Discussion 7.1: Contemporary Health Policy Project: Policy Selection NUR 740

Contemporary Health Policy Project Initial Post

The fundamental objective of the current project is to address a relatively restrictive Bill 327 health policy, recently proposed by the Nevada State Board of Nursing (CEUfast, 2021). Despite the underlying implications of this policy towards fostering nurses’ cultural proficiency, equity, and annexation, it also impedes the roles and performance efficiency of nurses resulting from the addition of a pointless monetary weight on the licensee holders (Fang & Bednash, 2021). The policy also adversely affects the APNs’ ethical practice. It constitutes among the overly prohibitive scope of-nursing practice guidelines that potentially hinder accessible care throughout the country (Fang & Bednash, 2021). This is because it places unnecessary restrictions on the scope of practice for nurses with similar educational qualifications and public accreditation transferring from other states to work in Nevada.

Research Plan

The proposed research would entail a quantitative quasi-experimental study aimed at examining the possible impacts of the proposed Bill 327 on the acquisition, distribution, and performance of a sample population of APNs in the state of Nevada. For this case, the research subjects would be assigned to two distinct conditions or groups in order to enable effective comparisons of the data and the outcomes. In general, the structure of the research would be informed by the insights of the pre-existing peer-reviewed healthcare reports related to the currently proposed study topic. Precisely, these sources will be less than a decade old and based on examining the correlation between the nursing scope of practice and the Nursing Professional Code of Ethics/performance guidelines, as well as the influence of nurses in health policy reforms.

Moral Principles Behind Bioethics

Throughout history, numerous moral principles in the context of healthcare bioethics have been derived to inform proper conduct among practitioners. The possible ethical implications of pursuing the proposed health policy are inherently related to the principle of justice, such as fostering fair, appropriate, and equitable patient treatments among nurses (Manning, 2022). The policy’s main objective is to improve the nurses’ cultural proficiencies in order to accord holistic treatment, as well as ensure fair distribution of medical resources in society.

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References

CEUfast. (2021). Cultural competency training courses required in Nevada now offered on CEUfast. Continuing Education for Nurses – Unlimited Nursing CEUs | CEUfast. https://ceufast.com/news/cultural-competency-training-courses-required-in-nevada-now-offered-on-ceufast

Links to an external site.

Fang, D., & Bednash, G. D. (2017). Identifying barriers and facilitators to future nurse faculty careers for DNP students. Journal of Professional Nursing, 33(1), 56-67. DOI: https://doi.org/10.1016/j.profnurs.2016.05.008

Links to an external site.

Manning, J. (2022). Connecting research priorities, the research agenda, and health policy. In K. A. Goudreau, & M. C. Smolenski, (Eds). Health policy and advanced nursing practice (3rd ed.) Springer.

Discussion 7.1: Contemporary Health Policy Project: Policy Selection NUR 740

Hello Romina,

While I can understand that continuing education can be daunting, it is incredibly necessary. Not being familiar with the Nevada Assembly Bill No. 327, I had to do some research to understand what the bill was and how it pertained to your discussion question post. Although I am still not entirely sure that I understand completely, from what I am gathering is that with this bill the Nevada state board of health is requiring those holding healthcare related licenses complete continuing education credits related to diversity with their license renewals (AB327, 2021). Medicine and healthcare are always changing, therefore continuing education is a necessity for the professional to have the most current evidence-based knowledge. These requirements are all based on diversity inclusion in healthcare practice, there are so many different cultures in this country, and they continue to change with not only transient people from other countries, but the transgender population becoming more prevalent. Healthcare providers cannot possibly know how to treat every population possible.

Did Nevada not already have a fee in place to renew a healthcare license? From what I have read, there is not an extra monetary fee for the requirements outlined within these mandates (AB327, 2021). It could be an expense to the clinician to purchase the continuing education, but many employers often cover these costs, some will even pay the renewal fee for the license. In the event the organization does not provide any financial aid for these, the fees are not astronomical, so I am unable to comprehend the explanation that it impedes the roles and nursing performance efficiency of nurses.

In regard to my own experiences, I must ask, how many times have you been in a situation involving a patient or family member and a culture that you are not familiar with? Things are ever changing in healthcare; do you understand the importance of continuing education? I must also inquire about how this policy affects a nurse’s ethical practice? I may not understand correctly, that is why I am asking, but when an individual becomes a healthcare provider, they agree to a healthcare provider code of ethics. For nurses it is the nurse’s code of ethics, which means they will treat all patients with the same level of fairness regardless of any background factor, including cultural differences (Gaines, 2021). The only restrictions I found to nursing care, was that the continuing education must be completed during the biennium between license renewals (AB327, 2021), am I missing something?

Coming from a state where these mandates are already in place and having transferred to a state that does not require continuing education and back to the state that does, I believe in continuing education for the topics usually included in the mandates. This policy for instance, has education requirements for diversity inclusion and terrorist attacks, these things are ever changing and evolving (AB327, 2021). I believe any preparation for unprecedented situations is extremely important, especially considering what we all went through with the COVID-19 pandemic most recently.

Is it possible to look at this bill as an effective instrument in creating knowledgeable, inviting, understanding helpful and quick acting healthcare providers? Wouldn’t these mandates aid clinicians in knowing how to quickly handle situations involving those from cultures much different their own? You could even propose to the organization you work for to create an educational in service to alleviate the burden of finding and paying for the required continuing education for their employees.

Dinauer, C., (2021, Dec. 10). Cultural competency memo- 12102021. Nevada state board of nursing. https://nevadanursingboard.org/wp-content/uploads/2021/12/Cultural-competency-memo-12102021.pdf

Links to an external site.

B. 327, 2021 Assembly, 2021 Reg. Sess. (Nev. 2021). https://www.leg.state.nv.us/App/NELIS/REL/81st2021/Bill/7850/Text

Links to an external site.

Gaines, K., (2021, July 22). What is the nursing code of ethics. Nursing.org. https://nurse.org/education/nursing-code-of-ethics/

Links to an external site.

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.