Agenda Comparison Grid Analysis Paper
Agenda Comparison Grid Analysis Paper
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. Explain how each of the presidential administrations approached the issue. 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? Part 3: Fact Sheet or Talking Points Brief 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.Agenda Comparison Grid Analysis Paper
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Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment Template for Part 1 and Part 2
Part 1: Agenda Comparison Grid
Use this Agenda Comparison Grid to document information about the population health/healthcare issue your selected and the presidential agendas. By completing this grid, you will develop a more in depth understanding of your selected issue and how you might position it politically based on the presidential agendas.
You will use the information in the Part 1: Agenda Comparison Grid to complete the remaining Part 2 and Part 3 of your Assignment.
| Identify the Population Health concern you selected. | Opioid Crisis in the US | ||
| Describe the Population Health concern you selected and the factors that contribute to it. |
Opioid crisis. Deaths from drug overdose continue to rise within the US and affect diverse populations. The prevalence of the opioid crisis started within the late 1990s, mostly due to inappropriate prescriptions of opioids medication by prescribers (McCarty et al., 2018). This led to the misuse of opioids that were discovered to be very addictive.
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| Administration (President Name) | President Trump | President Obama | President Bush |
| Describe the administrative agenda focus related to this issue for the current and two previous presidents. | Trump administration has declared the opioid crisis a public health concern and has implemented various approaches to improve access to treatment, prevention, and recovery services regarding opioid addiction and overdose.
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Some of Obama’s agenda included availing healthcare services to allow the affected groups to access faster and better treatments, whereas limiting the ability of prescribers to overprescribe.
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Bush’s administration focused on creating a budget for law enforcement where the opioid addiction was viewed as a crime.
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| Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue. | In 2017, the department of health and human services invested over $900 million to fund the opioid crisis, including supporting the civil society groups, and locate and state governments (Pitt et al., 2018).
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Obama’s administration availed overdose-reversing medications and provided training to the first-line responders to overdose events.Agenda Comparison Grid Analysis Paper
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Bush’s administration allocated funds to train and provided resources to law enforcement. Offenders were sent to rehabilitation centers or jails.
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| Explain how each of the presidential administrations approached the issue. | President Trump’s administration uses a five-point approach to the opioid crisis that includes prevention, treatment, recovery, research on pain and addiction, and advancing practice regarding pain management. Prescribing of naloxone is recommended to individuals at risk of an opioid overdose.
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The approach used by the Obama administration includes availing opioid addiction prevention and treatment services to rural and underserved populations by improving access to the services. Nurses and medics education included increasing awareness about the opioid crisis to decrease the stigma associated with opioid addiction and improve adherence to treatment (Pitt et al., 2018).
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Bush’s administration approached the issue as a criminal issue, instead of a healthcare crisis where the emphasis was on criminalizing opioid addiction, instead of availing treatment to the affected populations.
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Part 2: Agenda Comparison Grid Analysis
| Administration (President Name) | President Trump | President Obama | President Bush |
| Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?
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| 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? | The selected issue can get to the agenda of Trump by using a senator or a legislator to represent the issue to the floor of the house.
The issue can stay there by being addressed and passed as a policy or a law to guide the management of the opioid crisis (McCarty et al., 2018). |
The issue can get to the agenda of Obama by approaching the political allies of Obama to inform him about the importance of addressing the issue. Advocacy groups can also be used. | The issue can get to the agenda of former President Bush by approaching the political allies of the former president to inform him about the importance of addressing the issue (McCarty et al., 2018). Advocacy groups can also be used. |
| Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents? | During the current administration, I would choose Admiral Winnefeld. Admiral established the Addiction Fatality Epidemic (SAFE) in 2017 after losing his son to opioid overdose. He would be an efficient and effective champion in fighting the opioid epidemic. | In Obama’s tenure, I would have selected Senator Sheldon. The senator introduced and supported the Comprehensive Addiction and Recovery Act that was ratified as a law by President Obama in 2016.Agenda Comparison Grid Analysis Paper
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During Bush’s administration, I would have selected Hilary Clinton due to her passion for fighting addiction and substance abuse, and in supporting people in recovery.
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Narrative with the Facts
A legislation agenda for the opioid crisis is vital because the prevalence of opioid crisis is very high. According to Gomes et al (2018), 128 individuals in the US die to opioids overdose every day. The addiction and misuse of opioids is a serious national crisis impacting public health, along with the economic and social welfare. In 2017, over 47,000 Americans succumbed due to opioid overdose. In 2017, approximately 1.7 million individuals within the US had substance use disorders allied to prescription opioid pain relievers. According to the CDC, the economic burden of opioid misuse in the US is $78.5 billion annually (Hernandez et al., 2020). Moreover, opioid use is associated with adverse effects on the physical, emotional, and social aspects of individuals. Long term use of opioids is associated with dizziness, as well as respiratory complications. Opioid use is also associated with opioid use disorder, mental disturbances. withdrawal symptoms, social problems, interpersonal problems, and inability to fulfill the occupation or educational responsibilities (Fischer et al., 2020).
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The nurse has the role of preventing and identifying opioid misuse and abuse early enough to prevent opioid addiction. This is because nurses are the first contact healthcare practitioners with patients and they spend so much time with patients. Nurses also have the role to monitor the prescription of opioids by identifying patients who start becoming addicted to opioids. Nurses also have the role of providing treatment and raising awareness about the opioid crisis to communities. Lastly, nurses should act as advocates by supporting the implementation of suitable strategies and policies regarding opioid prescriptions, pain management, and treatment of opioid addiction (Mallick‐Searle & Chang, 2018).
Conclusion
Opioid has become a public health crisis due to the significant consequences such as opioid overdoses and the resulting deaths, opioid misuse, and the increasing rate of neonatal abstinence syndrome because of opioid use during pregnancy. Opioid use has a significant economic burden, among other social and health impacts. Therefore, the issue needs to be addressed.
References
Fischer, B., Pang, M., & Jones, W. (2020). The opioid mortality epidemic in North America: do we understand the supply side dynamics of this unprecedented crisis? Substance Abuse Treatment, Prevention, and Policy, 15(1), 1-8.Agenda Comparison Grid Analysis Paper
Gomes, T., Tadrous, M., Mamdani, M. M., Paterson, J. M., & Juurlink, D. N. (2018). The burden of opioid-related mortality in the United States. JAMA Network Open, 1(2), e180217-e180217.
Hernandez, A., Branscum, A. J., Li, J., MacKinnon, N. J., Hincapie, A. L., & Cuadros, D. F. (2020). Epidemiological and geospatial profile of the prescription opioid crisis in Ohio, United States. Scientific reports, 10(1), 1-10.
Mallick‐Searle, T., & Chang, H. (2018). The importance of nurse monitoring for potential opioid abuse in their patients. Journal of Applied Biobehavioral Research, 23(1), e12129.
McCarty, D., Priest, K. C., & Korthuis, P. T. (2018). Treatment and prevention of opioid use disorder: challenges and opportunities. Annual review of public health, 39, 525-541.
Pitt, A. L., Humphreys, K., & Brandeau, M. L. (2018). Modeling Health Benefits and Harms of Public Policy Responses to the US Opioid Epidemic. American journal of public health, 108(10), 1394–1400. https://doi.org/10.2105/AJPH.2018.304590.
Agenda Comparison Grid Analysis Paper
