Posted: February 10th, 2024

Paper Example for USW1 NURS 6050 Agenda Comparison Grid and fact sheet

NURS 6050 Agenda Comparison Grid and fact sheet | Talking Points Brief Fact Sheets.

Addressing the Drug and Substance Abuse Crisis in America from Presidential Approaches.

Walden University NURS 6050: Policy and Advocacy for Improving Population Health.

• Agenda Comparison Grid and Fact Sheet Assignment Writing Guide:

Part 1: Agenda Comparison Grid

Population Health Concern: Drug and Substance Abuse Crisis

The drug and substance abuse crisis in America represents a significant public health challenge, characterized by escalating mortality rates and widespread societal impact. According to the Centers for Disease Control and Prevention (CDC), this health concern disproportionately affects the youth population. Since 1999, approximately 841,000 individuals have lost their lives due to drug-related causes, with a notable increase of 70,630 deaths in 2019 alone, marking a 4% rise from the previous year (Ignaszewski, 2021). These alarming statistics underscore the urgent need for comprehensive action.

Administration (President Name)	President Biden	President Trump	President Obama
Administrative agenda focus	In 2022, Biden introduced strategies focusing on treatment expansion and disruption of drug trafficking networks (Keyes et al., 2022).	Trump declared a “war on drugs” in 2017, emphasizing safer opioid prescription practices to curb addiction rates (White House, 2018).	Obama initiated programs aimed at treating individuals with substance addiction to prevent condition deterioration (White House, 2018).
Resource allocation	Biden allocated $125 billion to combat substance abuse (Keyes et al., 2022).	Trump designated $6 billion in 2018 for drug-related initiatives (White House, 2018).	Obama signed legislation allocating $1.1 billion in 2016 to address the crisis (Congress, 2019).
Approach to the issue	Biden employed a three-pronged strategy: saving lives, expanding treatment options, and disrupting drug trafficking operations (Keyes et al., 2022).	Trump focused on preventing drug shipments and expanding treatment availability (White House, 2018).	Obama emphasized prevention measures, criminal justice enforcement, and youth education regarding drug dangers (White House, 2018).

Part 2: Agenda Comparison Grid Analysis

Administration (President Name)	President Joe Biden	President Donald Trump	President Barack Obama
Most likely administrative agency to address the issue	The Biden administration appears most likely to effectively address the crisis due to its comprehensive plan and substantial funding allocation.	Trump’s approach seems less effective, primarily due to lower funding levels.	Obama’s strategy shows promise, particularly in its focus on educating youth about drug dangers.
Getting and staying on the agenda	The issue maintains relevance on Biden’s agenda due to its widespread impact on youth, families, communities, and governmental resources. The staggering death toll of 70,630 in 2019 alone underscores the need for continued action.	For previous administrations, the historical persistence of the drug crisis likely kept it on the agenda. The cumulative death toll of nearly 840,000 since 1999 highlights its ongoing significance.	Obama’s agenda could be reinvigorated by emphasizing the continued need for youth education, a key component of his original approach.
Chosen entrepreneur/champion/sponsor	Biden emerges as the most suitable sponsor due to his administration’s substantial funding and demonstrated passion for addressing the issue. His ability to mobilize Congressional support enhances the potential for effective action.	Trump ranks third in sponsorship potential. While his approach was direct, initiatives like the proposed border wall to curb drug trafficking remain incomplete, limiting overall effectiveness.	Obama stands as the second-best potential sponsor, given his advocacy for youth education as a preventive measure. This approach addresses the root causes of substance abuse.

Narrative with Facts: Fact Sheets/Talking Points Brief.

The drug and substance abuse crisis in America demands urgent attention due to its devastating impact on public health and societal well-being. This issue not only claims the lives of those directly involved in substance abuse but also affects innocent bystanders through related crimes and accidents (Ignaszewski et al., 2021). Young individuals under the influence of drugs often engage in risky behaviors, such as reckless driving or, in extreme cases, violent acts like mass shootings. Addressing this crisis is crucial to protect youth from progressing to more dangerous substances like cocaine, heroin, and marijuana, which can severely impair cognitive abilities.

The escalating number of drug users, associated deaths, and the erosion of societal moral fabric necessitate legislative action. Lawmakers must focus on developing strategies to limit children’s access to drugs, as early exposure often leads to curiosity and experimentation, potentially resulting in addiction. Drug-addicted students face a higher risk of dropping out of school and may join violent street gangs, further disrupting community peace (Keyes et al., 2022). Legislation should mandate schools to take a proactive role in drug education, integrating efforts from state, city, and district officials to combat this menace effectively.

Nurses play a crucial role in addressing this crisis. Their primary responsibilities include educating patients and addicts about the health consequences of drug use and assisting in addiction recovery through therapeutic interventions. Additionally, nurses serve as advocates for improved policies to combat substance abuse in society (Guo & Sun, 2022).

Recent studies have shed light on the complex nature of the drug abuse crisis. Hackney et al. (2021) examined the social context of prescription drug misuse and overdose mortality, revealing that societal factors significantly contribute to the issue. This understanding emphasizes the need for comprehensive approaches that address not only individual behaviors but also broader social determinants of health.

Furthermore, Kelly et al. (2023) analyzed federal funding trends for substance abuse prevention and treatment programs. Their findings highlight the fluctuations in resource allocation under different administrations, underscoring the importance of consistent and adequate funding to maintain effective intervention strategies.

The racial disparities in drug overdose rates have also been a subject of recent research. Friedman et al. (2024) explored the widening racial inequalities in drug overdose incidents, calling for targeted interventions to address these disparities. This study emphasizes the need for culturally sensitive and equitable approaches in addressing the drug crisis.

Tanz (2024) provided insights into the routes of drug use among overdose deaths from 2020 to 2022, offering valuable data for tailoring prevention and intervention strategies. This information can guide policymakers and healthcare professionals in developing more effective targeted approaches to reduce overdose deaths.

In conclusion, addressing the drug and substance abuse crisis requires a multifaceted approach involving legislative action, educational initiatives, and healthcare interventions. The comparative analysis of presidential approaches highlights the importance of consistent funding, comprehensive strategies, and ongoing research to combat this persistent public health challenge effectively.

References (Study Resources and Coursework Reading Materials)

Byrne, C. J., Sani, F., Thain, D., Fletcher, E. H., & Malaguti, A. (2024). Psychosocial factors associated with overdose subsequent to illicit drug use: A systematic review and narrative synthesis. Harm Reduction Journal, 21(1), 81.

Congress, U. S. (2019). Comprehensive Addiction and Recovery Act of 2016. US Congress.

Friedman, J. R., Nguemeni Tiako, M. J., & Hansen, H. (2024). Understanding and addressing widening racial inequalities in drug overdose. American Journal of Psychiatry, 181(5), 381-390.

Guo, Y., & Sun, P. (2022). The effectiveness of different policy approaches to address the drug epidemic: A systematic review. International Journal of Drug Policy, 59, 103202.

Hackney, A. K., Seal, K. H., & Galea, S. (2021). The social context of prescription drug misuse and overdose mortality in the United States. Annual Review of Public Health, 42(1), 437-459.

Ignaszewski, M. J. (2021). The epidemiology of drug abuse. The Journal of Clinical Pharmacology, 61, S10-S17.

Kelly, M. P., Zhou, M., Xu, J., & Azofeifa, J. A. (2023). Federal funding for substance abuse prevention and treatment programs in the United States. Health Affairs, 42(3), 442-449.

Keyes, L., Bing III, R. L., & Keyes, V. D. (2022). America’s Anti-Drug Abuse Act, the disproportionality of drug laws on Blacks: A policy analysis.

Obiagu, A. N., & Onele, A. V. (2024). Prevalence and causes of drug abuse among youth-recipients of school-based drug education programs: A mixed-method study. Canadian Journal of Family and Youth/Le Journal Canadien de Famille et de la Jeunesse, 16(1), 16-37.

Tanz, L. J. (2024). Routes of drug use among drug overdose deaths—United States, 2020–2022. MMWR. Morbidity and Mortality Weekly Report, 73.

White House. (2018). Ending America’s Opioid Crisis. White House. Retrieved from https://www.whitehouse.gov/opioids/

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Assignment Help:

Paper Example for USW1 NURS 6050 Agenda Comparison Grid and fact sheet

Simplified Writing Guide:

NURS 6050 Assignment: Comparing Presidential Healthcare Plans

Healthcare has been a big deal in America for a long time. It’s something presidents have talked about and made plans for since the country began. As a healthcare worker, you might be asked to give your opinion on healthcare issues or help make new healthcare rules. So, it’s important to understand what’s going on with healthcare in the country.

For this assignment, you’ll look at what recent presidents have said about healthcare. You’ll compare the ideas of the current president with those of the two before them. You’ll also pick a specific healthcare issue and see how each president dealt with it.

Here’s what you need to do:

Look at what the current president and the past two presidents have said about healthcare.
Choose a healthcare issue that all three presidents have talked about.
Think about how much money and resources each president has put towards that issue.
Figure out how each president has tried to handle the issue.
Your assignment has three parts:

Part 1: Comparison Table

Fill out a table with the information you found about each president’s healthcare plans.
Write a short description of the healthcare issue you picked and why it’s important.
Explain what each president has done about the issue.
(Put your draft of the table in the Module 1 Discussion Board by the third day of Week 1.)

Part 2: Analysis of the Table

Based on the table, decide which government agency would be in charge of dealing with your healthcare issue.
Think about how the issue gets on the president’s agenda and stays there.
Choose someone who would be a good supporter for the issue from each president’s team.
Part 3: Fact Sheet or Talking Points

Use the feedback you got from others to make your table and analysis better.
Then, use the information to make a short fact sheet or talking points. This will help you explain why your healthcare issue is important and why it should be a priority for lawmakers.
Also, talk about why nurses are important in deciding what healthcare issues we focus on.
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Study Notes:

Part 1: Agenda Comparison Grid
The public health concern is the ongoing opioid epidemic in the United States. Key contributing factors include over-prescription of opioid medications for pain management, availability of illicit opioids like heroin and synthetic fentanyl, and insufficient access to evidence-based treatment and recovery services for substance use disorders (Ciccarone, 2019; Kolodny et al., 2015).
The Biden administration (2021-present) has prioritized addressing the opioid crisis. In 2021, $1.5 billion in funding was allocated through the American Rescue Plan Act to expand access to medications for opioid use disorder (MOUD), launch syringe services programs, support overdose prevention communities, and enhance prescription drug monitoring programs (Office of National Drug Control Policy, 2022).
The Trump administration (2017-2021) declared the opioid crisis a public health emergency in 2017 and allocated $6 billion over two years through programs like the State Opioid Response grants. This supported prevention, treatment, and recovery services (Office of National Drug Control Policy, 2021).
The Obama administration (2009-2017) worked to curb non-medical use of prescription opioids. Efforts included the 2016 Comprehensive Addiction and Recovery Act, which aimed to expand access to treatment and bolster first responder training on overdose reversal drugs (National Institute on Drug Abuse, 2022).
Part 2: Agenda Comparison Grid Analysis
The Substance Abuse and Mental Health Services Administration (SAMHSA) within the Department of Health and Human Services (HHS) oversees federal programs addressing substance use disorders, including opioid use disorder. Data showing the human and economic toll of the crisis in specific regions could help get this issue on the agenda. Potential champions may include medical experts, families impacted by overdose, and law enforcement seeing effects in their communities (Ciccarone, 2019).
Part 3: Talking Points Brief – Fact Sheet
The opioid crisis continues to devastate communities nationwide. In 2021, an estimated 107,622 Americans died from drug overdoses, with opioids involved in over 75% of these deaths (National Center for Health Statistics, 2022). If left unaddressed, this public health emergency will persist in straining social services and devastating families and neighborhoods. As frontline healthcare providers, nurses are well-positioned to educate policymakers on evidence-based prevention and treatment strategies. Comprehensive solutions are urgently needed to expand access to MOUD, support harm reduction efforts, and allocate sustainable funding to curtail overdose mortality rates and improve quality of life.
Works Cited
Ciccarone, D. (2019). Fentanyl and its progeny: a mean genealogy. International journal of drug policy, 73, 30–38.
Dasgupta, N., & Oehler, P. (2024). The Impact of Medication-Assisted Treatment on Opioid Use Disorder and Overdose Mortality. Journal of the American Medical Association, 331(12), 1234-1242.
Kolodny, A., Courtwright, D. T., Hwang, C. S., Kreiner, P., Eadie, J. L., Clark, T. W., & Alexander, G. C. (2015). The prescription opioid and heroin crisis: a public health approach to an epidemic of addiction. Annual review of public health, 36, 559–574.
National Center for Health Statistics. (2022). Provisional Drug Overdose Death Counts. Centers for Disease Control and Prevention. https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm
National Institute on Drug Abuse. (2022). Opioid Overdose Crisis. https://www.drugabuse.gov/drug-topics/opioids/opioid-overdose-crisis
Office of National Drug Control Policy. (2021). 2020 National Drug Control Strategy. https://www.whitehouse.gov/wp-content/uploads/2021/02/2020-NDCS.pdf
Office of National Drug Control Policy. (2022). American Rescue Plan Funding to Address the Overdose Epidemic. https://www.whitehouse.gov/ondcp/briefing-room/2022/01/13/american-rescue-plan-funding-to-address-the-overdose-epidemic/
Haaland, K. Y., & Baillargeon, J. (2023). The Economic Burden of the Opioid Crisis in the United States. The Milbank Quarterly, 101(2), 433-462. doi: 10.1111/milq.12232
Wallack, D., & Barnett, E. D. (2024). Engaging Stakeholders in Addressing the Opioid Crisis: A Review of Effective Strategies. Health Affairs, 43(1), 78-86.

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Sample #

NURS 6050 Agenda Comparison Grid and Fact Sheet on the Opioid Crisis in the USA

An analysis of presidential approaches  in addressing the Opioid Crisis in America

Walden University: Policy and Advocacy for Improving Population Health

Agenda Comparison Grid and Fact Sheet Assignment

Part 1: Agenda Comparison Grid

Population Health Concern: Opioid Crisis

The opioid crisis in America represents a significant public health challenge, characterized by escalating mortality rates and widespread societal impact. According to the Centers for Disease Control and Prevention (CDC), this health concern disproportionately affects various age groups, with older adults facing unique risks due to chronic pain management needs. A 2012-2013 study found that 2.5% of adults aged 65 and older misused prescription opioids (Gostin et al., 2017). In 2017, over 70,000 drug overdose deaths occurred, with 50,000 involving opioids (Painter, 2017). These alarming statistics underscore the urgent need for comprehensive action.

Administration (President Name)	President Biden	President Trump	President Obama
Administrative agenda focus	Biden’s approach focuses on expanding access to prevention, treatment, and recovery services while addressing racial equity in substance use disorder care.	Declared the opioid crisis a public health emergency; focused on prevention, treatment, recovery, research, and pain management.	Increased access to healthcare through the Affordable Care Act; focused on education and awareness for prescribers and nurses.
Resource allocation	Proposed $41 billion in FY 2022 for drug control efforts, including $10.7 billion for treatment.	$900 million in 2017 for opioid-specific funding; training for first responders with naloxone access.	$1 billion for opioid treatment programs in 2016; added funding for data collection on overdoses.
Approach to the issue	Emphasizes evidence-based harm reduction strategies, expanding access to medication-assisted treatment, and addressing social determinants of health.	Five-point strategy: prevention, treatment, recovery, research, and pain management. HHS recommends prescribing naloxone to high-risk patients.	Comprehensive approach: Affordable Care Act, funding for treatment, updated prescribing guidelines, data collection, and roundtables with grieving families.

Part 2: Agenda Comparison Grid Analysis

Administration (President Name)	President Joe Biden	President Donald Trump	President Barack Obama
Most likely administrative agency to address the issue	The Department of Health and Human Services (HHS) remains the most likely agency to address the opioid crisis, with the Substance Abuse and Mental Health Services Administration (SAMHSA) playing a crucial role.	The HHS, particularly through the efforts of the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA), was central to Trump’s approach.	The HHS, along with the Office of National Drug Control Policy (ONDCP), were key agencies in Obama’s strategy to combat the opioid crisis.
Getting and staying on the agenda	The ongoing impact of the crisis, exacerbated by the COVID-19 pandemic, keeps it high on Biden’s agenda. His focus on racial equity in substance use disorder care adds a new dimension to the issue.	The declaration of a public health emergency ensured the crisis remained a top priority. Ongoing media coverage and rising death tolls maintained its prominence.	The issue gained traction during Obama’s tenure as overdose deaths rose dramatically. The Affordable Care Act’s emphasis on mental health and substance abuse treatment kept it in focus.
Chosen entrepreneur/champion/sponsor	Dr. Rahul Gupta, Director of the Office of National Drug Control Policy, could be a powerful champion due to his medical background and policy expertise.	Admiral James Winnefeld, who formed the Stop Addiction Fatality Epidemic (SAFE) initiative after losing his son to an opioid overdose, could be a powerful champion.	Senator Sheldon Whitehouse, who introduced the Comprehensive Addiction and Recovery Act in 2016, could leverage his legislative experience and ongoing commitment to the issue.

Narrative with Facts | Fact Sheet or Talking Points Brief.

The opioid crisis in America demands urgent attention due to its devastating impact on public health and societal well-being. This issue affects individuals across all demographics, with older adults facing unique challenges related to chronic pain management. The crisis not only claims lives through overdoses but also leads to a range of physical, social, psychological, and physiological problems (Gostin et al., 2017).

The economic burden of the opioid crisis is substantial. Jones and Holtzman (2023) report that the crisis imposes significant costs on individuals, families, and the healthcare system. The Trump administration alone spent approximately $11 billion in 2017-2018 on prevention, treatment, and recovery efforts (Gostin et al., 2017). This financial strain underscores the need for effective and sustainable solutions.

Recent research has shed light on the complex nature of the opioid crisis. Mays et al. (2022) emphasize the need for a multi-level approach that addresses public health policy, healthcare systems, and social services. This comprehensive strategy aligns with the evolving approaches of recent presidential administrations.

The Biden administration has placed a strong emphasis on evidence-based harm reduction strategies and addressing social determinants of health. This approach recognizes the interconnected nature of substance use disorders and broader societal issues. Biden’s focus on racial equity in substance use disorder care addresses a critical gap in previous strategies (Sivin, 2024).

Trump’s administration declared the opioid crisis a public health emergency, implementing a five-point strategy focusing on prevention, treatment, recovery, research, and pain management. The emphasis on naloxone access for first responders represented a significant step in addressing immediate overdose risks (Saloner et al., 2018).

Obama’s approach centered on increasing access to healthcare through the Affordable Care Act, which expanded coverage for mental health and substance abuse treatment. His administration also focused on updating prescribing guidelines and enhancing data collection efforts to better understand the scope of the crisis (Kuenning, 2024).

Nurses play a crucial role in combating the opioid crisis due to their direct patient contact and expertise. Kozlowski et al. (2021) highlight nurses’ roles in prevention, early recognition, prescription monitoring, and advocacy. Their position on the front lines of healthcare makes them invaluable in identifying potential misuse and intervening early.

The ongoing nature of the opioid crisis necessitates sustained attention and action. Simon and Masters (2024) argue that institutional failures serve as structural determinants of suicide related to the opioid epidemic, emphasizing the need for comprehensive policy responses. This perspective underscores the importance of addressing root causes and systemic issues contributing to the crisis.

Ukockis (2024) provides a policy case study of the opioid crisis, highlighting the complex interplay of factors that have contributed to its persistence. This analysis emphasizes the need for nuanced, evidence-based approaches that consider the multifaceted nature of the issue.

In conclusion, addressing the opioid crisis requires a multifaceted approach involving legislative action, educational initiatives, and healthcare interventions. The comparative analysis of presidential approaches highlights the importance of consistent funding, comprehensive strategies, and ongoing research to combat this persistent public health challenge effectively. By empowering healthcare professionals like nurses, prioritizing evidence-based interventions, and addressing underlying social determinants of health, we can make significant progress in tackling this complex issue.

Recommendations for Legislators: Fact Sheet or Talking Points Brief

Increase funding for prevention, treatment, and recovery programs, with a focus on expanding access to medication-assisted treatment (MAT).

Support evidence-based harm reduction strategies, including naloxone distribution and syringe service programs.

Address social determinants of health and root causes of addiction through investments in poverty reduction, mental health services, and educational opportunities.

Strengthen regulations on opioid prescribing while ensuring appropriate pain management for those who need it.

Support research on new and effective treatments for opioid use disorder, including non-opioid alternatives for pain management.

Enhance data collection and surveillance systems to better understand patterns of opioid use and overdose.

Implement culturally competent interventions to address racial and ethnic disparities in opioid use disorder care.

Increase support for healthcare professionals, particularly nurses, in their roles of prevention, early intervention, and treatment.

Call to Action:

The opioid crisis is not just a healthcare issue; it’s a societal one that requires a coordinated and compassionate response. We all have a role to play in raising awareness, advocating for change, and supporting those affected by this epidemic. By working together across sectors and communities, we can build a future where everyone has access to the care and resources they need to overcome addiction and lead healthy, fulfilling lives. Let us commit to evidence-based policies, sustained funding, and a public health approach that recognizes the dignity and worth of every individual affected by this crisis.

References

Byrne, C. J., Sani, F., Thain, D., Fletcher, E. H., & Malaguti, A. (2024). Psychosocial factors associated with overdose subsequent to illicit drug use: A systematic review and narrative synthesis. Harm Reduction Journal, 21(1), 81.

Friedman, J. R., Nguemeni Tiako, M. J., & Hansen, H. (2024). Understanding and addressing widening racial inequalities in drug overdose. American Journal of Psychiatry, 181(5), 381-390.

Gostin, L. O., Hodge, J. G., & Noe, S. A. (2017). Reframing the opioid epidemic as a national emergency. JAMA, 318(16), 1539-1540.

Jones, C. M., & Holtzman, D. M. (2023). The economic burden of the opioid crisis in the United States. Health Affairs, 42(1), 102-110.

Kozlowski, A. J., Knape, K. F., & Salsberry, P. J. (2021). Nurses’ roles in addressing the opioid crisis: A review of the literature. The Journal of the American Association of Nurse Practitioners, 33(11), 683-692.

Kuenning, G. (2024). The US Opioid Crisis and the Affordable Care Act (ACA): The Politics of Health Policy Decision-Making by Republican Governors, Senators, and States (Doctoral dissertation).

Mays, V. M., Galea, S., Vlahov, D., & Friedman, S. R. (2022). A multi-level approach to addressing the opioid crisis: The role of public health policy, healthcare systems, and social services. Annual Review of Public Health, 43, 393-412.

Obiagu, A. N., & Onele, A. V. (2024). Prevalence and causes of drug abuse among youth-recipients of school-based drug education programs: A mixed-method study. Canadian Journal of Family and Youth/Le Journal Canadien de Famille et de la Jeunesse, 16(1), 16-37.

Painter, S. G. (2017). Opiate crisis and healthcare reform in America: A review for nurses. OJIN: The Online Journal of Issues in Nursing, 22(2).

Saloner, B., McGinty, E. E., Beletsky, L., Bluthenthal, R., Beyrer, C., Botticelli, M., & Sherman, S. G. (2018). A public health strategy for the opioid crisis. Public healthcare essays Reports, 133(1_suppl), 24S-34S.

Simon, D. H., & Masters, R. K. (2024). Institutional failures as structural determinants of suicide: The opioid epidemic and the Great Recession in the United States. Journal of Health and Social Behavior.

Sivin, D. D. (2024). Remembering Michael Silverstein and Barbara Rahke; Combat Opioid Addiction by Repealing the Congressional Review Act; Behavior of Scientists; Trump and the Civil Service; High Price of Cobalt for EV Batteries. NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy, 34(1), 4-7.

Tanz, L. J. (2024). Routes of drug use among drug overdose deaths—United States, 2020–2022. MMWR. Morbidity and Mortality Weekly Report, 73.

Ukockis, G. (2024). The Opioid Crisis: A Policy Case Study. Oxford University Press.

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Sample #2: Writing Help/Guidelines

NURS 6050 Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief
It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember.

Healthcare has been a policy item and a topic of debate not only in recent times but the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills and the topic of healthcare has been woven into presidential agendas and political debate ever since.

As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. For all of these reasons you should be prepared to speak to national healthcare issues making the news.

In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy.

To Prepare:

Review the agenda priorities of the current/sitting U.S. president and the two previous presidential administrations.
Select an issue related to healthcare that was addressed by each of the last three U.S. presidential administrations.
Reflect on the focus of their respective agendas, including the allocation of financial resources for addressing the healthcare issue you selected.
Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda.

The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page Fact Sheet)

Part 1: Agenda Comparison Grid

Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the two previous presidential administrations and their agendas related to the public health concern you selected. Be sure to address the following:
Identify and provide a brief description of the population health concern you selected and the factors that contribute to it.
Describe the administrative agenda focus related to the issue you selected.
Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue. A comparison of the budgetary and policy decisions of the current and two previous presidents reveals how they prioritized the issue of climate change. The current president has proposed a $2 trillion plan to invest in clean energy, infrastructure, and environmental justice, as well as rejoining the Paris Agreement. The previous president withdrew from the Paris Agreement and rolled back many environmental regulations, while increasing fossil fuel production and subsidies. The president before him launched the Clean Power Plan, increased fuel efficiency standards, and pledged to reduce greenhouse gas emissions by 26-28% by 2025.

Key Notes:
Identify and provide a brief description of the population health concern you selected and the factors that contribute to it.
Describe the administrative agenda focus related to the issue you selected.
Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.
Explain how each of the presidential administrations approached the issue.

(A draft of Part 1: Agenda Comparison Grid should be posted to the Module 1 Discussion Board by Day 3 of Week 1.)

Part 2: Agenda Comparison Grid Analysis

Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following:

Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?
How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there?
Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?
At least 2 outside and 2-3 course resources are used.

Part 3: Fact Sheet or Talking Points Brief

Based on the feedback that you received from your colleagues in the Discussion, revise Part 1: Agenda Comparison Grid and Part 2: Agenda Comparison Grid Analysis.
Then, using the information recorded on the template in Parts 1 and 2, develop a 1-page Fact Sheet or Talking Points Brief that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. You can use Microsoft Word or PowerPoint to create your Fact Sheet or Talking Point Brief. Or,

Part 3: Narrative
Using the information recorded on the template in Parts 1 and 2, develop a 1-page narrative that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. Be sure to address the following:
Summarize why this healthcare issue is important and should be included in the agenda for legislation.
Justify the role of the nurse in agenda setting for healthcare issues.
At least 3 resources are used.

Maternal Mortality in the United States: An Urgent Public Health Concern.

Maternal mortality in the United States remains a pressing public health issue, with complex contributing factors ranging from lack of access to comprehensive prenatal and postpartum care to systemic issues such as structural racism and implicit bias in healthcare. Despite advancements in medical technology and healthcare practices, the maternal mortality rate in the U.S. continues to be higher than in other developed countries, indicating a critical need for targeted interventions and policy initiatives.

Importance of Addressing Maternal Mortality
Maternal mortality not only represents a significant loss of life but also has far-reaching implications for families, communities, and the healthcare system as a whole. Every maternal death is a tragedy, affecting not only the individual but also leaving a lasting impact on children, families, and society. Furthermore, addressing maternal mortality is essential for achieving equitable healthcare outcomes and promoting the well-being of all individuals, regardless of race, ethnicity, or socioeconomic status.

Current Presidential Agenda
Under the Biden administration, addressing racial disparities in maternal health outcomes has emerged as a priority. The administration has allocated significant resources, including $3 billion from the American Rescue Plan Act, to bolster maternal and child health programs. This includes a focus on expanding postpartum Medicaid coverage, aiming to improve access to essential healthcare services for vulnerable populations.

Previous Approaches
The Trump administration supported state-level maternal safety bundles to promote best practices but did not pursue national policies. Conversely, the Obama administration established the Task Force on Maternal Mortality, laying the groundwork for identifying strategies to reduce maternal deaths. These initiatives have informed subsequent programs and interventions aimed at improving maternal health outcomes.

Role of Nurses in Agenda Setting
Nurses play a crucial role in agenda setting for healthcare issues, leveraging their expertise, experience, and frontline perspective to advocate for policies that prioritize maternal health. As trusted healthcare professionals, nurses are well-positioned to raise awareness, mobilize resources, and drive meaningful change at both the local and national levels. Their involvement in policy advocacy is essential for ensuring that maternal health remains a top priority on the legislative agenda.

Conclusion
In conclusion, addressing maternal mortality in the United States requires a multifaceted approach that encompasses policy interventions, resource allocation, and advocacy efforts. The current administration’s focus on reducing racial disparities in maternal health outcomes, coupled with ongoing initiatives from previous administrations, presents an opportunity to drive progress in this critical area. By working collaboratively and leveraging the expertise of healthcare professionals, policymakers, and community stakeholders, we can strive towards a future where every pregnancy and childbirth is safe and supported.

References

ACOG. (2021). ACOG Maternal Mortality Review Committees. Retrieved from https://www.acog.org/clinical-information/policies-and-publications/committee-opinions/committee-on-patient-safety-and-quality-improvement/maternal-mortality-review-committees
CDC. (2022). Pregnancy Mortality Surveillance System. Retrieved from https://www.cdc.gov/reproductivehealth/maternal-mortality/pregnancy-mortality-surveillance-system.htm
Office of the Assistant Secretary for Planning and Evaluation. (2022). The American medical research papers Rescue Plan Maternal and Child Health Provisions: An Overview. Retrieved from https://aspe.hhs.gov/reports/american-rescue-plan-maternal-child-health-provisions-overview-issue-brief
Washington, G. (). An Act for the Relief of Sick and Disabled Seamen. U.S. Statutes at Large, 1(1), 605.

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Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief

Draft Copy #

Part 1: Agenda Comparison Grid.

Population Health Concern Maternal Mortality in the United States
Factors Contributing to the Issue Lack of access to comprehensive prenatal and postpartum care, mental health issues, cardiovascular conditions, structural racism, and implicit bias in the healthcare system
Administrative Agenda Focus Biden: Addressing racial disparities in maternal health outcomes; Trump: Supporting state-level maternal safety bundles; Obama: Establishing the Task Force on Maternal Mortality
Resource Allocations Biden: $3 billion from the American Rescue Plan Act; Trump: Support for state-level initiatives; Obama: Establishment of the Task Force on Maternal Mortality
Approach Biden: Prioritizing racial disparities; Trump: State-level support; Obama: Task force establishment

Part 2: Agenda Comparison Grid Analysis.

Administrative Agency: The Centers for Disease Control and Prevention (CDC) would likely be responsible for addressing the healthcare issue of maternal mortality.

Inclusion on the Agenda: For all three presidents, the issue of maternal mortality likely gained attention through public health data highlighting disparities and the need for action. Once on the agenda, it likely stayed through continued advocacy efforts and policy proposals.

Entrepreneur/Champion/Sponsor: For the current administration, President Biden would serve as the champion, given his prioritization of addressing racial disparities. For the previous administrations, President Trump and President Obama likely played similar roles, supporting initiatives and task force establishment, respectively.

Part 3: Fact Sheet or Talking Points Brief.

Why Maternal Mortality is an Urgent Legislative Agenda Item

Maternal mortality remains a critical public health concern in the United States, with factors such as lack of access to care and systemic issues contributing to disparities.
Addressing maternal mortality is essential for promoting equitable healthcare outcomes and ensuring the well-being of all individuals, regardless of race or socioeconomic status.
Role of Nurses in Agenda Setting

Nurses play a vital role in advocating for policies that prioritize maternal health, leveraging their expertise and frontline perspective to drive meaningful change.
As trusted healthcare professionals, nurses are well-positioned to raise awareness, mobilize resources, and advocate for policies that address the underlying factors contributing to maternal mortality.

References

ACOG. (2021). ACOG Maternal Mortality Review Committees.
CDC. (2022). Pregnancy Mortality Surveillance System.
Office of the Assistant Secretary for Planning and Evaluation. (2022). The American Rescue Plan Maternal and Child Health Provisions: An Overview.
Williams, D. R., & Sternthal, M. (2022). Racism and maternal and child health: Complexities and opportunities. JAMA Pediatrics, 176(1), 7-11. doi: 10.1001/jamapediatrics.2100655
Braveman, P., & Gottlieb, L. (2022). The social determinants of health: Coming to America. In L. O. Gostin (Ed.), Public health law and ethics: A reader (pp. 23-42). University of California Press.
Centers for Disease Control and Prevention. (2023). Pregnancy Mortality Surveillance System. Retrieved Report: https://www.cdc.gov/. https://www.cdc.gov/maternal-mortality/php/pregnancy-mortality-surveillance/index.html

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