Health care policy development to influence nursing practice and health care

1.4 Participate in health care policy development to influence nursing practice and health care.

Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA) website. Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.

Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue.

Follow this outline when writing the policy brief:

Describe the policy health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issues supported by resources.
Create a problem statement.
Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable.
Discuss the impact on the health care delivery system.

Sample Solution

Metabolic Syndrome is also known as syndrome X and is characterized by:
-Obesity (abdominal)
-Atherogenic dyslipidemia (elevated triglyceride [TG] levels, high low-density lipoprotein [LDL] particles, and low high-density lipoprotein cholesterol levels
-Raised blood pressure
-Abnormality of glucose metabolism (impaired fasting glucose or GTT)
-Prothrombic inflammatory vascular environment
The presence of this cluster of factors increases the risk of cardiovascular events.
Childhood obesity predisposes to endothelial dysfunction, carotid intimal medial thickening, and the development of early aortic and coronary arterial fibrous plaques. Sleep apnea and obesity related hypoventilation might contribute to pulmonary arterial hypertension.
MS has been a well-defined entity in adults but the definition in children is still variable. Prevalence rates in the pediatric age group vary depending on the criteria used.

The International Diabetes Federation’s (IDF) criteria (17) for diagnosing metabolic syndrome requires the presence of central obesity plus any two of the other four factors:

TABLE 6

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