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NURS 8310 Assignment 4: Planning for Evaluation


Section 5 of Major Assessment 7: Using an Epidemiological Approach to Critically Analyze a Population Health Problem

Assignment 4: Evaluation is due by Day 7 of this week. Please refer to Week 8 for complete instructions.

To complete:

In 2–3 pages, write the following section of your paper:

Section 5: Evaluation An evaluation plan based upon the health outcome that you have chosen and your anticipated results

By Day 7


Submit your Assignment.

Submission and Grading Information


To submit your completed Assignment for review and grading, do the following: Please save your Assignment using the naming convention “WK9Assgn+last name+first initial.(extension)” as the name. Click the Week 9 Assignment Rubric to review the Grading Criteria for the Assignment. Click the Week 9 Assignment link. You will also be able to “View Rubric” for grading criteria from this area. Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK9Assgn+last name+first initial.(extension)” and click Open. If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database. Click on the Submit button to complete your submission.

Grading Criteria



Week 9



Infectious diseases can be very difficult to combat. In the present day of COVID-19 there remains the potential for other disease process even as the focus remains on the highly infectious pandemic. One disease process that has seen an increase in numbers is Tuberculosis. The diagnosis of tuberculosis is required by law to be reported to local health officials were they are required by law to report any active cases of tuberculosis to the CDC within 24 hours. It is imperative that the report take place. In the event of an outbreak as TB is a highly infectious illness, public health officials need to be able to determine who the first case was and from there they are more able to determine where they were infected. (CDC, 2020). A great example of descriptive epidemiology for TB came from September 2014. In El Paso, Texas one nursing assistant was responsible for exposing around 700 infants in the NICU at one hospital. It was determined that the nurse tested positive in August of 2014. In that time frame she exposed hundreds of infants to TB. While the health officials made a statement that the infants could not spread the TB due to their smaller lung capacity due to the aerosolized nature of the disease and the weakened immune systems and lower lung capacity they are still at a higher risk of developing the disease. They found that after a month of contact tracing they still needed to contact 200 families and the total rose to 854 exposures at that time only 5 infants tested positive for TB. (Zuber, 2014). The investigative process determined who the exposure came from, where they were, and the time frame. The epidemiological triangle is a visual representation of how disease is spread. The disease is spread through a host coming into contact with the agent with the aid or hindrance of environmental factors. In this case, the host was the nursing assistant was infected with the agent, tuberculosis, exposed hundreds of babies in the NICU, in an environment that aided the transmission. Many NICU’s across the country require staff and visitors to take precautions such as scrubbing in and staying home if any signs of illness are present before entering and coming into contact with the babies. However, Tuberculosis is an airborne illness and in 2014 we were not experiencing a global pandemic that encouraged mask use. In this example, the outbreak was contained to the El Paso area. However, hospital protocols were ignored as the date of symptoms began in August of 2014 and the diagnosis came in September 2014 by the nursing assistants private doctor. Reports stated that the nursing assistant made other staff and supervisors aware of her symptoms. The hospital made a statement saying that the employee’s annual TB testing only showed latent TB and no future testing was required and so they allowed the employee to continue working until her physician diagnosed her with active TB. The organizations involved were the affected hospital, the local and state health departments as well as the CDC. Not many reports were published after the initial reporting and the CDC’s annual TB report did not specify incidences.

References:

Friis, R. H., & Sellers, T. A. (2021). Epidemiology for public health practice (6th ed.). Jones & Bartlett

CDC. (2020, April 15). Genotyping Guide | Core Steps of An Outbreak Investigation | Appendix B | Appendices | TB | CDC. Www.cdc.gov. https://www.cdc.gov/tb/programs/genotyping/append/appendixb_4_core.htm

Zuber, J. A. (2014, October 2). Tuberculosis scare: El Paso Health Dept. still looking for families nearly two weeks later. KFOX. https://kfoxtv.com/news/health-watch/tuberculosis-scare-el-paso-health-dept-still-looking-for-families-nearly-two-weeks-later


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