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NUR 550 DQ: Policy Issues Affecting the State of Health Care Delivery

NUR 550 DQ Policy Issues Affecting the State of Health Care Delivery

Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal). What impact do these population health policies and initiatives have on advanced nursing practice?

Re: Topic 7 DQ 1

Health Policies are general statements that have goals at different levels of abstraction and range in scope and serve as a broad guideline to organizations. Public policy is set in to place to implement policies and regulations to govern practices to help the population as a whole and to ensure practices are equitable for all(Tullai-McGuinness, 2017). In my state of Washington there are many health care policies that are set into place to help ensure the health of the population is protected. The WHO in 2003 stated health is a “state of complete physician mental and social wellbeing in the absence e of disease(Tullai-McGuinness, 2017). One policy in Washington state that was set into place is Ricky’s Law that allows the states mental health system to involuntarily detain adults and minors who pose a serious harm to themselves as result of substance abuse disorder(WHSA, 2020) This policy is designed to enable the protection of someone under the influence from having further harm to themselves, while the intention is for any person fitting the criteria to be seen and evaluated, the policy does state if there is not enough room in the ER there is not another option, this creates can create a barrier for many facilities and patients to access the care they need in a crisis.

Washington state is a state with large cities and very rural area, another public health policy in Washington that is helping to protect the delivery of care in rural areas.  THis policy is designed to help keep hospitals, clinics and health care access in areas of our most vulnerable populations of all cultures especially native American and Hispanic cultures where the majority live. Rural health care in Washington serves about 70% if the states area and 15% of the population (WSHA, 2020a). This policy initiative is designed to engage the communities, provide innovative access and redefining hospitals to adapt the change of health care today.

As advanced practice nurses wether in leadership, education or practicing medicine, these policies are to help guide our practice, to help ensure the population is protected and access is provided to all the population. The role of the  advance practice nurse is to utilize the guidance of the policies, add evidence-based practice and create accessible care for all within the policy guidance.

Tullai-McGuinness, S. (2017). Health Policy and Health Services Delivery. Encyclopedia Of Nursing Research, 251. https://doi.org/https://search-credoreference-com.lopes.idm.oclc.org/content/entry/spennurres/health_policy_and_health_services_delivery/0?institutionId=5865

WHSA. (2020). Information about RIcky’s Law: Involuntary Detention for Substance Use Disorders. Washington State Hospital Association. https://www.wsha.org/policy-advocacy/issues/information-about-rickys-law-involuntary-detention-for-substance-use-disorders/

WSHA. (2020a). Protecting Rural Health Care. Washington State Hospital Association. https://www.wsha.org/policy-advocacy/issues/protecting-rural-health-care/




I agree with you that healthcare policies are set at both the state and federal levels to ensure that the healthcare guidelines are

NUR 550 DQ Policy Issues Affecting the State of Health Care Delivery

NUR 550 DQ Policy Issues Affecting the State of Health Care Delivery

streamlined to promote access to quality care. Politicians at houses of representatives and congress work through the committee to ensure that they formulate policies that are relevant to the emerging healthcare needs and challenges. One such example in the state of Washington is the Ricky Law of Involuntary Treatment Act (ITA). In 2018, the proposed changes on the law took effect. The changes were; designated mental health professionals are to also work in the capacity of designated crisis responders (DCRs) (Saya et al., 2019). Additionally, community members who are a danger to themselves, others or property or disabled as a result of alcohol or substance abuse maybe involuntarily detained to what is referred to as a secure detox. The members of the community under this detention program are under protection of the patients’ rights as outlined in the Rights of Involuntarily detained persons. It is a requirement that these rights be displayed prominently in all facilities providing the secure detox services (Dey et al., 2019).


Dey, S., Mellsop, G., Diesfeld, K., Dharmawardene, V., Mendis, S., Chaudhuri, S., Deb, A., Huq, N., Ahmed, H. U., Shuaib, M., & Khan, F. R. (2019). Comparing legislation for involuntary admission and treatment of mental illness in four South Asian countries. International Journal of Mental Health Systems, 13(1). https://doi.org/10.1186/s13033-019-0322-7

Saya, A., Brugnoli, C., Piazzi, G., Liberato, D., Di Ciaccia, G., Niolu, C., & Siracusano, A. (2019). Criteria, Procedures, and Future Prospects of Involuntary Treatment in Psychiatry Around the World: A Narrative Review. Frontiers in Psychiatry, 10. https://doi.org/10.3389/fpsyt.2019.00271KELLI

Topic 7 DQ 1


Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (maybe state or federal). What impact do these population health policies and initiatives have on advanced nursing practice?



The purpose of this assignment is to write a review of the research articles you evaluated in your Topic 5
“Evidence-Based Practice Project: Evaluation of Literature” assignment. If you have been directed by your instructor to select different articles in order to meet the requirements for a literature review or to better support your evidence-based practice project proposal, complete this step prior to writing your review.

A literature review provides a concise comparison of the literature for the reader and explains how the research demonstrates support for your PICOT. You will use the literature review in this assignment in NUR-590, during which you will write a final paper detailing your evidence-based practice project proposal.

In a paper of 1,250-1,500, select eight of the ten articles you evaluated that demonstrate clear support for your evidence-based practice and complete the following for each article:

1. Introduction – Describe the clinical issue or problem you are addressing. Present your PICOT statement.
2. Search methods – Describe your search strategy and the criteria that you used in choosing and searching for your articles.
3. Synthesis of the literature – For each article, write a paragraph discussing the main components (subjects, methods, key findings) and provide rationale for how the article supports your PICOT.
4. Comparison of articles – Compare the articles (similarities and differences, themes, methods, conclusions, limitations, controversies).
5. Suggestions for future research: Based on your analysis of the literature, discuss identified gaps and which areas require further research.
6. Conclusion – Provide a summary statement of what you found in the literature.
7. Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

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.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

 MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing

 3.2: Analyze appropriate research from databases and other information sources to improve health care practices and processes.

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  1. Identify major policy issues affecting the state of health care delivery and population health
  2. Analyze the components of effective population-based health
  3. Discuss the impact of population health policies and initiatives on advanced nursing

Advanced Practice Nursing: Essential Knowledge for the Profession


Read Chapter 9 in Advanced Practice Nursing: Essential Knowledge for the Profession.

Population Health: Creating a Culture of Wellness


Read Chapter 7 and review Chapter 10 in Population Health: Creating a Culture of Wellness.

Evidence-Based Practice in Nursing and Healthcare


Review Chapter 19 in Evidence-Based Practice in Nursing and Healthcare.

Health Policy and Health Services Delivery


Read “Health Policy and Health Services Delivery,” by Tullai-McGuinness and Reimer, from Encyclopedia of Nursing Research(2017).

The Untapped Potential of the Nurse Practitioner Workforce in Reducing Health Disparities


Read “The Untapped Potential of the Nurse Practitioner Workforce in Reducing Health Disparities,” by Poghsyan and Carthon, from Policy, Politics, and Nursing Practice (2017).

How to Write a Literature Review in 30 Minutes or Less


View “How to Write a Literature Review in 30 Minutes or Less,” by Taylor, located on YouTube (2017).

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