Globalization, Nursing, and Pharmaceutical Policy Reform
This paper examines the impact of globalization on nursing practice and global healthcare equity, highlighting how economic disparities, transnational disease transmission, and environmental degradation disproportionately burden low-income populations. It then proposes a policy change focused on regulating pharmaceutical pricing to improve access to affordable healthcare worldwide. Using the Kingdon streams model as a theoretical framework, the paper outlines agenda-setting, design, implementation, and evaluation strategies for achieving international pharmaceutical industry regulation through the World Health Organization and the United Nations. The paper underscores the central role nurses play in both advocating for and evaluating such policy reforms.
- Globalization and Its Impact on Nursing: Globalization reshapes nursing amid growing transnational health challenges
- Health Disparities in a Globalized World: Poverty and trade drive unequal disease burdens globally
- Proposed Policy Change: Access to Affordable Healthcare: Pharmaceutical price regulation proposed as key policy reform
- Agenda-Setting and the Kingdon Model: WHO and UN lobbying to build global policy consensus
- Design and Implementation Strategies: Evidence-based design and regulatory compliance framework outlined
- Evaluation Strategies: Nurses assess affordability and patient health outcomes
- Conclusion: Urgent regulation needed to keep healthcare universally accessible
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What makes this paper effective
- Grounds the policy proposal in a concrete, data-driven portrait of global health inequality, using World Bank and WHO statistics to establish urgency.
- Connects a broad global problem (pharmaceutical overpricing) to a specific actionable remedy, making the argument practical rather than purely descriptive.
- Integrates a named theoretical framework (the Kingdon streams model) to lend academic structure to the policy advocacy process.
Key academic technique demonstrated
The paper demonstrates policy-analysis scaffolding: it moves systematically through problem identification, stakeholder engagement, theoretical framing, design, implementation, and evaluation. This mirrors the standard nursing health-policy writing model and shows how a practitioner-scholar connects evidence to advocacy to action.
Structure breakdown
The paper opens with a review of globalization's effects on nursing and health equity, then narrows to a specific policy proposal on pharmaceutical pricing. It applies the Kingdon model to explain how the issue can reach the legislative agenda, before detailing design, implementation, and evaluation phases. A brief conclusion ties together the ethical imperative for reform. The structure follows a problem–solution–execution arc commonly used in nursing policy papers.
Globalization and Its Impact on Nursing
The term globalization has been used to describe the increasing social and economic interdependence among and between countries (Bradbury-Jones & Clark, 2017). Shifting disease and health patterns have been linked to this phenomenon. Global health refers to health issues that are not geographically contained and that no single country can address alone (Bradbury-Jones & Clark, 2017). In response to the global challenges of health and globalization itself, nurses have had to practice their profession within the context of emerging transnational situations (Bradbury-Jones & Clark, 2017). For this reason, nurses must proactively respond to dynamic global changes and understand the consequences of globalization on health.
In this era of healthcare globalization, it is necessary to underscore the positive changes in biotechnology and communication (Da Silva, 2008). Globalization, however, appears to have more negative effects on the health of poorer populations worldwide. This is because poverty is closely associated with health expectations and conditions (Da Silva, 2008). Close to 2.8 billion of the approximately 6 billion people globally live on less than $2 per day, while another 1.2 billion people live on less than $1 per day. Of all people living in poverty, 44% are found in Southern Asia (World Bank, 2012). As a result of these conditions, 90% of global diseases are concentrated in poor countries, yet those countries command less than 10% of global healthcare resources (Da Silva, 2008). This disparity is reflected in the slow development of poor countries, driven by poor health outcomes and the loss of productive young lives.
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