Briefly describe the global health issue and its impact on the larger health care system (i.e., continents, regions, countries, states, and health departments).

Ebola, previously known as Ebola hemorrhagic fever, is a rare and deadly disease caused by infection with one of the Ebola virus species. Ebola can cause disease in humans and nonhuman primates (monkeys, gorillas, and chimpanzees). It was first discovered in 1976 in an area now known as the Congo.  The natural reservoir host of Ebola virus remains unknown, however, researcher highly suspect bats as the main reservoir. 4 of 5 of viral strains occur in animal hosts native to Africa. This virus is passed on quickly by bodily fluids transmitted from one person to another, whether it is semen, blood, saliva, vomit, breast milk etc. We saw the last outbreak in 2014, and the world was in panic.  Many people travel from areas in Africa often and return home within a 24 hour time and may have been exposed, now bringing the virus into another country as is what happened in 2014.  It can be difficult to really adequately monitor the millions of travelers daily.  Many health care workers had to be trained in what Ebola was, how to detect symptoms, how to care for these people and also keep yourself safe as well as other people surrounding them.  All MD offices, ER and many other medical facilities now ask when a patient comes in if they have traveled out of the country, especially to West Africa when they arrive.  Any time there is an outbreak this can create a lot of stress, chaos, and many manhours dealing with containment and treatment and even dealing with death.

How can health care delivery systems work collaboratively to address global health concerns?

Health care systems can work together with organizations like the WHO, World Health Organization, and keep up on Ebola information, outbreaks and update any new findings in research to treat this.  Educating all communities and travelers on possibilities of infections when overseas and how to properly protect oneself from contracting this virus or any other for that matter. Having proper vaccines up to date and medications available, or resources in the even of an infection is important. Quick reporting of any symptoms can assist in halting its spread.

CDC.2015.Ebola Virus. Retrieved 10/9/17 from https://www.cdc.gov/vhf/ebola/healthcare-us/index.html

Need a Response to the discussion below using APA format 1 page long 3 references 2 from walden university library Due Saturday October 14, 2016 at 1800 EST   See Discussion below

                                                  Effective Communication  

When I first started working in my current role as an educator, leadership determined there was a patient safety concern related to the moderate sedation practices in the gastrointestinal (GI) lab. Leadership wanted to send the message to the caregivers that the current sedation practices were not compliant with policy and patients were receiving large doses of sedation, which they worried would eventually lead to patient harm or even patient death. The director of surgical services asked me to communicate the change in practice via a power point presentation at the GI caregivers meeting.  According to Gifu, Dima, & Teodorescu (2014), “communication requires a sender, a message, a medium and a recipient” (p. 47). In this scenario nurse management is the sender, the message is the need to change moderate sedation practices, the medium is the power point presentation, and the recipients are the GI lab caregivers.

Caregivers Perceptions

While the message seemed like it was a simple message, management did not take into account the external climate when they chose to address the sedation issues. Management asked me to deliver the message during a transition time where caregivers were upset with the changes taking place in the department. The GI caregivers were also worried about their jobs during this time because they heard rumors about the meeting with leadership and understood the purpose of the meeting was to scold the nurses for not following policy and possibly fire policy offenders.  Marquis & Huston reported that “perception of the message is altered greatly depending on the climate that exists at the time the message was sent or received” (p. 439).  

During the sedation talks, caregivers were visibly upset and even verbally raised concerns of being fired for not following policy or working outside their scope of practice. I took the feedback from the meeting to nursing leadership and follow-up meetings were scheduled to communicate to caregivers that the only reason for the change was to be compliant with policy and create a safe environment for the patients. While the message was clear, management did not choose a great time to deliver the message. “Effective communication requires paying attention to an entire process, not only the content of the message” (Benjamin, 2016, para 3). Management did not pay close attention to the current climate in the GI lab when deciding when to deliver the message to the caregivers.

Making Communication More Effective

There are two things I think that could have made the initial delivery of the message better. The first is management should have delivered the message or been present at the staff meeting to answer questions and reassure the purpose of the message. I also think management should have been more aware of the climate in the GI lab and not presented the changes to current practice during the time caregivers were already upset with other issues within the department.

References

Benjamin, D. R. (2016). Developing Effective Communication Skills – An Important Aspect for Engineers & Doctors. Language In India, 16(3), 194-201. Retrieved from http://eds.a.ebscohost.com.ezp.waldenulibrary.org/eds/detail/detail?vid=0&sid=f46e44d5-e74a-47bf-9c7c-f1e2a79b33df%40sessionmgr4008&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#db=ufh&AN=114267132

Gifu, D., Dima, I. C., & Teodorescu, M. (2014). New communication approaches vs. traditional communication. International Letters of Social and Humanistic Sciences, (20), 46–55. Retrieved from file:///C:/Users/atmil/Downloads/ILSHS.31.46.pdf

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins