ISSUES IN HEALTH CARE REFORM NURS 8100
Sample Answer for ISSUES IN HEALTH CARE REFORM NURS 8100 Included After Question
Assignment 1: Issues in Health Care Reform (Interview)
According to the AACN (2006), “Political activism and commitment to policy development are central elements of professional nursing practice” (p. 13). Throughout this course, you will hone the skills and competencies required for this type of involvement in policy.
Research is an essential step in the process of acquiring the skills and competencies, and interviews are one form of research that can serve as a valuable source of information. As such, this Assignment (which you will start this week, and submit by the end of Week 9) provides an opportunity for you to identify a health reform issue of interest and discuss the issue with a state or national politician (or their aide).
To prepare:
- Identify a state or national politician (state representative or legislator, senator, congressman, governor, etc.), or aide, whom you would like to interview regarding current issues in health care reform.
- As soon as possible, contact the individual’s office to request a meeting. Keep in mind that it may be difficult to get on their calendar, so plan accordingly. You may conduct the interview in person or by phone.
- In advance of the interview, ask yourself:
- What health care policy issue is important to me personally?
- What issue do I want to bring to this person’s attention?
- With this in mind, develop your list of questions for the interview around your selected health policy issue. In addition, you may wish to include questions related to health care reform:
- What are your constituents most concerned about regarding health care reform?
- What are the trade-offs associated with recent health care reform policy?
By Day 7 of Week 9
To complete:
- Write a 3- to 4-page paper providing a summary and analysis of the interview and the health care reform issues you discussed.
Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from appropriate Learning Resources and additional scholarly sources as appropriate. Refer to the Publication Manual of the American Psychological Association to ensure that your in-text citations and reference list are correct. Due by Day 7 of Week 9.
Week in Review
This week, you analyzed key health care reform legislation for positive results and potential unintended consequences and assessed reform-related issues for health care.
Next week, you will investigate the process of creating health care policy beginning with agenda setting and the policy proposal.
A Sample Answer For the Assignment: ISSUES IN HEALTH CARE REFORM NURS 8100
Title: ISSUES IN HEALTH CARE REFORM NURS 8100
Health reform involves revamping a country’s or state’s health care system. It entails addressing the ever-rising costs of health care for individuals, families, and the government. Health reforms center on improving the benefits citizens receive from the country’s healthcare system and increasing access to health insurance. Healthcare reforms aim to lower the number of uninsured individuals, making healthcare more affordable and enhancing the quality of care. During this course, I met with a state legislator and discussed a healthcare reform issue that has caught my interest. The purpose of this paper is to give a summary and analysis of the interview and discuss the health care reform issues I presented.
Selected State Legislator
I planned to present my healthcare reform of interest to a legislator from my state Illinois. With the help of my colleagues, I was able to plan a meeting with Representative LaToya Greenwood through her personal assistant. Greenwood is a Democratic member of the Illinois House of Representatives. She has represented the 114th district since January 2017 and is the chairperson of the Health Care Availability and Access Committee (Illinois General Assembly, n.d.). She is also a member of several other committees such as Prescription Drug Affordability; Agriculture & Conservation; Approp-Elementary & Secondary Education (Vice-Chairperson); Data Analytics & IT; Appropriations-Human Services; Cybersecurity, Public Utilities; Museums, Arts, & Cultural Enhancement.
Rep. LaToya Greenwood was the legislator of choice due to her admirable track record. She has chiefly sponsored numerous bills as a Representative. She recently passed House Bill 4645 to strengthen minority representation in health care and stop the uneven quality of care across underserved communities (Illinois General Assembly, n.d.). The bill was founded on her belief that every citizen in Illinois deserves the highest quality of health care at an affordable cost. Furthermore, Rep. Greenwood is dedicated to fighting for affordable prescription drugs and increasing the workforce in public health.
Summary of the Interview
The PA scheduled a one-hour meeting on 15th April 2022 at the Representative’s office from 10 am to 12 pm. The Rep welcomed me to her office, and after establishing rapport, I explained my purpose for the meeting and the desired outcomes from the meeting. The health care reform of interest was the introduction of a bill on mandatory Nurse-to-Patient ratios in all healthcare settings across Illinois. I explained to the Rep that hospitals in Illinois do not observe the WHO-recommended nurse-to-patient staffing ratios, which are purposed to promote safe patient care and prevent nurse burnout. I gave an example of the California nurse-to-patient staffing ratios act. The bill was passed to address the increasing concern that patients’ safety is often compromised by inadequate staffing attributed to the increasing severity of health conditions and complexity of care (Livanos, 2018).
I explained the benefits of enacting a bill on mandate nursing ratios, including the challenges the state currently faces due to the lack of that reform. There is a connection between nurse workload and patient morbidity and mortality rates. Hospitals with unsafe nurse-to-patient ratios overwork their nurses, resulting in burnout. Features of hospitals with high nursing workloads include increased incidences of medical errors and missed nursing care. Various studies found a high prevalence of hospital-acquired infections, like urinary tract infections and pneumonia, and failure to perform CPR in facilities with a high nurses’ workload.
I informed Rep. Greenwood that the biggest benefits from a health reform on safe nurse-to-patient ratios would be improved patient outcomes, reduced morbidity and mortality rates, reduced nursing turnover, and increased patient and staff satisfaction (Griffiths et al., 2018). Safe staffing ratios are equivalent to greater job satisfaction and reduced nurse turnover, saving organizations from the costs spent in frequently hiring new nurses. nurse-to-patient ratios influence most patient outcomes, most noticeably in mortality rates. Nurse staffing ratios are linked to a higher likelihood of patient survival. Lee et al. (2018) found that patients were 95% more likely to stay alive when health facilities observed a hospital-mandated nurse-to-patient ratio. Besides, managing critically ill patients in settings with high nursing workloads and unsafe staffing ratios was associated with a significant decrease in the odds of survival.
Potential Challenges with the Health Reform
We discussed the potential challenges of enacting mandatory nurse staffing ratios and approaches to address them with Rep. Greenwood. I explained that the main shortcoming of the health reform is that health organizations will be mandated to increase the number of nurses without getting increased reimbursement for patient care. Besides, the costs of hiring additional nurses needed for the increased mandated ratios will not be compensated by additional payments to health organizations (de Cordova et al., 2019). This will lead to unfunded mandates. Fortunately, the challenge can be addressed by providing a market-based incentive to healthcare organizations to improve nurse staffing levels (de Cordova et al., 2019). This will separate nursing care from the current room and board charges and adjust healthcare payments for optimum nursing care.
Feedback from the Legislator
Rep. Greenwood was pleased with the presentation since she is devoted to increasing the workforce in Illinois public health. She agreed that the proposed reform would significantly improve nurses’ working environment and quality of patient care resulting in improved health outcomes. She requested that I leave her with the printed proposal so that she can through it and make amendments where necessary. She also stated that she would organize another meeting to discuss the amendments and the way forward.
Conclusion
Enacting mandatory staffing ratios is the healthcare reform of interest. I presented the reform to Rep. LaToya Greenwood of the Illinois House of Representatives representing the 114th district. I presented the reform to Rep. Greenwood and discussed the benefits of enacting the bill on patients’ health outcomes and nurses’ job satisfaction. We also discussed potential challenges and solutions.
References
de Cordova, P. B., Rogowski, J., Riman, K. A., & McHugh, M. D. (2019). Effects of Public Reporting Legislation of Nurse Staffing: A Trend Analysis. Policy, politics & nursing practice, 20(2), 92–104. https://doi.org/10.1177/1527154419832112
Griffiths, P., Maruotti, A., Recio Saucedo, A., & Redfern, O. C. (2018). Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study. BMJ Qual Saf.. https://doi.org/10.1136/bmjqs-2018-008043
Illinois General Assembly. (n.d.). Representative Biography. https://www.ilga.gov/house/Rep.asp?MemberID=2902
Lee, A., Cheung, Y. S. L., Joynt, G. M., Leung, C. C. H., Wong, W. T., & Gomersall, C. D. (2018). Are high nurse workload/staffing ratios associated with decreased survival in critically ill patients? A cohort study. Annals of intensive care, 7(1), 1-9. https://doi.org/10.1186/s13613-018-0269-2
Livanos, N. (2018). A broadening coalition: Patient safety enters the Nurse-to-Patient ratio debate. Journal of Nursing Regulation, 9(1), 68-70. https://doi.org/10.1016/S2155-8256(18)30056-5
According to the AACN (2006), “Political activism and commitment to policy development are central elements of professional nursing practice” (p. 13). Throughout this course, you will hone the skills and competencies required for this type of involvement in policy.
Research is an essential step in the process of acquiring the skills and competencies, and interviews are one form of research that can serve as a valuable source of information. As such, this Assignment (which you will start this week, and submit by the end of Week 9) provides an opportunity for you to identify a health reform issue of interest and discuss the issue with a state or national politician (or their aide).
To prepare:
- Identify a state or national politician (state representative or legislator, senator, congressman, governor, etc.), or aide, whom you would like to interview regarding current issues in health care reform.
- As soon as possible, contact the individual’s office to request a meeting. Keep in mind that it may be difficult to get on their calendar, so plan accordingly. You may conduct the interview in person or by phone.
- In advance of the interview, ask yourself:
- What health care policy issue is important to me personally?
- What issue do I want to bring to this person’s attention?
- With this in mind, develop your list of questions for the interview around your selected health policy issue. In addition, you may wish to include questions related to health care reform:
- What are your constituents most concerned about regarding health care reform?
- What are the trade-offs associated with recent health care reform policy?
By Day 7 of Week 9
Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: ISSUES IN HEALTH CARE REFORM NURS 8100
To complete:
- Write a 3- to 4-page paper providing a summary and analysis of the interview and the health care reform issues you discussed.
Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from appropriate Learning Resources and additional scholarly sources as appropriate. Refer to the Publication Manual of the American Psychological Association to ensure that your in-text citations and reference list are correct. Due by Day 7 of Week 9.
Week in Review
This week, you analyzed key health care reform legislation for positive results and potential unintended consequences and assessed reform-related issues for health care.
Next week, you will investigate the process of creating health care policy beginning with agenda setting and the policy proposal.
A Sample Answer 2 For the Assignment: ISSUES IN HEALTH CARE REFORM NURS 8100
Title: ISSUES IN HEALTH CARE REFORM NURS 8100
The Affordable Care Act (ACA) was signed into law over 10 years ago and it has remained highly controversial by many law makers since its inception on March 23, 2010. Many law makers have tried to get rid of the ACA but have yet to find a health care system to replace the ACA that works with law makers and the public. Even though people may not like the ACA it has improved the health care system, provided health insurance to the uninsured, provided more prevention program to help improve the overall health of the American people. There was so much resistance to passing the ACA since the President at that time was African American and a Democratic (Silberman, 2020). The Patient Protection and Affordable Care Act (ACA) was passed by a Democratic Congress and signed into law by a Democratic president in 2010. Republican congresspeople, governors, and Republican candidates have consistently opposed the ACA and have vowed to repeal it during every election, but more than 50% of Americans support ACA. In the first year of ACA 10 million Americans gained accessed to health insurance. The ACA also eliminated the no coverage for prior conditions, it also decreased prescription drug cost and eliminated co-pay for preventive services. When people are asked why they oppose the ACA they mention they do not like the government involved in their healthcare, but they pay into Medicare which is a mandatory federal government insurance. Despite positive changes the ACA has brought to many Americans many politicians and people oppose ACA and want to get rid of ACA(Silberman,2020). While ACA has made great strides in improving health care, health disparity remains a major problem among people of color. The recent pandemic has shown the world once again that the health care system is even though Black Americans make up 13 percent of the US population over 23 percent of COVID deaths were Black Americans (USA, 2021).
In spite of significant advances in the diagnosis and treatment of most chronic diseases, there is evidence that racial and ethnic minorities tend to receive lower quality of care than non-minorities and that, patients of minority ethnicity experience greater morbidity and mortality from various chronic diseases than non-minorities. The Institute of Medicine (IOM) report from 2006 showed unequal treatment “racial and ethnic disparities in healthcare exist and, because that lead to worse outcomes in many cases. Minorities were provided less access to health care intervention, sources, and funding (Egede, 2006).
References
Egede, L. (2006). Race, Ethnicity, Culture, and Disparities in Health care
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1924616/
Silberman, P. (2020). The Affordable Care Act: Against the Odds, It’s Working. North Carolina Medical Journal, 81(6), 364–369. https://doi-org.ezp.waldenulibrary.org/10.18043/ncm.81.6.364
USA FACTS. (2021).US COVID-19 cases and deaths by state
https://usafacts.org/visualizations/coronavirus-covid-19-spread-map/
Rubric Detail
Select Grid View or List View to change the rubric’s layout.
| Excellent | Good | Fair | Poor | ||
| RESPONSIVENESS TO DISCUSSION QUESTION
Discussion post minimum requirements: *The original posting must be completed by Wednesday, Day 3, at 11:59pm MST. Two response postings to two different peer original posts, on two different days, are required by Saturday, Day 6, at 11:59pm MST. Faculty member inquiries require responses, which are not included in the minimum number of posts. Your Discussion Board postings should be written in standard edited English and follow APA style for format and grammar as closely as possible given the constraints of the online platform. Be sure to support the postings with specific citations from this week’s Learning Resources as well as resources available through the Walden University online databases. Refer to the Essential Guide to APA Style for Walden Students to ensure your in-text citations and reference list are correct. |
8 (26.67%) – 8 (26.67%)
Discussion postings and responses exceed the requirements of the Discussion instructions. They: Respond to the question being asked or the prompt provided; – Go beyond what is required in some meaningful way (e.g., the post contributes a new dimension, unearths something unanticipated); -Are substantive, reflective, with critical analysis and synthesis representative of knowledge gained from the course readings and current credible evidence. – Demonstrate significant ability to generalize and extend thinking and evaluate theories or concepts within the topic or context of the discussion. -Demonstrate that the student has read, viewed, and considered the Learning -Resources as well as additional resources and has read, viewed, or considered a sampling of colleagues’ postings; -Exceed the minimum requirements for discussion posts*. ISSUES IN HEALTH CARE REFORM NURS 8100 |
7 (23.33%) – 7 (23.33%)
Discussion postings and responses meet the requirements of the Discussion instructions. They: -Respond to the question being asked or the prompt provided; -Are substantive, reflective, with critical analysis and synthesis representative of knowledge gained from the course readings and current credible evidence.re -Demonstrate ability to generalize and extend thinking and evaluate theories or concepts within the topic or context of the discussion. -Demonstrate that the student has read, viewed, and considered the Learning Resources and has read, viewed, or considered a sampling of colleagues’ postings -Meet the minimum requirements for discussion posts*. |
6 (20%) – 6 (20%)
Discussion postings and responses are minimally responsive to the requirements of the Discussion instructions. They: – do not clearly address the objectives of the discussion or the question or prompt; and/or -May (lack) lack in depth, reflection, analysis, or synthesis but rely more on anecdotal than scholarly evidence; and/or -Do not adequately demonstrate that the student has read, viewed, and considered the Learning -Resources and/or a sampling of colleagues’ postings; and/or has posted by the due date at least in part. – Lack ability to generalize and extend thinking and evaluate theories or concepts within the topic or context of the discussion. -Do not meet the minimum requirements for discussion posts*. |
0 (0%) – 5 (16.67%)
Discussion postings and responses are unresponsive to the requirements of the Discussion instructions. They: – do not clearly address the objectives of the discussion or the question or prompt; and/or – Lack in substance, reflection, analysis, or synthesis but rely more on anecdotal than scholarly evidence. – Lack ability to generalize and extend thinking and evaluate theories or concepts within the topic or context of the discussion. -Do not demonstrate that the student has read, viewed, and considered the Learning Resources and/or a sampling of colleagues’ postings; and/or does not meet the minimum requirements for discussion posts*. |
|
| CONTENT KNOWLEDGE | 8 (26.67%) – 8 (26.67%)
Discussion postings and responses: -demonstrate in-depth understanding and application of concepts and issues presented in the course (e.g., insightful interpretations including analysis, synthesis and/or evaluation of topic; – are well supported by pertinent research/evidence from a variety of and multiple peer- reviewed books and journals, where appropriate; -Demonstrate significant mastery and thoughtful/accurate application of content, applicable skills or strategies presented in the course. |
7 (23.33%) – 7 (23.33%)
Discussion postings and responses: -demonstrate understanding and application of the concepts and issues presented in the course, presented with some understanding and application of concepts and issues presented in the course (e.g., insightful interpretations including analysis, synthesis and/or evaluation of topic; -are supported by research/evidence from peer-reviewed books and journals, where appropriate; and · demonstrate some mastery and application of content, applicable skills, or strategies presented in the course. |
6 (20%) – 6 (20%)
Discussion postings and responses: – demonstrate minimal understanding of concepts and issues presented in the course, and, although generally accurate, display some omissions and/or errors; –lack support by research/evidence and/or the research/evidence is inappropriate or marginal in quality; and/or lack of analysis, synthesis or evaluation of topic – demonstrate minimal content, skills or strategies presented in the course. ——-Contain numerous errors when using the skills or strategies presented in the course |
0 (0%) – 5 (16.67%)
Discussion postings and responses demonstrate: -A lack of understanding of the concepts and issues presented in the course; and/or are inaccurate, contain many omissions and/or errors; and/or are not supported by research/evidence; and/or lack of analysis, synthesis or evaluation of topic -Many critical errors when discussing content, applicable skills or strategies presented in the course. |
|
| CONTRIBUTION TO THE DISCUSSION | 8 (26.67%) – 8 (26.67%)
Discussion postings and responses significantly contribute to the quality of the discussion/interaction and thinking and learning by: -providing Rich and relevant examples; discerning and thought-provoking ideas; and stimulating thoughts and probes; – -demonstrating original thinking, new perspectives, and extensive synthesis of ideas supported by the literature. |
7 (23.33%) – 7 (23.33%)
Discussion postings and responses contribute to the quality of the discussion/interaction and thinking and learning by -providing relevant examples; thought-provoking ideas – Demonstrating synthesis of ideas supported by the literature |
6 (20%) – 6 (20%)
Discussion postings and responses minimally contribute to the quality of discussion/interaction and thinking and learning by: – providing few and/or irrelevant examples; and/or – providing few if any thought- provoking ideas; and/or -. Information that is restated from the literature with no/little demonstration of critical thinking or synthesis of ideas. |
0 (0%) – 5 (16.67%)
Discussion postings and responses do not contribute to the quality of interaction/discussion and thinking and learning as they do not: -Provide examples (or examples are irrelevant); and/or -Include interesting thoughts or ideas; and/or – Demonstrate of critical thinking or synthesis of ideas |
|
| QUALITY OF WRITING | 6 (20%) – 6 (20%)
Discussion postings and responses exceed doctoral -level writing expectations. They: · Use grammar and syntax that is clear, concise, and appropriate to doctoral level writing; · Make few if any errors in spelling, grammar, and syntax; · Use original language and refrain from directly quoting original source materials; -provide correct APA · Are positive, courteous, and respectful when offering suggestions, constructive feedback, or opposing viewpoints. |
5 (16.67%) – 5 (16.67%)
Discussion postings and responses meet doctoral -level writing expectations. They: ·Use grammar and syntax that is clear and appropriate to doctoral level writing; ; · Make a few errors in spelling, grammar, and syntax; · paraphrase but refrain from directly quoting original source materials; Provide correct APA format · Are courteous and respectful when offering suggestions, constructive feedback, or opposing viewpoints;. |
4 (13.33%) – 4 (13.33%)
Discussion postings and responses are minimally below doctoral-level writing expectations. They: · Make more than occasional errors in spelling, grammar, and syntax; · Directly quote from original source materials and/or paraphrase rather than use original language; lack correct APA format; and/or · Are less than courteous and respectful when offering suggestions, feedback, or opposing viewpoints. |
0 (0%) – 3 (10%)
Discussion postings and responses are well below doctoral -level writing expectations. They: · Use grammar and syntax that is that is unclear · Make many errors in spelling, grammar, and syntax; and –use incorrect APA format · Are discourteous and disrespectful when offering suggestions, feedback, or opposing viewpoints. |
|
| Total Points: 30 | |||||
Grading Rubric
| Performance Category | 100% or highest level of performance
100% 16 points |
Very good or high level of performance
88% 14 points |
Acceptable level of performance
81% 13 points |
Inadequate demonstration of expectations
68% 11 points |
Deficient level of performance
56% 9 points
|
Failing level
of performance 55% or less 0 points |
| Total Points Possible= 50 | 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points |
| Scholarliness
Demonstrates achievement of scholarly inquiry for professional and academic topics. |
Presentation of information was exceptional and included all of the following elements:
|
Presentation of information was good, but was superficial in places and included all of the following elements:
|
Presentation of information was minimally demonstrated in all of the following elements:
|
Presentation of information is unsatisfactory in one of the following elements:
|
Presentation of information is unsatisfactory in two of the following elements:
|
Presentation of information is unsatisfactory in three or more of the following elements
|
| 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points | |
| Application of Course Knowledge
Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations |
Presentation of information was exceptional and included all of the following elements:
|
Presentation of information was good, but was superficial in places and included all of the following elements:
|
Presentation of information was minimally demonstrated in the all of the following elements:
|
Presentation of information is unsatisfactory in one of the following elements:
|
Presentation of information is unsatisfactory in two of the following elements:
|
Presentation of information is unsatisfactory in three of the following elements
|
| 10 Points | 9 Points | 6 Points | 0 Points | |||
| Interactive Dialogue
Initial post should be a minimum of 300 words (references do not count toward word count) The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count) Responses are substantive and relate to the topic. |
Demonstrated all of the following:
|
Demonstrated 3 of the following:
|
Demonstrated 2 of the following:
|
Demonstrated 1 or less of the following:
|
||
| 8 Points | 7 Points | 6 Points | 5 Points | 4 Points | 0 Points | |
| Grammar, Syntax, APA
Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition Error is defined to be a unique APA error. Same type of error is only counted as one error. |
The following was present:
AND
AND
|
The following was present:
AND/OR ISSUES IN HEALTH CARE REFORM NURS 8100
AND/OR
|
The following was present:
AND/OR
AND/OR
|
The following was present:
AND/OR
AND/OR
|
The following was present:
AND/OR
AND/OR
AND/OR
|
The following was present:
AND/OR
AND/OR
|
| 0 Points Deducted | 5 Points Lost | |||||
| Participation
Requirements |
Demonstrated the following:
|
Failed to demonstrate the following:
|
||||
| 0 Points Lost | 5 Points Lost | |||||
| Due Date Requirements | Demonstrated all of the following:
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |
Demonstrates one or less of the following.
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |