NRS 440 Discussion: Nurse Advocacy in Research Legislation

Sample Answer for NRS 440 Discussion: Nurse Advocacy in Research Legislation Included After Question

Topic 4 DQ 2

Description:

Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy. Describe the legislation and what was accomplished. What additional steps need to be taken to continue advocacy for this issue?

A Sample Answer For the Assignment: NRS 440 Discussion: Nurse Advocacy in Research Legislation

Title: NRS 440 Discussion: Nurse Advocacy in Research Legislation

As healthcare recovers from the Covid-19 pandemic, the nursing shortage becomes ever evident. Many hospitals suffer from the lack of core staff nurses, but in Arizona, this is a chronic and continuing problem. Arizona ranks “in the top 5 states experiencing the most severe staffing shortage” (Sanborn & Cato, 2022). Arizona hospitals are reliant on travel and seasonal nurses to fill in the gaps in staffing to keep staffing ratios safe. However, though travel nurses help immensely, it is not fiscally responsible for hospitals to fork out the funds to the travel companies. If Arizona could keep its own nurses, there would be less of a need for travel nurses. Thus, the hospital could use that money for increasing wages within the organization and on improving equipment within the hospital if needed.

The question that remains is why are nurses leaving their bedside positions? Some say that nurses are “overburdened” and burnt out after the past few years (Jackson, 2022). Additionally, nurses who were close to retirement when the pandemic hit often took an early retirement to get out of the virulence of healthcare (Jackson, 2022). Pay has been a frequent topic in Arizona because of the rumored amount travel nurses make but pay in Arizona is rated 15 out of 52 states (Nurse.org Staff, 2023. Thus, pay cannot be the biggest issue because it could be much worse than AZ pay.

What is Arizona doing about this shortage? A bill was recently passed to address the lack of Arizona nurses. The “Nurse Training Grant, HB2691” is a bill that gives grants to schools and hospitals to aid in the training of new nurses (Arizona State Board of Nursing [AZBN], 2022). The bill provides grants for schools to increase the amount of nursing instructors available to enable schools to take more nursing students to increase the nursing workforce (Arizona State Board of Nursing [AZBN], 2022). Hospitals can also receive funding to aid them in taking more students for clinical rotations and then hiring them as core staff. The idea of this grant is to basically raise our own nurse in hopes that they will stay in Arizona hospitals and aid in the continuing nursing shortage.

References:

Arizona State Board of Nursing [AZBN] (2022). Nurse training grant HB2691. https://www.azbn.gov/news-and-events/nurse-training-grant-hb2691

Nurse.org Staff (2023). Nurse salaries by state + the highest paying states for RN’s. Nurse.org. https://nurse.org/articles/highest-paying-states-for-registered-nurses/

Jackson, S. (2022). Arizona’s nursing shortage expected to continue through 2030. News 4 tucson KVOA. https://www.kvoa.com/coronavirus/arizonas-nursing-shortage-expected-to-continue-through-2030/article_2f0bbde4-796b-11ec-9253-5b4c87d21810.html

Sanborn, H., & Cato, D. (2022). How does arizona solve its nursing shortage? By fixing a giant training bottleneck. AZ central. https://www.azcentral.com/story/opinion/op-ed/2022/05/14/arizona-has-nursing-shortage-and-giant-training-bottleneck/9707683002/

A Sample Answer 2 For the Assignment: NRS 440 Discussion: Nurse Advocacy in Research Legislation

Title: NRS 440 Discussion: Nurse Advocacy in Research Legislation

I agree with your response to my initial post. In order to place the legislation and changes in place to better the nurse to patient ratios we must have strong advocacy on our side. This is seen with the ANA American Nursing Association. “From bedsides to boardrooms, professional nurses across this country have always served the health care needs of our people” (Cipriano et al,.2020). We need to take the best iterance of our patients as well as ourselves as working professional in the new environment that is the healthcare system. We much take the issues such as patient safety and nurse burnout into serious consideration n when we place forth the serious issues facing our nursing care. “State leaders also shared some of the underlying causes of nurses’ departures, such as increased instances of workplace violence, deteriorated work environments, and insufficient focus on maintaining nurses’ mental health and well-being as they continue to serve on the frontlines of the pandemic” (Weger etal,.2022).

Reference:

Cipriano P; Daley K; Patton R; Blakeney B; Foley M; Betts VT; Cole E; Nichols B, The American journal of nursing [Am J Nurs], ISSN: 1538-7488, 2020 Nov; Vol. 120 (11), pp. 11; Publisher: Lippincott Williams & Wilkins; PMID: 33086218, Database: MEDLINE PubMed

Weger, Kristina; Hewitt, Samuel American Nurse Today, Mar2022; 17(3): 26-28. 3p. (Article – pictorial) ISSN: 1930-5583, Database: CINAHL Complete

Description:

Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.

For this assignment, identify a problem or concern in your state, community, or organization that has the capacity for advocacy through legislation. Research the issue and use the “Advocacy Through Legislation” template to complete this assignment.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to theLopesWrite Technical Support articles for assistance.

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A Sample Answer 3 For the Assignment: NRS 440 Discussion: Nurse Advocacy in Research Legislation

Title: NRS 440 Discussion: Nurse Advocacy in Research Legislation

Your comment about patient to nurse ratio is so very important and should be a concern to the health care industry in general. We want to improve patient care and give the patient the quality care they deserve. Still there is a nursing shortage to address, and not only the nursing shortage to be concerned about but include the ever increasing ongoing changes in health care. Both of these areas are huge tasks the professional nurse must be encouraged to be supportive of the legislative system to help. Advocacy of the nurse with legislature is not to be neglected or feared, organizations such as the American Nurses Association (ANA) is just one of many supportive organizations for the professional nurse. Nurses in unity have a major influence on health care legislation and policy, nurses are also the largest group of health care professionals (ANA, n.d.f). I now understand how when unity in nursing goes to an organization such as the (ANA) positive results in the health care industry and nurse satisfaction occur.

American Nurses Association. (n.d.f). ANA-PAC frequently asked questions (FAQS). https://ana.aristotle.com/SitePages/anapac.aspx

Grading Rubric Guidelines

Performance Category	10	9	8	4	0
Scholarliness Demonstrates achievement of scholarly inquiry for professional and academic decisions.	Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions Evaluates literature resources to develop a comprehensive analysis or synthesis. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion	Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions. Evaluates information from source(s) to develop a coherent analysis or synthesis. Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis. Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion. Demonstrates little or no understanding of the topic.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) without any interpretation/evaluation. The posting uses information that is not valid, relevant, or reliable	No evidence of the use of scholarly inquiry to inform or change professional or academic decisions. Information is not valid, relevant, or reliable
Performance Category	10	9	8	4	0
Application of Course Knowledge – Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources; Applies concepts to personal experience in the professional setting and or relevant application to real life.	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources. Applies concepts to personal experience in their professional setting and or relevant application to real life Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content	Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson. Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life Does not demonstrate a solid understanding of the principles and concepts presented in the lesson	Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post. Posts are superficial and do not reflect an understanding of the lesson content Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life	Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category	5	4	3	2	0
Interactive Dialogue Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days. (5 points possible per graded thread)	Exceeds minimum post requirements Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days. Replies to a post posed by faculty and to a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days Replies to a question posed by a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Meets expectations of 2 posts on 2 different days. The main post is not made by the Wednesday deadline Does not reply to a question posed by a peer or faculty	Has only one post for the week Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments	Does not post to the thread No connections are made to the topic
	Minus 1 Point	Minus 2 Point	Minus 3 Point	Minus 4 Point	Minus 5 Point
Grammar, Syntax, APA Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted. Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition	2-3 errors in APA format. Written responses have 2-3 grammatical, spelling, and punctuation errors. Writing style is generally clear, focused, and facilitates communication.	4-5 errors in APA format. Writing responses have 4-5 grammatical, spelling and punctuation errors. Writing style is somewhat focused.	6-7 errors in APA format. Writing responses have 6-7 grammatical, spelling and punctuation errors. Writing style is slightly focused making discussion difficult to understand.	8-10 errors in APA format. Writing responses have 8-10 grammatical, spelling and punctuation errors. Writing style is not focused, making discussion difficult to understand.	Post contains greater than 10 errors in APA format. Written responses have more than 10 grammatical, spelling and punctuation errors. Writing style does not facilitate communication. The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
	0 points lost				-5 points lost
Total Participation Requirements per discussion thread	The student answers the threaded discussion question or topic on one day and posts a second response on another day.				The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement per discussion thread	The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.				The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.