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NURS 6050 Discussion 2: The Role of the RN/APRN in Policy-Making

DQ :What types of words would you use to build a nursing word cloud?

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.
Click on the Reply button below to reveal the textbox for entering your message. Then click on
the Submit button to post your message.
*Note: Throughout this program, your fellow students are referred to as colleagues.
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1 year ago
Marta Rivera
RE: Discussion – Week 8: Response to Kristen
Hi Kristen,
I agree with what you said in regards to H. Res 88.
In addition to what you said and according to Garcia et al. (2015), there are
398,035 female deaths from cardiovascular disease a year which outnumbers the
number of female deaths from malignant neoplasms, chronic respiratory tract disease,
and diabetes. There are marked differences between men and women with
cardiovascular disease. Women have more predominance of angina than men, less
obstructive coronary artery disease (CAD) on angiography, and a poorer prognosis than
men (Garcia et al., 2015). Garcia et al. 2015 indicated that a Women’s Ischemic
Syndrome Evaluation study was done, which showed that in two thirds of women who
had signs and symptoms of ischemia, an angiograph did not show typical angiographic
finding of obstructive CAD.
There exist biological differences in risk factors for women compared to men

(Agarwal et al., 2018). Potential risk factors for women are hypertension, diabetes, and
smoking with an odds ratio of 1.5, 1.6, and 1.3, respectively (Agarwal et al., 2018).
According to Agarwal et al. 2018, women exhibit different symptoms of ischemic heart
disease than men. Few present with the typical presentation of chest pain (31 %
compared with 42 % men) (Agarwal et al., 2018). “Women often exhibit dyspnea,
weakness, arm, back or jaw pain, palpitations, lightheadedness or loss of appetite”
(Agarwal et al., 2018).


Aggarwal, N. R., Patel, H. N., Mehta, L. S., Sanghani, R. M., Lundberg, G. P., Lewis, S.
J., Mendelson, M. A., Wood, M. J., Volgman, A. S., & Mieres, J. H. (2018). Sex
Differences in Ischemic Heart Disease: Advances, Obstacles, and Next
Steps. Circulation: Cardiovascular Quality & Outcomes, 11(2), 1–14. https://doi-
Garcia, M., M.D., Miller, V. M., PhD., Gulati, Martha,M.D., M.S., Hayes, S. N., M.D.,
Manson, JoAnn E, M.D., DrP.H., Wenger, N. K., M.D., . . . Mulvagh, S. L., M.D.
2016). Focused cardiovascular care for women: The need and role in clinical
practice. Mayo Clinic Proceedings, 91(2), 226-240. Retrieved from
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1 year ago
Marta Rivera

RE: Discussion – Week 8
Hi Dr. Dodson,
Please disregard. I put the response to Kristen in the wrong discussion board.
I should have made sure I was putting the response in the right discussion board, but I did not.
Thank you,

Marta Rivera

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1 year ago
Marta Rivera
RE: Discussion – Week 8
Incorrectly posted.
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1 year ago
Quincie Finney
RE: Discussion – Week 8

“Nurses’ influence on health policy protects the quality of care by access to required
recourses and opportunities” (Arabi et al., 2014). Registered nurses (RNs) and advanced practice
registered nurses (APRNs) have an important role in policy-making. Nurses involved in policy-
making are influential, professional, responsible, and are advocates for people and the healthcare
system (Burke, 2016).

There are ways that RNs and APRNs can get involved in policy-making. Per Milstead
and Short (2019), nurses and APRNs develop contact with legislators by groups such as the
House Nursing Caucus and the Senate Nursing Caucus. These groups have the responsibilities of
educating legislators on the issues important and impacting issues impacting America’s health
system and nursing as a profession (American Organization for Nursing Leadership, n.d.). One
international caucus nurse’s or APRNs can join is the American Organization for Nursing
Leadership (AONL). These nurses or APRNs are shaping health care through innovation and
expert nursing leadership, giving nurses the opportunity to work directly with legislators and
voice their opinions and experience in policies impacting nurses throughout the United States
(American Organization for Nursing Leadership, n.d.). A state level way for Missouri nurses or
APRNs to get involved in policy making is to join the Missouri Nurses Association (MONA).
MONA gives RNs and APRNs in Missouri the ability to speak and act for the nursing profession
to promote and enhance safe and accountable nursing practice (Missouri Nurses Association,
n.d.). These nurses or APRNs work as a group to contact their local legislators and supply
testimony in expert insight to advocate in support or opposition to policies affecting Missouri
nurses, nurse practice, or healthcare.

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