NUR 514 Topic 4 DQ 1 Explain how health care policy affects health care organizations, patient care, and cost-effective quality care

Sample Answer for NUR 514 Topic 4 DQ 1 Explain how health care policy affects health care organizations, patient care, and cost-effective quality care Included After Question

NUR 514 Topic 4 DQ 1 Explain how health care policy affects health care organizations, patient care, and cost-effective quality care

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Topic 4 DQ 1

Explain how health care policy affects health care organizations, patient care, and cost-effective quality care. What measures can the nurse leader take as an advocate for patient care and addressing health care cost?

A Sample Answer For the Assignment: NUR 514 Topic 4 DQ 1 Explain how health care policy affects health care organizations, patient care, and cost-effective quality care

Title: NUR 514 Topic 4 DQ 1 Explain how health care policy affects health care organizations, patient care, and cost-effective quality care

REPLY TO DISCUSSION

JB

Oct 25, 2022, 2:13 PM

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I came across this list recently. It outlines the NP practice environment for each state, classifying them as Full Practice, Reduced Practice and Restricted Practice. What is your states practice environment and what do you think about it? How do you think that you can impact legislation to favor your ideas on state practice environments?

http://www.aanp.org/legislation-regulation/state-legislation/state-practice-environment

Take care,

Dr. B

REPLY

• SW

Oct 25, 2022, 4:13 PM

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According to the link listed, New York State (NYS) is a full practice state. I find this interesting because one current healthcare legislation issue that is being advocated for is expanding the scope of practice of nurse practitioners in NYS. The current proposed Nurse Practitioner Modernization Act (NPMA) proposes that nurse practitioners with more than 3,600 hours of experience can practice independently of physicians without practice agreements and protocols (New York State Nurses Association, n.d.). For nurse practitioners with less than 3,600 hours of experience practice agreements and protocols will still be required, but they can be with either a physician or experienced nurse practitioner providing the oversight. As far as I know, this legislation has not yet been passed, so the fact that the American Association of Nurse Practitioners views nurse practitioners as practicing to the fullest extent of their scope in NYS surprises me. One way I can impact legislation to favor expanding the practice of nurse practitioners is by supporting and voting for political leaders that will vote in favor of this act. I can also help to educate local politicians on the importance of nurse practitioners being allowed to work within their full scope of practice.

Reference NUR 514 Topic 4 DQ 1 Explain how health care policy affects health care organizations, patient care, and cost-effective quality care

New York State Nurses Association. (n.d.). New! Nurse practitioner modernization act: Information/updates. https://www.nysna.org/new-nurse-practitioner-modernization-act-informationupdates

REPLY

• KS

Oct 26, 2022, 4:32 PM

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The American Association of Nurse Practitioners website lists Virginia as a restricted nurse practitioner (NP) practice state, however; as far back as the January 2021 legislative update Virginia nurse practitioners with 2 years or more of clinical experience were authorized under Executive Order #57 to practice in the role which they are certified, including prescriptive authority, without a practice agreement with a physician (Philips, 2021). Further, in Virginia as of July 1, 2022, APRN’s can submit an attestation stating they have completed 5 years of clinical experience in the area they are certified and licensed in (Virginia State Board of Nursing, 2022). After it is verified, the APRN no longer has to have a practice agreement with a physician. This essentially makes APRNs practice autonomous after a period of demonstrated skill in their practice area. It seems perhaps they are referring to outdated practice status information.

References NUR 514 Topic 4 DQ 1 Explain how health care policy affects health care organizations, patient care, and cost-effective quality care

 

Phillips, S. J. (2021). 33rd Annual APRN Legislative Update: Unprecedented changes to APRN practice authority in unprecedented times. The Nurse Practitioner, 46(1), 27 55. https://doi.org/10.1097/01.NPR.0000724504.39836.69

 

Virginia State Board of Nursing. (2022, July 1). Retrieved from Virginia State Board of Nursing. Excerpts from the medical practice act of the code of Virginia relating to nurse practitioners. https://dhp.virginia.gov/media/dhpweb/docs/nursing/leg/Med_Nursing_NP.pdf

REPLY

JB

Oct 24, 2022, 5:32 AM

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Class:

With the rising global issues and the nursing profession being the largest segment of health care workforce with over 3 million members, we are definitely in a position to play a vital role in changing the landscape of the health care system (Institute of Medicine, 2010). With nurses achieving higher levels of education and training, it is only fair that nurses should practice to the full extent of their training and education through evidence-based research, as well as influence changes in legislation to advance health care. At the global level, the International Council of Nurses (ICN) allows nurses to come together as one voice to advance the profession and promote changes in health policy (Benton, 2012). According to Benton (2012), nurses should not take the back seat on issues and opinions that matter to the society but take leadership positions seriously. Imagine that you are on the ICN board, what important issues would you like to work on that impact global issues today?

Dr. B

References NUR 514 Topic 4 DQ 1 Explain how health care policy affects health care organizations, patient care, and cost-effective quality care

Benton, D. (2012). Advocating globally to shape policy and strengthen nursing’s influence. The Online Journal of Issues in Nursing, 17 (1), 5.

Institute of Medicine. (2010). The future of nursing: Focus on scope of practice. http://iom.edu/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Nursing%20Scope%20of%20Practice%202010%20Brief.pdf

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NUR 514 Topic 4 DQ 1 Explain how health care policy affects health care organizations, patient care, and cost-effective quality care 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.

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NUR 514 Topic 4 DQ 1 Explain how health care policy affects health care organizations, patient care, and cost-effective quality care

Nurse Leadership and Health Care Policy and Advocacy 

Question One  

Patient advocacy is a widely discussed topic in the field of nursing. The concept is defined as the action of nurses to promote patient interests and ensure that they can access appropriate information when making the decision and ensure they can access the required quality of health. Nurses leaders play an important role in the entire lives of nurses as well as the whole health care setting. They are responsible for all daily operations that take place in the workplace. Some of their roles include patient advocacy, resource allocation, risk management, patient safety, and staff development. When performing tasks such as patient advocacy, they are likely to face some professional barriers. Good examples of such barriers include retaliation, and some of the nurses in the group may have a different viewpoint (Tomaschewski-Barlem et al., 2017). If these barriers are not amicably solved may hinder the process of advocacy in a legislation process. These barriers can be handled by encouraging followers to actively become involved in the patient advocacy process, communicating expected standards, embracing quality improvement, using the control method to determine goals, and supporting research.  

As a nurse leader, one is supposed to be expert in knowledge brokering. They are supposed to translate institution policy directives to actions that direct health care. Nurse leaders are supposed to communicate the information correctly to all their juniors and inform them of organizational policy (Figueira et al., 2018). Giving frank information to a group of nurses will ensure all nurses work as a team. Nurses’ leaders are supposed to balance their responsibility and accountability between their seniors in leadership and other staffs. Increasing job satisfaction, regulating nurses’ turnover, meeting quality targets are some of the roles that a nurse leader could play. However, even as they play those roles, nurse leaders should use their position to influence their juniors to become participative in advocacy. Effective communication regarding the necessity of their involvement could be one of the strategies that nurse leaders can adopt.  

References 

Figueira, A. B., Barlem, E. L. D., Amestoy, S. C., Silveira, R. S. D., Tomaschewski-Barlem, J. G., & Ramos, A. M. (2018). Health advocacy by nurses in the Family Health Strategy: barriers and facilitators. Revista brasileira de enfermagem, 71(1), 57-64. 

Tomaschewski-Barlem, J. G., Lunardi, V. L., Barlem, E. L. D., Silveira, R. S. D., Ramos, A. M., & Piexak, D. R. (2017). Patient advocacy in nursing: Barriers, facilitators and potential implications. Texto & Contexto-Enfermagem, 26(3).