NRS 440 V Week 5 Combining Nurse Leader With Advocacy NEW

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Rate yourself using the results from the “Nurse Manager Skills Inventory”:
http://www.aone.org/resources/nurse-manager-skills-inventory.pdf
Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below:
Personal and professional accountability
Career planning
Personal journey disciplines
Reflective practice reference behaviors/tenets
Discuss how you will use your current leadership skill set to advocate for change in your workplace.
Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

A Sample Answer For the Assignment: NRS 440 V Week 5 Combining Nurse Leader With Advocacy NEW

Title: NRS 440 V Week 5 Combining Nurse Leader With Advocacy NEW

Nurses are patient advocates who understand the different issues that impact health populations and communities that they serve. These health issues like public health emergencies as witnessed by the COVID-19 pandemic and other health emergencies implore them to leverage advocacy approaches through legislation to implement evidence-based practice interventions to address them. A core concern that may have long-term health effects in the country is the rise in the rates of underage drinking as millions of young Americans are affected by this public health issue. Developing interventions to address this issue is important and nurses should work with stakeholders, especially legislators at state and federal levels to seek solutions (Bergman & Morley, 2022). The purpose of this essay is to discuss how nurses can use legislative process to conduct advocacy against underage drinking and propose solutions to address the issue.

Problem In no more than 250 words, describe the problem, who is affected, and the current ramifications. Explain the consequences if the issue continues.
According to the National Institute on Alcohol Abuse and Alcoholism (2022), underage drinking is a critical public health issue that requires evidence-based solutions to reduce and prevent its occurrence. Alcohol remains the most widely used substance in young people or minors. Underage drinking entails minors engaging in use of alcohol as a substance for leisure and other psychological and physical benefits. Underage drinking affects not just the youth or the implicated minors but has wider ramifications on the entire society and communities most affected. The Centers for Disease Control and Prevention (2022) reveals that close to 29% of high school students take alcohol with 14% having binge drinking. Furthermore, 5% of drivers drive under influence of alcohol with close to 17% of people being driven by drunk drivers. According to CDC (2022), underage alcohol consumption predicts and increases the risk for deviant attitudes and behavioral issues like school dropout, high absenteeism rate and bad grades, social issues like fighting and a decline in participation in youth initiatives. It also increases the risk for arrests for driving under influence or physical assault against others. Underage drinking causes unwanted, and unprotected sexual activities which are risk factors for unwanted and unplanned pregnancies. Chronic underage alcohol use may cause addiction in the future. Alcohol use heightens the risk for suicidal and physical conduct and sexual violence by partners.
Idea for Addressing Solution In no more than 250 words, outline your idea for addressing the issue and explain why legislation is the best course for advocacy.
Lowering access to alcohol through regulation of liquor stores and having caps on selling of alcohol products is important in addressing this issue. For instance, lowering the number of outlets will increase the cost of accessing alcohol since young people will walk longer distances to buy their best brands. Further, it would also mean less accessibility and availability thus discouraging consumption among the underage. These regulations require engagement of key stakeholders like elected officials through advocacy. Advocacy using legislation means engaging and participation of elected officials to create legislative models at state or federal government’s levels on regulation of liquor stores (Pedroni et al., 2020). Reducing their operational hours among other measures using bundled interventions will help address the issue. Imperatively, the state government can make regulations to execute these provisions. Legislation is the most effective approach as elected leaders have a duty to create interventions based on laws and institute mandatory requirements for all stakeholders to comply with in their operational environment (Biggerstaff & Skomra, 2020). The utilization of legislation as an advocacy model shows its importance in creating and enacting effective laws to tackle health-related issues, especially in public health. Nurses are patient advocates and work with stakeholders to create and implement effective and evidence-based practice (EBP) interventions to tackle health issues at different levels of practice and government; from local to federal level (Biggerstaff & Skomra, 2020). Advocacy helps in integrating the primary stakeholders who include parents, school administrators, families and the local communities. The users are also stakeholders in this initiative so that they get better ways of handling their alcohol utilization based on its effects.
NRS 440 V Week 5 Combining Nurse Leader With Advocacy NEW Research the Issue Perform research and compile information for your idea. Present substantive evidence-based findings that support your idea for addressing the problem (studies, research, and reports). Include any similar legislation introduced or passed in other states.
Evidence 1	In their study, Stellefson et al. (2018) assert that stakeholders can deploy different resources and interventions to lower risks linked to underage drinking and its negative impacts. Using social ecological perspectives, the researchers suggest a host of interventions at different levels to determine the most appropriate resources to reduce alcohol use among college students and the negative effects. The article is categorical that young people develop drinking behaviors before enrolling in their college studies and programs. As such, it proposes the identification of the possible risk factors before young people join college and entrench this habit while influencing susceptible peers.
Evidence 2	In their narrative and critical review of current publications on alcohol consumption interventions, Sanchez-Puertas et al. (2022) note that school-based programs are essential and clinically significant in deterring the habit. These initiatives improve attitudes and the intentions to leave the habit and entrench positive social norms and acceptance of alcohol. These programs reduce intoxication and enhance perceptions about the negative impacts of alcoholism among underage individuals.
Evidence 3	Alcohol consumption increases the risk for uncontrolled sexual behaviors among adolescents. According to Carels et al. (2022), social influences and interpersonal affects increase the probability of underage individuals engaging in alcohol drinking. The researchers propose the use of interventions at individual, parental and community levels as essential to addressing the issue. The study notes that drinking has serious effects on social and personal development of the impacted young persons. These interventions should focus on drinking conduct, degree of usage and treatment interventions for individuals battling alcoholism and addiction.
Stakeholder Support Discuss the stakeholders who would support the proposed idea and explain why they would be in support.
Stakeholder(s) Supporting 1	The stakeholders in support of this idea are parents, community members who include teachers and religious leaders are interested in getting solutions to alcohol usage among underage individuals. The presence of many liquor shops without an effective regulatory framework endangers the lives of young people who have taken to its consumption. More young people are vulnerable to alcohol and its usage due to the ease of access in the shops leading to possible binge drinking.
Stakeholder(s) Supporting 2	The government at state and local level will support this idea since it will allow them to get revenue, enhance performance and productivity, and protect the minors from adverse effects of alcohol. They will also support it so that they can save funds used to treat and rehabilitate the affected minor. These efforts also include expenditure on rehabilitation programs. The proposed initiative will be instrumental in addressing this challenge in the long-term.
Stakeholder Opposition Discuss the stakeholders who would oppose the proposed idea. Explain why they would be in opposition and how you would prepare to debate or converse about these considerations.
Stakeholder(s) Opposed 1	The stakeholders opposed to this idea would include owners and operators of the stores as it will impact their revenues and businesses. The regulations will reduce their operational hours and lead to loss of employment. However, they should consider this as part of their corporate social responsibility of improving and advancing community interests and protecting their future customers from bad and addictive drinking behavior. They should comply with the set regulations to protect the common good of all in the community.
Stakeholder(s) Opposed 2	Manufacturers of alcohol products will be against the idea as it will lead to reduced output and production due to a decrease in demand. The policy will adversely impact their market share and general revenues and productivity as well. Nevertheless, they need to understand that the development of initiatives to limit the use of alcohol in the community is import to protecting the lives of underage drinkers because of its adverse effects. They must show their social responsibility by discouraging inappropriate use of alcohol among young people.
Financial Incentives/Costs In no more than 250 words, summarize the financial impact for the issue and the idea (added costs, cost savings, increased revenue, etc.). Provided support.
The idea has positive financial outcomes for the stakeholders in the long-term. The initiative will lead to a reduction in the financial costs on funding programs to address alcoholism and its associated effects like addiction. Early utilization of alcohol has adverse effects on the growth and development of young people, especially the development and functioning of their brain (Pedroni et al., 2020). Alcohol is a risk factor for engaging in dangerous activities and increases possibility of getting accidents, contemplation of suicide and the possibility of engaging in violence and sexual assault. Treatment for alcoholism and associated addiction as well as mental health disorders constitute significant financial burden to families and individuals as well as their communities and even governments. These stakeholders are compelled to offer limited resources, especially health resources, to address the issue. These resources are deployed to treat associated condition like substance use disorders, sexually transmitted infection, injuries from violence and assault cases among others. The CDC asserts that government spends an estimated $24 billion as economic and health related expense because of alcohol consumption among minors. State and federal governments allocate substantial resources to enhance and offer education and prevent school dropout and susceptibility to engage in criminal activities. As such, this proposed initiative will assist all stakeholders, from parents to governments to save resources and prevent the negative effects of alcohol use among minors. The proposed solution is essential in helping to address these issues and offer quality and healthy living to young people impacted by underage drinking problem. Crime is closely associated with alcohol use and such events lead to increased criminal activities.
Legislature: Information Needed and Process for Proposal Discuss the how to advocate for your proposal using legislation. Include the following:
Provide the name and complete contact information for the legislator.
Describe the steps for how you would present this to your legislator.		I will to book an appointment and present my proposal on tackling the issue at hand. My presentation will be based on evidence collected about the negative effects of underage drinking on the users, their families and the community at large. The presentation will show the causes, especially the increased number of outlets selling alcohol, the solution to the issue that requires a legislative solution. I will implore on the legislator to make remarks and what he believes will be the best approach based on legislation route.
Outline the process if your legislator chooses to introduce your idea as a bill to congress.		The legislator craft a bill for introduction to Congress. The bill will be taken to the concerned committee, in this case, the health committee, for amendments and analysis of its content and ask stakeholders to provide their views. The committee will make certain recommendations before approval and referring it back to the House for debate and subsequent amendments. The representative will lobby to get support for its passage as well as getting members of vote for or against it. The bill will then move to the Senate for consideration and debate. Both the House of Representatives and the Senate will approve the bill. A disagreement between the two houses will implore Congress to establish a conference committee to address them before final approval. The president will sign approved bill for its enactment.
Christian Principles and Nursing Advocacy In no more than 250 words, discuss how principles of a Christian worldview lend support to legislative advocacy in health care without bias. Be specific as to how these principles help advocate for inclusiveness and positive health outcomes for all populations, including those more vulnerable, without regard to gender, sexual orientation, culture, race, religion/belief, etc.
The Christian worldview entails different ethical principles like solidarity, dignity, love and respect. Individuals also make sacrifices for the good of the majority under Christian doctrines. Advocacy is appropriate when addressing issues that impact r vulnerable populations as it mirrors one’s commitment to Christian values like love and sacrifice. Nurses should promote and respect the sanctity of life as man is created in God’s image (Bergman & Morley, 2022). A person’s dignity transcends any aspect of individualism and needs sacrificial actions and decisions through advocacy for approaches to stop underage drinking due to its adverse effects on young people, their families, the community and public health. The owners of the liquor stores need to understand that they are a part of the community and any actions and decisions that they make have serious implications on the welfare of the members. They need to work for and promote common good and love for all people. Therefore, they should be willing to sell their products as regulated and help address this serious public health issue affecting minors with not capacity to make informed choices and decisions. These approaches underscore the utilization of advocacy as it provides opportunities to engage all stakeholders without any bias or favoritism. The principle ascertain that those involved do not seek self-glorification but for the sacrificial love of others regardless of their political persuasions and socioeconomic conditions or statuses.

Conclusion

Advocacy through legislation is an essential yet evidence-based approach to influence the development and implementation of policies to address public health concerns like underage drinking in particular and alcoholism as well as substance use abuse in general. Nurses as patient advocates can present these ideas to their legislators to help them formulate policies and interventions to address them. The proposed initiative to tackle underage drinking is important in assisting community and its members to reduce the financial burdens and promote better behaviors to reduce adverse effects of alcohol among minors.

References

Bergman, E., & Morley, C. (2022). Public Policy: Nurse Licensure Compact as a Lesson in Legislative Action for the Case

Management Community. Professional Case Management, 27(1), 26-29. DOI: 10.1097/NCM.0000000000000542.

Biggerstaff, M. E., & Skomra, T. S. (2020). Nurses as immigrant advocates: A brief overview. Online Journal of Issues in Nursing,

25(2). DOI: 10.3912/OJIN.Vol25No02PPT69

Carels, C., Florence, M., Adams, S., Sinclair, D. L., & Savahl, S. (2022). Youths’ perceptions of the relation between alcohol

consumption and risky sexual behaviour in the Western Cape, South Africa: a qualitative study. Child indicators research, 1-25. DOI:https://doi.org/10.1007/s12187-022-09913-9

Centers for Disease Control and Prevention (CDC) (2022). Underage Drinking.

https://www.cdc.gov/alcohol/fact-sheets/underage-drinking.htm

Finan, L. J., Lipperman-Kreda, S., Grube, J. W., Balassone, A., & Kaner, E. (2020). Alcohol marketing and adolescent and young

adult alcohol use behaviors: A systematic review of cross-sectional studies. Journal of Studies on Alcohol and Drugs, Supplement, (s19), 42-56. https://doi.org/10.15288/jsads.2020.s19.42

Pedroni, C., Dujeu, M., Lebacq, T., Desnouck, V., Holmberg, E., & Castetbon, K. (2021). Alcohol consumption in early adolescence:

Associations with sociodemographic and psychosocial factors according to gender. PloS one, 16(1), e0245597. https://doi.org/10.1371/journal.pone.0245597

Sánchez-Puertas, R., Vaca-Gallegos, S., López-Núñez, C., & Ruisoto, P. (2022). Prevention of alcohol consumption programs for

children and youth: a narrative and critical review of recent publications. Frontiers in psychology, 13. https://doi.org/10.3389/fpsyg.2022.821867

Stellefson, M., Barry, A. E., Stewart, M., Paige, S. R., Apperson, A., Garris, E., & Russell, A. (2019). Resources to reduce underage

drinking risks and associated harms: social ecological perspectives. Health promotion practice, 20(2), 160-166. https://doi.org/10.1177/1524839918814736

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Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

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I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

Your response needs to be a minimum of 150 words (not including your list of references)
There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
Include in-text citations in your response
Do not include quotes—instead summarize and paraphrase the information
Follow APA-7th edition
Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

A minimum of 6 responses per week, on at least 3 days of the week.
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Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
Follow APA 7th edition
Points will be deducted if the above is not followed
Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
Here are some helpful links
Student paper example
Citing Sources
The Writing Center is a great resource

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