The lawmaking process does a nurse have an opportunity to influence the final bill passage

Nurse’s Role in Influencing the Legislative Process  For this week’s project, you’ll answer three questions related to your opportunity as a nurse and an advocate. The first two questions relate to influencing a bill is traveling through the legislative process. The third question refers you to the social determinants of health as described in your course textbook reading and asks you to think specifically on your role as a nurse in influencing social determinants of health.  

In a brief paper (no more than 2 typed pages, 1 inch margins, 12 font Times New Roman or Courier New), answer the questions below. Write each question as a new topic area and then follow with a paragraph or two to answer the question. You may find it necessary to search for answers to the questions outside of the assigned reading. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources.  Answer the following questions: 

•What parts of the lawmaking process does a nurse have an opportunity to influence the final bill passage? 

•List at least two ways that this influence can take place. In your opinion, would one way be preferable over the other? 

•Reviewing the social determinants of health, select one to respond to this question: ◦What role can nurses play in promoting health status through policy changes directly affecting this social determinant?

The lawmaking process does a nurse have an opportunity to influence the final bill passage

Nurse’s Role in Influencing the Legislative Process  For this week’s project, you’ll answer three questions related to your opportunity as a nurse and an advocate. The first two questions relate to influencing a bill is traveling through the legislative process. The third question refers you to the social determinants of health as described in your course textbook reading and asks you to think specifically on your role as a nurse in influencing social determinants of health.  

In a brief paper (no more than 2 typed pages, 1 inch margins, 12 font Times New Roman or Courier New), answer the questions below. Write each question as a new topic area and then follow with a paragraph or two to answer the question. You may find it necessary to search for answers to the questions outside of the assigned reading. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources.  Answer the following questions: 

•What parts of the lawmaking process does a nurse have an opportunity to influence the final bill passage? 

•List at least two ways that this influence can take place. In your opinion, would one way be preferable over the other? 

•Reviewing the social determinants of health, select one to respond to this question: ◦What role can nurses play in promoting health status through policy changes directly affecting this social determinant?

Purposes of nurses as influential members of the community and the political system

As you have discovered through this course, nurses are influential members of the community and the political system. Therefore, for the purposes of this assignment you will identify a problem or concern in your community, organization, etc. that has the capacity to be legislated. You will conduct research and state a proposal. Through the legislative process, your proposal for the problem or concern may influence an idea for change into a law.

First, refer to the “How a Bill Becomes a Law” media.

http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs440v_how-a-bill-becomes-a-law-v2.1.php/.

Then, view the “Bill to Law Process” to watch the scenario.

After viewing the scenario, refer to the “Legislative Assignment.” You will need to save the document first in order to use it.

Submit the assignment to the instructor. You also reserve the right to submit your completed proposal to the respective government official. However, this is optional. If you select to submit your proposal as a part of the legislative process, refer to “Find Your Representative” or research the contact information on your own. 

APA format is not required, but solid academic writing is expected. 

Due on Jun 2,2018.

Due Date: Jun 10, 2018 23:59:59       Max Points: 150
 

Details:

 

Rate yourself using the results from the “Nurse Manager Skills Inventory”:

http://www.aone.org/resources/nurse-manager-skills-inventory.pdf

Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below:

1. Personal and professional accountability

2. Career planning

3. Personal journey disciplines

4. Reflective practice reference behaviors/tenets

Discuss how you will use your current leadership skill set to advocate for change in your workplace.

Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.

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.

Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing

You are a family nurse practitioner employed in a busy primary care  office. The providers in the group include one physician and three nurse  practitioners. The back office staff includes eight medical assistants  who assist with patient care as well as filing, answering calls from  patients, processing laboratory results and taking prescription renewal  requests from patients and pharmacies. Stephanie, a medical assistant,  has worked in the practice for 10 years and is very proficient at her  job. She knows almost every patient in the practice, and has an  excellent rapport with all of the providers.

Mrs. Smith was seen today in the office for an annual physical. Her  last appointment was a year ago for the same reason. During this visit,  Mrs. Smith brought an empty bottle of amoxicillin with her and asked if  she could have a refill. You noted the patient’s name on the label, and  the date on the bottle was 1 week ago. You also noted your name printed  on the label as the prescriber. The patient admitted that she called  last week concerned about her cough and spoke to Stephanie. You do not  recall having discussed this patient with Stephanie nor do the other  providers in the practice.

Discussion Question:

What are the potential ethical and legal implications for each of the following practice members?:

  • Medical assistant
  • Nurse Practitioner
  • Medical Director
  • Practice

What strategies would you implement to prevent further episodes of potentially illegal behavior?

What leadership qualities would you apply to effect a positive change  in the practice?  Be thinking about the culture of the practice.

Discussion Guiding Principles

The ideas and beliefs underpinning the discussions guide students  through engaging dialogues as they achieve the desired learning  outcomes/competencies associated with their course in a manner that  empowers them to organize, integrate, apply and critically appraise  their knowledge to their selected field of practice. The use of  discussions provides students with opportunities to contribute  level-appropriate knowledge and experience to the topic in a safe,  caring, and fluid environment that models professional and social  interaction. The ebb and flow of a discussion is based upon the  composition of student and faculty interaction in the quest for relevant  scholarship. Participation in the discussion generates opportunities  for students to actively engage in the written ideas of others by  carefully reading, researching, reflecting, and responding to the  contributions of their peers and course faculty. Discussions foster the  development of members into a community of learners as they share ideas  and inquiries, consider perspectives that may be different from their  own, and integrate knowledge from other disciplines.

Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing

You are a family nurse practitioner employed in a busy primary care  office. The providers in the group include one physician and three nurse  practitioners. The back office staff includes eight medical assistants  who assist with patient care as well as filing, answering calls from  patients, processing laboratory results and taking prescription renewal  requests from patients and pharmacies. Stephanie, a medical assistant,  has worked in the practice for 10 years and is very proficient at her  job. She knows almost every patient in the practice, and has an  excellent rapport with all of the providers.

Mrs. Smith was seen today in the office for an annual physical. Her  last appointment was a year ago for the same reason. During this visit,  Mrs. Smith brought an empty bottle of amoxicillin with her and asked if  she could have a refill. You noted the patient’s name on the label, and  the date on the bottle was 1 week ago. You also noted your name printed  on the label as the prescriber. The patient admitted that she called  last week concerned about her cough and spoke to Stephanie. You do not  recall having discussed this patient with Stephanie nor do the other  providers in the practice.

Discussion Question:

What are the potential ethical and legal implications for each of the following practice members?:

  • Medical assistant
  • Nurse Practitioner
  • Medical Director
  • Practice

What strategies would you implement to prevent further episodes of potentially illegal behavior?

What leadership qualities would you apply to effect a positive change  in the practice?  Be thinking about the culture of the practice.

Discussion Guiding Principles

The ideas and beliefs underpinning the discussions guide students  through engaging dialogues as they achieve the desired learning  outcomes/competencies associated with their course in a manner that  empowers them to organize, integrate, apply and critically appraise  their knowledge to their selected field of practice. The use of  discussions provides students with opportunities to contribute  level-appropriate knowledge and experience to the topic in a safe,  caring, and fluid environment that models professional and social  interaction. The ebb and flow of a discussion is based upon the  composition of student and faculty interaction in the quest for relevant  scholarship. Participation in the discussion generates opportunities  for students to actively engage in the written ideas of others by  carefully reading, researching, reflecting, and responding to the  contributions of their peers and course faculty. Discussions foster the  development of members into a community of learners as they share ideas  and inquiries, consider perspectives that may be different from their  own, and integrate knowledge from other disciplines.

Healthcare Effectiveness Data and Information Set (HEDIS) comprehensive care measures


One example of a measurement tool is the Healthcare Effectiveness Data and Information Set (HEDIS) comprehensive care measures. Review the eight components of HEDIS comprehensive diabetes care; then consider the following scenario.

You are a staff nurse working in a private primary care practice. It is a small practice with 2 MDs (internists), 2 nurses, 1 medical assistant, and an office staff for billing. There are approximately 1,000 patients in the practice. You have had no EHR until the last year, but all charts are manual, historically. Your physicians are starting to inquire about quality incentives, particularly regarding patients with diabetes.

By Day 3

Take on the role of the staff nurse in the scenario, and post an explanation of how you would go about finding out how many diabetics are in your practice and how many meet all 8 components of HEDIS comprehensive diabetes care.

Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist).

Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations.  

Describing the approach to care of cancer

Write a paper (1,250-1,750 words) describing the approach to care of cancer. In addition, include the following in your paper:

Describe the diagnosis and staging of cancer.

Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.

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

This assignment uses a grading rubric. Instructors will be using the

rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

Rubic_Print_Format

Course CodeClass Code
NRS-410VNRS-410V-O502Approach to Care100.0
CriteriaPercentageUnsatisfactory 0-72% (0.00%)Less Than Satisfactory 72-75% (75.00%)Satisfactory 76-79% (79.00%)Good 80-89% (89.00%)Excellent 90-100% (100.00%)CommentsPoints Earned
Content80.0%
Explanation of the Diagnosis and Staging of Cancers is Provided.30.0%An explanation of the diagnosis and staging of cancers is not provided.An explanation of the diagnosis and staging of cancers is provided but is missing relevant information.An explanation of the diagnosis and staging of cancers is provided that meets the assignment criteria.An explanation of the diagnosis and staging of cancers is provided that is offered in a detailed manner.An explanation of the diagnosis and staging of cancers is provided that is offered in a detailed manner, while demonstrating higher level or critical thinking.
At Least Three Complications of Cancer are Identified With Comprehensive Discussion of Available Treatments.20.0%Less than three complications of cancer are identified.At least three complications of cancer are identified but lacking a comprehensive discussion of available treatments.At least three complications of cancer are identified with a comprehensive discussion of available treatments.More than three complications of cancer are identified with a comprehensive discussion of available treatments.More than three complications of cancer are identified with a comprehensive discussion of available treatments, while demonstrating higher level or critical thinking.
Provides Recommendations to Address Physiological and Psychological Side Effects of Care.30.0%Recommendations to address physiological and psychological side effects of care are lacking.Recommendations to address physiological and psychological side effects of care are missing relevant information.Recommendations to address physiological and psychological side effects of care meet the assignment criteria.Recommendations to address physiological and psychological side effects of care are offered in a detailed manner.Recommendations to address physiological and psychological side effects of care are offered in a detailed manner, while demonstrating higher level or critical thinking.
Organization and Effectiveness15.0%
Thesis Development and Purpose5.0%Paper lacks any discernible overall purpose or organizing claim.Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.Thesis and/or main claim are apparent and appropriate to purpose.Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose.Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.
Paragraph Development and Transitions5.0%Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed.Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose.There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.
Mechanics of Writing (includes spelling, punctuation, grammar, language use)5.0%Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.Writer is clearly in command of standard, written, academic English.
Format5.0%
Paper Format (1- inch margins; 12-point-font; double-spaced; Times New Roman, Arial, or Courier)2.0%Template is not used appropriately or documentation format is rarely followed correctly.Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.Template is used, and formatting is correct, although some minor errors may be present.Template is fully used; There are virtually no errors in formatting style.All format elements are correct.
Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)3.0%No reference page is included. No citations are used.Reference page is present. Citations are inconsistently used.Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and GCU style is usually correct.In-text citations and a reference page are complete. The documentation of cited sources is free of error.
Total Weightage100%

Describing the approach to care of cancer

Write a paper (1,250-1,750 words) describing the approach to care of cancer. In addition, include the following in your paper:

Describe the diagnosis and staging of cancer.

Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.

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

This assignment uses a grading rubric. Instructors will be using the

rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

Rubic_Print_Format

Course CodeClass Code
NRS-410VNRS-410V-O502Approach to Care100.0
CriteriaPercentageUnsatisfactory 0-72% (0.00%)Less Than Satisfactory 72-75% (75.00%)Satisfactory 76-79% (79.00%)Good 80-89% (89.00%)Excellent 90-100% (100.00%)CommentsPoints Earned
Content80.0%
Explanation of the Diagnosis and Staging of Cancers is Provided.30.0%An explanation of the diagnosis and staging of cancers is not provided.An explanation of the diagnosis and staging of cancers is provided but is missing relevant information.An explanation of the diagnosis and staging of cancers is provided that meets the assignment criteria.An explanation of the diagnosis and staging of cancers is provided that is offered in a detailed manner.An explanation of the diagnosis and staging of cancers is provided that is offered in a detailed manner, while demonstrating higher level or critical thinking.
At Least Three Complications of Cancer are Identified With Comprehensive Discussion of Available Treatments.20.0%Less than three complications of cancer are identified.At least three complications of cancer are identified but lacking a comprehensive discussion of available treatments.At least three complications of cancer are identified with a comprehensive discussion of available treatments.More than three complications of cancer are identified with a comprehensive discussion of available treatments.More than three complications of cancer are identified with a comprehensive discussion of available treatments, while demonstrating higher level or critical thinking.
Provides Recommendations to Address Physiological and Psychological Side Effects of Care.30.0%Recommendations to address physiological and psychological side effects of care are lacking.Recommendations to address physiological and psychological side effects of care are missing relevant information.Recommendations to address physiological and psychological side effects of care meet the assignment criteria.Recommendations to address physiological and psychological side effects of care are offered in a detailed manner.Recommendations to address physiological and psychological side effects of care are offered in a detailed manner, while demonstrating higher level or critical thinking.
Organization and Effectiveness15.0%
Thesis Development and Purpose5.0%Paper lacks any discernible overall purpose or organizing claim.Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.Thesis and/or main claim are apparent and appropriate to purpose.Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose.Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.
Paragraph Development and Transitions5.0%Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed.Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose.There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.
Mechanics of Writing (includes spelling, punctuation, grammar, language use)5.0%Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.Writer is clearly in command of standard, written, academic English.
Format5.0%
Paper Format (1- inch margins; 12-point-font; double-spaced; Times New Roman, Arial, or Courier)2.0%Template is not used appropriately or documentation format is rarely followed correctly.Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.Template is used, and formatting is correct, although some minor errors may be present.Template is fully used; There are virtually no errors in formatting style.All format elements are correct.
Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)3.0%No reference page is included. No citations are used.Reference page is present. Citations are inconsistently used.Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and GCU style is usually correct.In-text citations and a reference page are complete. The documentation of cited sources is free of error.
Total Weightage100%

Application of Public Health Concepts for the Uninsure

Tutor MUST have a good command of the English language

Sources need to be journal/scholarly articles. 

Use only articles that are published between 2015-2018 (except for your theory articles which will be older as you must cite primary sources).

No textbook or direct quotes

Please see attached Rubric

Details:

 

In this assignment, learners are required to write a case report addressing the personal knowledge and skills gained in this course and potentially solving an identified practice problem.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

  • This      assignment uses a rubric. Please review the rubric prior to beginning the assignment      to become familiar with the expectations for successful completion.
  • Doctoral      learners are required to use APA style for their writing assignments. The      APA Style Guide is located in the      Student Success Center.
  • This      assignment requires that at least two additional scholarly research      sources related to this topic, and at least one in-text citation from each      source be included.
  • You      are required to submit this assignment to LopesWrite. Please refer to the      directions in the Student Success Center.

Directions:

Construct a 2,500-3,000 word (approximately 10-12 pages) case report that includes a problem or situation consistent with a DNP area of practice.

  1. Review      the IOM and Kaiser Commission Report on the uninsured to develop the case      report.
  2. Apply      public health concepts to describe understanding      of the problem or situation of focus.
  3. Apply      one or more public health concepts to the recommended intervention or      solution being proposed.
  4. Develop      the case report across the entire scenario from the identification of the      clinical or health care problem through the proposal for an intervention,      implementation, and evaluation using an appropriate research instrument.
  5. Describe      the evaluation of the selected research instrument in the case report.
  6. Lastly,      explain in full the tenets, rationale      for selection (empirical evidence), and clear      application using the language of public health concepts within the case      report.

Case Report Requirements:

In addition, your case report must include the following:

  1. Introduction with a problem statement.
  2. Brief      literature review.
  3. Description      of the case/situation/conditions explained from a theoretical perspective.
  4. Discussion that includes a detailed explanation      of the synthesized literature findings.
  5. Summary of the case.
  6. Proposed solutions to remedy gaps,      inefficiencies, or other issues from a theoretical approach.
  7. Identification      of a research instrument to evaluate the proposed solution along with a      description of how the instrument      could be evaluated.
  8. Conclusion.

Public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population

Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA) website. Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.

Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue.

Follow this outline when writing the policy brief:

  1. Describe the policy health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issues supported by resources.
  2. Create a problem statement.
  3. Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable.
  4. Discuss the impact on the health care delivery system.

Include three peer-reviewed sources and two other sources to support the policy brief.

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.