Assignent Solutionnurs

Population health problems are, by nature, complex adaptive systems. Reductionist approaches are not always sufficient to understand these systems, which then results in solutions not appropriately addressing the problem. Systems thinking involves more than just thinking about systems, but requires us to think of systems as structural concepts. In addition, it requires us to assess how systems and their interactions influence health outcomes in a formal manor. Conceptualization of these interactions requires methodologic tools that helps to elicit clarity in causal paths. This exercise will incorporate three different [sequential] methods that are used in the mapping process that facilitates development of dynamic hypotheses and systems thinking: (i) Rich pictures (eco-mapping), (ii) interrelationship diagraphs, and (iii) causal loop diagrams.
Readings to complete for this assignment (and required for Module 12):
Diez Roux AV. Complex Systems Thinking and Current Impasses in Health Disparities Research. Am J Public Health. 2011, 101(9), 1627–1634. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3154209/ (Links to an external site.)
Glass TA, McAtee MJ. Behavioral science at the crossroads in public health: Extending horizons, envisioning the future. Social Science and Medicine. 2006, 62(7), 1650-1671. https://doi.org/10.1016/j.socscimed.2005.08.044 (Links to an external site.)
Peters DH. The application of systems thinking in health: why use systems thinking? Health Research Policy and Systems 2014, 12:51. http://www.health-policy-systems.com/content/12/1/51 (Links to an external site.)
Butler AM. Social Determinants of Health and Racial/Ethnic Disparities in Type 2 Diabetes in Youth. Curr Diab Rep. 2017 Aug; 17(8):60. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5728112/
Assignment: There is an obesity epidemic in the United States, with increased incidence of Type II diabetes. There is evidence of racial and ethnic disparities in these rates. Use the conceptual model Axis of Nested Hierarchies outlined in Glass et al (2006) as a guide to develop dynamic hypotheses that could explain racial and ethnic disparities in diabetes rates. Address multiple levels in mapping individual, social, and institutional factors. Not all levels need be incorporated, but multiple levels from genomic [underwater] to global [uphill] must be considered. Include facilitators and barriers. To complete this assignment, submit the following four products:
Construct a rich picture (eco map) to map issues and concerns among the stakeholders. This should include identifying motivations and perceptions of stakeholders (individuals, health care workers, society, and institutions); identifying formal and informal structures, hierarchies, and networks; process of how things flow; and outcomes including intended and unintended.
Construct an interrelationship digraph (IRD) that builds on the rich picture in order to explore the myriad interactions of the key variables that can have an impact on outcomes.
Construct a causal loop diagram (CLD), using the information from the rich picture, that demonstrates the dynamic hypothesis or hypotheses. The CLD should contain minimally one balancing or reinforcing loop that may include positive and negative attributes.
In conjunction with the CLD, write a paragraph that summarizes the CLD in words.
Notes to assist you with completing this assignment:
The readings provide information on factors to be considered. The online module and Diez Roux paper provides information on the tools themselves.
You can view a sample by clicking hereActions . However, please ensure that your map is different than this sample and that the work you are submitting is your own. We will be looking strictly at any suspected plagiarism.
You can view the rubric that will be used to grade this assignment by clicking hereActions .
You may discuss this exercise with your classmates, particularly the rich picture portion of the assignment, to gain insight into the breadth of components that are involved. However, your product must be your own. You cannot submit group work for this assignment. Please ensure that your map is different than your classmates’ and that the work you are submitting is your own. We will be looking strictly at any suspected plagiarism.