“Integrity in Word and Deed”

NUR 423 Global Health and Health Policy

Spring 2020 2 Credits
Section BG- Time: 10am to 3pm Day: Wednesday Location: Bensalem Rm 115

Faculty
Kelly Flanigan Ed.D, MSN, RN, CNE
[email protected]
215-646-7300 extension 48023
Bensalem, Room 219

Course Description: This course examines globalization and its impact on the health of all populations.
Emerging diseases, environmental safety and health risks are addressed. Health care policy and the
socioeconomic, geopolitical, ethical and cultural variables that influence health are explored. Critical analysis of
selected global and national problems is examined within the framework of professional nursing practice. The
importance of cultural competence and ethical judgment are emphasized

Pre-requisites: NUR208, NUR209, NUR212, NUR213, NUR, 307, NUR 313, NUR324, NUR316, NUR317, NUR
319, NUR 413, NUR 417, NUR 422, NUR 431, RS 231

Co-requisites: NUR 419, NUR4001, NUR 415

COURSE Learning Outcomes (CLOs) Upon the completion of the course, the student will be able to:
1. Analyze the concept of globalization and its impact worldwide.
2. Discuss global health and its significance to nursing focusing on the meaning of human rights,
social justice, values and ethical considerations related to healthcare.
3. Describe the process for developing cultural competence to meet the health care needs of
culturally diverse individuals, communities, and organizations
4. Analyze strategies nurses can employ to meaningfully impact achievement of the Millennium
and Sustainability Development Goal
5. Explain the nurse’s role as it relates to health policy addressing the health planning process from
a global perspective.
6. Describe the nurse’s role in providing care for infectious and communicable diseases, chronic
health problems, and women’s and children’s health concerns.
7. Discuss causes of global health problems, incidence of emerging diseases, costs, and
consequences.
8. Evaluate variables that impact the international healthcare systems.
9. Discuss public health threats or events across the globe distinguishing between man-made and
natural threats to the world.
10. Demonstrate clarity and accuracy in verbal and written communication
11. Integrate the use of technology and information systems to facilitate and improve delivery of
patient care globally

STUDENTS EXPECTATIONS: Students are expected to:

 Ask probing and insightful questions related to course content.

 Make meaningful and relevant connections and application to their own learning
process.
 Be productive and contributing members of class discussions

Course Content:

I. Introduction to Global Health

A. Overview
B. Historic origins of International Public Health
C. Distribution of health in the world
D. Ethical Considerations/ Human Rights
E. Social Justice- connection to liberal arts education values
F. Critical Concerns of the Sisters of Mercy

II. Health of Populations (Health Promotion Goals)

A. Health disparities
B. Health determinants
B. International – WHO – Health for All in the 21st Century
C. Sustainability Development Goals
D. Impact of US environment/lifestyle on the global society
E. Environmental Issues related to population health
III. Public Policy
A. Health Policy
B. Role of government/individuals
C. Health planning

IV. Roles of the professional nurse

A. Global Nursing
B. Cultural humility/competence of the nurse
C. Caring across cultures
D. Nurse/person/population relationship
E. Global health responsibilities

V. Selected Global Health Issues & Adaptation

A. Infectious/Communicable Diseases
B. Chronic Health Problems
C. Environmental safety/ health risks
D. Antibiotic Resistance
E. HIV complacency

VI. International Healthcare Systems

A. Administration
B. Financing/sustainability
C. Public and Private Sectors
D. Access and inequality issues
E. Organizations and Agencies/ Non- government agencies.
F. Comparison to the US healthcare system

Required Textbooks/Resources: None

Assignments:
Pre-Assignment 05%
Cultural staircase and case study 10%
Global Paper 30%
International Health Assignment 10%
Warm Call 20%
Quiz 10%
Class Participation/Attendance 10%
Career Fair Attendance and Write-up 05%
Total 100%

 Pre-Assignment: This assignment will be provided before class begins and is due before the first
class.
 Global Problem Paper: Please see the attached assignment criteria in the assignment folder
 Cultural Staircase Assignment: This assignment will be an in- class assignment
 Quiz: There will be a quiz reflecting on the material taught in class.
 International Health Care Assignment: Will be given at the time of the lesson
 Warm Calls: Each week a group of 3-5 students will be responsible for presenting a current
event (must be within 2-3 weeks) related to global health to the class. Students will provide a
10-15 minute presentation of the current event (see attached assignment) These students will
also be responsible for leading the class discussion and/or be ready to be called on in class if
needed.
 Class Participation and Attendance: Attendance is mandatory as is class participation. Please
see the attached rubric. If there is ONE unexcused absence, lateness or lack of participation in
class the student will receive a zero for this area.
Grading Policy:
A 76 (C) must be achieved for successful completion of this course
Grading System for Nursing

A 93-100 B- 81-83 D+ 67-70

A- 90-92 C+ 78-80 D 63-66

B+ 87-89 C 76-77 D- 60-62

B 84-86 C- 71-75 F 59 & below

Important dates:
 Withdraw date from Course: 4/8/20

Course Policies:
1. Attendance: Attendance is mandatory. Attendance will be taken at each class. Chronic
absence may make it impossible for a student to achieve learning outcomes required by the
course, and in such instances the student should withdraw from the course. Those missing
class need to notify faculty by email before the beginning of class to avoid the unexcused
absence.
2. Laptops: Laptop use will not be permitted during student presentation or during lecture
time. They may be used during group work or in class assignments. Failure to adhere to this
will result in deductions in participation grade.

3. Absence from Exams: Students are required to be present and on time for all scheduled
examinations. A student who must be absent or late for an exam must notify course
faculty by email before the start of the test. If faculty is not notified before class begins.
The student may not have the opportunity to make up the test. The make-up exam will be
made up within the week and will be scheduled at the discretion of the instructor. Make-up
exams may include written rationales or essays. Failure to take the make-up exam at the
assigned time will result in a failure for that exam. Failure to follow the above policy will
result in a zero for the examination.
4. In order to be in compliance with HIPAA protection, students should submit any doctor’s
note/medical documentation directly to the Health Center. Faculty are welcome to inquire
of the Health Center staff if the student’s documentation has been received and if it is valid.
Please do not submit medical documentation to anyone other than the Health Center.
Students may continue to submit clearance forms for returning to clinical/educational sites
directly to their instructors.

Grades: Exam results and assignment grades will be posted as soon as possible on Blackboard.
Final course grades are not posted; however, students may access their grades through Self-
Service.
Course Evaluation: Your feedback on the course is extremely valuable to us and to the college.  We take
your comments in evaluations seriously and use them to improve this course and others.  Evaluations
are only useful with full participation of all students, so you are responsible for completing the
confidential evaluation of the course at the end of the semester.
____________________________________________________________________________________

UNIVERSITY-WIDE POLICIES:

Accessibility Support

Gwynedd Mercy University is committed to providing reasonable accommodations for all persons with
disabilities. If you believe you need accommodations for a disability or chronic medical condition for this
course, please contact the office of Accessibility Services located in the ARC 2nd floor, Keiss Library;
call 215-646-7300 x21014, or visit Accessibility Support Services web page
https://www.gmercyu.edu/student-life/campus-resources/student-accessibility-services. If the
documentation supports your request for reasonable accommodations, the accessibility office will
provide you with an accommodation letter. Please share this letter with me as early in the course as
possible so that we may discuss the accommodations. Since accommodations require early planning and
are not retroactive, please contact the Accessibility Support Services Office as soon as possible. For
details about the accommodation process visit student Accessibility Services
https://www.gmercyu.edu/student-life/campus-resources/student-accessibility-services . You are also
welcome to contact me (faculty name) privately to discuss your academic needs. However, all disability-
related accommodations must be arranged in advance, through Accessibility Services. Please review your
program’s handbook for specific program accommodations. If you have emergency medical information
to share with me, or if you need special arrangements in case the building must be evacuated, please
inform me immediately.

Gwynedd Mercy University respects the privacy of its students. The Family Educational Rights and
Privacy Act (FERPA) governs all student record information. All information concerning student
disabilities and accommodation is kept separately from student academic files. This information is
confidential and will not be released to third parties without the written permission of the student, except
in circumstances involving matters of health, safety, and law. Information regarding student disabilities
are requests for accommodation is available to university faculty and staff on a need-to-know basis.

Please do not hesitate to contact Brandi J. Crawford at (215) 646.7300 x21014 or email
[email protected] if you have any questions or concern
Academic Integrity

Academic integrity is fundamental to the activities and principles of a university. All members of the
academic community must be confident that each person's work has been responsibly and honorably
acquired, developed, and presented. Any effort to gain an advantage not given to all students is dishonest
whether or not the effort is successful. The academic community regards breaches of the academic
integrity rules as extremely serious matters. Sanctions for such a breach may include academic sanctions
from the instructor, including failing the course for any violation, to disciplinary sanctions ranging from
probation to expulsion. When in doubt about plagiarism, paraphrasing, quoting, collaboration, or any
other form of cheating, consult the course instructor. Please see the Catalogue for Policy.

Academic Support

Gwynedd Valley Campus Only (Undergraduate Students): The Academic Resource Center (ARC) is
available to support your learning in this course. Professional and qualified peer tutors are available by
appointment to provide one-on-one or small group tutoring or study sessions. The ARC is located in the
Learning Commons in Keiss Library. Call 267-448-1370 or email [email protected] to make an
appointment.

GPS/ABSN Students: The Graduate and Professional School provides access to 24/7 tutoring services
through SMARTHINKING, an online tutoring service. SMARTHINKING is available at
http://services.smarthinking.com. Students may enter the site by logging on with their student ID number
and using the last four digits of their social security number as the password.

Blackboard

Students should be aware that Blackboard records student usage data. Instructors have access to this data
and can monitor student activities while they are using Blackboard.

Title IX Statement

Gwynedd Mercy University and its faculty are committed to assuring a safe and productive educational
environment. In order to comply with Title IX of the Education Amendments of 1972 and guidance from
the Office for Civil Rights, all faculty members are required to report incidents of sexual misconduct
shared by students or any other community member to the University's Title IX Coordinator, Robert
Wood. This means that as faculty, I must report (1.) any experience of sexual misconduct or sexual
violence, and (2.) any other abuse that occurred to you—either as an adult or when you were a minor or
to someone else when they were a minor—which you choose to disclose to me outside of a classroom
discussion, a writing assignment, or a University-approved research project. Filing a sexual misconduct
report does not mean that you will be part of a Title IX investigation or that you would have to go to
court. Title IX also includes discrimination against any student on the basis of pregnancy or related
conditions.

Information regarding the sexual misconduct policy are available on the University’s website under
Policies (https://www.gmercyu.edu/about-gmercyu/policies). You may also contact Robert Wood, Title
IX Coordinator at [email protected] (215)-646-7300 x21140,
Information regarding the sexual misconduct policy are available on the University’s website under
Policies (https://www.gmercyu.edu/about-gmercyu/policies). You may also contact Robert Wood, Title
IX Coordinator at [email protected] or 215-646-7300 x21140 with any questions or concerns.

Undergraduate Curriculum Macro-Concepts

-Safety
Safety and security are basic human needs. Safety, freedom from danger, harm, or risk, is a responsibility
of all health care providers. It is important to focus on a culture of safety that promotes safe, effective,
person-centered delivery of care (IOM, 2000).

This is accomplished through focus on:

 Safety – avoiding injuries to patients from the care that is intended to help them
 Effective – providing services based on scientific knowledge to all who could benefit and
refraining from providing services to those not likely to benefit
 Patient-centered – providing care that is respectful of and responsive to patient preferences,
needs, and values, and ensuring that patient values guide all clinical decisions
 Timely – reducing waits and sometimes harmful delays for both those who receive and those
who give care
 Efficient – avoiding waste, including waste of equipment, supplies, ideas, and energy

Equitable – providing care that does not vary in quality because of personal characteristics such as
gender, geographic location, and socioeconomic status (IOM, 2001)
-Oxygenation, Ventilation, Circulation and Perfusion

Ventilation: The movement of air between the atmosphere and alveoli and the distribution of air within
the lungs to maintain appropriate concentrations of oxygen and carbon dioxide in the blood. The process
of ventilation occurs through inspiration and expiration
Oxygenation: The process of providing life-sustaining oxygen to the body’s cells
Perfusion: The adequacy of blood flow through the vasculature to maintain function at the cellular level 
Circulation: continuous one-way circuit of blood through the blood vessels, with the heart as the pump;
the flow of blood through arteries and capillaries, oxygenated capillary blood and nutrients pass through
body tissues, and removal of cellular waste products

-Nurse Patient Relationship

The core of nursing. Fundamental to this relationship is the establishment of trust. The relationship exists
to meet the biological, psychological, spiritual, cultural and health needs of the patient. The word patient
includes individuals and communities

-Ingestion, Digestion, Absorption and Elimination

Ingestion: Taking in food or drink for the purpose of digestion and absorption
Digestion: The process by which food is physically and chemical broken down into smaller particles for
absorption into the body
Absorption: the uptake of substances into or across tissues; transfer of nutrients into the circulation
Elimination: Elimination of undigested waste material via the gastrointestinal tract

-Adaptation
The adjustment of living with other living things and internal and external environmental conditions. The
human body can adapt to changes in the internal and external environment with a variety physiological
and psychosocial responses

-Urinary Function

The elimination of body waste products and materials that exceed bodily needs via the urinary system

-Movement and Sensory Input

Purposeful physical mobility; functioning of one or more senses; the body’s ability to receive and process
data from internal and external environment

-Roles of the Professional Nurse

Multiple kinds of consumers as well as a variety of settings (hospitals, clinics, communities) require that
nurses assume different roles. Key roles of the nurse may include provider of care, educator, advocate,
counselor, coach, manager, researcher, collaborator, change agent, leader, and entrepreneur
Rubric for Attendance and Class Participation
The student role requires adequate class preparation, as well as class participation to achieve the maximum benefit from the applied
teaching methodology.

Performance Exemplary (10 points) Accomplished (8 points) Developing (5 points) Beginning (0 points)

Attendance Student is present at Student is present for every Student is absent/ tardy for Student is absent for 1
and every class meeting and class meeting but has been 2 classes and provides a class and does not provide
Punctuality always on time, tardy for 1 class meeting. reasonable and a reasonable documented
(10%) documented excuse. excuse or is tardy greater
than 2 times.

Preparation Student is always Student is unprepared for Student is unprepared for Student is unprepared for
(60%) prepared for class with class 1-2 times during the class 2-3 times during the class 3+ times during the
pre- class assignments semester with assignments semester with assignments semester with assignments
completed and has and required materials. and required materials. and required materials.
clearly read the
assigned materials.

Level of Student brings original Student brings original Student brings original Student does not bring
Engagement thought and thought and perspective to thought and perspective to original thought and
and behavior perspective to discussion. Maintains discussion. Maintains perspective to discussion.
(30%) discussion. Maintains active involvement for class active involvement for class Does not maintain active
active involvement for throughout the semester throughout the semester involvement for class
each class throughout except 1-2 classes. Usually except 3-4 classes. Rarely throughout the semester
the semester. Always contributes to the contributes to the Never contributes to the
contributes to the discussion by raising discussion by raising discussion by raising
discussion by raising thoughtful questions, thoughtful questions, thoughtful questions,
thoughtful questions, analyzing relevant issues, analyzing relevant issues, analyzing relevant issues,
analyzing relevant building on others’ ideas, building on others’ ideas, building on others’ ideas,
issues, building on synthesizing across readings synthesizing across readings synthesizing across
others’ ideas, and discussions, expanding and discussions, expanding readings and discussions,
synthesizing across the class perspective, and the class perspective, and expanding the class
readings and appropriately challenging appropriately challenging perspective, and
discussions, expanding assumptions and assumptions and appropriately challenging
the class perspective, perspectives. Utilize critical perspectives. Utilize critical assumptions and
and appropriately thinking skills while thinking skills while perspectives. Does not
challenging applying the principles of applying the principles of utilize critical thinking skills
assumptions and clinical decision-making. clinical decision-making. while applying the
perspectives. principles of clinical
decision-making.

It is expected that the student prior to missing a class will notify the instructor BEFORE CLASS BEGINS The faculty has the right to
assign a learning experience to the student who misses a class. The faculty will select the topic(s). Current practice standards with
updated research findings will be the theme. In order to successfully meet the course objectives, the assignment must be submitted
at the specified timeframe as designated by the faculty.
Syllabus for NUR 423 has been read, explained and I agree to the contents.
Print Name:

Signature: ___________________________________________________

Date: ______________________________________________________

Revised 9/19 MPW