The Role of the RN/APRN in Policy-Making

Question Description

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 advocatewould 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.
 

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How might I determine if the overarching organizational structure supports shared governance?

You are the supervisor of a surgical services department in a nonunion hospital. The staff on your unit have become increasingly frustrated with hospital policies regarding staffing ratios, on-call pay, and verbal medical orders but feel that they have limited opportunities for providing feedback to change the current system. You would like to explore the possibility of moving toward a shared governance model of decision making to resolve the issue and others like it but are not quite sure where to start.

Instructions:

  1. Review Learning Exercise 12.6 – Problem Solving: Working Toward Shared Governance (located in Chapter 12 of the textbook)
  2. Answer the following questions:
    1. Who do I need to involve in the discussion and at what point?
    2. How might I determine if the overarching organizational structure supports shared governance?
      • How would I determine if external stakeholders would be impacted?
      • How would I determine if organizational culture and subculture would support a shared governance model?
    3. What types of nursing councils might be created to provide a framework for operation?
    4. Who would be the members on these nursing councils?
    5. What support mechanisms would need to be in place to ensure success of this project?
    6. What would be my role as a supervisor in identifying and resolving employee concerns in a shared governance model?
  3. Your paper should be:
    • Typed according to APA style for margins, formatting and spacing standards.
    • Typed into a Microsoft Word document

Attachment preview

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All critical issues of concern in any hospital department need urgent attention since most of them are sensitive and may impact the overall performance of the hospital. As a supervisor, it is essential to involve all the stakeholders; especially the staff whom the specific issues such as hospital policies affect. 

A large organizational structure supports shared governance when there are certain factors. The factors may include which is an essential way to incorporating stakeholders and how they relate regarding the processes and organizational operations to achieve desired consequences. Equity ensures consistent and improved services, patients’ care, and stuff like that; it is undoubtedly the basis that portrays shared governance.

 Other factors apart from equity include collaboration, consultation, and accountability. A well-structured firm with the above-stated aspects critically supports shared governance. Furthermore, the same elements would impact the external stakeholders and also an organization with a culture comprising a practice of such factors, would promote the governance (Emerson & Nabatchi, 2015).

Nursing councils are critical bodies within a hospital since they oversee the operations ensuring better healthcare among all the patients regardless of age or race. There is need to formulate councils such as the Nursing Executive Council (NEC); which is the head of all other committees and provides guidance to what is to be done in the different nursing bodies, to provide an enhanced framework for operations. Additionally, the formation of a Nursing Coordinating Council (NCC) is also helpful in the sense that there is coordination in research and training to yield excellent patient care (Neubert, et al, 2017).

The NEC has to include professionals such as Director for Surgical Services, Director for Nursing Recruitment, Coordinator for Nursing Research, and so on. With the other nursing body, Nursing Coordinating Council, the members are somehow limited. They include NEC member, nurse managers, and council chairs and co-chairs (Neubert, et al, 2017). 

Mechanisms to Ensure Success of the Project

There can be a success in ensuring shared governance through equitable resource allocation. Also, creating improved communication channels among all the key stakeholders in the nursing sector is a way to ensure shared governance. Another support mechanism can be through mentoring upcoming nursing leaders by developing and supporting them (Emerson & Nabatchi, 2015).

In a shared governance model, a supervisor ensures all the employees communicate their workload challenges to the management. He or she also enables the workers informs progress towards performance in their assigned duties. A supervisor identifies and resolves employee concerns in such ways.


Reference

Emerson, K., & Nabatchi, T. (2015). Collaborative governance regimes. Georgetown University Press.

rt, T., Williamson, J., & Brace, H. (2017). Shared leadership for nursing. Management in Healthcare, 2(2), 107-114.






 

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Describe the theory, starting with a short bio of the theorist along with the major influences that the theorist has contributed.

Details:

Revise Parts 1 and 2 of your paper (The Previous papers), based on the feedback provided by the “Identify Practice Problem Grading Rubric” and “Apply Middle-Range Nursing Theory Grading Criteria.”

In Part 3 (In NO more than 1000 words), you will apply a borrowed theory to the problem described in the introduction. (Refer to Part I paper)

  1. Describe the theory, starting with a short bio of the theorist along with the major influences that the theorist has contributed.
  2. Describe the concepts and propositions of the theory. Provide an example from the literature as to how the theory has been applied.
  3. Apply the theory to your practice problem, demonstrating the links to the elements of the problem and theory. In addition, make sure to describe how practice would change by incorporating the theory. It should be clear to the reader that this is an appropriate theory for the problem.
  4. Write a conclusion. The conclusion should summarize key points of the paper. Identify the usefulness of applying theory to practice, including both nursing and borrowed theory, and identify problems with the application of the two theories presented in Parts 2 and 3.

Prepare this PAPER according to the APA guidelines 6th edition. An abstract is not required.

This paper uses a grading rubric. Instructors will be using the rubric to grade the paper, therefore, review the rubric prior to beginning to write the to become familiar with the paper criteria and expectations for successful completion of the paper

 

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World Health Organization

Question Description
Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”

References:

Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response.
Words Limits

Response posts: Minimum 200 words excluding references.
Peer post 1

n this discussion, I will be delving into the world of politics and how it relates to nursing. I will be discussing what a lobbyist and what an advocate are, including how they relate and how what they do is different and why what they do is useful. Finally, I will be discussing the World Health Organization (WHO) and what they do in with regards to defining health care policy.

The government is a central force of our nation and they are in charge of establishing and controlling policies that have great effects on our lives, such as the highly debated heartbeat bill pertaining to abortion. One of the many ways these policies are brought to the attention of those within the government is through the actions of lobbyists and advocates. A lobbyist is often a paid member of a group that utilize their knowledge to push certain policies to the forefront of the office and it is a costly business (Mason, Gardner, Outlaw & O’Grady, 2016). Lobbyists use their forces to bring attention to some policy that they hope to push through the system and they do it by pushing information onto those they consider the right people, the people who will be most likely to hold the same beliefs on the particular topic.

An advocate, much like a lobbyist is someone pushing their agenda on to those they feel are in the right position to help get something done. Advocates often have a direct knowledge in what they are advocating for, but it is not necessary and anyone who feels they have something worthwhile to say and want to get that information to the people who can influence change can do so through the act of advocating. To make a difference through advocacy one must have the commitment to their desired course of action as well as make their presence known (Kostas-Polston, Thanavaro, Arvidson, & Taub, 2015).

Advocates and lobbyists do the same work, they are pushing for something they want to be implemented as a policy that now directly affects others. The main difference between the lobbyists and those that advocate is the access to funding. Lobbyists often are backed by large corporations or groups and have the funds to make their voices heard above others. Lobbyists are also expected to adhere to certain guidelines such as registering with Congress if their action of lobbying exceeds that of 20% (Mason, Gardner, Outlaw & O’Grady, 2016). When there is an important item that people believe needs to be made a policy the means of how the voices get heard, whether lobbyist or advocate, is not as important as the message getting to the intended parties.

The organization that I have selected is the World Health Organization (WHO). The WHO is well known as a group that advocates for health care policy across the globe. The World Health Organization is especially driven to advocate in relation to research in the field of health care (World Health Organization, 2019). The WHO is highly invested in global health and well-being and spend much of their time advocating for health care in underfunded countries.

In conclusion, the government and politics play a large role in the field of health care. It is the job of the lobbyists and the passion of the advocates that get the ball rolling and get the information to the people that can make it a policy. Regardless of who is responsible for getting a health care matter turned into policy, what is important is that we are here to advocate for what is in the best interest of the patient.

References

Kostas-Polston, E. A., Thanavaro, J., Arvidson, C., & Taub, L. M. (2015). Advanced practice nursing: Shaping health through policy. Journal of the American Association of Nurse Practitioners, 27(1), 11-20. doi:10.1002/2327-6924.12192

Mason, D. J., Gardner, D. B., Outlaw, F. H., & O’Grady, E. T. (2016). Policy & politics in nursing and health care (7th ed.). St. Louis, MO: Elsevier

World Health Organization (WHO), (2019). Retrieved from https://www.who.int/occupational_health/topics/wor…

Peer discussion 2

This week’s discussion is about the difference and similarities as well as importance of lobbyist and advocates. Also, there will be a discussion of how one of the selected organizations in the week one discussion lobby or advocate for health care policy.

A lobbyist is someone who deal with government officials and influences them to do things for others (Mason et al., 2016).

An advocate is someone who help others through writing, speaking and through other means to help all that comes their way, this can be an individual, family, community and more ((Mason et al., 2016).

For similarities of advocate and lobbyist are that they all work into making a change in a good way, they all help others by being the voice for the voiceless and most importantly these persons who are lobbyist and advocates shows that they care and are there to use their influences for the better good of others.

Their differences will be that they use different approaches to do their work and deal with different people, like lobbyist dealing with governmental officials especially and advocates dealing with all others who can help individuals, families or even communities ((Mason et al., 2016).

Both advocates and lobbyist are important because as I said earlier, they both help others, they are the voice to the voiceless, they are there to help the people get what they need in their community and themselves. Nurses are advocates to their patients, at my work place my nurse manager mostly fill forms that shows how much some patients needs help paying for their care and stay in our facility and also, we nurse passed on patients concerns to the physicians.

Just like Fraser, 2019 said, the funds that was given to the public health was going to be used for other things like renovations but then, advocates helped the government used the funds approved in preventing diseases and lower the cost of doing that. This kind of advocacy will help not only individuals but the community at large. The organization that I chose is an advocate to the helpless and this organization is World Health Organization (WHO) because the help the needy around the world.

We all need help and it is good that most people are there to use their power and influences to help others. Without advocacy and lobbyist most of our needs may never be met, so it is good we have these men and women in our lives.

Reference

Mason, D. J., Gardner, D. B., Outlaw, F. H., & O’Grady, E. T. (2016). Policy & politics in nursing and health care (7th ed.). St. Louis, MO: Elsevier.

Fraser, M. R. (2019). A brief history of the prevention and public health fund: implications for public health advocates. American Journal of Public Health, 109(4), 572–577. doi-10.2105/AJPH.2018.304926

 

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Describe the theory, starting with a short bio of the theorist along with the major influences that the theorist has contributed.

Revise Parts 1 and 2 of your paper (The Previous papers), based on the feedback provided by the “Identify Practice Problem Grading Rubric” and “Apply Middle-Range Nursing Theory Grading Criteria.”

In Part 3 (In NO more than 1000 words), you will apply a borrowed theory to the problem described in the introduction. (Refer to Part I paper)

  1. Describe the theory, starting with a short bio of the theorist along with the major influences that the theorist has contributed.
  2. Describe the concepts and propositions of the theory. Provide an example from the literature as to how the theory has been applied.
  3. Apply the theory to your practice problem, demonstrating the links to the elements of the problem and theory. In addition, make sure to describe how practice would change by incorporating the theory. It should be clear to the reader that this is an appropriate theory for the problem.
  4. Write a conclusion. The conclusion should summarize key points of the paper. Identify the usefulness of applying theory to practice, including both nursing and borrowed theory, and identify problems with the application of the two theories presented in Parts 2 and 3.

Prepare this PAPER according to the APA guidelines 6th edition. An abstract is not required.

This paper uses a grading rubric. Instructors will be using the rubric to grade the paper, therefore, review the rubric prior to beginning to write the to become familiar with the paper criteria and expectations for successful completion of the paper

 

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In a 2- page summary, you will identify the bioethical and political issues and discuss how you would effectively and ethically handle the situations. You must address both of the following scenarios.

In this unit, you will discuss two (2) healthcare issues facing healthcare administrators. In a 2- page summary, you will identify the bioethical and political issues and discuss how you would effectively and ethically handle the situations. You must address both of the following scenarios.

Scenario 1: You are the healthcare administrator of a nursing home. You are informed by your Admissions Director that a new memory-impaired resident has been admitted into your longterm care unit. The staff is concerned about the involvement of family with your resident. Family members from out-of-town arrived and expressed concern about your resident’s do not resuscitate (DNR) orders which were authorized by the Power of Attorney of another family member. A quarrel erupts in the nursing home with family members voicing their opinions loudly. You arrive on the scene and are immediately told by the visiting family member, “Do you know who I am? I am a supervisor for the Department of Health and Human Services and will not hesitate to have your facility surveyed for noncompliance.” What do you do?

Scenario 2: You are the administrator of a for-profit healthcare clinic. The receptionist notifies you that a 15-year-old has arrived needing prenatal care and does not want her parents to know about her pregnancy. She is covered by her parent’s insurance and does not have enough money to privately pay for the visit. What do you do? Submitting your work: Submit you

 

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Discussion of Resources (1 page) Appropriate resources include nursing or related textbooks; peer reviewed nursing or related journal articles, or websites.

  • 1. Discussion of Resources (1 page) Appropriate resources include nursing or related textbooks; peer reviewed nursing or related journal articles, or websites.  Choose one of the references utilized and discuss how that resource met those criteria.

the source I choose was http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/High-Blood-Pressure-or-Hypertension_UCM_002020_SubHomePage.jsp

what my group used for our project was the pathophysiology, signs and symptoms, the management, risk factors, and complication.

the paper you have to write is about hypertension and the website/ journal I used is the link attached above 

this paper has to be in APA formatting with proper citation and references.

ANYPAPER WRITING THAT DOES NOT FOLLOW ALL INSTRUCTIONS WILL NOT BE ACCEPTED

  • 2. Personal reflection-what did you learn from this project? One page per student to be graded individually

write a 1 page paper reflection on the project for hypertension and what was learned from it

THERE IS TWO SEPERATE PAPERS BOTH JUST 1 PAGE EACH, SO PLEASE PAY ATTENTION TO THE FACT THAT ITS TWO DIFFERENT PAPER, ONE IS THE references utilized and discuss how that resource met those criteria. THE SECOND ONE IS the refection paper

 

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Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change.

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

  1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
  2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
  3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
  4. A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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 to Turnitin. Please refer to the directions in the Student Success Center.

 

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In a 2- page summary, you will identify the bioethical and political issues and discuss how you would effectively and ethically handle the situations.

In this unit, you will discuss two (2) healthcare issues facing healthcare administrators. In a 2- page summary, you will identify the bioethical and political issues and discuss how you would effectively and ethically handle the situations. You must address both of the following scenarios. 

Scenario 1: You are the healthcare administrator of a nursing home. You are informed by your Admissions Director that a new memory-impaired resident has been admitted into your longterm care unit. The staff is concerned about the involvement of family with your resident. Family members from out-of-town arrived and expressed concern about your resident’s do not resuscitate (DNR) orders which were authorized by the Power of Attorney of another family member. A quarrel erupts in the nursing home with family members voicing their opinions loudly. You arrive on the scene and are immediately told by the visiting family member, “Do you know who I am? I am a supervisor for the Department of Health and Human Services and will not hesitate to have your facility surveyed for noncompliance.” What do you do? 

Scenario 2: You are the administrator of a for-profit healthcare clinic. The receptionist notifies you that a 15-year-old has arrived needing prenatal care and does not want her parents to know about her pregnancy. She is covered by her parent’s insurance and does not have enough money to privately pay for the visit. What do you do? Submitting your work: Submit you

 

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