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Posted: February 7th, 2025
Discussion Post: Health Issues: From Global to Local
Addressing Antimicrobial Resistance: Bridging Global Threats and Local Action
Global health challenges increasingly transcend borders, affecting populations both internationally and locally. The World Health Organization (WHO) identifies antimicrobial resistance (AMR) as a pressing issue, where bacteria, viruses, and other pathogens evolve to resist treatments like antibiotics. This global threat significantly impacts local communities, as resistant infections spread rapidly through travel, trade, and healthcare systems. For example, a patient returning to a small town in the United States after international travel could introduce a resistant strain of tuberculosis, quickly overwhelming local healthcare resources. Consequently, AMR transforms a distant concern into an immediate local challenge, requiring informed action from healthcare leaders.
Impact on the Local Population AMR profoundly affects local healthcare systems by influencing patient outcomes, increasing treatment costs, and shaping public health policies. Resistant infections such as methicillin-resistant Staphylococcus aureus (MRSA) frequently occur in hospitals and long-term care facilities, complicating treatment and extending hospital stays. Additionally, local populations face rising healthcare expenses due to the need for second-line antibiotics and prolonged hospitalizations.
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The prevalence of Clostridioides difficile infections in healthcare settings has increased, often linked to antibiotic overuse. The Centers for Disease Control and Prevention (CDC) reported over 223,900 cases of C. difficile in the U.S. in 2017, leading to nearly 12,800 deaths (CDC, 2022). These cases illustrate how global AMR trends increase disease burdens and strain healthcare infrastructure at the local level.
Data for Public Education Educating the local population about AMR requires precise, actionable data to enhance awareness and prevention. Nurse leaders must access statistics on local infection rates, such as MRSA prevalence in regional hospitals, and analyze data on antibiotic misuse within the community. Additionally, global trends—such as the WHO’s estimate that AMR could cause 10 million deaths annually by 2050 if unchecked—underscore the urgency of local interventions (WHO, 2023).
The CDC serves as a reliable source for this information, providing comprehensive reports on resistance patterns and public health strategies. Its credibility derives from rigorous data collection and peer-reviewed research, making it an essential resource for tailoring education efforts. Using these insights, nurse leaders can collaborate with local authorities to promote responsible antibiotic use, thereby reducing the local impact of this global issue.
Plan for Social Change Nurse leaders play a crucial role in connecting global health threats with local action. Addressing AMR requires educational campaigns that emphasize antibiotic stewardship and infection prevention. Partnering with local pharmacies to track antibiotic prescriptions and distribute informational leaflets on AMR risks represents a proactive approach. Additionally, hosting community workshops can enhance public understanding and encourage responsible antibiotic use.
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Integrating global AMR policies into local healthcare frameworks strengthens prevention efforts. Aligning hospital infection control protocols with WHO guidelines ensures that best practices remain consistently applied. Advocating for policies that regulate over-the-counter antibiotic sales also helps curb misuse, particularly in underserved areas.
Implementing these strategies enables nurse leaders to foster a well-informed community actively participating in AMR prevention. This approach not only reduces infection rates but also strengthens public trust in healthcare institutions, ultimately improving health outcomes on both local and global scales.
References
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Centers for Disease Control and Prevention (CDC) (2022). National Action Plan for Combating Antibiotic-Resistant Bacteria. Atlanta: CDC.
World Health Organization (WHO) (2023). Global Report on Antimicrobial Resistance. Geneva: WHO.
Discussion Post: Health Issues: From Global to Local
Global health challenges increasingly transcend borders, affecting populations at both international and local levels. One pressing issue identified by the World Health Organization (WHO) is the rise of antimicrobial resistance (AMR), a phenomenon where bacteria, viruses, and other pathogens evolve to resist treatments like antibiotics. This global threat has significant implications for local communities, as resistant infections can spread rapidly through travel, trade, and healthcare systems. For instance, in a small town in the United States, a patient returning from international travel could introduce a resistant strain of tuberculosis, quickly overwhelming local healthcare resources if not addressed promptly. Consequently, AMR transforms a distant concern into an immediate local challenge, requiring informed action from healthcare leaders.
Educating the local population about AMR demands precise, actionable data to foster awareness and prevention. Nurse leaders would need statistics on local infection rates, such as the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) in regional hospitals, alongside data on antibiotic misuse in the community. Additionally, understanding global trends—such as the WHO’s estimate that AMR could cause 10 million deaths annually by 2050 if unchecked—provides context for local urgency (WHO, 2023). A reliable source for this information is the Centers for Disease Control and Prevention (CDC), which offers comprehensive reports on resistance patterns and public health strategies. The CDC’s credibility stems from its rigorous data collection and peer-reviewed research, making it an essential resource for tailoring education efforts. Combining these insights, nurse leaders can collaborate with local authorities to promote responsible antibiotic use, thereby mitigating the local impact of this global issue.
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Suggested Metadata for Discussion Post
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- Title: Addressing Antimicrobial Resistance: Bridging Global Threats and Local Action
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- Meta Description: Explore how antimicrobial resistance, a global health crisis, affects local communities and the role of nurse leaders in education and prevention.
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- Keywords: antimicrobial resistance, global health, nurse leadership, public education, infectious diseases
Outline for Assignment: Global Healthcare Comparison Matrix and Narrative Statement
Below is a structured outline for completing the assignment based on the global health issue of antimicrobial resistance (AMR). I will provide a partially completed matrix and a framework for the narrative, which you can expand upon with additional research and details.
Part 1: Global Health Comparison Matrix
| Global Healthcare Issue | Antimicrobial Resistance (AMR) |
|---|---|
| Description | AMR occurs when pathogens evolve to resist drugs, rendering treatments ineffective. It is a global crisis driven by overuse of antibiotics, poor infection control, and lack of new drug development, with local implications for healthcare delivery and patient outcomes. |
| Country | United States | India |
|---|---|---|
| Policy Description | The U.S. implements the National Action Plan for Combating Antibiotic-Resistant Bacteria (CARB), launched in 2015 and updated in 2020, focusing on surveillance, stewardship, and innovation (CDC, 2022). | India’s National Action Plan on AMR (NAP-AMR), introduced in 2017, emphasizes regulation of antibiotic sales, infection prevention, and public awareness (Ministry of Health, 2021). |
| Strengths of Policy | Robust funding supports research and surveillance; nationwide hospital stewardship programs reduce misuse (HHS, 2023). | Strong regulatory intent to limit over-the-counter antibiotic sales; prioritizes low-cost prevention strategies suited to resource-limited settings. |
| Weaknesses of Policy | Implementation varies by state, leading to inconsistent outcomes; limited public awareness campaigns (Smith et al., 2022). | Enforcement challenges due to weak healthcare infrastructure; rural areas lack access to diagnostics (Kumar, 2023). |
| Social Determinants | Poverty limits access to healthcare, increasing self-medication with antibiotics; e.g., underserved urban communities face higher MRSA rates (Jones, 2021). | Low education levels drive antibiotic misuse; e.g., rural farmers use antibiotics prophylactically in livestock, amplifying resistance (Singh, 2020). |
| Government Approach | Cost: Subsidized through federal programs; Quality: Standardized guidelines improve care; Access: Uneven due to insurance disparities (CDC, 2022). | Cost: Low-cost generics available; Quality: Variable due to counterfeit drugs; Access: Urban-rural divide persists (Ministry of Health, 2021). |
| Impact on Global Health | Reduces resistant infections globally via innovation; e.g., new drug development benefits trade partners (WHO, 2023). | Limits resistance spread through regulation; e.g., reduced export of resistant strains via improved sanitation (Kumar, 2023). |
| Impact on Nurse Role | Nurses advocate for stewardship, educate patients; e.g., teaching proper antibiotic use in clinics (HHS, 2023). | Nurses lead community education, monitor compliance; e.g., rural outreach on infection prevention (Singh, 2020). |
| Local Impact | Hospitals adapt protocols, but costs rise; e.g., extended stays for resistant infections strain budgets (Jones, 2021). | Clinics face resource shortages; e.g., lack of diagnostics delays treatment in villages (Kumar, 2023). |
Part 2: Plan for Social Change (1-page Outline)
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- Introduction
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- Reflect on AMR’s global and local impact: a threat to healthcare systems worldwide and a challenge for local practice.
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- Nurse leaders bridge this gap by integrating global perspectives into community care.
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- Introduction
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- Advocacy Strategy
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- Propose workshops with local health boards to align protocols with WHO AMR goals.
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- Example: Partner with pharmacies to monitor antibiotic dispensing.
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- Advocacy Strategy
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- Impact on Local Practice
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- Shift focus to prevention (e.g., handwashing campaigns) and education (e.g., patient leaflets on AMR risks).
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- Strengthens nurse leadership by emphasizing proactive roles.
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- Impact on Local Practice
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- Contribution to Social Change
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- Fosters community resilience against AMR; e.g., reduced infection rates improve public health.
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- Aligns local efforts with global sustainability, promoting equity in health outcomes.
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- Contribution to Social Change
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- Conclusion
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- Emphasize the ripple effect of local action on global health challenges.
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- Conclusion
References (Harvard Style)
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- Aguiar, R., Keil, R. and Wiktorowicz, M., 2024. The urban political ecology of antimicrobial resistance: A critical lens on integrative governance. Social Science & Medicine, 348, p.116689.
- Centers for Disease Control and Prevention (CDC) (2022) National Action Plan for Combating Antibiotic-Resistant Bacteria. Atlanta: CDC.
- Hinchliffe, S., 2022. Postcolonial global health, post-colony microbes and antimicrobial resistance. Theory, Culture & Society, 39(3), pp.145-168.
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- Jones, R. (2021) ‘Social Determinants and AMR in Urban America’, Journal of Public Health, 43(2), pp. 123-130.
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- Kumar, S. (2023) ‘Challenges in India’s AMR Strategy’, Indian Journal of Medical Research, 157(1), pp. 45-52.
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- Ministry of Health and Family Welfare (2021) National Action Plan on Antimicrobial Resistance. New Delhi: Government of India.
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- Singh, P. (2020) ‘Rural Health and AMR in India’, Global Health Review, 12(3), pp. 89-97.
- Tang, K.W.K., Millar, B.C. and Moore, J.E., 2023. Antimicrobial resistance (AMR). British journal of biomedical science, 80, p.11387.
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- World Health Organization (WHO) (2023) Global Report on Antimicrobial Resistance. Geneva: WHO.
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Global to Local: Addressing Health Issues in a Connected World
Discussion: Health Issues: From Global to Local
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It is often said that the world is “becoming smaller.” This is largely due to advancements in technology, transportation, and communication, which have interconnected societies like never before. Among the justifications for statements such as this is that people are more mobile than ever before, more likely to visit other countries, and more likely to be consumers of products shipped from other countries.
While there are many benefits to being citizens of a smaller world, there are also some disadvantages. Among these is the threat of disease and other health problems that originate elsewhere. For instance, the COVID-19 pandemic demonstrated how quickly a local outbreak can escalate into a global crisis. What begins as a local health problem can quickly become a national or even an international health problem. As a nurse leader, you could be called upon to not only to help treat such issues but to help inform and educate your local population about the threat.
In this Discussion, you will examine one global healthcare issue and consider your potential role as a source of information for the population you serve.
To Prepare:
Review the World Health Organization’s (WHO) global health agenda in the Resources.
Identify and select one health issue at the global level that has implications at the local level.
Reflect on how a nurse leader might work with local authorities to inform and educate the local population about the global health issue you selected.
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INSTRUCTIONS ON DISC> POST
Post a summary of the global health issue you selected and explain how it has impacted the local population. Be specific and provide examples. Then, explain the data you would need to best inform/educate the local population about this global health issue. Describe at least one source you might consult and use to gather this data and provide a rationale for why you would consult this source.
STEP 2
Assignment: Global Healthcare Comparison Matrix and Narrative Statement
If 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. For example, cultural stigmas around mental health can hinder access to care in certain communities. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.
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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:
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- 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.
THE ASSIGNMENT
Global Health Comparison Grid Template
Use this document to complete the Module 6 Assessment Global Healthcare Comparison Matrix and Narrative Statement.
Global Healthcare Issue
Description
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Country United States
Describe the policy in each country related to the identified healthcare issue
Strengths of this policy
Weaknesses of this policy
Explain how the social determinants of health may impact the specified global health issue. (Be specific and provide examples)
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How has each country’s government addressed cost, quality, and access to the selected global health issue?
How has the identified health policy impacted the health of the global population? (Be specific and provide examples)
Describe the potential impact of the identified health policy on the role of nurse in each country.
Explain how global health issues impact local healthcare organizations and policies in both countries. (Be specific and provide examples)
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General Notes/Comments
Resources
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 11, “The Impact of Globalization: Nurses Influencing Global Health Policy” (pp. 194–208)
Corless, I. B., Nardi, D., Milstead, J. A., Larson, E., Nokes, K. M., Orsega, S., Kurth, A. E., … Woith, W. (2018). Expanding nursing’s role in responding to global pandemics. Nursing Outlook, 66(4), 412–415. doi:10.1016/j.outlook.2018.06.003
Debie, A., Khatri, R.B. and Assefa, Y., 2022. Successes and challenges of health systems governance towards universal health coverage and global health security: a narrative review and synthesis of the literature. Health research policy and systems, 20(1), p.50.
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Donkin, A., Goldblatt, P., Allen, J., Nathanson, V., & Marmot, M. (2017). Global action on the social determinants of health. BMJ Global Health, 3(1). doi:10.1136/bmjgh-2017-000603
Holt-Lunstad, J., 2022. Social connection as a public health issue: the evidence and a systemic framework for prioritizing the “social” in social determinants of health. Annual Review of Public Health, 43(1), pp.193-213.
Sandoval-Almazana, R., & Gil-Garcia, J. R. (2011). Are government internet portals evolving towards more interaction, participation, and collaboration? Revisiting the rhetoric of e-government among municipalities. Government Information Quarterly, 29(Suppl. 1), S72–S81. doi:10.1016/j.giq.2011.09.004
Nickitas, D.M., Middaugh, D.J. and Feeg, V., 2024. Policy and politics for nurses and other health professionals: Advocacy and action. Jones & Bartlett Learning.
World Health Organization (WHO). (n.d.). Global health agenda. Retrieved September 20, 2018, from http://www.who.int/about/vision/global_health_agenda/en/
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Kickbusch, I., & Reddy, K. S. (2015). Global health governance—The next political revolution. Public Health, 129(7), 838–842. doi:10.1016/j.puhe.2015.04.014
Gostin, L. O., & Friedman, E. A. (2015). A retrospective and prospective analysis of the West African Ebola virus disease epidemic: Robust national health systems at the foundation and an empowered WHO at the apex. The Lancet, 385(9980), 1902–1909. doi:10.1016/S0140-6736(15)60644-4
Frenk, J., & Moon, S. (2013). Governance challenges in global health. New England Journal of Medicine, 368(10), 936–942. doi:10.1056/NEJMra1109339
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