NRS 440 Topic 1 Discussion Explain how health care reform has helped shift the focus from a disease-oriented health care system to one of wellness and prevention

Sample Answer for NRS 440 Topic 1 Discussion Explain how health care reform has helped shift the focus from a disease-oriented health care system to one of 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 Topic 1 Discussion Explain how health care reform has helped shift the focus from a disease-oriented health care system to one of wellness and prevention

Title: NRS 440 Topic 1 Discussion Explain how health care reform has helped shift the focus from a disease-oriented health care system to one of wellness and prevention 

Health care reform has helped change the way we provide care to our patients. Where before we provided a more disease oriented health care now due to the health care reform we are more focused on prevention. Health care reform ensures that everyone regardless of income status has some kind of medical insurance. For example the affordable care act increased the amount of people who before could not afford health insurance. These newly ensured people were now able to go in to see a primary care physician for regular check ups instead of only going in to the hospital when they were seriously ill. The affordable care act continues to support and facilitate the shift to wellness and prevention. Making health care affordable and having the resources such as clinics for patients to be seen, healthcare services that encourage early screening for preventative care. Such as mammograms and colonoscopies. The best health care is preventative care and education. The more a patient knows about diseases they are at risk for the better prepared they are to take steps to prevent it from happening. Even if diseases such as cancer which sometimes are not preventable early screening can give a patient a greater survival rate. The early it is detected the earlier treatment can be initiated.

Affordable care act (ACA) – glossary. Glossary | HealthCare.gov. (n.d.). Retrieved February 25, 2023, from https://www.healthcare.gov/glossary/affordable-care-act/ 

A Sample Answer 2 For the Assignment: NRS 440 Topic 1 Discussion Explain how health care reform has helped shift the focus from a disease-oriented health care system to one of wellness and prevention

Title: NRS 440 Topic 1 Discussion Explain how health care reform has helped shift the focus from a disease-oriented health care system to one of wellness and prevention 

One of the predominant pillars of public health is prevention. The Institute of Medicine reports missed prevention opportunities cost the United States $55 billion annually (Batarseh et al., 2020). Preventative measures are economically critical for the United States who has the highest healthcare expenditures compared to other countries at $750 billion annually (Batarseh et al., 2020). Immunizations, access to healthcare providers, and chronic disease prevention are the three dominant parameters of preventive care (Batarseh et al., 2020). Immunization rates have been declining and vary among states due to the lack of public trust in vaccines and pharmaceutical companies reflecting a decline in proposed Department of Health and Human Services’ Healthy People 2020 targets (Batarseh et al., 2020). Access to healthcare providers is related to personal economics associated with poverty rates, educational levels, and employment rates and result in inadequate management of disease and noncompliance with early screening and preventive care (Batarseh et al., 2020). Many areas of the country have a shortage of physicians which imparts limited healthcare equity (Batarseh et al., 2020). Wellness and prevention have been the focus of health care reform as the process of being more proactive by educating patients on their diseases or illnesses and promoting healthier lifestyles.

Batarseh, F. A., Ghassib, I., Chong, D. S., & Su, P. H. (2020). Preventive healthcare policies in the US: solutions for disease management using Big Data Analytics. Journal of big data, 7(1), 38. https://doi.org/10.1186/s40537-020-00315-8

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A Sample Answer 3 For the Assignment: NRS 440 Topic 1 Discussion Explain how health care reform has helped shift the focus from a disease-oriented health care system to one of wellness and prevention

Title: NRS 440 Topic 1 Discussion Explain how health care reform has helped shift the focus from a disease-oriented health care system to one of wellness and prevention 

Reforming health care has allowed access to health care for people who previously did not have that opportunity (McNiff, 2018). Through this approach, people can access primary prevention care, including education, screening, and treatment, as early as possible before illnesses advance. Attending the gym, getting a yearly physical, and getting disease screenings each year are all incentives for people who maintain a healthy lifestyle. People who maintain a normal BMI and undergo an annual physical are also eligible for benefits at some organizations. Taking advantage of the funding allocated to public health communities will enable them to provide preventive services to many patients. Americans will continue to benefit from this trend as it helps to improve patient outcomes and access to health care. Preventive care education is one of the responsibilities of nurses.

A person with diabetes can be taught to diet appropriately to reduce their risk of obesity, type 2 diabetes, and other diabetic complications. By enrolling in affordable coverage, patients can also have control over their insurance coverage under the Affordable Care Act. A community nurse’s role is to promote wellness and health through patient-centered care; the Healthy people 2020 initiative (2014) included the objective of health-related quality of life (HRQOL). In the World Health Organization (1995), wellness is a multifaceted approach encompassing psychological and physical health, considered relevant to public health since 1949. Prevention and wellness methods have many advantages over disease-oriented approaches. As a result of this process, unnecessary hospitalizations, treatment costs, and repeated testing have been reduced, and the quality of patient care and medication outcomes have improved.

Current healthcare trends are pointing toward streamlining prevention and wellness strategies. Nurses are increasingly critical in supporting and facilitating this change as healthcare shifts. The responsibilities of today’s workers have increased as their knowledge, skills, and educational qualifications have improved. Advanced practice registered nurses (APRNs) are included in the IOM report as contributing to health promotion and disease prevention in schools and workplaces by conducting community assessments, screenings, and disease surveillance (Finkelman, 2016). As a result, nursing practitioners are now fully engaged in improving patient care in the new system.

Finkelman, A. (2016). Leadership and management for nurses: Core competencies for quality care (3rd ed.). Boston, MA: Pearson.

Healthy people 2020.(2014) Healthy-related quality of life & well-being. Retrieved

from https://www.healthypeople.gov/2020/topics-objectives/topic/health-related-quality-of-life-well-being

McNiff, P. (2018). Current Trends in Nursing Practice. Trends in health care: A nursing perspective. Retrieved February 24, 2023, from https://lc.gcumedia.com/nrs440vn/trends-in-health-care-a-nursing-perspective/v1.1/#/chapter/2

U.S. Department of Health and Human Services. (2023). Healthy people 2030. Retrieved February 24, 2023, from https://health.gov/healthypeople

Whitney, S. (2018). Reader. BibliU. Retrieved February 22, 2023, from https://bibliu.com/app/#/view/books/1000000000592/epub/Chapter1.html#page_6

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.