Discussion: Health Care Policy

In this week’s media presentation, Dr. Trautman, Dr. Wakefield, and Ms. Coyle discuss how public policies initiated at the national or state level ultimately influence what occurs at the institutional and local level of nursing practice and health care delivery. Health care policy usually is developed to address health care cost, quality, or access, or a combination of the three. Due to the nature of their interaction with patients, nurses are well situated to be effective, knowledgeable advocates for their patients.

In this week’s Discussion, you will examine how current policies impact how you as a nurse provide health care. You will then select an issue of interest and determine how you could advocate for policy in that area.

To prepare:

• Select one public policy that currently is impacting you and your practice. Consider the following:
  • What health care driver was the policy designed to address: cost, quality, access, or a combination?
  • Does the policy appear to be achieving its intended results? On what data are you basing your assumption?
  • What have been the effects (adverse or positive) of this policy on health care cost, quality, and access?
  • How is this policy affecting your nursing practice?
• Next, select a health care issue—something you see or experience on a daily basis—about which you would like to influence a practice change through the policy process.
• Review the Learning Resources, focusing on Kingdon’s Model. How would you utilize this model to guide your policy development?

Write a description of a public policy that is having an impact on your practice; summarize your analysis of the policy using the bulleted list above as a guide. Then, summarize the issue you would like to influence though a change in public policy, and outline how you would utilize Kingdon’s Model to guide your policy development.

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To prepare:

• Review this week’s Learning Resources on triple constraints and project management. Consider how each of the three constraints relate to the implementation of workflow changes, technology innovations, and system upgrades in health care settings.
• Reflect on the article, “EHR/EMR: ‘Meaningful Use,’ Stimulus Money, and the Serenity Prayer” in the Learning Resources, and consider its relevance to meaningful use objectives and the challenges they pose for the health care field. Also consider your experiences with meaningful use compliance in your health care setting. How does meaningful use contribute to additional stress for organizations?
• Consider strategies and recommendations for organizations and nurse informaticists in accommodating meaningful use and triple constraints.

With these thoughts in mind:

BY DAY 3

Post an explanation of how each of the triple constraints (scope, time, and cost) relate to project management in health care settings. Describe how meaningful use adds additional complexity to project management planning. Propose at least one specific strategy that could be used to address meaningful use and triple constraints.

Use these references:

Dennis, A., Wixom, B. H., & Roth, R. M. (2015). Systems analysis and design (6th ed.). Hoboken, NJ: Wiley.

Lee, K. J., & Smith, R. M. (2011). EHR/EMR: “Meaningful use,” stimulus money, and the Serenity Prayer. Ear, Nose & Throat Journal, 90(2), E25–E28.

Overgaard, P. M. (2010). Get the keys to successful project management. Nursing Management, 41(6), 53–54.

Schifalacqua, M., Costello, C., & Denman, W. (2009). Roadmap for planned change, part 1: Change leadership and project management. Nurse Leader, 7(2), 26–29, 52.

Sugrue, M. D. (2010). Clinical leaders and the adoption of health IT. Nursing Management, 41(9), 18–21.

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Please respond with a paragraph to the following post, add citations and references.

The four most commonly used designs for research studies are descriptive, correlational, quasi-experimental, and experimental.”(Grove, Gray & Burns, 2015). Descriptive and correlational designs can be referred to as non-experimental designs because the focus is on examining variables as they naturally occur in environments and not in the implementation of a treatment by the researcher.

Experimental research is when a researcher is able to manipulate the predictor variable and subjects to identify a cause-and-effect relationship. This typically requires the research to be conducted in a lab, with one group being placed in an experimental group, or the ones being manipulated, while the other is placed in a placebo group, or inert condition or non-manipulated group. A laboratory-based experiment gives a high level of control and reliability. .(Sousa, Driessnack & Menders, 2007).

Non-experimental research is the label given to a study when a researcher cannot control, manipulate or alter the predictor variable or subjects, but instead, relies on interpretation, observation or interactions to come to a conclusion. Typically, this means the non-experimental researcher must rely on correlations, surveys or case studies, and cannot demonstrate a true cause-and-effect relationship. Non-experimental research tends to have a high level of external validity, meaning it can be generalized to a larger population. .(Sousa, Driessnack & Menders, 2007).

References

Grove, S., Gray, J., & Burns, N. (2015). Understanding nursing research (6th ed.). St. Louise, MO: Elsevier Saunders.

Sousa, V. D., Driessnack, M., & Mendes, I. A. (2007, June). An overview of research designs relevant to nursing: Part 1: Quantitative research designs. Revista Latino-Americana de Enfermagem, 15(3). https://doi.org/10.1590/S0104-11692007000300022

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Question Description

1. Carefully read and analyze the following documents: NSC-68 which was disseminated in April 1950 by the United States National Security Council and the Patriot Act which Congress passed after the terrorist attacks in September 2001.Based on these two documents, and what you have learned in your HIST 1302 class, consider these questions:
   1. What is the exact challenge the United States faces, according to the primary document?
   2. What were the ideological, political, and economic differences between the United States and the Soviet Union?
   3. What were the major security concerns for the United States?
   4. What strategies did the United States government believe would best protect the country’s values and national security?
   5. How did the United States government intend to enlist the assistance of its citizens to ensure political, economic, and cultural security?
   6. Explain the relationship between post-war Soviet espionage and the emergence of internal security and loyalty programs under Truman and Eisenhower.
   7. The government often infringes on civil liberties in order to protect national security, is this constitutionally sound? Why or why not?
   Having considered these questions, write an essay of at least 800 words that:
   1. Makes a specific argument that can be supported with the specific historical evidence of these two primary documents, as well as lecture notes and the textbook assigned to your class;
   2. Analyzes the historical significance of these two primary documents;
   3. Analyzes the nature of the Cold War in the 1950s;
   4. Evaluates the similarities and differences between NSC-68 and the Patriot Act;
   5. Is written in standard English, with all sources and quotes properly cited using MLA format;
   6. Is written in your own words, not copied and pasted from other sources or web sites;
   7. Is submitted through eCampus by clicking the CORE OBJECTIVE ASSESSMENT link above.
   
   HIST 1302 NSC-68.pdf
   HIST 1302 Patriot Act.pdf
2. By submitting this paper, you agree: (1) that you are submitting your paper to be used and stored as part of the SafeAssign™ services in accordance with the Blackboard Privacy Policy; (2) that your institution may use your paper in accordance with your institution’s policies; and (3) that your use of SafeAssign will be without recourse against Blackboard Inc. and its affiliates.

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