Discussion 2: The Role of the RN/APRN in Policy-Making

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.W

ONE PAGE ,THREE REFERENCES PLEASE

write an answer based on this assignment. use at least 2 references. do not use the same that appears here. 

People and the Process of Change

Changing from a route I am used to would imply leaving earlier for class. This is one of the changes I would make. Leaving early would assist in dealing with any unexpected distance of the new route. I believe changing the route I am used to would bring about resistance to stick to the route, especially if it is a longer route. Personal needs would arise when sticking to the new route. Personal needs would relate to gaining trust based on safety and security (Weiss & Tappen, 2015). I would resist following the new route, where I do not believe in assured safety and security. Unlike the normal route used I was used to; the new route would take time as I adapt. The process follows freezing, changing, and unfreezing. The freezing would happen when I decide to change to a new route. The change would happen during the use of the route as I familiarize myself with the path. Gaining familiarity assists in building trust in using the route. One of the large changes would involve adjusting the time I leave for the class to ensure I am not late. The second large change is trusting in the route. The change aligns with the personal need that humans look for during stability. I would seek to adapt to having faith in the route I would be comfortable taking.

Stability would also imply emotional stability. Emotional stability means having the full trust of security and safety (Weiss & Tappen, 2015). Small changes include seeing different environments and different people using the route. I would meet different people using the new route. Other people would be using the route, which would imply meeting different people. Hence, continuous use of the route would prompt meeting failure faces. Meeting familiar faces becomes the unfreezing part as the route becomes my norm. The more familiar the route becomes, the more I will use the path. Also, the more different people become familiar to me, the more I will trust the route. This falls under attaining stability and having the assurance that the route will not have me lost. Unless I am familiar with the route to get to my destination fast, I may not change during the final exam day. During exams, individuals are required to arrive early. Hence, not being familiar with the route would mean I may get late.

The only way to avoid lateness is by using a route that gets me to the exam room on time. Therefore, trusting the route and attaining emotional stability is vital on the final exam day. This will only happen if I am assured that I will not get lost as I use the route. The change to another route during the final day of the exam is a micro or small change. Using the new route is a small change because the effect of the change is on me. No one else is affected by the change. One of the positive impacts of changes is learning (Otken & Beser, 2017). I would learn about a new environment. My mind would become familiar with solving the way I will get to class on time. Hence, the small change would allow me to change from my comfort zone to attain new ideas regarding a different environment. Concerning nursing staff adhering to an administrator making a minor change, learning is the linking factor and an advantage. Change of route and adapting to minor change for nursing promotes learning to come in terms with new ideas.

One negative effect of the change is restructuring from the norm. The restructuring would require leaving earlier to get to the exam room on time. For the nursing staff, losing power and experiencing a downgrade in a position are negative impacts. Weiss & Tappen (2015) implies that restructuring causes altering certain norms for employees such as salary cuts, downgrade in a position, loss of benefits, job loss, or relocation to another department. Having a negative impact of change creates resistance to change (Imran et al., 2016). The resistance makes nurses seek a way of protecting interests as a team. Resisting to using the path and resistance by nurses to adherence to the change creates a negative impact because one must unlearn the old methods and adopt new methods. The new methods create a delay in how one will do what is expected. Arriving in class on time is resisted when I am forced to leave early than usual. Altering my time of going to class implies I change or drop a certain activity I am used to doing before going to class. For instance, instead of waking early to read, circumstances may force me to wake up early to prepare and leave early. For nurses, a minor change may cause a slower rate in meeting the patients’ needs. Slowness comes about during the learning process from freezing, change, and unfreezing.

A change that has occurred in my life is losing my grandmother. My grandmother died due to cancer. The loss took place when I was a child. My initial reaction to the loss was anger since I did not understand that my grandmother would leave without saying goodbye. The explanation I received is my grandmother had traveled to the sky to become a star that shines over us. Coming into terms with the betrayal of being left by my traveling grandmother was not easy. I would miss her, and I did not know how to tell her. If I knew that my grandmother died because of a brain tumor, I would have reacted differently. I would have forgiven my grandmother for leaving without any goodbyes. Knowing what death is as a child meant understanding that not everyone would be in my life for long. Having more information about death would empower me to understand that death happens in uncertain and unexpected ways. Applying Lewin’s change model means using basic elements of freeze, change, and unfreeze (Weiss & Tappen, 2015). Freezing is when I became aware of what happened to my grandmother. Learning about death made me realize that people leave and go to be with God. The change was when I learned that death is a process of life and must occur. Lastly, I went through the unfreezing process of becoming aware death is a common occurrence. The next time I lost a relative, I did not feel betrayed by the relative going without saying goodbye. I learned that a person might die when I am not close to them. Hence, no goodbyes will occur.

References

Imran, M. K., Rehman, C. A., Aslam, U., & Bilal, A. R. (2016). What’s organization knowledge management strategy for successful change implementation?. Journal of Organizational Change Management.

Otken, A. B., & Beser, H. S. G. (2017). The effect of authentic leadership on organizational learning providing organization the ability to adapt quickly and conveniently to changing circumstances. PressAcademia Procedia, 3(1), 457-471.

Weiss, S. A., & Tappen, R. M.(2015).Essentials of Nursing Leadership and Management (6th Ed.). F. A. Davis Company

1) Minimum 7 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

Parts 6, and 7 must be different. Different writing and perspective, but always answering questions objectively

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page 

              Part 5: Minimum 1 page

              Part 6: minimum 1 page

              Part 7: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

 Part 1: Community Nursing

In thinking of five social determinants of health as identified in Healthy People 2020

1. List and identify (Define) the social determinants specifically that may be barriers to home care and case or care management services. Explain your answer with examples.

Part 2:  Nursing and the Aging Family  

1.      Describe at least three possible reasons that reimbursement is provided for medical procedures for pain relief rather than for comforting strategies that nurses could provide.

2.     Describe two safety risks that could result from the following health problems: hypertension, arthritis, right-sided weakness, and Alzheimer’s disease.

Part 3:

1. Select two essential psychomotor skills for a clinical course or courses in nursing and explain them. 

2. Discuss how you might collaborate with an LRC person to facilitate student performance with the skills you selected.

Part 4:

After your graduation, you will be in an academic or clinical field. Depending on your field choice, 

1. Discuss one nursing theory and identify the effect the implications of this theory could have on nursing administration, management, or education.

Part 5:

1. What are the challenges  with validity and trustworthiness in qualitative research?

2. What steps for implement to ensure qualitative research is reliable?

Part 6:

Review these two articles.

Connelly, L. M. (2014). Use of theoretical frameworks in research. MEDSURG Nursing, 23(3), 187-188.

Green, H. E. (2014). Use of theoretical and conceptual frameworks in qualitative research. Nurse Researcher, 21(6), 34-38.

Next, review the evidence you are collecting for your proposed study (See File 1). 

1. Which theories have others cited? 

2. Are you seeing a common theme? 

3. Next construct a conceptual map (see p. 138 in your textbook). Use Microsoft Word or Microsoft PowerPoint and include this as an attachment. Be sure you have defined the concepts and included relational statements.

Part 7:

Review these two articles.

Connelly, L. M. (2014). Use of theoretical frameworks in research. MEDSURG Nursing, 23(3), 187-188.

Green, H. E. (2014). Use of theoretical and conceptual frameworks in qualitative research. Nurse Researcher, 21(6), 34-38.

Next, review the evidence you are collecting for your proposed study (See File 2). 

1. Which theories have others cited? 

2. Are you seeing a common theme? 

3. Next construct a conceptual map (see p. 138 in your textbook). Use Microsoft Word or Microsoft PowerPoint and include this as an attachment. Be sure you have defined the concepts and included relational statements.

What spiritual considerations surrounding a disaster can arise for individuals, communities, and health care providers? Explain your answer in the context of a natural or manmade disaster. How can a community health nurse assist in the spiritual care of the individual, community, self, and colleagues?