shortage.
Endriulaitienė, A., Žardeckaitė-Matulaitienė, K., Pranckevičienė, A., Markšaitytė, R., Tillman, D. R., & Hof, D. D. (2019). Self-stigma of seeking help and job burnout in mental health care providers: The comparative study of Lithuanian and the USA samples. Journal of Workplace Behavioral Health, 34(2), 129–148. https://doi-org.ezp.waldenulibrary.org/10.1080/15555240.2019.1586549
World Health Organization. (2020, April 7). Retrieved from WHO and partners call for urgent investment in nurses: https://www.who.int/news/item/07-04-2020-who-and-partners-call-for-urgent-investment-in-nurses
The H. RES. 590 recognizes the month of August as the “National Healthcare Awareness Month” that was introduced to the Congress on August 21st of this year. It is an essential policy, especially this time of the pandemic. People globally have become more health-conscious since the pandemic comes. Health care is not a priority in most of the countries around the globe before the pandemic. However, due to the pandemic, people recognize the importance of eating healthy and staying fit thru exercise.
Although the United States has a better healthcare system than other nations, Americans are still considered unhealthy. According to a new study, few Americans have a lifestyle that is deemed to be healthy. According to new research published in the journal Mayo Clinic Proceedings, less than 3 percent of Americans meet the measurable characteristics that reduce a person’s risks for heart disease (Krans, 2016). Researchers found that only 2.7 percent of the 4,745 participants ages 20 to 85 met all four criteria to be considered for living a healthy lifestyle. Those included: not smoking, eating a diet that aligns with nutritional guidelines, exercising at least 150 minutes a week, or 30 minutes five times a week, keeping a BMI below 20 percent for men and 30 percent for women (Krans, 2016).
Health literacy is defined as “the capacity of individuals to obtain, interpret and understand basic health information and service, and the competence to use such information and services in ways that enhance health” (Vermont, n.d.).The lack of health awareness is a key component to declining health care. People are unaware of the use of their health insurance in the prevention of illnesses. Furthermore, mental health issues are avoided, and people refuse to acknowledge them.
In evidence-based practice, health education interventions effectively affect culturally and linguistically diverse populations, particularly at improving objective, distal outcomes. These interventions may be equally effective in enhancing proximal patient-reported outcomes (Elsevier, 2021).
If the H. RES. 590 will be passed, it will be a massive help for the government to improve health promotion. Some of the essential highlights from the policy are: to educate Americans on ways health care affects the national community and individual life, to be more cognizant due to covid 19 pandemic, inform the Americans on the work of their elected representatives in protecting and expanding healthcare and every person should have access to education around health care literacy, be empowered to advocate for health care, and use their voice to make a difference (Congress, n.d.). These are only a few of the advocacy of the said policy.
Congress.gov. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/
Krans, B. (2016). Less Than 3 Percent of Americans Have Healthy Lifestyle. Healthline. Retrived from https://www.healthline.com/health-news/less-than-three-percent-of-americans-have-healthy-lifestyle
Elsevier. (2021). Patient Education and Counseling. Retrieved from https://www.sciencedirect.com/science/article/pii/S0738399121000501
Vermont. (n.d.). Health Education. Retrieved from https://www.education.vermont.gov/student-learning/content-areas/health-education
The Healthcare Policy and the Problem
The S.121 – Fair Prescription Drug Prices for Americas Act is a bill that tackles the high cost of prescription medication in the US. It proposes that the retail list price for certain drugs and biological products may be, at most, the average retail list price for the drug or biological products among certain nations like Canada, France, Germany, Italy, Japan, and the United Kingdom (Congress.gov). The issue of prescription drug prices in the United States has been a concern for many Americans due to the high cost of medications. Spending on prescription drugs is much higher per capita in the United States thanin most other industrialized nations, including France (Raimond et al., 2021). Policymakers seeking to lower drug spending often suggest benchmarking prices against other countries. In 2018, if Medicare had paid French prices for the brand‐name drugs in our cohort, the agency would have saved $5.1 billion.(Raimond et al, 2021). This lot of money would have been used for other things. There is an estimate that the US spent about 47 percent more per capita on prescription drugs than Canada in 2018 and 160 percent more than the UK. (Hannah, 2019)
The social Determinant
The high cost of drugs affects the socioeconomic status of the people. Due to the high cost, many Americans cannot buy the drugs necessary to treat their health. Almost a quarter of American patients have trouble affording their prescriptions (Hannah, 2019). Some 43 percent of US adults under 65 are on “high deductible” plans, so their insurance only kicks in after they have spent thousands of dollars. (Hannah, 2019). This forces Americans to choose between having light in the house and buying the much-needed medication they need to survive, in addition to increased emergency room visits from acute exacerbation resulting from inconsistency in their medication.
Evidence to support the proposed policy.
There is enough evidence to support that the high cost of medication affects the health of Americans, and this policy will help curb this crisis. Rapidly rising prescription drug costs in the United States represent a significant challenge to patients, providers, and the health care system. For example, among patients currently taking a prescription medication, 19% report that they or a family member have cut pills in half or skipped doses, while 24% report that they or a family member have failed to fill a prescription because of cost. (Murimi-Worstell, 2019). Modeling a proposal that would cap U.S. prices at 120% of what is paid in six other nations, researchers found that such a move would have cut U.S. spending on insulins and 50 top brand-name drugs by 52% during 2020, a savings of $83.5 billion (Rand , 2021). High prescription drug prices have essential implications for the American healthcare system, driving up overall costs, burdening some patients with high copays, and causing many people to forgo needed medications.
All information (except text) for s.1218 – congress.gov. (n.d.-a). https://www.congress.gov/bill/118th-congress/senate-bill/1218/all-info
Counting the cost of America’s soaring drug prices: The prices of prescription drugs in the US are so high some patients travel to Canada to buy life-saving medication. Hannah Kuchler reports on a key election issue [Usa Region]. (2019, Sep 21). Financial Times https://www.proquest.com/newspapers/counting-cost-americas-soaring-drug-prices/docview/2307257043/se-
Murimi-Worstell, I., Ballreich, J. M., Seamans, M. J., & Alexander, G. C. (2019). Association between US Pharmacopeia (USP) monograph standards, generic entry and prescription drug costs. PLoS One, 14(11)https://doi.org/10.1371/journal.pone.0225109
Raimond, V, C. Feldman, W. B., Rome, B. N & Kesselheim, A.S (2012) Why France Spends Less Than the United States on Drugs: A Comparative Study of Drug Pricing and Pricing Regulation. Milbark Qarterly , 99(1), 240-272. https:doi.org/10.1111/1468-0009.12507
Rand: Linking U.S. Prescription Drug Prices to Those in Other Nations Could Cut Costs in Half. (2021, Sep 11). Targeted News Service https://www.proquest.com/wire-feeds/rand-linking-u-s-prescription-drug-prices-those/docview/2571457266/se-2
Robert Pear The New York Times. (2000,Apr 06). Senator Takes on Prices of Prescription Drugs Cost in U.S. Higher than In Other Countried. [Broward Metro Edition].Sun Sentinel/ Https://www.proquest.com/newspaper/senator-takes-on Links to an external site.-prices-prescription-drugs-costs/docview/388024003/se-2
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