In this Fall Prevention Project to Decrease the Rate of Inpatient Falls Executive Summary assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:
The purpose of the quality improvement initiative.
The target population or audience. Fall Prevention Project to Decrease the Rate of Inpatient Falls Executive Summary
The benefits of the quality improvement initiative.
The interprofessional collaboration that would be required to implement the quality improvement initiative.
The cost or budget justification.
The basis upon which the quality improvement initiative will be evaluated.
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. Fall Prevention Project to Decrease the Rate of Inpatient Falls Executive Summary.
Executive Summary
A Fall Prevention Project to Decrease the Rate of Inpatient Falls
Introduction
Falls are a significant public health problem and an obstinate problem within all healthcare settings, and especially acute care settings where the rate of falls causes approximately 30% of falls results to serious injuries (Cuttler et al., 2017). Falls are associated with increased healthcare costs; a prolonged period of hospital stay; and patient harm. Falls among hospitalized patients have serious consequences such as fractures, head injuries, lacerations, and even death. Evidence shows that approximately 85% of adverse events among inpatients are attributed to falls (Cuttler et al., 2017) Fall Prevention Project to Decrease the Rate of Inpatient Falls Executive Summary. Falls in hospital settings are preventable and thus this summary proposes a fall prevention project.
The proposed project aims to support the implementation of a fall prevention project in the organization. The second aim of the project is to increase awareness and knowledge about fall prevention in the healthcare organization. The proposed fall prevention program entails a fall care bundle and education that will include:
Performing fall-risk assessment for all patient during admission
Patient-centered active hourly rounding
Avoiding new night sedation
Ensure availability of suitable footwear for all inpatients
Re-educating the nursing staff on fall-risk assessment and hourly rounding to make them knowledgeable specialists and confident in their ward team (Dellinger., 2017) Fall Prevention Project to Decrease the Rate of Inpatient Falls Executive Summary.
.
The Target Population
The proposed project targets older adult inpatients aged 65 years and above. Evidence indicates that falls are a top cause of death and injury among older adults and a major public health issue. About a third of individuals aged 65 years and over sustains fall annually, and the figure increases to more than 50 percent in people aged 80 years and over (Frieson et al., 2018). This shows that the incidence of falls is higher among older adults than their younger counterparts. Additionally, evidence strongly shows older adults sustaining falls are at a higher risk of morbidity and mortality, in comparison to the younger patients. This supports the rationale of the fall prevention project targeting older adults within the organization.
The Benefits of the Project
It is projected that the fall prevention program will be effective in reducing the rate of falls among hospitalized older adults. The program will also prevent harm and other complications allied to falls such as fractures, as well as other adverse effects such as reduced quality of life, disability, and even death. Lastly, the proposed project will significantly lower healthcare costs by reducing costs associated with treating and managing falls and decrease the length of hospital stay (Rau et al., 2014) Fall Prevention Project to Decrease the Rate of Inpatient Falls Executive Summary.
The Cost/Budget Justification
The economic healthcare costs the organization sustains during the treatment and management of falls are very significant. Falls among older adults enforce a major economic burden on the healthcare system. A study performed in a hospital in Florida indicated that the hospital saved $116,880.46 monthly after a fall prevention program was implemented. It is expected that the total cost of implementing the proposed fall prevention program will be $20, 000 and therefore the proposed project has the potential in saving significant healthcare costs for the organization (Haddad et al., 2019). This indicates that the costs involved in preventing falls are comparatively lower to the costs involved in the treatment of falls and the ensuing complications. This thus clearly shows that costs associated with the implementation of the proposed fall prevention project are much lower in comparison to the costs used in treating falls. This justifies the implementation of this project.
Project Evaluation
The proposed quality improvement project aims to improve patient safety and quality of care. An interprofessional disciplinary team made up of various professionals like nurses, physicians, orthopedics, as well as the quality improvement team will be responsible for the implementation of the fall prevention program in the geriatric ward and monitoring the progress of the program (Roberts et al, 2016).
To evaluate the progress and the efficacy of the project, data regarding the fall rate in the geriatric wards will be collected pre-project period (baseline data) and post-project period. This means that to inform the effectiveness and efficacy of the project; an assessment regarding the rate of falls will be performed before the project is implemented and after the project is implemented. The data will then be used to compare the fall rate before and after project implementation Fall Prevention Project to Decrease the Rate of Inpatient Falls Executive Summary. A reduced fall rate after the implementation of the project will demonstrate the efficacy of the fall prevention project in reducing falls in the target population. The impact of the fall prevention program and interventions such as fall-risk assessment and active hourly rounding will be re-assessed annually (Soban et al, 2017).
Summary
Falls are associated with increased healthcare costs; a prolonged period of hospital stay; and patient harm such as fractures, disability, and even death. The proposed project includes interventions such as fall-risk assessment for all older adults during admission; hourly rounding, educating nurses, among other interventions. The project targets the geriatric population admitted to the hospital. The planned project will significantly lower the fall rate and prevent the consequent adverse effects. Moreover, healthcare costs involved in the treatment of adverse effects resulting from falls will significantly reduce. The efficacy of the fall prevention project will be assessed by comparing the fall rate pre-project period and post-project period.
Cuttler, S. J., Barr-Walker, J., & Cuttler, L. (2017). Reducing medical-surgical inpatient falls and injuries with videos, icons, and alarms. BMJ open quality, 6(2), e000119. https://doi.org/10.1136/bmjoq-2017-000119.
Dellinger A. (2017). Older Adult Falls: Effective Approaches to Prevention. Current trauma reports, 3(2), 118–123. https://doi.org/10.1007/s40719-017-0087-x
Frieson, C. W., Tan, M. P., Ory, M. G., & Smith, M. L. (2018). Editorial: Evidence-Based Practices to Reduce Falls and Fall-Related Injuries Among Older Adults. Frontiers in public health, 6, 222. https://doi.org/10.3389/fpubh.2018.00222.
Haddad, Y. K., Bergen, G., & Florence, C. S. (2019). Estimating the Economic Burden Related to Older Adult Falls by State. Journal of public health management and practice: JPHMP, 25(2), E17–E24. https://doi.org/10.1097/PHH.0000000000000816.
Rau, C. S., Lin, T. S., Wu, S. C., Yang, J. C., Hsu, S. Y., Cho, T. Y., & Hsieh, C. H. (2014). Geriatric hospitalizations in fall-related injuries. Scandinavian journal of trauma, resuscitation and emergency medicine, 22, 63. https://doi.org/10.1186/s13049-014-0063-1. Fall Prevention Project to Decrease the Rate of Inpatient Falls Executive Summary
Roberts S, McInnes E, Wallis M, Tracey B, Banks M & Wendy C, 2016, Nurses’ perceptions of a pressure ulcer prevention care bundle: a qualitative descriptive study, BMC Nursing, 15(64).
Soban L, Kim L, Yuan A & Miltner R, 2017, Organizational Strategies to Implement Hospital Pressure Ulcer Prevention Programs: Findings from a National Survey, J Nurs Manag, 25(6), 457–467. Fall Prevention Project to Decrease the Rate of Inpatient Falls Executive Summary
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Organizational Culture and Values nursing PowerPoint
Prepare a 10-15 slide PowerPoint presentation, with speaker notes, that examines the significance of an organization\’s culture and values. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the Topic Materials for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning, and an additional slide for References at the end.
Outline the purpose of an organization\’s mission, vision, and values.
Explain why an organization\’s mission, vision, and values are significant to nurse engagement and patient outcomes.
Explain what factors lead to conflict in a professional practice. Describe how organizational values and culture can influence the way conflict is addressed.
Discuss effective strategies for resolving workplace conflict and encouraging interprofessional collaboration.
Discuss how organizational needs and the culture of health care influence organizational outcomes. Describe how these relate to health promotion and disease prevention from a community health perspective. Organizational Culture and Values nursing PowerPoint.
While APA style 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. Organizational Culture and Values nursing PowerPoint.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Guide the behavior of stakeholders, form foundation of activities.
Vision statement:
Overarching future aspirations.
No specific target. Organizational Culture and Values nursing PowerPoint
Mission statement:
Intended actions to achieve vision.
How organization differs from others.
MISSION, VISION AND VALUES cont’d
Values statement:
Code of ethics.
Organization beliefs and behavior.
ENGAGEMENT AND OUTCOMES
Mission, vision and values provide direction.
Keep nurses focused.
Define core values and expected behavior.
Goal setting and strategic planning.
Reflect ideal future image.
Define basic ideals, principles and philosophy.
CONFLICT FACTORS
Lack of material and human resources.
Lack of dialogue and information.
Devaluation of work and lack of motivation.
Diverging opinions and actions to perform work.
Lack of cooperation.
Lack of commitment and responsibility.
CULTURE AND VALUES
Influence
Cause of conflict
Resolution style
Occurrence
Embedded in conflicts
Determine interactions.
Four dimensions
Identities and roles
Approaches to making meaning
Ways of naming, framing and taming conflict
Communication
EFFECTIVE STRATEGIES
Compromise
Collaboration
Accommodation
Competition
Avoidance
NEEDS AND CULTURE
Framework of professional tasks performance.
Negative
Taskmasters
Distrust and fear
Not committed
Negative outcomes
Positive
Facilitators
Objectives and goals alignment
Appreciated and suitably rewarded
Positive outcomes
HEALTH PROMOTION AND DISEASE PREVENTION
System-related patient outcomes
Mortality rates
Failure to rescue
Readmission rates
Medication errors
Adverse events
Wellbeing outcomes
Patient satisfaction
Quality of life
Patient mood
Clinical outcomes
Pressure ulcers
Falls
Hospital acquired infections
Depressive symptoms
Incontinence
Symptom burden at end of life
Physical and mental health status
REFERENCES
Braithwaite, J., Herkes, J., Ludlow, K., Testa, L. & Lamprell, G. (2017). Association between organisational and workplace cultures, and patient outcomes: systematic review. BMJ Open, 7(11), e017708. DOI: 10.1136/bmjopen-2017-017708
Persily, C. (2013). Team leadership and partnering in nursing and health care. Springer Publishing Company, LLC.
Tye, J. & Dent, B. (2017). Building a culture of ownership in healthcare. The invisible architecture of core values, attitudes, and self-empowerment. Sigma Theta Tau International.
Yoder-Wise, P. (2019). Leading and managing in nursing (7th ed.). Elsevier. Organizational Culture and Values nursing PowerPoint
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NURS 6050: Policy And Advocacy For Improving Population Health Discussion
Module 1: Agenda Setting (Weeks 1-2)
Laureate Education (Producer). (2018). Meet the Experts: Pioneers in Policy [Video file]. Baltimore, MD: Author.
Laureate Education (Producer). (2018). The Policy Process [Video file]. Baltimore, MD: Author.
Learning Objectives
Students will:
Compare U.S. presidential agenda priorities
Evaluate ways that administrative agencies help address healthcare issues
Analyze how healthcare issues get on administrative agendas
Identify champions or sponsors of healthcare issues
Create fact sheets for communicating with policymakers or legislators
Justify the role of the nurse in agenda setting for healthcare issues
Due By
Assignment
Week 1, Days 1–2
Read/Watch/Listen to the Learning Resources.
Compose your initial Discussion post.
Week 1, Day 3
Post your initial discussion post.
Week 1, Days 4-5
Review peer Discussion posts.
Compose your peer Discussion responses.
Begin to compose your Assignment.
Week 1, Day 6
Post at least two peer Discussion responses on two different days (and not the same day as the initial post).
Continue to compose your final draft of your Assignment.
Week 1, Day 7
Wrap up Discussion. NURS 6050: Policy And Advocacy For Improving Population Health Discussion
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 1, “Informing Public Policy: An Important Role for Registered Nurses” (pp. 11–13 only)
Chapter 2, “Agenda Setting: What Rises to a Policymaker’s Attention?” (pp. 17–36)
Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 171–180)
Chapter 12, “An Insider’s Guide to Engaging in Policy Activities”
“Creating a Fact Sheet” (pp. 217-221)
DeMarco, R., & Tufts, K. A. (2014). The mechanics of writing a policy brief. Nursing Outlook, 62(3), 219–224. doi:10.1016/j.outlook.2014.04.002
Note: You will access this article from the Walden Library databases.
Kingdon, J. W. (2001). A model of agenda-setting, with applications. Law Review, M.S.U.-D.C.L., 2(331).
Note: You will access this article from the Walden Library databases.
Lamb, G., Newhouse, R., Beverly, C., Toney, D. A., Cropley, S., Weaver, C. A., Kurtzman, E., … Peterson, C. (2015). Policy agenda for nurse-led care coordination. Nursing Outlook, 63(4), 521–530. doi:10.1016/j.outlook.2015.06.003
Note: You will access this article from the Walden Library databases.
O’Rourke, N. C., Crawford, S. L., Morris, N. S., & Pulcini, J. (2017). Political efficacy and participation of nurse practitioners. Policy, Politics, and Nursing Practice, 18(3), 135–148. doi:10.1177/1527154417728514
Note: You will access this article from the Walden Library databases.
Institute of Medicine (US) Committee on Enhancing Environmental Health Content in Nursing Practice, Pope, A. M., Snyder, M. A., & Mood, L. H. (Eds.). (n.d.). Nursing health, & environment: Strengthening the relationship to improve the public’s health. Retrieved September 20, 2018. NURS 6050: Policy And Advocacy For Improving Population Health Discussion
Note: You will access this article from the Walden Library databases.
USA.gov. (n.d.). A-Z index of U.S. government departments and agencies. Retrieved September 20, 2018, from https://www.usa.gov/federal-agencies/a
USA.gov. (n.d.). Executive departments. Retrieved September 20, 2018, from https://www.usa.gov/executive-departments
The White House. (n.d.). The cabinet. Retrieved September 20, 2018, from https://www.whitehouse.gov/the-trump-administration/the-cabinet/
Regardless of political affiliation, every citizen has a stake in healthcare policy decisions. Hence, it is little wonder why healthcare items become such high-profile components of presidential agendas. It is also little wonder why they become such hotly debated agenda items.
Consider a topic that rises to the presidential level. How did each of the presidents (Trump, Obama, and Bush) handle the problem? What would you do differently?
To Prepare:
Review the Resources and reflect on the importance of agenda setting.
Consider how federal agendas promote healthcare issues and how these healthcare issues become agenda priorities.
By Day 3 of Week 1
Post your response to the discussion question: Consider a topic that rises to the presidential level. How did each of the presidents (Trump, Obama, and Bush) handle the problem? What would you do differently?
By Day 6 of Week 1
Respond to at least two of your colleagues* on two different days by expanding on their response and providing an example that supports their explanation or respectfully challenging their explanation and providing an example.
*Note: Throughout this program, your fellow students are referred to as colleagues.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 1 Discussion Rubric
Post by Day 3 and Respond by Day 6 of Week 1
To participate in this Discussion:
Week 1 Discussion
Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief
It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember.
Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since.
As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news. NURS 6050: Policy And Advocacy For Improving Population Health Discussion .
In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy.
To Prepare:
Review the agenda priorities of the current/sitting U.S. president and the two previous presidential administrations.
Select an issue related to healthcare that was addressed by each of the last three U.S. presidential administrations.
Reflect on the focus of their respective agendas, including the allocation of financial resources for addressing the healthcare issue you selected.
Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda.
The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page Fact Sheet)
Part 1: Agenda Comparison Grid
Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the two previous presidential administrations and their agendas related to the public health concern you selected. Be sure to address the following:
Identify and provide a brief description of the population health concern you selected and the factors that contribute to it.
Describe the administrative agenda focus related to the issue you selected.
Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.
Explain how each of the presidential administrations approached the issue.
Part 2: Agenda Comparison Grid Analysis
Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following:
Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?
How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there?
Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?
Part 3: Fact Sheet or Talking Points Brief
Using the information recorded on the template in Parts 1 and 2, develop a 1-page Fact Sheet or Talking Points Brief that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. You can use Microsoft Word or PowerPoint to create your Fact Sheet or Talking Point Brief. Be sure to address the following:
Summarize why this healthcare issue is important and should be included in the agenda for legislation.
Justify the role of the nurse in agenda setting for healthcare issues.
By Day 7 of Week 2
Submit your final version of Part 1: Agenda Comparison Grid, Part 2: Agenda Comparison Grid Analysis, and Part 3: Fact Sheet or Talking Points Brief.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK2Assgn+last name+first initial.(extension)” as the name.
Click the Week 2 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 2 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK2Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database. NURS 6050: Policy And Advocacy For Improving Population Health Discussion .
Click on the Submit button to complete your submission.
Due to the nature of this assignment, your instructor may require more than 5 days to provide you with quality feedback.
Grading Criteria
To access your rubric:
Week 2 Assignment Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 2 Assignment draft and review the originality report.
Analyze how cost-benefit analysis affects legislative efforts
Analyze legislative intent of bills
Identify proponents and opponents of bills
Analyze legislative process of bills
Advocate policy position for bills
Recommend amendments to bills in support of policy positions
Due By
Assignment
Week 3, Days 1-2
Read/Watch/Listen to the Learning Resources.
Compose your initial Discussion post.
Week 3, Day 3
Post your initial Discussion post.
Begin to compose your Assignment.
Week 3, Days 4-5
Review peer Discussion posts.
Compose your peer Discussion responses.
Continue to compose your Assignment.
Week 3, Day 6
Post at least two peer Discussion responses on two different days (and not the same day as the initial post).
Week 3, Day 7
Wrap up Discussion.
Week 4, Days 1-6
Continue to compose your Assignment.
Week 4, Day 7
Deadline to submit your Assignment.
Photo Credit: [YinYang]/[E+]/Gertty Images
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 180–183 only)
Congress.gov. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/
Taylor, D., Olshansky, E., Fugate-Woods, N., Johnson-Mallard, V., Safriet, B. J., & Hagan, T. (2017). Corrigendum to position statement: Political interference in sexual and reproductive health research and health professional education. Nursing Outlook, 65(2), 346–350. doi:10.1016/j.outlook.2017.05.003
Note: You will access this article from the Walden Library databases.
United States House of Representatives. (n.d.). Retrieved September 20, 2018, from https://www.house.gov/ NURS 6050: Policy And Advocacy For Improving Population Health Discussion
United States Senate. (n.d.). Retrieved September 20, 2018, from https://www.senate.gov/
United States Senate. (n.d.). Senate organization chart for the 115th Congress. Retrieved September 20, 2018, from https://www.senate.gov/reference/org_chart.htm
Laureate Education (Producer). (2018). Working with Legislators [Video file]. Baltimore, MD: Author.
Laureate Education (Producer). (2018). Introduction to Health Policy and Law with Joel Teitelbaum [Video file]. Baltimore, MD: Author.
Laureate Education (Producer). (2018). Contemporary Issues in Public Health Policy with Joel Teitelbaum [Video file]. Baltimore, MD: Author.
Laureate Education (Producer). (2018). Peter Beilenson: Population Health [Video file]. Baltimore, MD: Author.
Discussion: Politics and the Patient Protection and Affordable Care Act
Regardless of political affiliation, individuals often grow concerned when considering perceived competing interests of government and their impact on topics of interest to them. The realm of healthcare is no different. Some people feel that local, state, and federal policies and legislation can be either helped or hindered by interests other than the benefit to society.
Consider for example that the number one job of a legislator is to be reelected. Cost can be measured in votes as well as dollars. Thus, it is important to consider the legislator’s perspective on either promoting or not promoting a certain initiative in the political landscape.
To Prepare:
Review the Resources and reflect on efforts to repeal/replace the Affordable Care Act (ACA).
Consider who benefits the most when policy is developed and in the context of policy implementation.
By Day 3 of Week 3
Post an explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA. Then, explain how analyses of the voters views may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid). Remember, the number one job of a legislator is to be re-elected. Please check your discussion grading rubric to ensure your responses meet the criteria.
By Day 6 of Week 3
Respond to at least two of your colleagues* on two different days by expanding on their explanation and providing an example that supports their explanation or respectfully challenging their explanation and providing an example. NURS 6050: Policy And Advocacy For Improving Population Health Discussion .
*Note: Throughout this program, your fellow students are referred to as colleagues.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 3 Discussion Rubric
Post by Day 3 and Respond by Day 6 of Week 3
To participate in this Discussion:
Week 3 Discussion
Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement
As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice.
Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy.
To Prepare:
Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.
The Assignment: (1- to 2-page Comparison Grid; 1- to 2-page Legislation Testimony/Advocacy Statement)
Part 1: Legislation Comparison Grid
Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Comparison Grid Template. Be sure to address the following:
Determine the legislative intent of the bill you have reviewed.
Identify the proponents/opponents of the bill.
Identify the target populations addressed by the bill.
Where in the process is the bill currently? Is it in hearings or committees?
Is it receiving press coverage?
Part 2: Legislation Testimony/Advocacy Statement
Based on the health-related bill you selected, develop a 1- to 2-page Legislation Testimony/Advocacy Statement that addresses the following:
Advocate a position for the bill you selected and write testimony in support of your position.
Describe how you would address the opponent to your position. Be specific and provide examples.
Recommend at least one amendment to the bill in support of your position. NURS 6050: Policy And Advocacy For Improving Population Health Discussion .
By Day 7 of Week 4
Submit your completed legislation comparison grid and testimony/advocacy statement.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK4Assgn+last name+first initial.(extension)” as the name.
Click the Week 4 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 4 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK4Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
Grading Criteria
To access your rubric:
Week 4 Assignment Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 4 Assignment draft and review the originality report.
Compare state/regional board of nursing regulations
Compare boards of nursing and professional nurse associations
Analyze members of boards of nursing
Analyze federal and state regulations for healthcare
Due By
Assignment
Week 5, Days 1–2
Read/Watch/Listen to the Learning Resources.
Compose your initial Discussion post.
Week 5, Day 3
Post your initial Discussion post.
Begin to compose your Assignment.
Week 5, Days 4-5
Review peer Discussion posts.
Compose your peer Discussion responses.
Continue to compose your Assignment.
Week 5, Day 6
Post at least two peer Discussion responses on two different days (and not the same day as the initial post).
Week 5, Day 7
Wrap up Discussion.
Week 6, Days 1-6
Continue to compose your Assignment.
Week 6, Day 7
Deadline to submit your Assignment.
Photo Credit: [eurobnaks]/IStock/Getty Images Plus
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
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. (n.d.). ANA enterprise. Retrieved September 20, 2018, from http://www.nursingworld.org
Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary care. Nursing Outlook, 65(6), 761–765. doi:10.1016/j.outlook.2017.10.002
Note: You will access this article from the Walden Library databases.
Halm, M. A. (2018). Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing. Worldviews on Evidence-Based Nursing, 15(4), 272–280. doi:10.1111/wvn.12291
National Council of State Boards of Nursing (NCSBN). (n.d.). Retrieved September 20, 2018, from https://www.ncsbn.org/index.htm
Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, D., & Harman J. S. (2018). The impact of nurse practitioner regulations on population access to care. Nursing Outlook, 66(4), 379–385. doi:10.1016/j.outlook.2018.03.001
Note: You will access this article from the Walden Library databases.
Peterson, C., Adams, S. A., & DeMuro, P. R. (2015). mHealth: Don’t forget all the stakeholders in the business case. Medicine 2.0, 4(2), e4. doi:10.2196/med20.4349
Note: You will access this article from the Walden Library databases.
Required Media
Laureate Education (Producer). (2018). The Regulatory Process [Video file]. Baltimore, MD: Author.
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Discussion: Professional Nursing and State-Level Regulations
Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.
It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.
To Prepare:
Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.
Consider how key regulations may impact nursing practice.
Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion..
By Day 3 of Week 5
Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.
By Day 6 of Week 5
Respond to at least two of your colleagues* on two different days and explain how the regulatory environment and the regulations selected by your colleague differ from your state/region. Be specific and provide examples.
*Note: Throughout this program, your fellow students are referred to as colleagues.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 5 Discussion Rubric
Post by Day 3 and Respond by Day 6 of Week 5
To participate in this Discussion:
Week 5 Discussion
Assignment: Regulation for Nursing Practice Staff Development Meeting
Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each. NURS 6050: Policy And Advocacy For Improving Population Health Discussion
Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.
To Prepare:
Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.
Review the NCSBN and ANA websites to prepare for your presentation.
The Assignment: (9- to 10-slide PowerPoint presentation)
Develop a 9- to 10-slide PowerPoint Presentation that addresses the following:
Describe the differences between a board of nursing and a professional nurse association.
Describe the geographic distribution, academic credentials, practice positions, and licensure status of members of the board for your specific region/area.
Who is on the board?
How does one become a member of the board?
Describe at least one federal regulation for healthcare.
How does this regulation influence delivery, cost, and access to healthcare (e.g., CMS, OSHA, and EPA)?
Has there been any change to the regulation within the past 5 years? Explain.
Describe at least one state regulation related to general nurse scope of practice.
How does this regulation influence the nurse’s role?
How does this regulation influence delivery, cost, and access to healthcare?
Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
How does this regulation influence the nurse’s role?
How does this regulation influence delivery, cost, and access to healthcare?
Include Speaker Notes on Each Slide (except on the title page and reference page)
By Day 7 of Week 6
Submit your Regulation for Nursing Practice Staff Development Meeting Presentation.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK6Assgn+last name+first initial.(extension)” as the name.
Click the Week 6 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 6 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK6Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
Due to the nature of this assignment, your instructor may require more than 5 days to provide you with quality feedback.
Grading Criteria
To access your rubric:
Week 6 Assignment Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 6 Assignment draft and review the originality report.
Submit Your Assignment by Day 7 of Week 6
To submit your Assignment:
Week 6 Assignment
Next Module
To go to the next Module:
Module 4
Module 4: Healthcare Program Design and Implementation (Weeks 7-8)
Analyze opportunities for RNs and APRNs to participate in policy-making
Analyze strategies for overcoming challenges for participating in policy-making
Recommend strategies to improve the advocacy and communication of policy-making opportunities
Analyze healthcare programs
Analyze the role of the nurse in healthcare program design
Analyze the role of the nurse as advocates for target populations of healthcare programs
Analyze the role of the nurse in healthcare program implementation
Analyze healthcare teams necessary for implementing healthcare programs
Due By
Assignment
Week 7, Days 1–2
Read/Watch/Listen to the Learning Resources.
Compose your initial Discussion 1 post.
Week 7, Day 3
Post your initial Discussion 1 post.
Begin to compose your Assignment.
Week 7, Days 4-5
Review peer Discussion 1 posts.
Compose your peer Discussion 1 responses.
Continue to compose your Assignment.
Week 7, Day 6
Post at least two peer Discussion 1 responses on two different days (and not the same day as the initial post).
Week 7, Day 7
Wrap up Discussion 1.
Week 8, Days 1–2
Compose your initial Discussion 2 post.
Continue to compose your Assignment.
Week 8, Day 3
Post your initial Discussion 2 post.
Continue to compose your Assignment.
Week 8, Days 4-5
Review peer Discussion 2 post.Compose your peer Discussion 2 post.
Continue to compose your Assignment.
Week 8, Day 6
Post at least two peer Discussion 2 responses on two different days (and not the same day as the initial post).
Week 8, Day 7
Wrap up Discussion 2.
Deadline to submit your Assignment.
Photo Credit: [Hill Street Studios]/[Blend Images]/Getty Images
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 183–191 only)
American Nurses Association (ANA). (n.d.). Advocacy. Retrieved September 20, 2018, from https://www.nursingworld.org/practice-policy/advocacy/
Centers for Disease Control and Prevention (CDC). (n.d.). Step by step: Evaluating violence and injury prevention policies: Brief 4: Evaluating policy implementation. Retrieved from https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf
Congress.gov. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/
Klein, K. J., & Sorra, J. S. (1996). The challenge of innovation implementation. Academy of Management Review, 21(4), 1055–1080. doi:10.5465/AMR.1996.9704071863
Note: You will access this article from the Walden Library databases. NURS 6050: Policy And Advocacy For Improving Population Health Discussion
Sacristán, J., & Dilla, T. D. (2015). No big data without small data: Learning health care systems begin and end with the individual patient. Journal of Evaluation in Clinical Practice, 21(6), 1014–1017. doi:10.1111/jep.12350
Note: You will access this article from the Walden Library databases.
Tummers, L., & Bekkers, V. (2014). Policy implementation, street level bureaucracy, and the importance of discretion. Public Management Review, 16(4), 527–547. doi:10.1080/14719037.2013.841978.
Note: You will access this article from the Walden Library databases.
Required Media
Laureate Education (Producer). (2018). Getting your Program Designed and Implemented [Video file]. Baltimore, MD: Author.
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Laureate Education (Producer). (2018). Health policy and politics [Video file]. Baltimore, MD: Author.
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Discussion 1: Evidence Base in Design
When politics and medical science intersect, there can be much debate. Sometimes anecdotes or hearsay are misused as evidence to support a particular point. Despite these and other challenges, however, evidence-based approaches are increasingly used to inform health policy decision-making regarding causes of disease, intervention strategies, and issues impacting society. One example is the introduction of childhood vaccinations and the use of evidence-based arguments surrounding their safety.
In this Discussion, you will identify a recently proposed health policy and share your analysis of the evidence in support of this policy.
To Prepare:
Review the Congress website provided in the Resources and identify one recent (within the past 5 years) proposed health policy.
Review the health policy you identified and reflect on the background and development of this health policy.
By Day 3 of Week 7
Post a description of the health policy you selected and a brief background for the problem or issue being addressed. Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples.
By Day 6 of Week 7
Respond to at least two of your colleagues* on two different days by either supporting or respectfully challenging their explanation on whether there is an evidence base to support the proposed health policy they described.
*Note: Throughout this program, your fellow students are referred to as colleagues.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 7 Discussion Rubric
Post by Day 3 and Respond by Day 6 of Week 7
To participate in this Discussion:
Week 7 Discussion
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.
By Day 3 of Week 8
Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples.
By Day 6 of Week 8
Respond to at least two of your colleagues’* posts by suggesting additional opportunities or recommendations for overcoming the challenges described by your colleagues.
*Note: Throughout this program, your fellow students are referred to as colleagues.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 8 Discussion Rubric
Post by Day 3 and Respond by Day 6 of Week 8
To participate in this Discussion:
Week 8 Discussion
Assignment: Advocating for the Nursing Role in Program Design and Implementation
As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey.
Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives.
In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.
To Prepare:
Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
Select a healthcare program within your practice and consider the design and implementation of this program.
Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.
The Assignment: (2–4 pages)
In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions:
Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
Who is your target population?
What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why? NURS 6050: Policy And Advocacy For Improving Population Health Discussion
By Day 7 of Week 8
Submit your interview transcript.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your written transcript using the naming convention “WK8Assgn+last name+first initial.(extension)” as the name.
Click the Week 8 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 8 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK8Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
Grading Criteria
To access your rubric:
Week 8 Assignment Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 8 Assignment draft and review the originality report.
Submit Your Assignment by Day 7 of Week 8
To submit your Assignment:
Week 8 Assignment
Next Module
To go to the next Module:
Module 5
Module 5: Program/Policy Evaluation (Weeks 9-10)
Laureate Education (Producer). (2018). Program Policy and Evaluation [Video file]. Baltimore, MD: Author.
Learning Objectives
Students will:
Analyze opportunities for RNs and APRNs to participate in program/policy evaluations
Analyze strategies for overcoming challenges for participating in program/policy evaluations
Recommend strategies to improve the advocacy and communication of program/policy evaluations
Describe healthcare program/policy outcomes
Analyze healthcare program/policy evaluations
Analyze the role of the nurse advocate in program/policy evaluation
Due By
Assignment
Week 9, Days 1–2
Read/Watch/Listen to the Learning Resources.
Compose your initial Discussion post.
Week 9, Day 3
Post your initial Discussion post.
Begin to compose your Assignment.
Week 9, Days 4-5
Review peer Discussion posts.
Compose your peer Discussion responses.
Continue to compose your Assignment.
Week 9, Day 6
Post at least two peer Discussion responses on two different days (and not the same day as the initial post).
Week 9, Day 7
Wrap up Discussion.
Week 10, Days 1-6
Continue to compose your Assignment.
Week 10, Day 7
Deadline to submit your Assignment.
Photo Credit: [Phil Roeder]/[Moment]/Getty Images
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 7, “Health Policy and Social Program Evaluation” (pp. 116–124 only)
Glasgow, R. E., Lichtenstein, E., & Marcus, A. C. (2003). Why don’t we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. American Journal of Public Health, 93(8), 1261–1267.
Note: You will access this article from the Walden Library databases.
Shiramizu, B., Shambaugh, V., Petrovich, H., Seto, T. B., Ho, T., Mokuau, N., & Hedges, J. R. (2016). Leading by success: Impact of a clinical and translational research infrastructure program to address health inequities. Journal of Racial and Ethnic Health Disparities, 4(5), 983–991. doi:10.1007/s40615-016-0302-4
Williams, J. K., & Anderson, C. M. (2018). Omics research ethics considerations. Nursing Outlook, 66(4), 386–393. doi:10.1016/j.outlook.2018.05.003
Note: You will access this article from the Walden Library databases.
Laureate Education (Producer). (2018). The Importance of Program Evaluation [Video file]. Baltimore, MD: Author.
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Laureate Education (Producer). (2018). Peter Beilenson: Ethics and advocacy [Video file]. Baltimore, MD: Author.
Discussion: The Role of the RN/APRN in Policy Evaluation
In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making. A critical component of any policy design is evaluation of the results. How comfortable are you with the thought of becoming involved with such matters?
Some nurses may be hesitant to get involved with policy evaluation. The preference may be to focus on the care and well-being of their patients; some nurses may feel ill-equipped to enter the realm of policy and political activities. However, as you have examined previously, who better to advocate for patients and effective programs and polices than nurses? Already patient advocates in interactions with doctors and leadership, why not with government and regulatory agencies?
In this Discussion, you will reflect on the role of professional nurses in policy evaluation.
To Prepare:
In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making.
Review the Resources and reflect on the role of professional nurses in policy evaluation.
By Day 3 of Week 9
Post an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in policy review. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities. Be specific and provide examples.
By Day 6 of Week 9
Respond to at least two of your colleagues* on two different days by suggesting additional opportunities or recommendations for overcoming the challenges described by your colleagues. NURS 6050: Policy And Advocacy For Improving Population Health Discussion
*Note: Throughout this program, your fellow students are referred to as colleagues.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 9 Discussion Rubric
Post by Day 3 and Respond by Day 6 of Week 9
To participate in this Discussion:
Week 9 Discussion
Assignment: Assessing a Healthcare Program/Policy Evaluation
Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.
Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.
To Prepare:
Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
Select an existing healthcare program or policy evaluation or choose one of interest to you.
Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.
The Assignment: (2–3 pages)
Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:
Describe the healthcare program or policy outcomes.
How was the success of the program or policy measured?
How many people were reached by the program or policy selected?
How much of an impact was realized with the program or policy selected?
At what point in program implementation was the program or policy evaluation conducted?
What data was used to conduct the program or policy evaluation?
What specific information on unintended consequences was identified?
What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
Did the program or policy meet the original intent and objectives? Why or why not?
Would you recommend implementing this program or policy in your place of work? Why or why not?
Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.
Submit your completed healthcare program/policy evaluation analysis.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK10Assgn+last name+first initial.(extension)” as the name.
Click the Week 10 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 10 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK10Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
Due to the nature of this assignment, your instructor may require more than 5 days to provide you with quality feedback.
Grading Criteria
To access your rubric:
Week 10 Assignment Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 10 Assignment draft and review the originality report.
Submit Your Assignment by Day 7 of Week 10
To submit your Assignment:
Week 10 Assignment
Module 5: Looking Ahead
Please Note: The Module 6, Week 11 Assignment, Global Healthcare Comparison Matrix and Narrative Statement, is due on Day 5 of Week 11.
Next Module
To go to the next Module:
Module 6
Module 6: Global Healthcare Issues (Week 11)
–Downloads–
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Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 11, “The Impact of Globalization: Nurses Influencing Global Health Policy” (pp. 194–208)
Corless, I. B., Nardi, D., Milstead, J. A., Larson, E., Nokes, K. M., Orsega, S., Kurth, A. E., … Woith, W. (2018). Expanding nursing’s role in responding to global pandemics. Nursing Outlook, 66(4), 412–415. doi:10.1016/j.outlook.2018.06.003
Note: You will access this article from the Walden Library databases.
Donkin, A., Goldblatt, P., Allen, J., Nathanson, V., & Marmot, M. (2017). Global action on the social determinants of health. BMJ Global Health, 3(1). doi:10.1136/bmjgh-2017-000603
Note: You will access this article from the Walden Library databases.
Sandoval-Almazana, R., & Gil-Garcia, J. R. (2011). Are government internet portals evolving towards more interaction, participation, and collaboration? Revisiting the rhetoric of e-government among municipalities. Government Information Quarterly, 29(Suppl. 1), S72–S81. doi:10.1016/j.giq.2011.09.004
Note: You will access this article from the Walden Library databases.
World Health Organization (WHO). (n.d.). Global health agenda. Retrieved September 20, 2018, from http://www.who.int/about/vision/global_health_agenda/en/
Document: Global Health Comparison Matrix (Word document)
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Assignment: Global Healthcare Comparison Matrix and Narrative Statement
Note: This Assignment is due on Day 5 of Week 11.
If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?
You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.
Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.
In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.
To Prepare:
Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
Select at least one additional country to compare to the U.S. for this Assignment.
Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
Review and download the Global Health Comparison Matrix provided in the Resources. NURS 6050: Policy And Advocacy For Improving Population Health Discussion
The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)
Part 1: Global Health Comparison Matrix
Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:
Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
Explain the strengths and weaknesses of each policy.
Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
Explain how the health policy you selected might impact the role of the nurse in each country.
Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.
Part 2: A Plan for Social Change
Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.
In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.
Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples.
By Day 5 of Week 11
Submit Part 1 and Part 2 of your Assignment.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK11Assgn+last name+first initial.(extension)” as the name.
Click the Week 11 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 11 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK11Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
Grading Criteria
To access your rubric:
Week 11 Assignment Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 11 Assignment draft and review the originality report.
Submit Your Assignment by Day 5 of Week 11
To submit your Assignment:
Week 11 Assignment
Congratulations! After you have finished all of the assignments for this Module, you have completed the course. Please submit your Course Evaluation by Day 7. NURS 6050: Policy And Advocacy For Improving Population Health Discussion
https://superbnursingessays.com/wp-content/uploads/2022/01/LOGO-300x75.png00Naomi Nashttps://superbnursingessays.com/wp-content/uploads/2022/01/LOGO-300x75.pngNaomi Nas2022-01-24 10:28:482022-01-24 10:28:48NURS 6050: Policy And Advocacy For Improving Population Health Discussion
Discussion: Where in the World Is Evidence-Based Practice? Example 1
Healthcare Organization Website Review
Evidence-based practice is a tool used in healthcare to provide the most effective care that is available, intending to improve patient outcomes. It’s beneficial for problem-solving in the clinical care setting. EBP (evidence-based practice) is well-designed studies that have been done by clinical expertise. In reviewing EBP, I have discovered the healthcare organization Join
The reviewed website for this discussion belongs to New York-Presbyterian Hospital (Nyp.org, 2019). It is one of America’s largest and most comprehensive healthcare delivery system devoted to providing the highest quality and most comprehensive care and services to patients. Besides, it is a leader in medical education and the only academic medical center in the whole of the US affiliated with two world-class medical schools. As a leading healthcare organization, NewYork-Presbyterian (NYP) The hospital should be at the forefront in implementing Evidence-based practice (EBP). This has not been a letdown, as shown by its mission, vision, purpose, and QPS domains. In its mission, EBP is evident as the organization strives to be a high-quality hospital that facilitates quality, safety, and best patient outcomes (Nyp.org, 2019). NYP’s mission is aligned with the objectives of EBP, which is the promotion of high-value health care through the provision of quality and reliable care, improve health outcomes, and minimize differences in costs and care (Melnyk, Gallagher-Ford, Long & Fineout-Overholt, 2014). Healthcare Organization Website Review Paper
EBP is shown in its vision, whose aim is to make NYP the best and safest academic health system through the promotion of zero harm, and a culture of safety, and reliability. In the purpose of the NYP, EBP is evident as the facility supports initiatives designed to develop and share best practices and attain optimal patient outcomes and family experience. Regarding QPS domains, EBP is evident in NYP quality improvement initiatives, patient safety, analytics, and infection prevention and control.
An evaluation of the NYP website indicates that the organization’s work is grounded in EBP practice. The organization has formed partnerships with other healthcare organizations to provide the best medical education, patient-centered clinical care, and revolutionary research and innovation in the healthcare sector. According to Kowalski (2017), there are various ways to implement EBP in a hospital setting, and it includes education, peer involvement, leveraging expertise, promoting EBP culture, and many more. NYP achieves EBP when it creates and encourages EBP culture, EBP programs, research, innovations, and development of clinical guidelines in the clinical arena. For instance, it supports staff interested in EBP besides promoting a wide range of activities such as clinical trials to bring quality improvement (Crabtree, Brennan, Davis & Coyle, 2016). Supporting and involving healthcare providers in EBP is an important step taken by NYP because they serve as the front line of the clinical care and possess an exclusive chance to improve care via EBP.
Perception of Healthcare Organization
The information obtained on the website has changed my whole perception of hospitals and EBP. For instance, I have learned that hospitals are an integral component in enhancing EBP practices through the support of staff interested in EBP. Still, I have learned that EBP is part and parcel of the current health care system, which is now patient-centered.
References
Kowalski, M. (2017). Strategies to heighten EBP engagement. Nursing Management (Springhouse), 48(2), 13-15. doi: 10.1097/01.numa.0000511928.43882.55
Melnyk, B., Gallagher-Ford, L., Long, L., & Fineout-Overholt, E. (2014). The Establishment of Evidence-Based Practice Competencies for Practicing Registered Nurses and Advanced Practice Nurses in Real-World Clinical Settings: Proficiencies to Improve Healthcare Quality, Reliability, Patient Outcomes, and Costs. Worldviews On Evidence-Based Nursing, 11(1), 5-15. doi: 10.1111/wvn.12021
Nyp.org. (2019). NewYork–Presbyterian Hospital Medical center. Retrieved 24 November 2019, from https://www.nyp.org/about-us/patient-safety
Nyp.org. (2019). NewYork–Presbyterian Hospital Medical center. Retrieved 24 November 2019, from https://www.nyp.org/about-us/patient-safety. Healthcare Organization Website Review Paper
Discussion: Where in the World Is Evidence-Based Practice? Example 2
Evidence-based practice (EBP) is a lifelong analytic process to clinical practice that combines external evidence from research, evidence-based theories, clinical expertise, and patient preferences and values (Melnyk & Fineout-Overholt, 2018). Best practice only occurs when staff continually ask questions about treatment and care, have the resources and skills necessary to search for and appraise research evidence, implement the evidence in practice, and evaluate its effectiveness (Dawes et al., [ 1] ; Hockenberry et al., [ 2] ).
After researching for a healthcare organization that has evidence-based practice, I found the “The American Geriatrics Society” (AGS). AGS is a nationwide, not-for-profit society of geriatrics healthcare professionals dedicated to improving the health, independence, and quality of life of older people (American Geriatric Society, 2020). Founded in 1942, they have 6,000+ members which include geriatricians, geriatric nurses, social workers, family practitioners, physician assistants, pharmacists, and internists who are pioneers in advanced-illness care for older individuals, with a focus on championing interprofessional teams, eliciting personal care goals, and treating older people as whole persons( American Geriatric Society, 2020). In addition, AGS hosts the premier industry scientific event annually where professional from all geriatric disciplines can garner the most current information and information-based research regarding aging research, and new and creative research based clinical care and delivery plans. Their vision, “We are all able to contribute to our communities and maintain our health, safety, and independence as we age; and older people have access to high-quality, person-centered care informed by geriatrics principles.” (American Geriatric Society, 2020).
One AGS program, The AGS Annual Scientific Meeting, is the premier educational event in geriatrics, providing the latest information on clinical care, research on aging, and innovative models of care delivery (American Geriatric Society, 2020) Healthcare Organization Website Review Paper. Held annually, the AGS Annual Scientific Meeting addresses the educational needs of geriatrics professionals from all disciplines. Physicians, nurses, pharmacists, physician assistants, social workers, long-term care and managed care providers, health care administrators, and others can update their knowledge and skills through state-of-the-art educational sessions, including invited symposia, workshops, and meet-the-expert sessions (American Geriatric Society, 2020).
The American Geriatric Society is grounded in evidence-based practice in their programs. One can find evidence of this on their home page website under the program tab. One example is the Geriatrics Workforce Enhancement Program where they participate in fall prevention for the elderly. On July 2, 2019, AGS wrote a letter to the Senate Special Committee regarding fall-related injuries and deaths, which are a major threat to the health and independence of older adults (American Geriatric Society, 2020).
As a nurse working with elderly patients, their family members and friends, my perception of AGS is that they are helpful in our society because the organization aims for something as unique as it is necessary like training the workforce we need. This appears to be especially important because America has an extremely large and growing population of baby boomers. Elderly people need and will continue to need a greater amount of care and comfort to lead a healthy life without worries and anxiety.
References
American Geriatric Society. (2020). Learn more about who we are. Retrieved from
https://www.americangeriatrics.org/about-us
Dawes, M., Summerskill, W., Glasziou, P., Cartabellotta, A., Martin, J., Hopayian, K., & … Osborne, J. (2005). Sicily statement on evidence ‐ based practice. BMC Medical Education, 5, 1. Retrieved from
Melnyk, B.M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Discussion: Where in the World Is Evidence-Based Practice? Example 3
According to Melnyk & Fineout-Overholt (2018), evidence-based (EBP) practice enhances the quality of healthcare and improves patient outcomes, so it is imperative that professional healthcare organizations use evidence-based practice. The healthcare organization I chose to examine is the National Institute of Health (NIH). The NIH is a governmental agency of the United States that is responsible for public health research.
The foundation of the NIH is based on evidence-based practice and this is evident from browsing their website. An example of their use of EBP is found in the mission and goals statement in which they state that “NIH’s mission is to seek fundamental knowledge about the nature and behavior of living systems and the application of the knowledge to enhance health, lengthen life, and reduce illness and disability” (www.nih.gov, n.d.). Melnyk & Fineout-Overholt (2018) discuss the six steps of the evidence-based practice process, and based off of this mission statement, we see the second step, searching for and collecting the most relevant best evidence, come into play. To demonstrate the NIH’s dedication to the use of EBP, the Feinstein Institute for Medical research, the largest healthcare provider in New York, was awarded a grant from the NIH for $850,000 to support their efforts to create tools for doctors and advanced practice medical personnel to make and implement evidence-based clinical practice, as it is estimated that a third of hospital deaths are due to a lack of EBP practice (PRNewswire, 2019).
The NIH’s work is grounded in EBP as each step in the EBP process is seen throughout this healthcare organization. The NIH begins with a question based off of a clinical situation. They then receive funds to collect and search for the best and most relevant evidence. The results of the studies are examined for validity and reliability. They then integrate the evidence, evaluate the outcomes, and lastly disseminate the information. On their website, there is a page dedicated to their 16 research initiatives and each appear to use the EBP process to further their research.
My perception of this healthcare organization has changed. I knew what the NIH’s purpose was, but was surprised by the amount of funding and emphasis put on evidence-based practice to help practitioners implement these processes in their healthcare systems. As Melnyk & Fineout-Overholt (2018) discuss, while there is research evidence to help dictate best practice but many healthcare systems are steeped in tradition, and unwilling to change their policies. Mccormack (2017) makes the point that it is often difficult for healthcare workers to maintain compliance in their healthcare facility to ensure they are meeting the national standard for accreditation, but at the same time are encouraged to research EBP, although it might go against the standard of practice set in one’s workplace Healthcare Organization Website Review Paper.I was impressed that the NIH provides research for EBP but also encourages and supports figuring out how to actually implement new research into medical personnel’s practice.
References
Effort to “nudge” doctor’s adoption of evidence-based clinical practice receives NIH support. (2019). PRNewswire. Retrieved from https://eds-b-ebscohost-com.ezp.waldenulibrary.org/eds/detail/detail?vid=5&sid=0d897207-4e3e-4e11-a8a1-be03acbf85e1@pdc-v-sessmgr03&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ==#AN=201902131607PR.NEWS.USPR.CL53584&db=bwh
Mccormack, B. (2017). Compliance Versus Innovation in Evidence-Based Nursing. Worldviews on Evidence-Based Nursing, 14(3), 173–174. doi: 10.1111/wvn.12240
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: a guide to best practice (4th ed.). Philadelphia: Wolters Kluwer.
National Institutes of Health. (n.d.). Retrieved February 26, 2020, from https://www.nih.gov/
Discussion: Where in the World Is Evidence-Based Practice?
March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.
When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.
In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.
To Prepare:
Review the Resources and reflect on the definition and goal of EBP.
Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
Explore the website to determine where and to what extent EBP is evident.
By Day 3 of Week 1
Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.
By Day 6 of Week 1
Respond to at least two of your colleagues on two different days by visiting the websites they shared and offering additional examples of EBP or alternative views/interpretations to those shared in your colleagues’ posts. Healthcare Organization Website Review Paper.
Discussion: Where in the World Is Evidence-Based Practice? Example 4
The centers for Medicare & Medicaid services (CMS) is a government organization. Through this organization, many of our low-income families, pregnant women, people needing long term care and disabled individuals of all ages receive their access to proper health care. This is part of the department of Health and Human Services (HHS) which is used to provide benefits to these affected groups to ensure that medical care is provided whether it is for a routine doctor visit or hospital stay. As part of this agency, its mission to provide all Americans protection and provide essential human services (U.S. Department of Health and Human Services, 2017). Through this mission, it uses evidence-based findings to implement initiatives, provide information and address issues that affect the country.
One of the ways that they gather their information is through the collecting of data from providers that participate in Accountable Care Organizations (ACOs) that are a part of the Medicare Shared Savings Plan. They receive CAHPS scores from ACOs survey to determine the patient care as coordinated, quality care from the health care providers. The questions are core information used to assess the “specialist care, experience with care coordination, patient involvement in decision-making, experiences with a health care team, health promotion and patient education, patient functional status, and general health” (Centers for Medicare and Medicaid Services, 2018). The importance of the data is that it is stored as quality and financial data to compare care, cost and specialized procedures with health care providers to make informed health decisions.
To conclude, the collected information is important to identify trends in care and how to address them in a coordinated approach from health care professionals. This information that is collected and can be found on data.cms.gov, is information for research and implementing improvements that will benefit all American utilizing Medicare and Medicaid.
Reference
Centers for Medicare and Medicaid Services. (2018, October 22). CAHPS for ACOs. Retrieved from https://www.cms.gov/Research-Statistics-Data-and-Systems/Research/CAHPS/ACO
U.S. Department of Health and Human Services. (2017, February 10). HHS Historical Highlights. Retrieved from https://www.hhs.gov/about/historical-highlights/index.html
response
I enjoyed reading your discussion post. It provides helpful information about how the Center for Medical and Medicare (CMS) gathers its information. Another way in which CMS provides evidence-based practice (EBP) care to their patients is through research. For example, in Bill and Smith (2016) explained that CMS was directed to create goals that help reduce the number of hospital-acquired pressure injuries (Beal & Smith, 2016). As a result, hospitals now have developed methods such as turning patients every two hours and providing baths, to mention a few.
Another way in which CMS has helped improve positive outcomes for hospitalized patients is through partnerships with other agencies such as the Center for Disease Control and Prevention. One of the quadrupled aim’s objective is to improve patient outcomes. To help with this, CMS has partnered with CDC in the past to provide evidence regarding CAUTI infection related to catheter use (Cantrell, 2016) Healthcare Organization Website Review Paper. Thus, to ensure that patients receive the most effective and current care, CMS limits reimbursements related to CAUTI infections in the hospital.
This decision forced hospitals to come up with CAUTI bundles to help prevent CAUTIs and improve patients’ outcomes.
Thank you for sharing this with us.
References
Beal, M. E., & Smith, K. (2016). Inpatient pressure ulcer prevalence in an acute care hospital using evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 112-117. http://dx.doi.org/10.1111/wvn.12145
Cantrell, S. (2016). CAUTI precaution. Healthcare Purchasing News, 40(1), 18-21. Retrieved from https://eds-b-ebscohost-com.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?vid=7&sid=2ac2e86a-ef6d-4a8b-bf85-49852fe18cbe%40sessionmgr103
Discussion: Where in the World Is Evidence-Based Practice? Example 5
Based Evidence Practice plays a role when it comes to making decisions on promotion of good health or provision of care. The Implementation of EBP is important because it aims at giving patients the highest quality of care which leads to the best possible outcomes (Melnyk et al. 2018).
The organization of choice is the Center for Evidence and Practice Improvement (CEPI). It deals with creation of know-how, synthesis of evidence, translation of knowledge on what is functional in health care dissemination and advocates for improvement across the health scene. This organization plays the role of conducting and supporting research activities and evidence synthesis on delivery of health care, advances decisions and communication sciences so that patients can enjoy the luxury of informed treatment and decisions made on health care (Horn et al. 2010).
CEPI is made up of five constituent organizations, The Evidence Based Practice Center Program which is a source of evidence by review of information through the use of advanced methods so as to have impartial reviews, U.S. Preventive Service Task Force Program which avails technical data for the independent U,S Preventive Service Task Force empowering it to make recommendations which are grounded on evidence. The Division of Practice Improvement functions as a source of proof as well as method, means and analysis of practice enhancement while the Division of Health Information Technology comes up with policies of how health IT improves health care quality. The Division of Decision Science and Patient Engagement ensures informed decision making through the creation of tools and products based on findings which communicate and work in healthcare (Matchar et al 2013). From the roles played by its various divisions it is evident that CEPI is based on EBP and its role in the field of health care has made me appreciate what it stands for. Reference.
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Horn, S. D., Gassaway, J., Pentz, L., & James, R. (2010). Practice-based evidence for clinical practice improvement: an alternative study design for evidence-based medicine. Studies in health technology and informatics, 151, 446-460.
Matchar, D. B., & Samsa, G. P. (2013). The role of evidence reports in evidence-based medicine: a mechanism for linking scientific evidence and practice improvement. The Joint Commission journal on quality improvement, 25(10), 522-528.
internet Citation: Center for Evidence and Practice Improvement (CEPI). Content last reviewed January 2017. Agency for Healthcare Research and Quality, Rockville, MD.
https://www.ahrq.gov/cpi/centers/cepi/index.html Healthcare Organization Website Review Paper.
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Pressure Ulcer Prevention and treatment in inpatient rehabilitation
Write a 500-750 word about pressure ulcer prevention and treatment in inpatient rehabilitation. Make sure to include the following:
The problem, issue, suggestion, initiative, or educational need that will be the focus of the project
The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.
A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.
Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
A proposed solution to the identified project topic
You are required to retrieve and assess a minimum of 8 peer-reviewed articles. Plan your time accordingly to complete this assignment Pressure Ulcer Prevention and treatment in inpatient rehabilitation.
Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is not required
The problem, issue, suggestion, initiative, or educational need that will be the focus of the project
Pressure ulcers have been identified as one of the leading causes of morbidity in in-patients as well as a contributor to poor health outcomes and consequent high increase in costs of healthcare (Jaul et al., 2018). Pressure ulcers are classified among the leading causes of medical-related errors. However, with appropriate care and interventions, nurses can avoid pressure ulcers and the resultant deteriorating effects on the patient and additional costs to a healthcare facility.
The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.
Nurses working in healthcare facilities located in rural settings face a unique challenge as regards maintaining competency (Buerhaus et al., 2017). This is more so when these nurses face complications that are uncommon such as the treatment and prevention of pressure ulcers. Educational programs for nurses can improve their decision making processes. However, the programs need to be designed carefully and successfully implemented if sustained changes in practices are to be achieved as well as improved patient outcomes are to be realized (Stiggelbout et al., 2015).
A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need
Persons charged with nurse education in rural areas are required to educate nurses in a way that empowers them to offer care that is competent and knowledgeable including in lower frequency situations of patient care. Nurses in different competency levels have different prioritization of patient care (Meretoja et al., 2015). Beginner nurses have linear thinking while nurses that are more competent are capable of utilizing approaches that are more complex when prioritizing care to patients. Hence, understanding the needs of these categories of nurses helps in addressing complex care issues. The professional self-confidence and personal self-concept of nurses are related directly to the competency level of a nurse (Orta et al., 2016). Self-confidence is a necessary component of competence. Nurses with high levels of self-confidence also exhibit increased engagement and interest in care and management of patients, lifelong learning, as well as in addressing quality standards.
Nurses working in rural settings may be impeded by few resources in the quest to access continuous education necessary for achieving clinical competency (Hendrickx &Winters, 2017). One of the main concerns regarding rural setting nurses is access to educational opportunities. Additionally, when evidence-based information is used in the continuing education programs, it increases the potential for rural setting nurses to attend as well as value the programs (Kalb et al., 2011)
Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes
Prevention programs for pressure ulcers comprise of diverse components such as skin assessment, use of support surfaces and preventive measures, education and training, and assessment of risk (Mallah, Nassar, & Badr, 2015). Prevention programs for PU including nurse education have shown significant results as pertaining to the reduction in prevalence as well as a reduction in the time it takes to treat PU. When nurses’ knowledge improves, it results in enhanced patient outcomes such as a reduction in human suffering, reduction in pain, and a reduction in the time spent in hospitals (Dillie & Mengistu, 2015).
Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing
Studies have shown that PU treatment and prevention can be enhanced through nurse’s knowledge, intentions, attitudes, and practices towards the healthcare concern, the years of experience, as well as the gender of nurse play a significant role in relation to the intentions, attitudes, practices, and knowledge of nurses on PU treatment and prevention (Dillie & Mengistu, 2015). Thus an education program that targets nurses of all genders and various levels of experience is a powerful tool for improving their understanding. Education programs can assist nurses to improve on the nursing care quality.
A proposed solution to the identified project topic
Rural nurses would benefit from an education program on PU treatment and prevention. A multi-faceted educational intervention will be designed Pressure Ulcer Prevention and treatment in inpatient rehabilitation. The project will require an instrument to be crafted that will measure the nurse’s knowledge on pressure ulcers and permission sought from relevant ethical boards to utilize the said instrument. The PICO model will be used where a multi-faceted, evidence-based educational intervention that is linked to treatment and prevention of pressure ulcers, in comparison to absence of formal education will result in enhancing the confidence and knowledge of rural setting nurses in caring for patients that have pressure ulcers or are at risk of acquiring PUs. The purpose of the project will be to assess the impact that an education intervention that is multi-faceted would have on the competency and knowledge of nurses working in rural settings, in relation to PU treatment and prevention. The goal of the project t will be to measure the multifaceted educational intervention’s efficacy in aiding rural setting nurses to not only achieve but also maintain the confidence and knowledge that is related to the treatment and prevention of PUs.
References
Buerhaus, P. I., Skinner, L. E., Auerbach, D. I., & Staiger, D. O. (2017). Four challenges facing the nursing workforce in the United States. Journal of Nursing Regulation, 8(2), 40-46.
Dilie, A., & Mengistu, D. (2015). Assessment of nurses’ knowledge, attitude, and perceived barriers to expressed pressure ulcer prevention practice in Addis Ababa government hospitals, Addis Ababa, Ethiopia, 2015. Advances in Nursing, 2015.
Hendrickx, L., & Winters, C. (2017). Access to continuing education for critical care nurses in rural or remote settings. Critical care nurse, 37(2), 66-71.
Jaul, E., Barron, J., Rosenzweig, J. P., & Menczel, J. (2018). An overview of co-morbidities and the development of pressure ulcers among older adults. BMC geriatrics, 18(1), 1-11.
Kalb, K. A., O’Conner-Von, S. K., Brockway, C., Rierson, C. L., & Sendelbach, S. (2015). Evidence-based teaching practice in nursing education: Faculty perspectives and practices. Nursing education perspectives, 36(4), 212-219.
Mallah, Z., Nassar, N., & Badr, L. K. (2015). The effectiveness of a pressure ulcer intervention program on the prevalence of hospital acquired pressure ulcers: controlled before and after study. Applied Nursing Research, 28(2), 106-113.
Meretoja, R., Numminen, O., Isoaho, H., & Leino‐Kilpi, H. (2015). Nurse competence between three generational nurse cohorts: A cross‐sectional study. International journal of nursing practice, 21(4), 350-358.
Orta, R., Messmer, P. R., Valdes, G. R., Turkel, M., Fields, S. D., & Wei, C. C. (2016). Knowledge and competency of nursing faculty regarding evidence-based practice. The Journal of Continuing Education in Nursing, 47(9), 409-419.
Stiggelbout, A. M., Pieterse, A. H., & De Haes, J. C. (2015). Shared decision making: concepts, evidence, and practice. Patient education and counseling, 98(10), 1172-1179 Pressure Ulcer Prevention and treatment in inpatient rehabilitation.
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In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:
The purpose of the quality improvement initiative.
The target population or audience.
The benefits of the quality improvement initiative.
The interprofessional collaboration that would be required to implement the quality improvement initiative.
The cost or budget justification.
The basis upon which the quality improvement initiative will be evaluated.
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 Quality Improvement Program for Nursing Home Executive Summary.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
Quality Improvement Program for Nursing Home
Executive Summary
According to (WHO, 2020) facts, falls are the second leading cause of unintentional/accidental injury and cause an estimated 646000 deaths annually. Adults over 65 years account for the most casualties, with over 37 million falls requiring medical attention every year. Moreover, (CDC.gov, 2003), states that typical nursing home (with 100 beds or more) record hundreds of falls – many going unreported. A Bavarian study by (Büchele, 2014) postulates that the fall rates are higher in men (2.18 falls per person-year) than in women (1.49 falls per person-year) with three-quarters of the falls occurring in the residents’ rooms or bathrooms. Having worked in a seniors’ living facility for a couple of months, I realized that the facility had put very few measures to mitigate injury and death from falls in the facility. This quality improvement plan was created to help curb the prevalence of falls amongst older adults living within a nursing facility.
Target Population/Audience
More than 1.4 million seniors are living in over 15000 nursing homes across the US (CDC.gov, 2016). This plan is meant to benefit the 212 seniors living within the facility where I work as well as the millions of others living in nursing facilities in the US and globally.
Benefits of the Program
The plans seek to increase the number of support rails in the residents’ rooms, common areas, and high-risk areas as well as sensitizing residents on preventive measures against falls. Once implemented, the plan will benefit both the residents and staff living or working in the facility by reducing the number of falls. The sensitization program will also help older people to prevent any injuries or casualties resulting from accidental or unintentional falls during their stay within the facility.
Interprofessional Collaboration Strategy
For any quality improvement program to become successful and effective (Reeves, 2017) states that there must be a collaboration between healthcare professionals, stakeholders, and the target population. The plan will be useful and successful if a healthcare professional upholds collaboration in the facility and the members. The partnership will be required between facility staff, management, and the seniors living there. Each stakeholder plays a specific role in actualizing the program and ultimately boosting seniors’ safety within the facility. The main stakeholders include the Director of Nursing (DON) at the facility, Head Nurse (HN), CareGivers (CG), and the facility’s physical development team Quality Improvement Program for Nursing Home Executive Summary.
The DON plays an executive and oversight role in the program. As the chief decision-maker in the facility, she will approve all plans and models of the program and oversee its adoption and actualization in the facility. She also endorses program budgets and manages the accounts on behalf of all stakeholders. The DON receives briefings and opinions from the head nurse, registered nurses, and the facility’s physical development team.
Head Nurse (HN)
The HN oversees the implementation of the program at the ground level. She receives briefs from registered nurses and the facility’s physical development team and relays it to the DON for approval. The RN distributes resources and oversees program materials are provided and trickle-down promptly. As the project manager, the HN will ensure all plans are actualized and all steps put in place to ensure project success and effectiveness.
CareGivers (CG)
The CGs are the link between the seniors and the management. They are responsible for the actualization of the plans and training of the members on the program. CGs will ensure the support rails are fixed appropriately and in the right areas to minimize falls within the facility. They receive budget estimates from the physical development team and forward them to the registered nurses for approval.
Physical Development Team
The team is responsible for the erection and fixation of the support rails within the facilities. It will also ensure measures like resurfacing slippery floors, putting warnings and hazards in high-risk areas and ensuring common areas and seniors’ rooms are free from fall hazards.
Budget Estimates for the Program
The program entails fixing hand and support rails within the facility, seniors rooms, common areas and bathrooms. A few modifications will also be made in high risks areas like eradicating slippery floors. Support/grab rails cost $20-$30 per bar. The facility has 14 male shower rooms and 19 female shower rooms. Each shower requires at least 2 bars amounting to $100 per bath. All 212 seniors’ rooms will also need two support bars each – amounting to $50 per cabin. Physical improvements and training of members will require at least $1200 and $500 respectively. According to the above estimates, the entire program’s budget is approximately $15000.
Program Evaluation
Program evaluation is fundamental to any quality improvement program. According to (Pritham, 2016), the assessment allows stakeholders to determine the effects of the programs, its success, and possible improvements that can make it more effective. The program will be evaluated every month to determine whether it helps curb the number of falls amongst seniors living within the facility. Where loopholes are identified, actions will be taken swiftly to ensure the program runs effectively.
References
Büchele, G. B. (2014). Predictors of serious consequences of falls in residential aged care: analysis of more than 70,000 falls from residents of Bavarian nursing homes. Journal of the American Medical Directors Association, 15(8), 559-563.
CDC.gov. (2003, February 27). Centers for Disease Control and Prevention . Retrieved from CDC.gov: https://www.in.gov/isdh/files/CDC_Falls_in_Nursing_Homes.pdf
CDC.gov. (2016, March 11). Center for Disease Conntrol and Prevention . Retrieved from CDC.gov : https://www.cdc.gov/nchs/fastats/nursing-home-care.htm
Pritham, U. A. (2016). Assessing DNP impact using program evaluations to capture healthcare system change. The Nurse Practitioner, 41(4), 44-53.
Reeves, S. P. (2017). Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database of Systematic Reviews, (6).
WHO. (2020, March 20). World Health Organization . Retrieved from World Health Organization.int: https://www.who.int/news-room/fact-sheets/detail/falls. Quality Improvement Program for Nursing Home Executive Summary.
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NR439: Evidence-Based Practice Discussion Essay Papers
Week 1 discussion
Role of Research and the Importance of the Searchable Clinical Question
The practice of nursing is deeply rooted in nursing knowledge, and nursing knowledge is generated and disseminated through reading, using, and creating nursing research. Professional nurses rely on research findings to inform their practice decisions; they use critical thinking to apply research directly to specific patient care situations. The research process allows nurses to ask and answer questions systematically that will ensure that decisions are based on sound science and rigorous inquiry. Nursing research helps nurses in a variety of settings answer questions about patient care, education, and administration.
As you contemplate your role in the research process, read the following article.
Kumar, S. (2015). Type 1 diabetes mellitus-common cases. Indian Journal of Endocrinology & Metabolism, 19, S76–S77. doi:10.4103/2230-8210.155409. http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=102354944&site=eds-live (Links to an external site.)Links to an external site.
Choose one case study, and formulate one searchable, clinical question in the PICO(T) format. There are several potential questions that could be asked.
Identify whether the focus of your question is assessment, etiology, treatment, or prognosis.
Week 2 discussion- NR439: Evidence-Based Practice Discussion Essay Papers
Search for Literature and Levels of Evidence
Reflect on your practice, and identify a significant nursing clinical issue or change project that you would like to search for evidence in online sources. Formulate searchable, clinical questions in the PICO(T) format for your nursing clinical issue.
Next, review the guidelines for the PICOT Assignment due Week 3. Use your PICOT elements to search for one report of a single, original study that has been published within the last 5 years from the CCN Library that is relevant to your nursing clinical issue.
Briefly describe how it is relevant to your nursing clinical issue. Remember to give a complete reference to the study.
Week 3 discussion- NR439: Evidence-Based Practice Discussion Essay Papers
Research Problems, Designs, and Sample
This week, we will discuss the research design and sample for your nursing clinical issue. The research design flows from the research question and outlines the plan for the study that will answer the research question. The design identifies the major components of the study. It is important to remember that there is no one best design for a research study.
After you review the designs, describe which research design you would expect to find when searching for evidence relevant to your own research question from Week 2. Why? Explain your answer.
The most common sampling method is the convenience sample; therefore, many of the studies that you find for evidence use this sampling method. What are the implications for using a convenience sample on the way you interpret and use the findings?
Week 4 discussion- NR439: Evidence-Based Practice Discussion Essay Papers
Ethical and Legal Issues
Read one of the following.
Stefaniak, M., & Mazurkiewicz, B. (2017). The importance of adhering to high standards of research ethics. British Journal of Nursing, 26(1), 62. http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120706824&site=eds-live&scope=site (Links to an external site.)Links to an external site.
Feeney, S., & Freeman, N. K. (2016). Ethical issues: Responsibilities and dilemmas. YC: Young Children, 71(1), 86. http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edb&AN=114680496&site=eds-live (Links to an external site.)Links to an external site.
Questions for first article:
Describe one reason for adhering to high standards in ethics.
What are the dangers of conflict of interest?
Questions for second article:
Discuss the difference between ethical responsibility and ethical dilemma.
Share an experience of ethical dilemma or moral distress in nursing today.
Week 5 discussion- NR439: Evidence-Based Practice Discussion Essay Papers
Data Collection and Measurement
Access the following information. You may read the PDF online or download it.
American Nurses Association. (2014). Fast facts: The nursing workforce 2014: Growth, salaries, education, demographics & trends. ANA. http://nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/workforce/Fast-Facts-2014-Nursing-Workforce.pdf (Links to an external site.)Links to an external site.
Review these facts, and describe what the results say about this sample of the nursing workforce.
What do you believe was the intent of the researcher who designed the survey?
The next process for our study is to collect data. The research design will indicate the best data to be collected. The tools that we use to collect data need to be reliable and valid. Define these terms with respect to research, and explain why they are important.
Consider data collection and measurement methods for your nursing clinical issue. Explain how you would collect data and what measurement methods you would use.
Week 6 discussion- NR439: Evidence-Based Practice Discussion Essay Papers
Data Results and Analysis
After the data are collected, it is time to analyze the results!
Discuss one of the four basic rules for understanding results in a research study.
Compare clinical significance and statistical significance. Which one is more meaningful when considering applying evidence to your practice?
Compare descriptive statistics and inferential statistics in research. Please give an example of each type that could be collected in a study that would be done on your nursing clinical issue you identified in previous weeks.
Week 7 discussion- NR439: Evidence-Based Practice Discussion Essay Papers
Applying and Sharing Evidence to Practice
After the data have been analyzed, conclusions are made regarding what the findings mean. Then, this information must be shared with your healthcare team.
Choose one of the articles from the Week 5 RRL assignment, and discuss the findings. Would you apply the evidence found to your practice? Explain your answer.
Translating research into practice is the final and most important step in the research process. Review information you found your nursing clinical issue and explain ways in which you would share the research-based evidence with your peers.
Week 8 discussion- NR439: Evidence-Based Practice Discussion Essay Papers
Where Do You Go From Here?
Improving patient outcomes is paramount to healthcare improvement today.
How has your thinking changed about nursing research and evidence- based practice as the result of this course?
Will the information you learned during this course be helpful in your nursing role today?
NR439: Evidence-Based Practice Discussion Essay Papers
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Clear identification of the problem or opportunity is the first step in evidence-based nursing. This assignment offers a tool to assist in the identification of the problem, proposed intervention, and desired outcomes. Completion of the assignment will include identification of the problem or concern using the PICOT format.
Course Outcomes
This PICOT/Evidence Appraisal Assignment – nr439 assignment enables the student to meet the following Course Outcome.
CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO7)
Submit the completed PICOT Worksheet form (Links to an external site.)Links to an external site. by Sunday, 11:59 p.m. MT at the end of Week 3.
Points
This PICOT/Evidence Appraisal Assignment – nr439 assignment is worth 200 points.
Directions
Read these guidelines including the grading rubrics below. Watch this video on how to complete the assignment at http://www.brainshark.com/devry/vu?pi=zHZzQomrNzHr05z0 (Links to an external site.)Links to an external site.
Download the PICOT Worksheet form (Links to an external site.)Links to an external site..
Consider what is the nursing problem or issue that you have uncovered. Make sure it is related to nursing, i.e., one that a nurse can solve independently. Do not select a medical problem that is dependent upon a medical professional to resolve.
Download an Example (Links to an external site.)Links to an external site. of how to fill in the worksheet to help you complete your own form. PICOT/Evidence Appraisal Assignment – nr439
Submit the completed PICOT Worksheet form.
Example 1:
What is the PICO(T) question?
Will influenza immunization compliancy rates increase if flu clinics are provided in a Flu PODS and immunization clinics at convenient times covering all shifts?
Define each element of the question below:
P- (Patient, population, or problem): Hospital employees and volunteers required to have the influenza immunization annually
I -(Intervention): Offer multiple Flu “PODS” and immunization clinics to hospital employees and volunteers making it convenient to receive the required immunization. Offer at a variety of times, available to all shifts
C- (Comparison with other treatment/current practice): Compare analytics showing employees and volunteers who received flu shot prior to 2016 when Flu PODS and immunization clinics were not offered compared to 2016 where Flu PODS and immunization clinics are offered to accommodate shifts. Track number of employees/volunteers coming at each hour time frame.
O- (Desired outcome): Increase of compliance of receiving the annual mandatory flu shot by employees and volunteers
Example 2:
What is the PICO(T) question?
For non-diabetic patients on corticosteroid therapy, does monitoring for headache, fatigue, nausea, vomiting, and blurred vision hourly vs. no observations for signs of hyperglycemia promote improvement of pulmonary complications?
Define each element of the question below:
P- (Patient, population, or problem): Non-diabetic patients on corticosteroid therapy.
I- (Intervention): Monitoring for headache, fatigue, nausea, vomiting, and blurred vision
C- (Comparison with other treatment/current practice): No observations for signs of hyperglycemia
O- (Desired outcome): Improvement of pulmonary complications
Mary, a baccalaureate prepared registered nurse, has been practicing for fifteen years. Throughout her nursing career, she worked in pediatric, surgical, and emergency departments. She worked as a floor nurse, charge nurse, and was recently offered a position as a nursing supervisor. A stipulation for becoming a nursing supervisor is that Mary must attain a Master of Health Administration degree within 2 years of accepting the position. The offer prompted Mary to contemplate her career. She is interested in returning to college, but she realized that she does not want to pursue working in administration and away from patients. Mary decided to become an Advanced Practice Nurse (APN). Mary knows that working as an APN will allow her the opportunity to make a larger contribution to individuals, environment, health, and nursing. She researched graduate nursing programs and discovered that there are four roles of the APN. Mary must choose one role and apply to a program, but she is unsure about the different roles and their individual scopes of practice.
How would you decide? Develop a pros and cons list to assist Mary in making her decision. Include each role of the APN on the list and be certain to provide appropriate rationales and citations.
Discussion Part Two
A clear definition for the various roles of CNM, CNP, CNS, and CRNA has been convoluted by various state definitions that confuse the roles and often obscure their intended meaning. Such state definitions reveal further confusion with regard to role separation, competency, emphasis, approach, and variation. This misunderstanding extends to nurse educators, providers, reimbursement, and even the public. The lack of clarity regarding initial role preparation versus current certification serves to further frustrate accreditors, consumers, and employers alike.
Discussion question:
How does your state define the role and scope of the CNP? Provide a correctly formatted citation for your reference resource.
Discussion Part Three
Mary expressed that she wants to work directly with patients. She is familiar with working in a large hospital system, and prefers to remain in her current town when she graduates. She has considerable clinical experience in pediatric, surgical, and emergency nursing.
Discussion question:
Based on Mary’s experience and interests, which role would you choose for her, and why?
Role of the APN Essay Assignment
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Part 1. A discussion of the scope of your future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope.
My motivation for gaining an advanced registered nurse qualification is to become an educator who prepares the next crop of nurses for practice. I expect that being a nurse educator will allow me to engage individuals aspiring to become nurses in a formal education process where I will impart professional nursing skills and concepts. I anticipate that being an educator is a specialty role for advanced registered nurses since it deviates from the traditional role of nurses to engage patients in providing primary care, and instead move towards preparing future nurses for practice (Grinspun & Bajnok, 2018).
I anticipate that my ability to practice as a nurse educator will be determined by four elements. The first element is the regulatory requirements. Like any other education program, nursing programs are managed by professional bodies that determine if the educators are qualified to prepare students at the level of education. This includes having the right accreditation and certification that is recognized by the relevant authorities, and considered as an indication of qualification as an educator. The second element is educational background. A higher level of education is typically preferred since it is indicative of professional proficiency and knowledge, as well as familiarity with important concepts that influence practice Advanced Registered Nurse Scope of Practice Essay. It is not uncommon for educators to be engaged in research activities and to be authorities who have published materials. Successfully completing education courses are also preferred since this is an indication of an understanding of how to educate others having understood the different education theories and what learners require (Cherry & Jacobs, 2013).
The third element is the work conditions. Good earning potential and work conditions can be good motivators for taking on the role of an educator. For instance, a tenured position would be preferable over a non-tenured position since it offers greater job security, autonomy and permanency that reduces work-related stress. The final element is the educator responsibilities and roles. This element influences practice as an educator through matching capabilities to expectations such as advising students, teaching, practicing as a nurse, and conducting research. Each education institution has unique expectations of its faculty members, and these expectations must be matched to capabilities (Milstead & Short, 2019).
There are two agencies that define the scope of practice for advanced registered nurses who take on the role of educators. The first agency is the National League for Nursing (NLN) that offers accreditation services for nurse educators across the USA. The agency exercises its accreditation authority through the Commission for Nursing Education Accreditation (CNEA), as a branch of NLN whose singular responsibility is to accredit nurse educators with a focus on ensuring that education services focus on the core values of excellence, caring, diversity and integrity. The second agency that defines the scope of practice for nurse educators is the National Commission for Certifying Agencies (NCCA). This is a national agency that offers certification to nurse educators. It draws its authority from the National Organization for Competency Assurance (NOCA). The NCCA has the primary responsibility of certifying nurse educators using the most current practice standards, a responsibility that it fulfils through regularly updating its certification requirements and ensuring that nurse educators meet the requirements before being permitted to practice.
There are two certification programs that define the scope of practice for nurse educators. Firstly, the certified nurse education program enables nurse educators to facilitate learning activities in nurse education facilities. Some of the activities that the program permits educators to engage in include curriculum design, as well as teaching, advising and evaluating nursing students. Secondly, the certified nurse educator program enables nurse educators to facilitate the clinical components of nurse learning activities (Black, 2016).
Part 2. A discussion of three professional nursing organizations that you think are most influential in advancing the scope and influence of advanced nursing.
The three professional nursing organizations that are most influential in advancing the scope and influence of advanced nursing are the NLN, American Association for Colleges of Nursing (AACN) and Organization for Associate Degree Nursing (OADN). The first organization is the NLN that draws members from among nurses and focuses on ensuring that nursing excellence is not compromised. It achieves this by facilitating professional development among advanced registered nurses. This occurs through managing testing services, research grants and teaching resources for its members. Besides that, the NLN has a direct influence on the scope of nurse educators through managing their qualifications for practice and credentialing (National League of Nursing, 2020) Advanced Registered Nurse Scope of Practice Essay.The second organization is the AACN, the national agency whose primary responsibility is to improve the quality of nurse academics. It does this by promoting advanced nursing practice, research and education. This agency focuses on improving health care in general and nursing care delivery in particular through establishing the quality standards for nursing education, In addition, it aids the nursing education institutions to implement these standards. Besides that, it supports professional nursing practice (American Association for Colleges of Nursing, 2020). The third organization is the OADN, the national agency that represents advanced registered nurses and advocates for their interests. It draws its members from among nurses who have associate degree nursing qualifications. The agency’s primary responsibility is to promote an idealized future for advanced registered nurses while enhancing the quality of their education and strengthening their professional roles. Additionally, the agency presents a platform for unifying nurse professionals through supporting networking opportunities and disseminating information even as it partners with other organizations (Organization for Associate Degree Nursing, 2020).
Concerning the three organizations (NLN, AACN and OADN), perhaps the most important organization is the NLN. It is the oldest nurses’ organization in the USA since it was formed in 1893. It has the most number of members and has much influence. It has 37,000 individual members and 1,200 institutions. The organization focuses on promoting nursing education excellence as its primary mission. It does this through building a diverse and strong nursing workforce with the capacity to advance the health agenda at the global and national levels (National League of Nursing, 2020). NLN is distinctive from the AACN and OADN since it draws members from across the world while the two are restricted to drawing members from the USA. Besides that, the members of NLN are not restricted to any single group and include health care organizations, education organizations, the public, nurse practitioners, and nurse educators. As a member of NLN, I expect to be exposed to nurse diversity since I will have access to a global network of nurses. Additionally, NLN members have access to assessment and testing services, research grants, networking opportunities and development programs that help with professional growth and development. In its long history of existence, the NLN has always remained current by revising its objectives and operations, and continuously renewing itself. These measures ensure that the organization remains relevant with regards to improving, enhancing and expanding the provision of nursing services while supporting efforts to deliver high quality nursing education (National League of Nursing, 2020).
The NLN is aligned with my worldview and philosophy of care. All through its long history, the organization has continuously evolved to remain relevant. I believe that nursing is an evolving profession and there is always room for improvement. As such, I am always open to new knowledge and experiences. Through having access to a large network of nurses and other stakeholders, I am able to engage in discussions, discover new knowledge and contribute to practice changes so that I experience professional growth even as the profession matures. In addition, the organization offers research and education opportunities along with access to current evidence that enhance my practice. As a result, the organization presents many resources that nurses can use to improve professional skills, knowledge and practice.
Part 3. A discussion of a controversial or evolving issue that is most likely to affect your scope of practice or role in the next few years.
Nurses play an important role in health care delivery. Although nursing is typically a rewarding career, particularly for those whose primary focus is on providing care, challenges abound to make it a demanding profession. One of the most controversial issues that nurses face is that they are underpaid and overworked. In fact, many nurses feel that their pay rates are low when considering their duties and responsibilities. The pressure is heightened by the fact that medical organizations are forced to comply with industry regulations and standards around nurse-to-patient ratios. This has created a situation in which nurses either find themselves single-handedly doing the work of two nurses or working for longer than they are supposed to work. The issue also places the health of nurses at risk. This controversial issue has had the inevitable distinction of causing high turnover rates among nurses and low recruitment rates so that nurse number populations remain low. The nurse populations are likely to remain low and the available nurses being overworked unless the pay rate and working hours can be improved (Huff, Kline & Peterson, 2015).
References
Accreditation Commission for Education in Nursing (2020). Home. Retrieved from https://www.acenursing.org/
American Association for Colleges of Nursing (2020). About AACN. Retrieved from https://www.aacnnursing.org/About-AACN
National League of Nursing (2020). About. Retrieved from http://www.nln.org/about
Organization for Associate Degree Nursing (2020). About OADN. Retrieved from https://www.oadn.org/about-us/about-oadn
Black, B. (2016). Professional nursing-e-book: concepts & challenges. New York, NY: Elsevier Health Sciences.
Grinspun, D. & Bajnok, I. (2018). Transforming nursing through knowledge: best practices for guideline development, implementation science, and evaluation. Indianapolis, IN: Sigma Theta Tau International.
Cherry, B. & Jacob, S. (2013). Contemporary nursing, issues, trends, & management (6th ed.). Amsterdam: Elsevier Health Sciences.
Huff, R., Kline, M. & Peterson, D. (2015). Health promotion in multicultural populations: a handbook for practitioners and students (3rd ed.). Thousand Oaks, CA: SAGE Publications, Inc.
Stanhope, M. & Lancaster, J. (2014). Public health nursing: population-centered health care in the community (8th ed.). Maryland Heights, MO: Elsevier/Mosby.
Milstead, J. & Short, N. (2019). Health policy and politics: a nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning Advanced Registered Nurse Scope of Practice Essay
Advanced registered nursing graduates are entering the profession at dynamic time when roles and scope of practice are shifting based on developments in legislation and policy in response to the evolving needs of the health care system. Professional nursing organizations play an important role in making sure the perspectives of advanced registered nurses are heard, and in supporting nurse specialties in their efforts to expand their scope of practice and their full participation throughout the health care system.
For this assignment, you will conduct research on the current scope of practice for your specialty and efforts that are being made to expand that scope and the role of the advanced nurse in positively influencing the health care system. Write a 1,250-1,500-word paper that includes the following:
A discussion of the scope of your future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope.
A discussion of three professional nursing organizations that you think are most influential in advancing the scope and influence of advanced nursing. Of these organizations, evaluate the one that you would most like to join. How do its goals and mission fit in with your worldview and philosophy of care? How might membership in this organization improve your practice?
A discussion of a controversial or evolving issue that is most likely to affect your scope of practice or role in the next few years. How do you think this issue could influence the profession and other stakeholders, and why does it matters to the advanced registered nurse?
You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required
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