We’ve started diving head-first into the variety of policy issues that dominate the modern foreign policy context. More recently, we’ve discussed the question of cyber security and the issues surrounding immigration policy. Considering the overlap between domestic and international in both of these issues, please answer the following:

1. What are some of the major trade-offs in terms of protecting domestic interests in the area of either cyber security or immigration (you can choose one)?

2. Given what you chose above, what is one important way treating this as an international/foreign policy issue can lead to potentially more positive long-term outcomes?

This is subjective and you will not be graded on your opinion, but rather on the extent to which you take a clear position and engage analytically.

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Evidence translation begins with the identification of a problem or concern. Reflect upon the eight national practice problems presented in the Global Burden of Disease Research. Select one of the practice problems to address the following.
1- From a global/nationwide perspective, how does the selected practice problem impact nurses, nursing care, healthcare organizations, and the quality of care being provided?

2- Identify the national level key stakeholders who are affected by the practice problem and stakeholders involved in resolution.

3-Are clinical practice guidelines used to address this problem? Why or why not? If used, provide a brief overview of the CPG. If a CPG is not used, propose an intervention that could be implemented on a national scale to address the problem.

  
Please answer these questions separated and use at least 3 sources no later than 5 years and you can use the sources below.
 
Please read the discussion question above carefully to answer all components.  Our resources available to support your learning and work in our discussions this week are:
·   Our Chamberlain Week 1 lesson: The Practice Problem: National Issues and Nonresearch Evidenceand Appraisal of Nonresearch Evidence and Stakeholder Roles
·  The Global Burden of Disease Research Links found in your week 1 student lesson plan- scroll down to access the links to this research!!
·         Dang and Dearholt (2018):  ·          
o             Chapter 1: Evidence-Based Practice: Context, Concerns, and Challenges
o             Chapter 7: Evidence Appraisal: Nonresearch
o             Appendix F: Nonresearch Evidence Appraisal Tool
White, Dudley-Brown, and Terhaar (2016): ·          
o             Chapter 4: Translation of Evidence to Improve Clinical Outcomes
Our interactive discussion addresses the following course outcomes:
·         Investigate practice problems relevant to advanced nursing practice. (POs 1, 3, 4, 5, 6, 9)
·         Appraise practice problems at the micro, meso, and macrosystems levels. (POs 2, 3, 4, 5, 6, 9)
·         Examine the role of stakeholders in change and translation science. (POs 1, 4, 6)
·         Assess challenges and barriers related to evidence translation. (POs 3, 5, 9)
Chamberlain College of Nursing. (2019). NR-701 Week 1: The Practice Problem: National Issues and Nonresearch Evidence [Online lesson]. Downers Grove, IL: Adtalem.
Dang, D., & Dearholt, S. L. (2018). Johns Hopkins nursing evidence-based practice: Model and guidelines (3rd ed.). Indianapolis, IN: Sigma Theta Tau International.
White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2016). Translation of evidence into nursing and health care (2nd ed.). New York, NY: Springer Publishing Company.

Guides and tutorials on the Global Burden of Disease
The best resource to use to find incidence, prevalence, etc. by cause (or disease) is the GBD Results Tool: http://ghdx.healthdata.org/gbd-results-tool (Links to an external site.) (Links to an external site.)
This tool allows users to query our estimates from the latest round of the Global Burden of Disease study, GBD 2017. 
            – The GBD Results Tool User Guide: This contains help for common questions and
              troubleshooting
            – Codebook: This ZIP file contains a codebook file with the IDs AND names for all
               encoded values in the  tool, along with other useful documentation, such as a
               measure and metric definitions
            – Tools Overview: This file is a PDF guide to our data tools which also includes all
                variable names and  IDs, a glossary, and more
The GBD Results Tool includes estimates at the US state, but not county, level.
You can find our US county-level data collected on the US Data page here (may be older data): http://ghdx.healthdata.org/us-data (Links to an external site.) (Links to an external site.)
For more on searching the GHDx, please refer to the following resources:
   – Two brief introductory videos on browsing and searching the GHDx: http://ghdx.healthdata.org/help/ghdx-instructional-videos (Links to an external site.) (Links to an external site.)
    – More detailed search tips: http://ghdx.healthdata.org/help/searching-ghdx (Links to an external site.) (Links to an external site.)
Reference:
The U.S. Burden of Disease Collaborators. (2018). The state of U.S. health, 1990–2016 burden of diseases, injuries, and risk factors among U.S. states. JAMA, 319(14), 1444–1472. https://doi.org/10.1001/jama.2018.0158
 
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