NRS 440 Discussion: Health Care Reforms to Wellness and Prevention

Sample Answer for NRS 440 Discussion: Health Care Reforms to Wellness and Prevention Included After Question

Topic 1 DQ 2

Description:

Explain how health care reform has helped shift the focus from a disease-oriented health care system to one of wellness and prevention. Discuss ways in which health care will continue this trend and explain the role of nursing in supporting and facilitating this shift. In replies to peers, provide an example of wellness and prevention initiatives your organization or specialty area has in place.

A Sample Answer For the Assignment: NRS 440 Discussion: Health Care Reforms to Wellness and Prevention

Title: NRS 440 Discussion: Health Care Reforms to Wellness and Prevention

I appreciate your discussion. It is true that the engagement of coordination of care and case managers in hospitals has greatly reduced hospital stay marginally. I have been learning much from case managers in our hospital as they coordinate care for patients in my facility. For example, my unit admits a lot of dialysis patients in their acute phases of illness. The case managers work hard to ensure that as soon as they are stabilized they advocate for physical therapy towards rehabilitation and home health care. As soon as patients can tolerate a sitting position for at least four hours a day, they can be successfully placed in rehabilitation facilities or discharged home where they get support from health professionals and family. The practice of coordination of care by case managers is truly reducing hospital stays and health costs. As the health care system changes, inter-professional collaboration will allow providers to apply innovative and cost-effective approaches to care delivery that eliminate redundancy, reduce errors, and increase safety (IOM, 2011).

Reference:

Institute of Medicine. (2011). The future of nursing: Leading change, advancing health. (2011). Retrieved from https://www.nap.edu/read/12956/chapter/1

A Sample Answer 2 For the Assignment: NRS 440 Discussion: Health Care Reforms to Wellness and Prevention

Title: NRS 440 Discussion: Health Care Reforms to Wellness and Prevention

Healthcare institutions are implementing efforts to shift focus from disease oriented to wellness and prevention. A disease oriented healthcare system focuses efforts and resources on disease management. The patients and the healthcare efforts are directed towards a disease. Wellness and prevention oriented healthcare system focus on promoting population health, preventing illness and complications and improving quality of life. The healthcare reform focuses on promoting this shift to wellness and prevention. The healthcare reform increases access to healthcare insurance, which promotes health behavior. According to Grubber and Sommers (2019), the healthcare reform lowers the eligibility criteria to include individuals below 65 years based on income level. Individuals from low income families can now access insurance services. Gruber and Sommers (2019) note that increased insurance access increases health seeking behavior and access of healthcare resources. Healthcare reform also eliminated the previous discrimination of individuals based on their conditions. With the reform, individuals with chronic illnesses have increased access to resources because the barriers limiting their access to insurance services were eliminated.

Healthcare reform is a sustainable plan whose funding will be from state ad federal governments. These policies will be made into laws and related institutional policies and be intergrated into organizational culture(Gruber & Sommers, 2020). These steps will help retain the effects of the trend and enhance its continuity. They will also be continually assessed and improved to enhance the continuity of the trend. Nurses will play a role in supporting and facilitting the shift. Nurses will educate fellow nurses and patients on the trend, ewhich will help facilitate change. Nrses are also on the frontline of implementing care interventions. They will thus play a huge role in promoting the shift by incorporating change throught their daily activities and care planning (Fu et al., 2019).

Reference

Fu, M. R., Kurnat-Thoma, E., Starkweather, A., Henderson, W. A., Cashion, A. K., William, J. K., & Coleman, B. (2020). Precision health: A nursing perspective. International journal of nursing sciences, 7(1), 5 – 12.

https://doi.org/10.1016/j.ijnss.201912.008

Gruber, J. & Sommers, B. D.(2019). The Affordable Care Act’s effects on patients, providers and the economy: what we have learned so far. Journal of Policy Analysis and Management, 38(4), 1028-1052

https://doi.org/10.1002/pam.22158

A Sample Answer 3 For the Assignment: NRS 440 Discussion: Health Care Reforms to Wellness and Prevention

Title: NRS 440 Discussion: Health Care Reforms to Wellness and Prevention

Disease-oriented health care like chronic diseases such as diabetes and cancer are costly and reduce the patient’s quality of life. Diabetes, if not properly taken care of leads to end-stage renal failure resulting in dialysis and more medical bills. Promoting wellness is beneficial to the patient, as nurses, we can effectively communicate with patients about their health and wellness. Some important parts of discussion would be eating a healthier diet and referral to a dietician. Another important duty of nursing is delivering quality services in health promotion such as vaccinations, health screenings, health education and advocacy (Nsiah et. al, 2019). These areas are based upon the nurse’s clinical distinction and knowledgeable practice within their job scope. Primary prevention measures are helpful in confronting chronic diseases before it happens, if it is diabetes The National Diabetes Prevention Program was created to help decrease the burden of pre-diabetes and type (2) diabetes evidence-based, cost-effective interventions in communities across the United States. Research-based results focused on healthy eating and exercise lifestyle change contributed to lowering the risk for prediabetics developing type 2 by 58% (Centers for Disease Control, 2022).

Primary prevention in health care must be emphasized and used, this is a proven evidence-based practice. Primary prevention when combined with lifestyle changes can remarkably reduce chronic disease. Professional nurses have the educational knowledge and clinical expertise to promote health education to the community. Health promotion continues to focus on helping patients live healthier, better lives (Centers for Disease Control, 2019). The use of primary prevention helps the patient make informed health decisions with goals to prevent, improve, promote positive health and behavior changes (Falkner, 2018).

Center for Disease Control. (2022). National Diabetes Prevention Program. https://www.cdc.gov/diabetes/prevention/index.html

Center for Disease Control. (2019). Preventing Chronic Disease. https://www.cdc.gov/pcd/issues/2019/18_0625.htm

Falkner, A. (2018). Health Promotion in Nursing Care. https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/

Nsiah, C., Siakwa, M., & Ninnoni, J. P. K. (2019). Registered Nurses’ description of patient advocacy in the clinical setting. Nursing open, 6(3), 1124–1132. https://doi.org/10.1002/nop2.3071

Description:

Review the IOM report, “The Future of Nursing: Leading Change, Advancing Health,” and explore the “Campaign for Action: State Action Coalition” website. In a 1,000-1,250 word paper, discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.

Include the following:

1. Describe the work of the Robert Wood Johnson Foundation Committee Initiative that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
2. Outline the four “Key Messages” that structure the IOM Report recommendations. Explain how these have transformed or influenced nursing practice, nursing education and training, nursing leadership, and nursing workforce development. Provide examples.
3. Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
4. Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.
5. Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.

NRS 440 Discussion Health Care Reforms to Wellness and Prevention

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.

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.

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Description

Objectives:

1. Discuss the influence of the IOM Report, “The Future of Nursing: Leading Change, Advancing Health,” on the nursing profession.
2. Discuss the role of state-based action coalitions in advancing the goals of IOM Report, “The Future of Nursing: Leading Change, Advancing Health,” for nursing.
3. Explain how nursing advocates overcome barriers to advancement.
Study Materials

Trends in Health Care: A Nursing Perspective

Description:

Read Chapter 1 in Trends in Health Care: A Nursing Perspective.

The Future of Nursing: Leading Change, Advancing Health

Description:

Read “The Future of Nursing: Leading Change, Advancing Health,” located on the National Academies of Sciences Engineering Medicine website, as needed to complete your assignment.

The Future of Nursing: Leading Change, Advancing Health: Report Recommendations

Description:

Read “The Future of Nursing: Leading Change, Advancing Health: Report Recommendations,” located on the National Academies of Sciences Engineering Medicine website.

Nursing Shortage

Description:

Read the “Nursing Shortage” fact sheet,” located on the American Association of Colleges of Nursing website.

Can Nursing Meet the 80/2020 Goal?

Description:

Read “Can Nursing Meet the 80/2020 Goal?” by Boivin, from American Nurse Today (2019).

Fact Sheet: The Impact of Education on Nursing Practice

Description:

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.