NRS 440 Topic 4 Discussion Question Two Research legislation

Sample Answer for NRS 440 Topic 4 Discussion Question Two Research legislation Included After Question

Topic 4 DQ 2

Description:

Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy. Describe the legislation and what was accomplished. What additional steps need to be taken to continue advocacy for this issue?

A Sample Answer For the Assignment: NRS 440 Topic 4 Discussion Question Two Research legislation

Title: NRS 440 Topic 4 Discussion Question Two Research legislation

Senator Sherrod Brown from Ohio is the United States Senator that was the one to promote the bill focusing specifically on the registered nurse to patient rations nationwide. In 2020-2021 a legislation was placed in front of congress to help in the ongoing issue with the nurse to patient rations that is a nationwide issue. “The COVID-19 pandemic inflicted unprecedented hardship on US nursing homes (NHs) including high COVID-19 infections and mortality rates among residents, as well as disruption in day-to-day operations” (Yang,.2021). This issue has become more of a progressive issue since the COVID19 pandemic and is now necessary to make the changes to improve the way in which we care for people. “The World Health Organization (WHO) estimates that, by 2030, there will be a worldwide net shortage of 15 million doctors, nurses and other health workers” (Michaela et al,.2020). Staffing rations have been regulated on a state by state basis but with the continued concern for the wellbeing of patients and evidence based practices is having now been brought to a national level for legislation to regulate. Having government controlling rations hospital systems and healthcare settings will have to be more accountable for the direct patient care provided. “Although the impacts were myriad, early reports noted pandemic-related shortages in staffing and on-hand supplies, which may have exacerbated the ability of NHs to respond to the event itself, in addition to magnifying persistent pre-existent staffing-related challenges’(Yang,.2021). Improving these issues will ultimately aid in nurse burn, improve patient outcomes as well as decreased hospital readmissions.

Reference:

Michaela Senek; Steve Robertson; Tony Ryan; Rachel King; Emily Wood; Angela Tod. In: BMC Health Services Research, Vol 20, Iss 1, Pp 1-8 (2020); BMC, 2020. Language: English, Database: Directory of Open Access Journals

Yang, Bo Kyum; Carter, Mary W.; Nelson, H. Wayne. In Geriatric Nursing. November-December 2021 42(6):1356-1361 Language: English. DOI: 10.1016/j.gerinurse.2021.08.016, Database: ScienceDirect

A Sample Answer 2 For the Assignment: NRS 440 Topic 4 Discussion Question Two Research legislation

Title: NRS 440 Topic 4 Discussion Question Two Research legislation

As healthcare recovers from the Covid-19 pandemic, the nursing shortage becomes ever evident. Many hospitals suffer from the lack of core staff nurses, but in Arizona, this is a chronic and continuing problem. Arizona ranks “in the top 5 states experiencing the most severe staffing shortage” (Sanborn & Cato, 2022). Arizona hospitals are reliant on travel and seasonal nurses to fill in the gaps in staffing to keep staffing ratios safe. However, though travel nurses help immensely, it is not fiscally responsible for hospitals to fork out the funds to the travel companies. If Arizona could keep its own nurses, there would be less of a need for travel nurses. Thus, the hospital could use that money for increasing wages within the organization and on improving equipment within the hospital if needed.

The question that remains is why are nurses leaving their bedside positions? Some say that nurses are “overburdened” and burnt out after the past few years (Jackson, 2022). Additionally, nurses who were close to retirement when the pandemic hit often took an early retirement to get out of the virulence of healthcare (Jackson, 2022). Pay has been a frequent topic in Arizona because of the rumored amount travel nurses make but pay in Arizona is rated 15 out of 52 states (Nurse.org Staff, 2023. Thus, pay cannot be the biggest issue because it could be much worse than AZ pay.

What is Arizona doing about this shortage? A bill was recently passed to address the lack of Arizona nurses. The “Nurse Training Grant, HB2691” is a bill that gives grants to schools and hospitals to aid in the training of new nurses (Arizona State Board of Nursing [AZBN], 2022). The bill provides grants for schools to increase the amount of nursing instructors available to enable schools to take more nursing students to increase the nursing workforce (Arizona State Board of Nursing [AZBN], 2022). Hospitals can also receive funding to aid them in taking more students for clinical rotations and then hiring them as core staff. The idea of this grant is to basically raise our own nurse in hopes that they will stay in Arizona hospitals and aid in the continuing nursing shortage.

References:

Arizona State Board of Nursing [AZBN] (2022). Nurse training grant HB2691. https://www.azbn.gov/news-and-events/nurse-training-grant-hb2691

Nurse.org Staff (2023). Nurse salaries by state + the highest paying states for RN’s. Nurse.org. https://nurse.org/articles/highest-paying-states-for-registered-nurses/

Jackson, S. (2022). Arizona’s nursing shortage expected to continue through 2030. News 4 tucson KVOA. https://www.kvoa.com/coronavirus/arizonas-nursing-shortage-expected-to-continue-through-2030/article_2f0bbde4-796b-11ec-9253-5b4c87d21810.html

Sanborn, H., & Cato, D. (2022). How does arizona solve its nursing shortage? By fixing a giant training bottleneck. AZ central. https://www.azcentral.com/story/opinion/op-ed/2022/05/14/arizona-has-nursing-shortage-and-giant-training-bottleneck/9707683002/

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.