Sample Answer for Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy NRS 440 Included After Question
Topic 4 DQ 2
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: Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy NRS 440
Title: Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy NRS 440
Massachusetts came up with a proposed bill called Patient Safety Act in 2018. It was not brought up to legislators, instead it was posed as a ballot question to voters. The proposal sparked public debate, with both sides spending millions of dollars in campaign ads money. The bill ended in a landslide leading to its rejection by 70% of the voters. Writer suggests they should do another attempt, but this time using legislative advocacy where congress and senate can decide on its faith. Also, there should be an education to the voting public about the importance of safe nurse-patient ratio. Must be explained well about the advocacy and why it is needed.
Tung, L. (2019, November 29). Why mandated nurse-to-patient ratios have become one of the most controversial ideas in health care.
https://whyy.org/segments/why-mandated-nurse-to-patient-ratios-have-become-one-of-the-most-controversial-ideas-in-health-care/#:~:text=The%20Illinois%20Health%20and%20Hospital%20Association%20has%20been%20outspoken%20against,the%20Safe%20Patient%20Limits%20Act.
A Sample Answer 2 For the Assignment: Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy NRS 440
Title: Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy NRS 440
It sounds like the proposal just was not presented in the proper way. More education and advocacy for the bill should have been completed prior to sending it for voting. If the proposal was presented in a more efficient way with lobbying and supporters, allowing for much more communication and advocacy, it may have had better outcomes. Unfortunately, it is difficult sometimes to find the right individuals or groups to support an idea. Allowing for adequate time to present the idea is very important as well. If more people would understand the importance of safe nursing ratios, the outcomes may have been different.
Helbig, J. 2018. Influencing health care through Advocacy. Trends in Health Care: A nursing perspective. https://lc.gcumedia.com/nrs440vn/trends-in-health-care-a-nursing-perspective/v1.1/#/chapter/4
A Sample Answer 3 For the Assignment: Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy NRS 440
Title: Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy NRS 440
A problem that we continue to face in the nursing profession is the nursing shortage. For years the U.S. has been facing a nursing shortage. This was more exacerbated due to the demands on the health care system and by the COVID-19 pandemic. As more and more baby boomers continue to age and the national movement to healthcare reform are putting more strain on the already nursing shortage.
In Arizona to help address the limited capacity and the ways preventing new nurses to apply to schools. So, in order to help move people through the nursing program the House Bill 2691 was develop for this issue. It would distribute up to $15 million toward the nursing education. This would help the nursing schools be able to provide the education needed to get more nurses out in the field.
References
Dominquez, A. (2022). Arizona looks to address nursing shortage through new bill. azfamily.com. https://www.azfamily.com/2022/07/06/arizona-looks-address-nursing-shortage-through-new-bill/
Walden University. (n.d.). How is the U.S. nursing shortage being addressed? waldenu.edu. https://www.waldenu.edu/programs/nursing/resource/how-is-the-us-nursing-shortage-being-addressed
A Sample Answer 4 For the Assignment: Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy NRS 440
Title: Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy NRS 440
Yes a nursing shortage is a real issue according to the 2022 workforce report “the nursing shortage is here. Burnout with health care workers from the high amount of COVID-19 cases over the past two years has intensified a shortage of nurses in the state.” I am part of a float team at the hospital organization I work for and our role is to fill the holes so that the floor staff is not working short. I like my job as it has a lot of flexibility and I don’t have to deal with the drama on the floors as i am usually never in the same place multiple days in a row. I get along with everyone I work with with the exception of a few but all in all I have a great role.
Wisconsin Hospital Association. (2022). 2022 workforce report. https://www.wha.org/MediaRoom/DataandPublications/WHAReports/Workforce/2022
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A Sample Answer 5 For the Assignment: Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy NRS 440
Title: Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy NRS 440
With the help of advocacy from nurses and their orgizatoion such as ANA, the federal government passed the opioid legislation in cotober 2018 . Opioid uses have been prevent and many due to misuse have been overdose. About 40 % of those who overdose end up dead . More than 9 million Americans overdose on opioid in 2020 according to the cdc. The effect of this overdose , is seen in many visiting the hospital and overwhelming the already overwhelmed healthcare system. According to the FDA “Opioids are claiming lives at a staggering rate, and overdoses from prescription opioids are reducing life expectancy in the United States”( fda.gov. 2021). This epidemic has render working class people and their families homeless. Working in the mental health hospital , the writer seen , had working Americans who have succumb to opioid and other drugs which may be legally prescribed and illegal drugs. The nursing and their various organizations stepping to for this legislation is a stop to the right direction. Through the authority and legislations passed for the Nurse practitioner they can now presubscribe medication such as buprenorphine to help combat opioid dependency. (oclc.org, 2016). Opioid have separated families , it has lead to mental illnesses such as depression not only for the user but for the family ,members who have to care for their love ones. The financial burden for opioid over dose is not limited to the users , but to the communities and the nation as a whole. And a A bill to that will pharmaceutical companies accountable for dubious marketing and distribution of opioid products and also for their role in creating and the opioid epidemic in the United States sign in 2021( .congress.gov. 2020) .
References:
All info – S.1584 – 116th congress (2019-2020): Opioid crisis … (2020). Retrieved, from https://www.congress.gov/bill/116th-congress/senate-bill/1584/all-info
FDA. (2021). Opioid medications. U.S. Food and Drug Administration. Retrieved August 20, 2022, from https://www.fda.gov/drugs/information-drug-class/opioid-medication
Political advocacy: A passion for shaping health care and our practice. Login. (2016). Retrieved , from https://eds-p-ebscohost-com.lopes.idm.oclc.org/eds/detail/detail?
A Sample Answer 6 For the Assignment: Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy NRS 440
Title: Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy NRS 440
Nice information on this week’s discussion. I agree with you that opioid misuse is a large problem here in the U.S. It has gotten into such a problem that many providers became afraid to prescribe narcotic medications to those that need it. Then people started to get it off the streets such as fentanyl but the fentanyl on the streets contains other drugs that have killed many people. This has led to some patients being afraid for a nurse to provide narcotic medication for them when they are in pain. I have seen this many times when taking care of patients post-surgery. They would require education that they are being monitored and the narcotic medication would be very little with just enough to stop their pain so they can rest.
We also see this in hospice patients. Patients and their families are scared to take pain medications and we have to educate them on their disease process and how likely pain may occur at that time. We also have to educate them on their addiction concerns and end of life. Patients will have end stage illnesses and be in severe pain, but be so scared of taking pain medication because they are afraid of becoming addicted. I have seen patients with stage four cancer with metastasis to many other areas, suffer with pain all the way to the end because of these fears. Education is our greatest tool for these patients and we try everyday to make sure they know how pain and these medications affect their prognosis and their quality of life.
A group of nurses who all agree on the same issue can have a great impact on change. “Nurses have always been the patients’ advocate by providing proper care in a safe environment” (Helbig, 2018). The safe staffing for nurse and patient safety act is a bill that requires hospitals to establish a committee, composed of at least 55 percent direct care nurses, to create nurse staffing plans that are specific to each unit. Patients risk longer hospital stays, increased infections, and avoidable injuries when units are understaffed. Understaffing also leads to a decrease in nurse retention, higher rates of injury, and burnout (ANA, 2018). I think that each hospital needs to be on the same staffing grid and it should be universal, depending on the area you work in. Studies have shown that safe staffing saves lives. Lower nurse-to-patient ratios are linked with lower mortality rates. This legislation directs hospitals to develop and implement nurse staffing plans that ensure quality care and patient safety.
As a float nurse working in one of the bigger hospitals in my area, I appreciate the staffing grids although they are not always followed. It seems that each hospital has a different grid to follow and certain nurses are only allowed 4 patients max at one hospital during day shift but at another hospital the max is 6 or 7. Having 6 patients as a nurse is too many. Patients are becoming more and more sick when they are coming into hospitals which require a lot more care and time. With 6 patients you have minimal time to spend with your patients.
ANA. (March 2018). Capitol Beat. Introducing the safe staffing for nurse and patient safety act. https://anacapitolbeat.org/2018/03/01/introducing-the-safe-staffing-for-nurse-and-patient-safety-act/
Helbig, J. (2018). Influencing healthcare through advocacy. Trends in health care: A nursing perspective. https://lc.gcumedia.com/nrs440vn/trends-in-health-care-a-nursing-perspective/v1.1/#/chapter/4
A Sample Answer 7 For the Assignment: Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy NRS 440
Title: Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy NRS 440
Thank you for your post! I have to agree with you, working with more than 5 patients is very time consuming. From my own experience as a PRN RN working in different clinical settings, I have found that assessments from nurses are not accurate in settings where 5 or more patients are assigned. Usually this is the case for physical rehab facilities or SNFs sadly, where I found myself, mostly in SNFs, taking care of 15 patients by myself. In this particular facility, CNAs do not do glucose checks in the morning, and do not keep track of patients VS throughout the day. 13/15 of my patients required G-feedings and crushing meds. It is humanly impossible to perform an accurate assessment when medications are due at 8am, 12pm, 2pm, 4pm and 6 pm for everybody. For this reason, I find imperative introducing a law that forces these facilities to change their ratios, allowing nurses to ACTUALLY interact with patients, note changes in condition, and follow the nursing process accurately, prevent burnout, and sentinel events (White et al., 2019).
References
White, E. M., Aiken, L. H., & McHugh, M. D. (2019). Registered Nurse Burnout, job dissatisfaction, and missed care in nursing homes. Journal of the American Geriatrics Society, 67(10), 2065–2071. https://doi.org/10.1111/jgs.16051
A Sample Answer 8 For the Assignment: Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy NRS 440
Title: Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy NRS 440
Thank you for your initial discussion post. The nursing profession requires constant review of the current healthcare practices so that progressive improvements can be made. The safe staffing for nurse and patient safety act is one of the reforms made in the nursing profession to review staffing plans of healthcare facilities. It is good to plan for the human resources so that every individual is assigned the right task, according to his or her education or skills they have. Besides it helps in division of labor and specialization hence experts work in specific sectors or areas individuals are comfortable working in. Proper staffing plans reduces nurse burnout because nurses are assigned manageable tasks (Simpson, 2022). Besides, it increases patients safety and avoids medical errors such as wrong dosage that might arise due to nurse burnout or working for long hours. Healthcare stakeholders should join hands to ensure correct reforms and amendments are made in the nursing profession.
Reference
Simpson, K. R. (2022). Safe nurse staffing and the 2022 AWHONN nurse staffing standards. MCN: The American Journal of Maternal/Child Nursing, 47(5), 303-303. https://doi.org/10.1097/nmc.0000000000000850
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Very good or high level of performance
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Inadequate demonstration of expectations
68% 11 points |
Deficient level of performance
56% 9 points
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