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picot question paper|2025

February 15, 2025/in Nursing Questions /by Besttutor

Purpose

This assignment provides the opportunity for the student to continue work on a previously identified area or phenomenon of interest related to their MSN specialty track. Week Two’s assignment builds upon the identified area of interest by developing an overview of the evidence-based practice (EBP) project and the PCIOT/PICo question. This assignment initiates the evidence-based practice proposal that is continued throughout the entire course with each assignment adding components of the research process.Course OutcomesThis assignment enables the student to meet the following course outcomes:CO#1 Integrate evidence-based practice and research to support advancement of holistic nursing care in diverse healthcare settings. PO 1CO#2 Integrate knowledge related to evidence-based practice and person-centered care to improve healthcare outcomes.  PO 2, 5CO#4 Develop knowledge related to research and evidence-based practice as a basis for designing and critiquing research studies. PO 1, 2, 3, 5Due Date: Sunday 11:59 PM MT at the end of Week TwoTotal Points Possible: 150 pointsRequirementsDescription of the AssignmentThis assignment builds on the identification of a nursing concern from NR 500 and the application of a nursing theory to the selected concern from NR 501. For this course, the selected concern and nursing theory then serve as a foundation to the identification of PICOT/PICo. Identification of the literature search strategy is also required.Criteria for Content1. Overview of Selected Evidenced-based Practice Project: This section provides a foundation to the MSN EBP scholarly project. It should contain the following elements:· Explain the relationship between research and evidenced-based practice (EBP)· Distinguish how EBP is different from research· Explain the contribution of EBP to professional nursing· Identify your MSN Program Specialty Track and practice focus· Explain how EBP promotes change within your future practice setting 2. Identification of the Nursing Concern to be Improved: This section provides a comprehensive discussion of the selected nursing concern. It should contain the following elements:· Explain the selected nursing concern in detail· Identify how frequently the selected concern occurs within your specialty track setting· Identify the stakeholders impacted by the concern· Identify the consequences of the selected concern· Identify your proposed solution to the selected concern· Identify a purpose statement for this EBP proposal 3. PICOT/PICo question and Literature Search Process: This section identifies the PICOT/PICo question that will used for this EBP proposal. The literature search parameters will also be identified. It should contain the following elements:· Identify the question in correct format with all required elements· PICOT for quantitative research approach· PICo for qualitative research approach· Identify how the expected outcome will be useful to your future practice setting· Discuss the purpose of conducting a literature review and the contribution it will provide to this EBP proposal· Identify the steps used to conduct a literature review for this EBP proposal by including:· The specific library databases used· The key search terms and phrases used· The minor (additional) search terms and phrases used· Identify any specialty organization that is relevant to this EBP proposal 4. Theoretical Framework: This section presents the theoretical framework that will used in this EBP project. It should contain the following section:· Explain the theoretical framework to be used in this EBP proposal· Describe how the identified theoretical framework is applied to this EBP proposal Preparing the AssignmentCriteria for Format and Special Instructions1. The paper (excluding the title page and reference page) should be at least 5, but no more than 8 pages. Points will be lost for not meeting these length requirements.2. Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.3. A minimum of 6 (six) appropriate research-based scholarly references must be used. Required textbook for this course, dictionary and Chamberlain College of Nursing lesson information may NOT be used as scholarly references for this assignment. For additional assistance regarding scholarly nursing references, please see “What is a scholarly source” located in the Course Resources tab. Be aware that information from .com websites may be incorrect and should be avoided. References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them prior to submission of the assignment.4. Ideas and information from scholarly, peer reviewed, nursing sources must be cited and referenced correctly.5. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing.Directions and Assignment CriteriaC:\Users\D01030541\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\7T7OKQBI\Pre-licensure Header_Seal Only (3).jpgChamberlain College of Nursing NR505 Advanced Research Methods: Evidenced Based PracticeChamberlain College of Nursing NR505 Advanced Research Methods: Evidenced Based Practice NR505: W2 Assignment Refinement of Nsg. Concern Rev-7/31/2017 (AR)  Grading Rubric

Assignment Criteria Points % Description
Overview of Selected Evidenced-based Practice Project 25 17 Required content for this section includes:

· Explain the relationship between research and evidenced-based practice (EBP)

· Distinguish how EBP is different from research

· Explain the contribution of EBP to professional nursing

· Identify your MSN Program Specialty Track and practice focus

· Explain how EBP promotes change within your future practice setting

Identification of the Nursing Concern to be Improved

 

 

25 17 Required content for this section includes:

· Explain the selected nursing concern in detail

· Identify how frequently the selected concern occurs within your specialty track

· Identify the stakeholders impacted by the concern

· Identify the consequences of the selected concern

· Identify your proposed solution to the selected concern

· Identify a purpose statement for this EBP proposal

PICOT/PICo question and Literature Search Process

 

20 13 The required content for this section includes:

Identify the question in correct format with all required elements:

· PICOT for quantitative research approach

· PICo for qualitative research approach

· Identify how the expected outcome will be useful to your future practice setting

· Discuss the purpose of conducting a literature review and the contribution it will provide to this EBP proposal

· Identify the steps used to conduct a literature review for this EBP proposal by including:

· The specific library databases used

· The key search terms and phrases used

· The minor (additional) search terms and phrases used

· Identify any specialty organization that is relevant to this EBP proposal

Theoretical Framework 20 16 The required content for this section includes:

· Explain the theoretical framework to be used in this EBP proposal

· Describe how the identified theoretical framework is applied to this EBP proposal

Paper Specifications 10 8 Paper meets length requirements of 5 to 8 pages.

Minimum of 6 (six) appropriate research scholarly nursing references

A dictionary, required textbook for this course and Chamberlain College of Nursing lesson information, may NOT be used as scholarly references for this assignment.

References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them prior to assignment submission.

APA Format (6th edition) 25 17 Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.

One deduction for each type of APA style error

Citations in Text 10 7 Ideas and information that come from readings must be cited and referenced correctly.
Writing Mechanics 15 10 Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the 6th edition of the APA manual.
Total  150 100 %  
NR505: W2 Assignment Refinement of Nsg. Concern Rev-7/31/2017 (AR),

REV 1/10/18 (AR)

 

5
 

Assignment Criteria

Exceptional

(100%)

Outstanding or highest level of performance

Exceeds

(88%)

Very good or high level of performance

Meets

(80%)

Competent or satisfactory level of performance

Needs Improvement

(38%)

Poor or failing level of performance

Developing

(0)

Unsatisfactory level of performance

Content

Possible Points = 100 Points

Overview of Selected Evidenced-based Practice Project 25 Points 22 Points 20 Points 10 Points 0 Points
  Presentation of information was exceptional and included all of the following elements:

· Explain the relationship between research and evidence-based practice (EBP)

· Distinguish how EBP is different from research

· Explain the contribution of EBP to professional nursing

· Identify your MSN Program Specialty Track and practice focus

· Explain how EBP promotes change within your future practice setting

 

Presentation of information was good, but was superficial in places and included all of the following elements:

· Explain the relationship between research and evidence-based practice (EBP)

· Distinguish how EBP is different from research

· Explain the contribution of EBP to professional nursing

· Identify your MSN Program Specialty Track and practice focus

· Explain how EBP promotes change within your future practice setting

 

 

Presentation of information was minimally demonstrated in the all of the following elements:

· Explain the relationship between research and evidence-based practice (EBP)

· Distinguish how EBP is different from research

· Explain the contribution of EBP to professional nursing

· Identify your MSN Program Specialty Track and practice focus

· Explain how EBP promotes change within your future practice setting

 

 

Presentation of information in one or two of the following elements fails to meet expectations:

· Explain the relationship between research and evidence-based practice (EBP)

· Distinguish how EBP is different from research

· Explain the contribution of EBP to professional nursing

· Identify your MSN Program Specialty Track and practice focus

· Explain how EBP promotes change within your future practice setting

 

 

Presentation of information is unsatisfactory in three or more of the following elements:

· Explain the relationship between research and evidence-based practice (EBP)

· Distinguish how EBP is different from research

· Explain the contribution of EBP to professional nursing

· Identify your MSN Program Specialty Track and practice focus

· Explain how EBP promotes change within your future practice setting

 

 

Identification of the Nursing Concern to be Improved

 

25 Points 22 Points 20 Points 10 Points 0 Points
  Presentation of information was exceptional and included all of the following elements:

· Explain the selected nursing concern in detail

· Identify how frequently the selected concern occurs within your specialty track setting

· Identify the stakeholders impacted by the concern

· Identify the consequences of the selected concern

· Identify your proposed solution to the selected concern

· Identify a purpose statement for this EBP proposal

Presentation of information was good, but was superficial in places and included all of the following elements:

· Explain the selected nursing concern in detail

· Identify how frequently the selected concern occurs within your specialty track setting

· Identify the stakeholders impacted by the concern

· Identify the consequences of the selected concern

· Identify your proposed solution to the selected concern

· Identify a purpose statement for this EBP proposal

 

 

Presentation of information was minimally demonstrated in the all of the following elements:

· Explain the selected nursing concern in detail

· Identify how frequently the selected concern occurs within your specialty track setting

· Identify the stakeholders impacted by the concern

· Identify the consequences of the selected concern

· Identify your proposed solution to the selected concern

· Identify a purpose statement for this EBP proposal

 

 

Presentation of information in one, two or three of the following elements fails to meet expectations:

· Explain the selected nursing concern in detail

· Identify how frequently the selected concern occurs within your specialty track setting

· Identify the stakeholders impacted by the concern

· Identify the consequences of the selected concern

· Identify your proposed solution to the selected concern

· Identify a purpose statement for this EBP proposal

 

 

Presentation of information is unsatisfactory in four or more of the following elements:

· Explain the selected nursing concern in detail

· Identify how frequently the selected concern occurs within your specialty track setting

· Identify the stakeholders impacted by the concern

· Identify the consequences of the selected concern

· Identify your proposed solution to the selected concern

· Identify a purpose statement for this EBP proposal

 

 

PICOT/PICo question and Literature Search Process 20 Points 18 Points 16 Points 8 Points 0 Points
  Presentation of information was exceptional and included all of the following elements:

· Identify the question in correct format with all required elements

· PICOT for quantitative research approach

· PICo for qualitative research approach

· Identify how the expected outcome will be useful to your future practice setting

· Discuss the purpose of conducting literature review and the contribution it will provide to this EBP proposal

· Identify the steps used to conduct a literature review for this EBP proposal by including:

· The specific library databases used

· The key search terms and phrases used

· The minor (additional) search terms and phrases used

· Identify any specialty organization that is relevant to this EBP proposal

 

Presentation of information was good, but was superficial in places and included all of the following elements:

· Identify the question in correct format with all required elements

· PICOT for quantitative research approach

· PICo for qualitative research approach

· Identify how the expected outcome will be useful to your future practice setting

· Discuss the purpose of conducting literature review and the contribution it will provide to this EBP proposal

· Identify the steps used to conduct a literature review for this EBP proposal by including:

· The specific library databases used

· The key search terms and phrases used

· The minor (additional) search terms and phrases used

· Identify any specialty organization that is relevant to this EBP proposal

 

Presentation of information was minimally demonstrated in the all of the following elements:

· Identify the question in correct format with all required elements

· PICOT for quantitative research approach

· PICo for qualitative research approach

· Identify how the expected outcome

will be useful to your future practice setting

· Discuss the purpose of conducting literature review and the contribution it will provide to this EBP proposal

· Identify the steps used to conduct a literature review for this EBP proposal by including:

· The specific library databases used

· The key search terms and phrases used

· The minor (additional) search terms and phrases used

· Identify any specialty organization that is relevant to this EBP proposal

 

 

Presentation of information in one or two of the following elements fails to meet expectations:

· Identify the question in correct format with all required elements

· PICOT for quantitative research approach

· PICo for qualitative research approach

· Identify how the expected outcome will be useful to your future practice setting

· Discuss the purpose of conducting literature review and the contribution it will provide to this EBP proposal

· Identify the steps used to conduct a literature review for this EBP proposal by including:

· The specific library databases used

· The key search terms and phrases used

· The minor (additional) search terms and phrases used

· Identify any specialty organization that is relevant to this EBP proposal

 

 

Presentation of information is unsatisfactory in three or more of the following elements:

· Identify the question in correct format with all required elements

· PICOT for quantitative research approach

· PICo for qualitative research approach

· Identify how the expected outcome will be useful to your future practice setting

· Discuss the purpose of conducting literature review and the contribution it will provide to this EBP proposal

· Identify the steps used to conduct a literature review for this EBP proposal by including:

· The specific library databases used

· The key search terms and phrases used

· The minor (additional) search terms and phrases used

· Identify any specialty organization that is relevant to this EBP proposal

 

 

Theoretical Framework 20 Points 18 Points 16 Points 8 Points 0 Points
  Presentation of information was exceptional and included all of the following elements:

· Explain the theoretical framework to be used in this EBP proposal

· Describe how the identified theoretical framework is applies to this EBP proposal

Presentation of information was good, but was superficial in places and included all of the following elements:

· Explain the theoretical framework to be used in this EBP proposal

· Describe how the identified theoretical framework is applies to this EBP proposal

 

Presentation of information was minimally demonstrated in the all of the following elements:

· Explain the theoretical framework to be used in this EBP proposal

· Describe how the identified theoretical framework is applies to this EBP proposal

 

 

Presentation of information in one of the following elements fails to meet expectations:

· Explain the theoretical framework to be used in this EBP proposal

· Describe how the identified theoretical framework is applies to this EBP proposal

 

 

Presentation of information is unsatisfactory in two of the following:

· Explain the theoretical framework to be used in this EBP proposal

· Describe how the identified theoretical framework is applies to this EBP proposal

 

 

Paper Specifications 10 Points 9 Points 8 Points 4 Points 0 Points
  This section included all of the following:

· Paper meet length requirements of 5 to 8 page.

· Minimum of 6 (six) scholarly nursing references

· Dictionary, required textbook for this course and Chamberlain College of Nursing lesson information, were NOT used as scholarly references.

· All references are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them.

This section included three of the following:

· Paper meet length requirements of 5 to 8 page.

· Minimum of 6 (six) scholarly nursing references

· Dictionary, required textbook for this course and Chamberlain College of Nursing lesson information, were NOT used as scholarly references.

· All references are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them.

This section included only two of the following:

· Paper meet length requirements of 5 to 8 page.

· Minimum of 6 (six) scholarly nursing references

· Dictionary, required textbook for this course and Chamberlain College of Nursing lesson information, were NOT used as scholarly references.

· All references are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them.

This section included only one of the following:

· Paper meet length requirements of 5 to 8 page.

· Minimum of 6 (six) scholarly nursing references

· Dictionary, required textbook for this course and Chamberlain College of Nursing lesson information, were NOT used as scholarly references.

· All references are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them.

This section included none of the following:

· Paper meet length requirements of 5 to 8 page.

· Minimum of 6 (six) scholarly nursing references

· Dictionary, required textbook for this course and Chamberlain College of Nursing lesson information, were NOT used as scholarly references.

· All references are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them.

Content Subtotal ________of 100 points
Format

Possible Points = 50 Points

APA Style 25 Points 22 Points 20 Points 10 Points 0 Points
  APA guidelines, as per the 6th edition of the manual, are demonstrated for the

· title page,

· running head,

· body of paper (including margins, headings, font etc), and

reference page

 

One deduction for each type of APA format error

0 to 1 APA error was present

APA guidelines, as per the 6th edition of the manual, are demonstrated for the

· title page,

· running head,

· body of paper (including margins, headings, font etc), and

reference page

 

One deduction for each type of APA format error

2 – 3 APA errors were present

APA guidelines, as per the 6th edition of the manual, are demonstrated for the

· title page,

· running head,

· body of paper (including margins, headings, font etc), and

reference page

 

One deduction for each type of APA format error

4 – 5 APA errors were are present

APA guidelines, as per the 6th edition of the manual, are demonstrated for the

· title page,

· running head,

· body of paper (including margins, headings, font etc), and

reference page

 

One deduction for each type of APA format error

6 – 7 APA errors were present

APA guidelines, as per the 6th edition of the manual, are demonstrated for the

· title page,

· running head,

body of paper (including margins, headings, font etc), and reference page

 

One deduction for each type of APA format error

8 or greater APA errors were present

Citations 10 Points 9 Points 8 Points 4 Points 0 Points
  There were 0-1 errors in the crediting of ideas, and information that contributed to knowledge

 

There were 2-3 errors in the crediting of ideas, and information that contributed to knowledge

 

There were 4-5 errors in the crediting of ideas, and information that contributed to knowledge

 

 

There were 6-7 errors in the crediting of ideas, and information that contributed to knowledge There were 8 or greater errors in the crediting of ideas, and information that contributed to knowledge
Writing Mechanics 15 Points 13 Points 12 Points 6 Points 0 Points
  1–2 errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6th edition of the APA manual 3 – 4 errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6th edition of the APA manual 5 – 6 errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6th edition of the APA manual

 

7 – 8 errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6th edition of the APA manual

 

9 or greater errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6th edition of the APA manual

 

Format Subtotal _____of 50 points
Total Points _____of 150 points
NR505: W2 Assignment Refinement of Nsg. Concern Rev-7/31/2017 (AR); Rev 11/20/2017 (AR)

 

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NURS 6050

February 15, 2025/in Nursing Questions /by Besttutor

Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice.

Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy.

 

The Assignment: (1- to 2-page Comparison Grid; 1- to 2-page Legislation Testimony/Advocacy Statement)

 

Part 1: Legislation Comparison Grid

 

Based on the health-related bill you selected, complete the Legislation Comparison Grid Template. Be sure to address the following:

 

Determine the legislative intent of the bill you have reviewed.

Identify the proponents/opponents of the bill.

Identify the target populations addressed by the bill.

Where in the process is the bill currently? Is it in hearings or committees?

Is it receiving press coverage?

Part 2: Legislation Testimony/Advocacy Statement

 

Based on the health-related bill you selected, develop a 1- to 2-page Legislation Testimony/Advocacy Statement that addresses the following:

 

Advocate a position for the bill you selected and write testimony in support of your position.

Describe how you would address the opponent to your position. Be specific and provide examples.

Recommend at least one amendment to the bill in support of your position.

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HYPOTHYROIDISM SOAP NOTE|2025

February 15, 2025/in Nursing Questions /by Besttutor

Hypothyroidism SOAP NOTE

Patient Initials: Age:  Gender:

SUBJECTIVE DATA:

Chief Complaint (CC): “ ”.

History of Present Illness (HPI):

Medications:

Allergies:

Past Medical History (PMH):

Current medication:

Past Surgical History (PSH):

Family History:

Personal/Social History:

Immunization: up to date.

Lifestyle:

Review of Systems:

General:

HEENT:

Neck:

Breasts:

Respiratory:

Cardiovascular/Peripheral Vascular:

Gastrointestinal:

Genitourinary:

Musculoskeletal:

Psychiatric:

Neurological

Skin:

Hematologic:

Endocrine:

OBJECTIVE DATA:

Physical Exam:

Vital signs: Temperature: ; BP:  mmHg; HR: bpm; RR:  /min; Oxygen Saturation: %; Pain: (0-10 scale), Weight lb; Height; BMI

General:.

HEENT:

Neck:

Chest

Lungs:

Heart:

Peripheral Vascular:

Genital/Rectal:

Musculoskeletal:

Neurological:

Skin:

ASSESSMENT:

Differential Diagnosis

1. Hyperthyroidism.

2.

3.

From both the subjective and objective data, it is clear that the main diagnosis is

PLAN:

Treatment Plan: (please prescription with dose)

Non-pharmacological approaches

For the follow-up, the patient should get back to the hospital after

References: 2 or 3 with APA format

 

Soap Note 2 Chronic Conditions (15 Points)

Pick any Chronic Disease from Weeks 6-10

Follow the MRU Soap Note Rubric as a guide:

Use APA format and must include minimum of 2 Scholarly Citations.

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

Please use the sample templates for you soap note, keep these templates for when you start clinicals.

The use of templates is ok with regards of Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient.

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The Role of the RN/APRN in Policy Making|2025

February 15, 2025/in Nursing Questions /by Besttutor

Word cloud generators have become popular tools for meetings and team-building events. Groups or teams are asked to use these applications to input words they feel best describe their team or their role. A “word cloud” is generated by the application that makes prominent the most-used terms, offering an image of the common thinking among participants of that role.

What types of words would you use to build a nursing word cloud? Empathetic, organized, hard-working, or advocate would all certainly apply. Would you add policy-maker to your list? Do you think it would be a very prominent component of the word cloud?

Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence the politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation.

To Prepare:

  • Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making.
  • Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process.

By Day 3 of Week 8

Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples.

By Day 6 of Week 8

Respond to at least two of your colleagues’* posts by suggesting additional opportunities or recommendations for overcoming the challenges described by your colleagues.

*Note: Throughout this program, your fellow students are referred to as colleagues. Everything should be in APA 7 formart. At least 3 references all  with DOI number and at least 3 paragraphs for mainpost and 2 for replies.’

Discussion for reply one  (Guy)

RNs and APRNs have crucial roles in health care to inform decisions of policy making. There are many opportunities that exist for nursing professionals to participate in policy making. According to Burke (2016), “It’s essential that policies exist that define and integrate appropriate standards for delivery of care and address conditions necessary for that care to occur. Through policy work, nurses can and should influence practice standards and processes to assure quality of care. Nurses who influence policy help share the care that will be provided today and tomorrow. Policies also impact resource allocation to support delivery of healthcare”.

One opportunity that exists for nurses to become active in policy making is to become a member of the American Nurses Association. According to Catallo, Spalding, & Haghiri-Vijeh (2014), “Policy products that the ANA offers include a “policy activist took kit”. As part of this took kit, RNs are provided with resources that include how to get involved in a political campaign, writing letters to the editor, how to engage politicians and carry out lobbying activities”. The article “Nursing Professional Organizations: What Are They Doing to Engage Nurses in Health Policy?” discusses how nurses can become engaged in health policy activities and how to address policy issues.

Another opportunity that exists for nurses to become active in policy making is to advance their education by becoming an APRN. According to Regis College (n.d), “Nurse practitioners have an opportunity to serve as advocates for patients, families, communities, other nurses, and health care organizations. Through this advocacy, nurse practitioners can influence health care policy. By gaining a comprehensive understanding in particular areas of health care, nurse practitioners are uniquely situated to support positions that will benefit out communities”. Becoming an APRN prepares your ability to participate in advocacy of health care policy making.

A strategy that can be used to promote nursing professionals involvement in policy making is to do so through nursing employers. For example, I would propose to create and implement a “Policy Committee” through my hospital organization to discuss the potential nurse advocacy benefits we can offer to policy making. In addition, as mentioned by Catallo et al,. (2014), to convey “Political awareness and understanding of the importance of being involved in nursing organizations, time to engage in policy development outside of nursing work, and resources to develop skills in policy participation”.

Another strategy that can be implemented to overcome to barriers of nursing involvement in policy making is to do so through nursing education. According to Short (2008), “The foundations for a professional understanding of health care policy should be well laid in formal education and synthesized with practice and work environments. Without time to promote synthesis of policy concepts related to the practice environment, nurses have no basis for further exploration and may remain naive to the influences of policy throughout their career”. If nursing students (RN or APRN) were exposed to health care policy and the influence their roles can have on policy making during their nursing education, there would be much more nursing involvement in health care policy that is needed today.

References

Burke, A. (2016). Influence Through Policy: Nurses Have a Unique Role. Retrieved October 18, 2020 from https://nursingcentered.sigmanursing.org/commentary/more-commentary/Vol42_2_nurses-have-a-unique-role.

Catallo, C., Spalding, K., & Haghiri-Vijeh, R. (2014). Nursing Professional Organizations: What Are They Doing to Engage Nurses in Health Policy? SAGE Open. https://doi.org/10.1177/2158244014560534

Regis College (n.d). How Does Nursing Influence Health Care Policy? Retrieved October 18, 2020 from https://online.regiscollege.edu/blog/how-does-nursing-influence-health-care-policy/

Short N. M. (2008). Influencing health policy: strategies for nursing education to partner with nursing practice. Journal of professional nursing: official journal of the American Association of Colleges of Nursing. 24(5), 264–269. https://doi.org/10.1016/j.profnurs.2007.10.004

Discussion for reply two(Megan)

“The design phase of the policy process is the point at which the original intent of a solution to a problem is understood and the appropriate tools are employed to achieve policy success” (Milstead, 2019). The creation of policies, or presenting your idea, is how nurses can participate in policymaking. Actively working in the nursing field can help nurses see problems that arise and a better solution to patient needs. Bringing these ideas to congress to make changes will benefit the need of the patients. “Nurses’ influence in health policies protects patient safety, increases quality of care, and facilitates their access to the required resources and promotes quality health care” (Arabi et al., 2014).

Advocacy is another way that nurses can participate in policymaking. “We have been patient advocates in our interactions with doctors and administrators, why not with Congress“ (L. Phillips, 2020). Nurses should feel excited and empowered that they get to have a voice in the political world to make healthcare changes. Advocating for our patients is our duty, and I cannot think of a better way to do this than policy creation or changes. “As a component of professional nursing, active participation in the policy process is essential in the formulation of policies designed to provide quality health care at sustainable costs to all individuals” (Milstead, 2019).

Some of the challenges nurses face when getting involved with policymaking are getting push back from legislators and finding the evidence-based practice to support ideas. Nurses must band together and fight for what we know is right and what our patients need. Becoming an active member of a nursing organization can help support new policies or change old policies. Support strength comes in numbers. Having multiple people that share the same ideas will decrease pushback. Finding evidence-based practice to support our ideas may pose a problem, but putting in work to find or create research will be worth it, in the end, to help our patients with new or changed policies. Also, becoming a member of a nursing association can assist with finding or creating evidence-based practice.

The strategies I think will help advocate for these opportunities is being involved in a nursing association and providing courses like this to nurses. I know I spoke of nursing associations already, but I cannot think of a better way to come together and share our similar experiences and ideas to improve processes and policies to assist our patients. Providing courses like this to help educate nurses and get them involved in politics helps drive home the importance of our voices.

References

Arabi, A., Rafii, F., Cheraghi, M., & Ghiyasvandian, S. (2014, May 19). Nurses’ policy influence: A concept analysis. PubMed Central (PMC). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4061635/

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning. Pg.  97

Phillips, R. (2003). Health Care Policy: The Nurse’s Crucial Role. American Academy of Ambulatory Care Nursing. https://www.aaacn.org/volunteer/teams/legislative/health-care-policy-nurses-crucial-role

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Assignment|2025

February 15, 2025/in Nursing Questions /by Besttutor

Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.

In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:

  1. New practice approaches
  2. Intraprofessional collaboration
  3. Health care delivery and clinical systems
  4. Ethical considerations in health care
  5. Population health concerns
  6. The role of technology in improving health care outcomes
  7. Health policy
  8. Leadership and economic models
  9. Health disparities

Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.

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week 4 Case Study on Death and Dying|2025

February 15, 2025/in Nursing Questions /by Besttutor

The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and understanding of a diversity of faith expressions; for the purpose of this course, the focus will be on the Christian worldview.

Based on “Case Study: End of Life Decisions,” the Christian worldview, and the worldview questions presented in the required topic study materials you will complete an ethical analysis of George’s situation and his decision from the perspective of the Christian worldview.

Provide a 1,500-2,000-word ethical analysis while answering the following questions:

  1. How would George interpret his suffering in light of the Christian narrative, with an emphasis on the fallenness of the world?
  2. How would  George interpret his suffering in light of the Christian narrative, with an emphasis on the hope of resurrection?
  3. As George contemplates life with amyotrophic lateral sclerosis (ALS), how would the Christian worldview inform his view about the value of his life as a person?
  4. What sorts of values and considerations would the Christian worldview focus on in deliberating about whether or not George should opt for euthanasia?
  5. Given the above, what options would be morally justified in the Christian worldview for George and why?
  6. Based on your worldview, what decision would you make if you were in George’s situation?

Remember to support your responses with the topic study materials.

Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is required.

This assignment uses a rubric.You are required to submit this assignment to LopesWrite.

1. Bioethics: A Primer for Christians

Read Chapters 6 and 12 in Bioethics: A Primer for Christians.

http://gcumedia.com/digital-resources/wm-b-eerdmans-publishing-co/2013/bioethics_a-primer-for-christians_ebook_3e.php
2. Called to Care: A Christian Worldview for Nursing

Read Chapters 10-12 in Called to Care: A Christian Worldview for Nursing.

http://gcumedia.com/digital-resources/intervarsity-press/2006/called-to-care_a-christian-worldview-for-nursing_ebook_2e.php

3. Defining Death: Medical, Legal and Ethical Issues in the Determination of Death

Read the Introduction and Chapters 1-3 of “Defining Death: Medical, Legal and Ethical Issues in the Determination of Death” by the President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research (1984).

https://repository.library.georgetown.edu/bitstream/handle/10822/559345/defining_death.pdf?sequence=1

Rubric

  1. Analysis of how the man would interpret his suffering in light of the Christian narrative and the fallenness of the world is clear and demonstrates a deep understanding that is skillfully supported by topic study materials. 12%
  2. Analysis of how the man would interpret his suffering in light of the Christian narrative and the hope of resurrection is clear and demonstrates a deep understanding that is skillfully supported by topic study materials. 12%
  3. Analysis of how the Christian worldview of the man might inform his view about the value of his life as a person with ALS is clear and demonstrates a deep understanding that is skillfully supported by topic study materials.12%
  4. Evaluation of which values and considerations the Christian worldview focuses on when deliberating the option of euthanasia for the man is clear and demonstrates a deep understanding that is skillfully supported by topic study materials. 12%
  5. Evaluation of which options would be justified in the Christian worldview for the man is clear and demonstrates a deep understanding that is skillfully supported by topic study materials. 12%
  6. Reflection hypothesis of which personal choices would be make if faced with ALS based on personal worldview is clear, relevant, and insightful. 10%
  7. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 7%
  8. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 8%
  9. Writer is clearly in command of standard, written, academic English. 5%
  10. All format elements are correct.5%
  11. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 5%

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Healthcare system comparison|2025

February 15, 2025/in Nursing Questions /by Besttutor

A. Compare the U.S. healthcare system with the healthcare system of Great Britain, Japan, Germany, or Switzerland, by doing the following:

 

1. Identify one country from the following list whose healthcare system you will compare to the U.S. healthcare system: Great Britain, Japan, Germany, or Switzerland.

The identified country for comparison is from the given list.

 

 

2. Compare access between the two healthcare systems for children, people who are unemployed, and people who are retired.

The comparison accurately describes access to healthcare systems in both the U.S. and the country chosen in part A1 for children, people who are unemployed, and people who are retired. The comparison logically describes the similarities and differences between access to each of the healthcare systems for all of the given groups of people.

 

a. Discuss coverage for medications in the two healthcare systems.

The discussion of coverage for medications is accurate and relevant to both the U.S. healthcare system and the healthcare system of the country chosen in part A1.

 

b. Determine the requirements to get a referral to see a specialist in the two healthcare systems.

The submission accurately determines the requirements to get a referral to see a specialist for both the U.S. healthcare system and the healthcare system of the country chosen in part A1.

 

 

c. Discuss coverage for preexisting conditions in the two healthcare systems.

The discussion of coverage for preexisting conditions is accurate and relevant to both the U.S. healthcare system and the healthcare system of the country chosen in part A1.

 

 

3. Explain two financial implications for patients with regard to the healthcare delivery differences between the two countries (i.e.; how are the patients financially impacted).

 

The explanation logically discusses 2 financial implications for the patient in regards to the delivery differences in both the U.S. healthcare system and the healthcare system of the country chosen in part A1.

 

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soap note|2025

February 15, 2025/in Nursing Questions /by Besttutor

Pediatric SOAP Note

 

Name:  A.P Date: 04/27/2018
Sex: Male Age/DOB/Place of Birth: 2 Y.O/ 04/18/2016/ Hialeah, FL
SUBJECTIVE
Historian: Patient and mother

Present Concerns/CC:

“We are here for follow up on labs results after frequent episodes of nose bleeds”

 

Child Profile:

Patient is a 2 years old toddler who lives with both parents and grandmother from his mother side. He attends daycare Monday –Friday from 8-5 and the rest of the time is cared at home by his parents and grandmother. He drinks 8 ounces of whole milk x 3 times daily and eats solid foods. He is described as a good eater, and his diet include rice, beans, meat and yogurt. He does not like vegetables or fruits but parents try to include them. Patient has met all his milestones on time. He knows most colors, speaks 4-5 words sentences and is able to count to 12. Patient is in the process of toilet training and only uses pamper at nighttime. Patient sleeps 8-9 hours at night and 2 hours nap during the day. Patient rides in the back seat of the car. All cabinets are locked at home and house has smoke alarms.

 

HPI: (must include all components)

2 y/o male born at 39 weeks gestation via uncomplicated vaginal delivery. Seen in the office accompanied by mother for follow up appointment and labs results. Patient had been seen 1week ago due to complaints of frequent nose bleeds. Last episode 1 weeks ago while in office in the presence of the doctor. Bleeding is usually unilateral but can be present in any nostril. Bleeding is usually of short duration and can be easily controlled with finger pressure. Mother denies bruises, easily bleeding, teeth bleeding or melena. Labs ordered showed an unremarkable complete blood count with only abnormal elevation of PT at 50.

Medications:

None

 

PMHX:

 

Allergies:  NKA

 

Medication Intolerances: None

 

Chronic Illnesses/Major traumas: None

 

Hospitalizations/Surgeries: None

 

Immunizations: Up to date

Family History

 

Mother is 28 years old and does not have a past medical history

Father is 36 years old and is healthy. However, he does report similar episodes of nose bleeds since he was a child. He was told it was nose dryness and was never diagnosed with any other disease

Maternal grandmother suffers has GERD.

Maternal grandfather suffers from Hypertension.

Paternal grandmother has Hypertension

Paternal grandfather has hypertension and suffered a TIA 3 years ago but is stable.

History of bleeding disorder of his maternal uncle

 

Social History

 

Patient lives with both parents and maternal grandmother in a rented house. Both parents are accounting and they are initiated their own office. He goes to daycare since he was 1 year and 6-month-old. Mother reports no guns at home, and they have smoke and CO2 alarms at home. Patient is an only child. He wears helmets for safety when riding bikes. Both parents are highly involved in his care.

 

ROS
General

Denies weakness, fever, fatigue, night sweats or malaise

Cardiovascular

Denies abnormal heart beats, murmurs, or chest trauma

Skin

Denies rash, hives, urticarial, bruises or lesions

 

Respiratory

Negative for coughing up blood, respiratory distress or increased respirations

Eyes

Denies eye redness or discharge

Gastrointestinal

Denies blood in the stool, nausea, vomiting or anorexia

 

Ears

 Denies ear tugging or discharge

Genitourinary/Gynecological

Denies cloudy urine or dysuria

 

Nose/Mouth/Throat

Mother reports several episodes of epistaxis.

Negative for nasal congestion, mouth sores or dysphagia

 

Musculoskeletal

Denies limitation of ROM or joint deformities

Breast

Not examined

Neurological

Denies epilepsy, syncope, hyperactivity or loss of consciousness

 

Heme/Lymph/Endo

Denies anemia, unusual bruising, recent blood transfusions, enlarged lymph nodes, increased thirst. Positive for nose bleeds

Psychiatric

Denies sleep problems, anxiety or depression

 

OBJECTIVE
Weight       

35 lbs

Temp 98.3 BP 106/67
Height

91.44 cm

Pulse 86 Resp/ 18

 

General Appearance and parent‐child interaction

Healthy appearing toddler, sitting on his mother’s lap with positive interaction with mother

 

Skin

Normal skin turgor, with warm and intact skin. Capillary refill 2 seconds

 

HEENT

 

Normocepahlic head with even hair distribution. Pupils PERRLA. EOMs intact. Tympanic membranes pink. Patent nasal nares. Septum midline. No obstruction or foreign body observed. Mouth with all teeth and molars without carries. No JVD. Neck supple and with full ROOM.

.

 

Cardiovascular

Heart rate and sounds with normal findings. No cyanosis, clubbing or edema. S1 and S2 present.

 

Respiratory

Bilateral lung fields clear. Effortless respirations and chest wall expansion. No wheezing, crackles or Ronchi

 

Gastrointestinal

Round abdomen without rebound tenderness. BS active x 4.

 

Breast

Not examined

Genitourinary

Normal external genitalia. Tenner stage 1

 

 

Musculoskeletal

Full head control and normal spine curvature.

Neurological

Reflexes 2 + throughout. Moro reflex not present. Romberg test negative.

 

Psychiatric

Playful toddler with positive interaction with mother and healthcare provider. No indications of abuse.

 

In-house Lab Tests – document tests (results or pending)

 

CBC: Unremarkable except for PT of 50

 

 Diagnosis
. Differential diagnosis-

1. Von Willebrand Disease (D68.0): This is an inherit condition that produces a deficient clotting protein. Signs and symptoms of the disease include bleeding tendencies such as easy bruising, nosebleeds, heavy menstrual periods in females and other (SMITH, 2017). In this case frequent nose bleeds and the family history suggests this diagnosis.

1. Mild hemophilia A (D68.311): This condition is also characterized by bleeding tendencies and is also an inherited autosomal disease (Karaman et al., 2015).

1. Coagulation defect, unspecified (D68.9): Coagulation defects can be caused by genetics or by conditions such as vitamin K deficiency or liver problems (Karaman et al., 2015). Because this patient exhibits mild symptoms it’s important to include a more general differential diagnosis to determine the cause of the symptoms.

 

Primary Diagnosis:

 

. Von Willebrand Disease D68.0

 

PLAN including education
· Referral issued to hematologist to be seen as soon as possible

 

Education

· Educated about diagnosis. This condition affects primarily boys and although sometimes is asymptomatic typical presentation includes bleeding from mucosa and labs showing elevated PT (SMITH, 2017).

· Explain that having this condition predispose the patient to bleeding that can be harder to control. It’s important to wear a medical alert bracelet and inform all healthcare providers of this diagnosis prior to any surgical or dental procedures

· Hematologist must be seen for further testing to determine specific types of the disease and for recommendation of appropriate medical treatment if needed

· When experiencing a nose bleed tilt head slightly forward and provide pressure to the nostril. If bleeding is not controlled seek emergency treatment

· Use helmets and protective equipment to avoid injuries that can produce bleeding.

· Use a soft toothbrush to avoid gum bleedings

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Evidence Based Practice and the Quadruple Aim|2025

February 15, 2025/in Nursing Questions /by Besttutor

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

  • Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources. 
  • Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare. 
  • Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

  • Patient experience
  • Population health
  • Costs 
  • Work life of healthcare providers

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The Role of the RN/APRN in Policy Evaluation|2025

February 15, 2025/in Nursing Questions /by Besttutor

In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making. A critical component of any policy design is evaluation of the results. How comfortable are you with the thought of becoming involved with such matters?

Some nurses may be hesitant to get involved with policy evaluation. The preference may be to focus on the care and well-being of their patients; some nurses may feel ill-equipped to enter the realm of policy and political activities. However, as you have examined previously, who better to advocate for patients and effective programs and polices than nurses? Already patient advocates in interactions with doctors and leadership, why not with government and regulatory agencies?

In this Discussion, you will reflect on the role of professional nurses in policy evaluation.

To Prepare:

  • In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making.
  • Review the Resources and reflect on the role of professional nurses in policy evaluation.

By Day 3 of Week 9

Post an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in policy review. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities. Be specific and provide examples.

Reply to the discussion (Taylor)-Needs 2 paragraph and at least 3 references

Policy Review in Nursing

Main Question Post- Nurses need to be a part of the policy review process to better their organizations and careers. Nurses can participate in policy review by joining a professional nursing organization. According to (Derouin 2019), professional organizations are “asked to assist with data collection and eventual dissemination of summative evaluation data” (p. 122). With nurses helping to gather data, they can participate in policy review by gathering information and knowledge to better a policy and evaluating the outcomes. Professional organizations are a great way to learn from others in your organization and get their opinion on policy review. Nurses can also participate in policy review by using evidence-based research and data to contact their legislation regarding health policy issues or concerns. During policy review, gathering reliable information and reflecting on it can help improve research and implement better policy. By presenting legislation with a concrete proposal to enhance policy, the review process will help improve any issues. Nurses will better understand the importance of policy review by being an active participant.

Challenges may arise when you mix nurses and policy review. When joining a professional organization, you may deal with the others’ opinions that you don’t quite agree upon. Professional organizations help build your networking team, but if your ideas and opinions don’t match others, it can make it difficult for you to build a strong team. According to Derouin (2019), a few challenges to health policy evaluation include lack of resources to complete assessment, lack of comparative results, and social media. Lack of resources could be a challenge, but joining a professional organization can provide you with many resources for a policy review. Lack of results could be a challenge, but engaging in evidence-based research can help you form a proposal to send to the legislature to improve policy review. With the upcoming presidential election, health policy has been discussed a lot on social media. Social media is a great way to discuss and learn the opinions of others. Using social media, Professional Nursing Organizations can share policy information amongst their members and followers (Waddell, 2018). Social media and ever-changing technology can help nursing challenges when participating in policy review, such as HIPPA violations. Policy evaluation “serves as the key to improving quality, safety, efficiency of clinical practice as well as assessing the impact of emerging innovations and science (Polit & Peck, 2012)” (Derouin, 2019, p. 118). Whether it’s through joining a professional organization, accessing social media, or using evidence-based research, nurses need to be active participants in policy review to better their profession, organization, and communities.

Strategies to communicate issues between nurses and policy review are essential. Gazarian et al. (2020) recommended the using research over how to put health policy into action to help determine ways to improve health care.  One strategy to help with writing to the legislature regarding policy review would be to use writing resources, like Grammarly, to help with punctuation and plagiarism. Another approach when writing to legislation would be to research evidence-based data using reliable and credible databases. Nurses need to use evidence-based research to improve health policy as well as healthcare as a whole. The ability to search for reliable and up-to-date information will help you construct a solid proposal to present to the legislature. A strategy to advocate about joining professional organizations would be to reach out to fellow APRNs in your community. Communicate and see if they are involved in any professional organizations and persuade them to join with you. Banding together to work as a team will lead to success.

References

Derouin, A. (2019). Health policy and social program evaluation. In J. A. Milstead, & N. M. Short (Eds.), Health policy and politics: A nurse’s guide (6th ed., pp 115-131). Burlington, MA: Jones & Bartlett Learning

Gazarian, P., Ballout, S., Heelan-Fancher, L., & Sundean, L. J. (2020). Theories, models, and frameworks used in nursing health policy dissertations: A scoping review. Applied Nursing Research. https://doi-org.ezp.waldenulibrary.org/10.1016/j.apnr.2020.151234

Waddell, A. (2019). Nursing organizations’ health policy content on facebook and twitter preceding the 2016 united states presidential election. Journal of Advanced Nursing, 75(1), 119–128. https://doi-org.ezp.waldenulibrary.org/10.1111/jan.13826

Reply to Leigh- Needs 2 paragraph and at least 3 references

Main Discussion Post

Many nursing professionals hesitate to get involved in either policy-making or policy evaluation due to the lack of confidence in preparedness or knowledge. In opposition, the Institute of Medicine believes that “nurses were vital to the redesign of healthcare systems, needed to be viewed as partners of physicians and other healthcare providers, and needed to be “at the table” to ensure effective planning, implementation, and ongoing evaluation of healthcare policies” (Milstead, J.A., Short, N.M., (2019). Even though nurses struggle with assurance, many opportunities are offered to become educated in policy evaluation.

Opportunities for policy evaluation in the nursing profession are presented at the state and national levels. Joining state nursing associations presents nurses with the opportunity to gain knowledge of policymaking and evaluation. Through attending conferences, connecting with other members throughout your state, lobbying, speaking to the media on nurses’ behalf, protecting your states’ Nursing Practice Act, and advocating allows nurses to advance their policy evaluation knowledge (Arkansas Registered Nurses Association (ARNA), (2020). Even though there are many benefits, challenges are also exposed. Due to an increased workload of Advanced Practicing Registered Nurses (APRNs) and Registered Nurses (RNs), being apart of either state or national level associations presents challenges that may be overcome with proper time management.

Another opportunity for the professional nursing community is the ability to reach out the local and federal legislation. “Working with your elected representatives on smaller nursing issues related to your experience builds credibility so they’ll be more likely to turn to you when they’re looking for resources for larger nursing issues (Oestberg, Fredrik MSN, RN. (2013). By sharing personal experiences and evidence-based practice research with members of legislation allows nurses to assist in policy evaluation through checking the value, effectiveness, and impact (Oestberg, Fredrik MSN, RN. (2013). Challenges that may be presented are the inabilities to contact local and federal legislation and the differences of opinion. If unable to contact members of legislation, forming relationships with either your organization policy-makers, members of your organization’s administration, or even your educational coordinator may assist in communication.

In order for the knowledge and confidence of nursing professionals to grow, they have to be informed of the available opportunities. By the encouragement of the administration, management, and educational coordinators, practicing RN’s and APRN’s would have the opportunity to advocate for their healthcare profession.

References:

Arkansas Registered Nurses Association (ARNA). (2020, January 7). Membership Benefits. https://arna.org/membership/benefits/.

Milstead, J.A., Short, N.M., (2019). Interprofessional Practice. Health Policy and Politics- A Nurse’s Guide. (pp. 117). Jones and Bartlett Learning.

American Nurses Association (ANA). (n.d.). Health Policy.

Oestberg, Fredrik MSN, RN. (2013). Getting involved in policy and politics, Nursing Critical Care: (Volume 8. Issue 3. pp 48). doi: 10.1097/01.CCN.0000429392.92546.6f

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