Nursing

 Review both resources provided below in addition to the assigned readings for this week and reflect on 2 key differences between the UK and US Health systems. What are key opportunities related to advocacy and politics interventions that can be taken by advanced practice nurses to improve our current health system? 

 

Please refer to the resources identified below for details regarding UK Health System.

1. US and UK Health System Comparison- https://www.youtube.com/watch?v=R4Y0TKiwNgo 

2. Peterson-Kaiser Health System Tracker- https://www.healthsystemtracker.org/chart-collection/quality-u-s-healthcare-system-compare-countries/#item-post-op-clots-better-u-s-comparable-countries  

3. Summary of the American Health Care Act.pdf 

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Health policy, politics and perspectives

Watch the following videos and read the assignments in preparation for this discussion.

Medicare Parts A & B

1. https://youtu.be/0hERCpthpUE 

2. https://youtu.be/qV155vnVNBY 

3. https://youtu.be/JfH7D81IgRw  (4 minutes video)

4. https://youtu.be/hUGXP4omhRo (5 mins video)

5. https://youtu.be/lbAL4g3cOb8 

 

Republicans have been undermining the ACA and oppose various Medicare-for-all proposals. In addition to party politics and differences, sections of the healthcare industry oppose certain changes in the Medicare-for-all options.

– Using 500-750 words, write a post that describes the political alliances and positions by party and in the industry. In your analysis, include the financial arguments and the political/ideological arguments about the role of government versus the private sector changes that are intended to increase coverage. You must reference the KFF comparison of proposals!

FREE OF PLAGIARISM (TURNITIN ASSIGNMENT) 

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NRS-430V Professional Dynamics

Examine the importance of professional associations in nursing. Choose a professional nursing organization that relates to your specialty area, or a specialty area in which you are interested. In a 750-1,000 word paper, provide a detailed overview the organization and its advantages for members. Include the following:

  1. Describe the organization and its significance to nurses in the specialty area. Include its purpose, mission, and vision. Describe the overall benefits, or “perks,” of being a member.
  2. Explain why it is important for a nurse in this specialty field to network. Discuss how this organization creates networking opportunities for nurses.
  3. Discuss how the organization keeps its members informed of health care changes and changes to practice that affect the specialty area.
  4.  Discuss opportunities for continuing education and professional development.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment . Please refer to the directions in the Student Success Center.

RUBRIC

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ethical

Two professional registered nurses are interested in evidence-based practice and have developed research questions to study.  The nurses discuss what evidence-based practice is all about and are trying to determine if the organizational culture supports nurses who seek out and use research to change long-standing practices that are rooted in tradition rather than science.

1. What is the best explanation of the difference between evidence-based practice and best practices?

2. The two registered nurses review a variety of research studies to answer their proposed research questions. What is the difference in the efficacy of randomized controlled trials, integrative reviews, or meta-analysis with practice-based evidence for continuous process improvement?

3. The registered professional nurses must consider alternative support mechanisms when searching for the best evidence to support their clinical practice. What are possible mechanisms of support for evidence-based practice?

4.  Describe the challenges that exist today for nurses in implementing evidence-based practice?

 

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Patient Safety Measure Tools & Resources

PURPOSE The Topic Search Strategy Paper is the first of three related assignments which are due in Unit 3. The purpose of this initial paper is to briefly describe your search strategies when identifying two articles that pertain to an evidence-based practice topic of interest. COURSE OUTCOMES 

 This assignment enables the student to meet the following course outcomes. CO 1: Examine the sources of knowledge that contribute to professional nursing practice. (PO #7) CO 2: Apply research principles to the interpretation of the content of published research studies. (POs #4 and #8) DUE DATE Refer to the course calendar for due date. The college’s Late Assignment policy applies to this activity. POINTS POSSIBLE This assignment is worth 160 points. The college’s Late Assignment policy applies to this activity. REQUIREMENTS You will be assigned a group in unit 2 (located in the team collaboration tab) to formulate an evidence-based practice topic of interest that will be used to complete the unit 3 and unit 5 independent assignments, as well as the group PowerPoint presentation in unit 7.  

 

The paper will include the following. a. Clinical Question a. Describe problem b. Significance of problem in terms of outcomes or statistics c. Your PICOT question in support of the group topic d. Purpose of your paper b. Levels of Evidence a. Type of question asked b. Best evidence found to answer question c. Search Strategy a. Search terms b. Databases used (you may use Google Scholar in addition to the library databases; start with the Library) c. Refinement decisions made d. Identification of two most relevant articles d. Format a. Correct grammar and spelling b. Use of headings for each section c. Use of APA format (sixth edition) d. Page length: three to four pages PREPARING THE PAPER 

 1. Please make sure you do not duplicate articles within your group. 2. Paper should include a title page and a reference page. 

 

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Politics of Opposition

 

Watch this week’s videos and read the assignments in preparation for this discussion.

Republicans have been undermining the ACA and oppose various Medicare-for-all proposals. In addition to party politics and differences, sections of the healthcare industry oppose certain changes in the Medicare-for-all options.

Using 500-750 words, write an initial post that describes the political alliances and positions by party and in the industry. In your analysis, include the financial arguments and the political/ideological arguments about the role of government versus the private sector changes that are intended to increase coverage. You must reference the KFF comparison of proposals.

 

Videos

Harvard School Public Health Lectures:

  • Register for the free Harvard course, United States Health Policy.
  • Follow the links to register and enroll as a student for this course.
  • Select “View Archived Course.”
  • Scroll down to see a list of sessions and topics listed under each session.
  • Open Session 2.1: Medicare Parts A and B.
  • Watch the videos in Topics 1–5 under Session 2.1.
  • Open Session 2.2: Medicare Parts C and D.
  • Watch the videos in Topics 1–6 under Session 2.2.

Required Resources

  • Rudowitz, P. (2019). Medicaid Financing: The Basics Retrieved from http://files.kff.org/attachment/Issue-Brief-Medicaid-Financing-The-Basics
  • KFF. (2019). Comparison of Medicare-for-all and Public Plan Proposals Retrieved from https://www.kff.org/interactive/compare-medicare-for-all-public-plan-proposals/
  • Marshall, A., (2018). Unnecessary Medical Care: More Common Than You Might Imagine Retrieved from https://www.npr.org/sections/health-shots/2018/02/01/582216198/unnecessary-medical-care-more-common-than-you-might-imagine
  • Rand Health Care. Small Ideas for Saving Big Health Care Dollars Retrieved from https://www.rand.org/health-care/projects/small-ideas.html
  • Faster Cures et al, (2018). A Closer Look at Alternative Payments Retrieved from https://www.fastercures.org/assets/Uploads/PDF/VC-Brief-AlternativePaymentModels.pdf
  • Mitre Corporation, (2017). Alternative Payment Model Framework Retrieved from http://hcp-lan.org/workproducts/apm-refresh-whitepaper-final.pdf
  • McConnell, J., Charlesworth, C., Meath, T., George, R., and Kim, H., (2018). Overview of Research on ACO Performance Retrieved from https://www.naacos.com/overview-of-research-on-aco-performance

 

Recommended Resources

  • New York Times series on healthcare costs in the United States: These are all really interesting articles related to costs on colonoscopies, pregnancy, joint replacements, prescriptions, ER visits, dermatology, diabetes, and vaccines. Read at least one of these articles. Here is the link to the first in the series. Use the dropdown menu to the right of the article title to choose from other parts of the series: Rosenthal, E. (2013). The $2.7 trillion medical bill: Colonoscopies explain why U.S. leads the world in health expenditures. Retrieved from http://www.nytimes.com/2013/06/02/health/colonoscopies-explain-why-us-leads-the-world-in-health-expenditures.html
  • Kaiser Family Foundation. (2012). Health care costs: Primer. Retrieved from http://kff.org/health-costs/issue-brief/health-care-costs-a-primer/
  • Gawande, A. (2015). Overkill. Retrieved from http://www.newyorker.com/magazine/2015/05/11/overkill-atul-gawande
  • Sawyer, B., & Cox, C. (2016, November 30). Despite lower rates of access barriers for some groups, health costs remain a concern for many Americans [Web log post]. Retrieved from http://www.healthsystemtracker.org/2016/11/despite-lower-rates-of-access-barriers-for-some-groups-health-costs-remain-a-concern-for-many-americans/
  • Cassidy, A. (2015). Bundled payments for care improvement initiative. Health Affairs. Retrieved from http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=148

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Discussion #3

Select the state where you plan to practice as a nurse practitioner ( FLorida ) and/or nurse leader and investigate the state’s policies on access to contraception and abortion for women with insurance and those without. What are the state’s infant and maternal mortality rates? Discuss the possible relationship between these factors.

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summary.

 

The student will visit http://www.kff.org/medicaid/index.cfm (Links to an external site.)

The student will answer the following questions related to the website.  

1.  Summarize eligibility for the Medicaid program.

2.  Explain how the Medicaid program works.

3. Describe how the Medicaid program is financed.

The paper should be no more than 2 paragraphs.  Use APA format.

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RESPONSE #2

Respond to your colleagues post by suggesting additional opportunities or recommendations for overcoming the challenges described by your colleagues.

at least 2 references in each peer responses!   

Registered nurses (RNs) and advanced practice registered nurses (APRNs) play a significant role in policy evaluation. Nurses represent the most substantial portion of the healthcare population (Milstead & Short, 2019). They possess the experience and expertise to positively affect quality improvement and efficiency when they are included as a member of policy and health care teams (Milstead & Short, 2019). RNs and APRNs can become involved in policy review on a local level, state level, or federal level (Milstead & Short, 2019). 

Members of the nursing profession can become involved in policy evaluation on a local level by joining a policy review committee at their place of employment. My current job offers incentives to Nurses that participate in the policy and procedures committees. RNs and APRNs can also become members of the policy board. This will allow them to evaluate policies and advocate for policy changes that improve the quality of care at their facility. Recently at my facility, a surge committee was assembled to redesign the surge policy and protocols. Multiple members of the healthcare team, including RNs and APRNs, participated and provided insight on working during a surge or sudden influx in patient flow. They were able to make suggestions that contributed to the new design for our surge policy at the facility. 

Another way RNs and APRNs can become involved in policy change on a large scale is to join an organization like the American Nurses Association (ANA). According to the ANA (2020), developing effective and useful policy is a core principle. Members of the ANA influence state and federal policymakers. The ANA provides expert information to lawmakers on policies (Milstead & Short, 2019). They assist with data collection and the evaluation of policies (Milstead & Short, 2019). According to Milstead and Short (2019), the process of policy evaluation is similar to the steps of the nursing process, making nurses a valuable asset to redesigning the healthcare system. Joining organizations like the ANA provides the opportunity for RNs and APRNs to lend their expertise to policy analysis. 

The cost will always be a challenge that must be considered when evaluating policy. Sometimes a solution that is recommended during the evaluation of a policy lands outside the budget. This is true on the local, state, and federal levels of policymaking. A cost-benefit analysis (CBA) can be conducted to overcome this challenge. A CBA compares the cost of a program or a policy with its benefits to select the most cost-effective and beneficial solution (Hwang, 2016). Some challenges that may occur when evaluating policy are out of the control of the evaluator, including the pace of policy change, issues with ethics, and political biases (Milstead & Short, 2019). For example, The ANA is known to support democratic candidates (Milstead & Short, 2019). This could decrease the value of the input provided by the ANA amongst policymakers that do not support the democratic agenda. 

References

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

American Nurses Association. (2019) Expert policy analysis. Retrieved https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/expert-policy-analysis/

Hwang, K. (2016). Cost-benefit analysis: its usage and critiques: CBA: its usage and critiques. Journal of Public Affairs (16) p.75-80. Retrieved https://www.researchgate.net/publication/274967779_Cost-benefit_analysis_its_usage_and_critiques_CBA_its_usage_and_critiques

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Cultural Considerations in Mental Health Nursing

Submit an evidence-based practice paper about cultural competency in mental health nursing. An evidence-based practice paper allows you to explore best practice and help improve client outcomes on a psychiatric unit. Your paper should describe how you, as a nurse, will include – or have included – cultural awareness in a client diagnosed with a mental illness. The person you describe could be someone in your clinical setting, someone you have worked with in the past, or a theoretical client.

Remember that culture can also include gender equality, sexual orientation, and other cultures besides race and religion – including cultures unique to one particular family. Your paper should be at least 3 pages (double-spaced, not including the title or reference pages) in APA Format and include:

  • Assessment: Discuss what you would assess in regard to a client’s culture. For example, are there specific dietary requirements? Are schedule changes necessary to avoid conflicts with religious practices? Who is the spokesperson for the family? What would you assess?
  • Diagnosis: List any mental health nursing diagnoses this person has or may be at risk for. Include at least one cultural diagnosis.
  • Planning: What planning needs to be done to ensure the cultural and emotional safety of the client?
  • Implementation: What are interventions that would ensure the safety of your client in regard to culture? Include at least two interventions. For example, if your client has religious beliefs that affect the ability to take medications, what interventions would you create to ensure the client’s safety? What can you do to make sure the client’s cultural needs are met?
  • Evaluation: How will you evaluate whether your implementation was effective? Make sure the parameters are objective and measurable.
  • In your summary, discuss whether any completed interventions were successful. What could be done differently in the future? If the interventions have not yet been carried out, you might discuss some institutional changes that could be made to ensure cultural safety for all clients in that setting.
  • Your paper should utilize proper APA guidelines and include at least three scholarly sources to support your paper. A scholarly source is a source that has been peer reviewed and has appropriate authors that are credentialed.

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