NURS 6051/5051 TN003 Big Data Risks and Rewards Discussion Paper Example

NURS 6051/5051 TN003 Module03 Big Data Risks and Rewards Discussion AssignmentNURS 6051/5051 TN003 Module03 Big Data Risks and Rewards Discussion Assignment

NURS 6051/5051 TN003 Big Data Risks and Rewards Discussion Assignment Brief

Course: NURS 5051 – Transforming Nursing and Healthcare Through Technology

Assignment Title: NURS 6051/5051 TN003 Module03 Big Data Risks and Rewards Discussion Assignment

Assignment Overview

In this assignment, you will explore the risks and rewards associated with utilizing big data in healthcare systems. Big data refers to large, complex datasets that offer valuable insights when analyzed using specialized approaches. As healthcare professionals, understanding how to leverage big data effectively is crucial for improving patient care and optimizing clinical outcomes.

Understanding Assignment Objectives

The main objectives of this assignment are:

  • Analyze the potential benefits of incorporating big data into clinical systems.
  • Identify challenges and risks associated with utilizing big data in healthcare settings.
  • Propose strategies to mitigate these challenges and maximize the benefits of big data in clinical practice.

The Student’s Role

As a student in this assignment, your role is to critically evaluate the impact of big data on healthcare systems. Reflect on your experiences with health information management and consider how big data can influence clinical decision-making and patient outcomes.

Competencies Measured

This assignment measures your ability to:

  • Apply knowledge of informatics principles to healthcare data management.
  • Analyze the implications of standardized terminologies on healthcare practice.
  • Evaluate strategies for mitigating risks associated with big data utilization in clinical settings.

You Can Also Check Other Related Assessments for the NURS 5051 – Transforming Nursing and Healthcare Through Technology Course:

NURS 6051/5051 TN001 Module01 The Nurse Leader as Knowledge Worker Assignment Example

NURS 6051/5051 TN002 Module02 The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies Assignment Example

NURS 6051/5051 TN004 Module04 The Use of Clinical Systems to Improve Outcomes and Efficiencies Literature Review Assignment Example

NURS 6051/5051 TN005 Module05 The Role of the Nurse Informaticist in Systems Development and Implementation Portfolio Assignment Example

NURS 6051/5051 TN006 Module06 Policy/Regulation Fact Sheet Assignment Example

NURS 6051/5051 TN003 Big Data Risks and Rewards Discussion Paper Example

Benefit of Utilizing Big Data in Clinical Systems

The use of big data in clinical systems offers significant advantages by enhancing evidence-based practice and improving patient outcomes. When we talk about big data in healthcare, we’re referring to the analysis of large datasets containing patient information, treatments, outcomes, and more. This analysis helps identify patterns and trends that can guide clinical decisions.

For example, in home healthcare, big data can be used to analyze rehospitalization rates. By looking at large amounts of patient data, such as past treatments and conditions, healthcare providers can pinpoint factors contributing to readmissions. This insight allows for targeted interventions—like better discharge planning or follow-up care—which can ultimately improve patient outcomes and reduce unnecessary hospital stays.

Wang, Kung, & Byrd (2018) highlight that big data enables a broader view of evidence-based practice, allowing clinicians to make informed decisions based on comprehensive datasets. This can lead to more effective treatments tailored to individual patient needs.

Challenge of Integrating Big Data into Clinical Systems

Despite its benefits, integrating big data into clinical systems comes with challenges. Chief nurse executives often face the daunting task of managing vast amounts of data, leading to information overload and potential inefficiencies (Thew, 2016). Each healthcare system may use different formats and definitions for data, making it challenging to unify and analyze information effectively.

For instance, when analyzing specific patient data, the definition of terms like “diagnosis” or “treatment” might vary between different electronic health record systems. This lack of standardization complicates data analysis and hinders efforts to derive meaningful insights.

Mitigation Strategy for Addressing Big Data Challenges

To address these challenges, healthcare organizations can implement proactive strategies focusing on data standardization. Bates et al. (2014) emphasize the importance of establishing uniform data formats and definitions across systems. By ensuring internal consistency in how data is represented and interpreted, healthcare providers can streamline data analysis processes.

For example, implementing standardized data exchange protocols like HL7 FHIR (Fast Healthcare Interoperability Resources) facilitates seamless data sharing between different systems. This promotes data consistency and interoperability, enabling more accurate and reliable insights from big data analytics.

In addition, investing in advanced analytics tools that automate data processing and interpretation can significantly alleviate the burden on clinicians. These tools not only enhance efficiency but also allow healthcare providers to focus more on patient care rather than data management.

References

Bates, D. W., Saria, S., Ohno-Machado, L., Shah, A., & Escobar, G. (2014). Big data in healthcare: Using analytics to identify and manage high-risk and high-cost patients. Health Affairs, 33(7), 1123-1131.

Thew, J. (2016, April 19). Big Data Means Big Potential, Challenges for Nurse Execs. Health Leaders. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs.

Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126, 3-13.

Response 1

Your insights into data overload for nurse executives are pertinent to the discussion. In addition to data standardization, healthcare organizations should invest in robust data governance strategies to ensure data quality and interoperability across systems. For instance, establishing clear policies and procedures for data collection, storage, and sharing can help maintain data integrity and streamline information management processes. Implementing data governance frameworks, such as data stewardship programs, can empower clinicians to make informed decisions based on reliable and consistent data.

Response 2

I appreciate your focus on the benefits of big data in improving evidence-based practice. Another strategy to mitigate data standardization challenges could involve collaborative efforts between healthcare organizations to establish industry-wide data standards. By working together to define common data elements and formats, healthcare providers can enhance data interoperability and facilitate seamless information exchange. For example, initiatives like the Observational Health Data Sciences and Informatics (OHDSI) collaborative aim to develop shared data standards that enable large-scale analytics across diverse healthcare settings.

Detailed Assessment Instructions for the NURS 6051/5051 TN003 Big Data Risks and Rewards Discussion Assignment

Discussion: Big Data Risks and Rewards

When you wake in the morning, you may reach for your cell phone to reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee.

From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth.

As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards.

To Prepare:

  • Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs.
  • Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.

By Day 3 of Week 5

Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples.

By Day 6 of Week 5

Respond to at least two of your colleagues* on two different days, by offering one or more additional mitigation strategies or further insight into your colleagues’ assessment of big data opportunities and risks.

*Note: Throughout this program, your fellow students are referred to as colleagues.

Submission and Grading Information

Learning Resources

Required Readings

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 22, “Data Mining as a Research Tool” (pp. 477-493)
  • Chapter 24, “Bioinformatics, Biomedical Informatics, and Computational Biology” (pp. 537-551)

Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf

Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13.

Required Media

Laureate Education (Executive Producer). (2012). Data, information, knowledge and wisdom continuum [Multimedia file]. Baltimore, MD: Author. Retrieved from http://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6051/03/mm/continuum/index.html

Laureate Education (Producer). (2018). Health Informatics and Population Health: Analyzing Data for Clinical Success [Video file]. Baltimore, MD: Author.

Vinay Shanthagiri. (2014). Big Data in Health Informatics [Video file]. Retrieved from https://www.youtube.com/watch?v=4W6zGmH_pOw

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NURS 6051/5051 TN002 The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies Paper Example

NURS 6051/5051 TN002 Module02 The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies AssignmentNURS 6051/5051 TN002 Module02 The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies Assignment

NURS 6051/5051 TN002 The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies Assignment Brief

Course: NURS 5051 – Transforming Nursing and Healthcare Through Technology

Assignment Title: NURS 6051/5051 TN002 Module02 The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies Assignment

Assignment Overview

The purpose of this assignment is to develop a comprehensive project proposal focused on leveraging nursing informatics to enhance patient outcomes and care efficiencies within a healthcare organization. Students will propose a nursing informatics project that aligns with emerging technologies and contributes to improved healthcare delivery.

Understanding Assignment Objectives

The assignment aims to assess students’ ability to apply nursing informatics concepts to real-world healthcare scenarios. Students will demonstrate their knowledge of technology application in healthcare, specifically focusing on how emerging technologies like artificial intelligence can strengthen nursing informatics and impact patient outcomes.

The Student’s Role

As a student undertaking this assignment, you will take on the role of a nursing informatics advocate within a healthcare organization. Your task is to propose a project that addresses specific patient care needs and efficiencies through the integration of technology and data management strategies.

Competencies Measured

This assignment assesses several competencies critical to nursing informatics:

  • Understanding of technology application in healthcare settings.
  • Ability to analyze how emerging technologies can influence nursing informatics.
  • Project management skills in proposing and outlining a nursing informatics project.
  • Collaboration and team integration strategies within healthcare settings.

You Can Also Check Other Related Assessments for the NURS 5051 – Transforming Nursing and Healthcare Through Technology Course:

NURS 6051/5051 TN001 Module01 The Nurse Leader as Knowledge Worker Assignment Example

NURS 6051/5051 TN003 Module03 Big Data Risks and Rewards Discussion Assignment Example

NURS 6051/5051 TN004 Module04 The Use of Clinical Systems to Improve Outcomes and Efficiencies Literature Review Assignment Example

NURS 6051/5051 TN005 Module05 The Role of the Nurse Informaticist in Systems Development and Implementation Portfolio Assignment Example

NURS 6051/5051 TN006 Module06 Policy/Regulation Fact Sheet Assignment Example

NURS 6051/5051 TN002 The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies Paper Example

Introduction

In today’s complex healthcare environment, nursing informatics has emerged as a critical component in improving patient care and achieving positive health outcomes (McGonigle & Mastrian, 2017). Nursing informatics focuses on the integration of information technology and data management into nursing practice, enhancing communication, supporting clinical decision-making, and ensuring patient safety. This project proposal aims to introduce a sophisticated Clinical Decision Support System (CDSS) powered by artificial intelligence (AI) within our healthcare organization to revolutionize patient care processes.

Project Description

The proposed CDSS will serve as an advanced platform that leverages AI and machine learning algorithms to analyze patient data and provide real-time decision support to healthcare providers (Wang, Kung & Byrd, 2018). For instance, when a nurse inputs a patient’s vital signs into the system, the CDSS can rapidly analyze this data against evidence-based guidelines and alert the nurse to potential risks or recommend appropriate interventions. Moreover, the CDSS will incorporate predictive modeling capabilities to anticipate outcomes based on historical data and current patient risk factors.

Stakeholders Impacted

The implementation of the CDSS will have a profound impact on various stakeholders within our healthcare organization. Patients will benefit from personalized care plans and timely interventions, leading to improved health outcomes and increased satisfaction (Glassman, 2017). Nurses and healthcare providers will experience enhanced decision-making support, reduced cognitive workload, and streamlined workflow efficiency. Administrators will observe improvements in quality metrics, reduced costs associated with preventable complications, and optimized resource allocation. The IT department will play a crucial role in system integration and maintenance, while the Quality Improvement Team will utilize CDSS-generated data for performance monitoring and quality enhancement initiatives (Thew, 2016).

Patient Outcomes and Care Efficiencies

The introduction of the CDSS is expected to yield significant improvements in patient outcomes and care efficiencies. By providing real-time decision support, nurses and providers can make informed decisions promptly, leading to timely interventions and preventive measures. The system’s alerts and reminders will help reduce medication errors and ensure adherence to treatment protocols. Additionally, the CDSS will facilitate seamless communication and collaboration among interdisciplinary teams, promoting coordinated care delivery and patient-centered approaches. Patients will benefit from improved engagement through user-friendly interfaces and mobile applications, empowering them to actively participate in their care management (Glassman, 2017).

Technologies Required

To implement the CDSS effectively, several cutting-edge technologies will be essential. AI and machine learning algorithms will drive data analysis and predictive modeling, providing actionable insights for healthcare providers (Wang, Kung & Byrd, 2018). Integration with Electronic Health Record (EHR) systems will enable seamless access to patient data, supporting real-time decision-making and care coordination. Patient-centered mobile applications will enhance patient engagement and enable remote monitoring, improving accessibility and convenience. Scalable and secure cloud infrastructure will facilitate data storage, processing, and accessibility, ensuring compliance with privacy and security regulations.

Project Team and Nurse Informaticist Role

The success of this project hinges on the collaboration and expertise of a multidisciplinary team. A project manager will oversee planning, coordination, and stakeholder engagement. The Nurse Informaticist will play a pivotal role in leading the design, implementation, and optimization of the CDSS, ensuring alignment with nursing workflows and standards (Sipes, 2016). Data analysts and IT specialists will handle data integration, system development, and technical implementation. Clinical champions will engage frontline staff to promote adoption and usability of the CDSS. The Quality Improvement Team will leverage CDSS-generated data for continuous quality improvement initiatives and outcome measurement (Macieria et al., 2017).

Conclusion

In conclusion, the implementation of a sophisticated Clinical Decision Support System driven by nursing informatics will revolutionize patient care within our healthcare organization. By harnessing the power of AI and technology, we aim to enhance patient outcomes, improve care efficiencies, and empower healthcare providers to deliver high-quality, evidence-based care.

References

Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf

Macieria, T. G. R., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenan, G. (2017). Evidence of progress in making nursing practice visible using standardized nursing data: A systematic review. AMIA Annual Symposium Proceedings, 2017, 1205–1214. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

Mosier, S., Roberts, W. D., & Englebright, J. (2019). A Systems-Level Method for Developing Nursing Informatics Solutions: The Role of Executive Leadership. JONA: The Journal of Nursing Administration, 49(11), 543-548.

Ng, Y. C., Alexander, S., & Frith, K. H. (2018). Integration of Mobile Health Applications in Health Information Technology Initiatives: Expanding Opportunities for Nurse Participation in Population Health. CIN: Computers, Informatics, Nursing, 36(5), 209-213.

Sipes, C. (2016). Project management: Essential skill of nurse informaticists. Studies in Health Technology and Informatics, 225, 252-256.

Detailed Assessment Instructions for NURS 6051/5051 TN002 The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies Assignment

Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?

Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.

To Prepare:

  • Review the concepts of technology application as presented in the Resources.
  • Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

  • Describe the project you propose.
  • Identify the stakeholders impacted by this project.
  • Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
  • Identify the technologies required to implement this project and explain why.
  • Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.
  • Use APA format and include a title page and reference page.
  • Use the Safe Assign Drafts to check your match percentage before submitting your work.

Learning Resources

Required Readings

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 525–535)
  • Chapter 26, “Nursing Informatics and the Foundation of Knowledge” (pp. 537–551)

Mosier, S., Roberts, W. D., & Englebright, J. (2019). A Systems-Level Method for Developing Nursing Informatics Solutions: The Role of Executive Leadership. JONA: The Journal of Nursing Administration49(11), 543-548.

Ng, Y. C., Alexander, S., & Frith, K. H. (2018). Integration of Mobile Health Applications in Health Information Technology Initiatives: Expanding Opportunities for Nurse Participation in Population Health. CIN: Computers, Informatics, Nursing36(5), 209-213.

Sipes, C. (2016). Project management: Essential skill of nurse informaticists. Studies in Health Technology and Informatics, 225, 252-256.

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NURS 6050/5050 PA006 Global Healthcare Comparison Matrix and Narrative Statement Paper Example

NURS 6050/5050 PA006 Module06 Global Healthcare Comparison Matrix and Narrative Statement AssignmentNURS 6050/5050 PA006 Module06 Global Healthcare Comparison Matrix and Narrative Statement Assignment

NURS 6050/5050 PA006 Global Healthcare Comparison Matrix and Narrative Statement Assignment Brief

Course: NURS 5050 – Policy and Advocacy for Improving Population Health

Assignment Title: NURS 6050/5050 PA006 Module06 Global Healthcare Comparison Matrix and Narrative Statement Assignment

Assignment Overview

In this assignment, you will analyze a global health issue by comparing and contrasting the approaches taken by the United States and another selected country. Through the completion of a Global Health Comparison Matrix and a narrative statement outlining a plan for social change, you will delve into key aspects of healthcare policies, social determinants of health, governmental approaches, and the impact on nursing roles and local healthcare organizations.

Understanding Assignment Objectives

The primary objectives of this assignment are to:

  • Compare and contrast healthcare policies related to a selected global health issue in the U.S. and another country.
  • Analyze how social determinants of health influence the chosen global health issue.
  • Evaluate governmental strategies regarding cost, quality, and access to healthcare for the identified issue.
  • Examine the impact of healthcare policies on the global population and the role of nurses.
  • Assess the effects of global health issues on local healthcare organizations and policies in both countries.
  • Develop a plan for social change that integrates a global perspective into local nursing practice and leadership roles.

The Student’s Role

As a student undertaking this assignment, your role is that of a critical analyst and advocate for global health equity. You will explore complex healthcare systems and policies to identify strengths, weaknesses, and areas for improvement in addressing a global health issue. Furthermore, you will envision strategies for effecting social change through the incorporation of a global lens into local nursing practice and leadership.

Competencies Measured

This assignment will assess your ability to:

  • Analyze healthcare policies and their impact on global health issues.
  • Integrate knowledge of social determinants of health into healthcare policy analysis.
  • Evaluate governmental approaches to healthcare delivery in different countries.
  • Articulate the role of nurses in addressing global health challenges.
  • Synthesize how global health issues influence local healthcare organizations and policies.
  • Develop a strategic plan for incorporating a global perspective into local nursing practice and leadership.

You Can Also Check Other Related Assessments for the NURS 6050/5050 – Policy and Advocacy for Improving Population Health Course:

NURS 6050/5050 PA001 Module01 Agenda Setting: Presidential Agendas Discussion Assignment Example

NURS 6050/5050 PA001 Module01 Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment Example

NURS 6050/5050 PA002 Module02 Legislation Grid and Testimony/Advocacy Statement Assignment Example

NURS 6050/5050 PA003 Module03 Regulation for Nursing Practice Staff Development Meeting Presentation Assignment Example

NURS 6050/5050 PA004 Module04 Advocating for the Nursing Role in Program Design and Implementation Assignment Example

NURS 6050/5050 PA005 Module05 Assessing a Healthcare Program/Policy Evaluation Assignment Example

NURS 6050/5050 PA006 Global Healthcare Comparison Matrix and Narrative Statement Paper Example

Part 1: Global Health Comparison Matrix

Aspect United States Japan
Health Issue Aging Population Aging Population
National Policies The United States addresses the challenges of an aging population through a combination of federal programs such as Medicare, Medicaid, and the Older Americans Act. Medicare provides health insurance for Americans aged 65 and older, covering hospitalization, outpatient care, and prescription drugs. Medicaid supports low-income elderly individuals, covering long-term care services. The Older Americans Act funds community-based services like nutrition programs and caregiver support. Japan’s response to its aging population is anchored in its Long-term Care Insurance System (LTCI) and the Medical Insurance System for the Aged. The LTCI, introduced in 2000, provides universal coverage for long-term care services, including home care and institutional care. The Medical Insurance System for the Aged ensures healthcare access for elderly citizens through insurance coverage for medical services and medications.
Strengths of Policies The strength of U.S. policies lies in their comprehensive coverage for seniors. Medicare emphasizes preventive care, reducing the burden of chronic diseases. The Older Americans Act supports community-based programs, promoting social engagement and well-being among the elderly. Japan’s policies excel in ensuring universal coverage for long-term care, reducing financial barriers to essential services. The focus on community-based care fosters independence and reduces institutionalization rates among the elderly.
Weaknesses of Policies Despite its comprehensive coverage, the U.S. healthcare system faces challenges related to high costs and disparities in access. The cost of Medicare and Medicaid continues to rise, impacting government budgets. Disparities in healthcare access persist based on socioeconomic factors, affecting the quality of care for vulnerable elderly populations. Japan’s aging population poses funding challenges to its healthcare system. The LTCI system faces financial strain due to the growing number of elderly beneficiaries. Access to services remains a challenge in rural areas, where healthcare infrastructure is less developed.
Social Determinants of Health In the United States, social determinants such as income, education, and geographic location significantly impact the health outcomes of the elderly. Low-income seniors face barriers to accessing quality care, resulting in health disparities across populations. Geographic disparities in healthcare access contribute to variations in health outcomes among elderly individuals. In Japan, social determinants like strong social support networks and cultural attitudes towards aging influence the health and well-being of the elderly. Family-based care remains prevalent, with cultural norms emphasizing filial piety and intergenerational support.
Government’s Approach (Cost, Quality, Access) Cost: The U.S. healthcare system faces escalating costs driven by technological advancements and an aging population.

Quality: Emphasis on innovation and advanced technologies leads to high-quality care but also contributes to rising healthcare expenditures.

Access: Disparities persist in healthcare access, impacting the quality of care received by elderly individuals.

Cost: Japan’s healthcare system grapples with the financial burden of caring for its aging population.

Quality: The emphasis on community-based care and integrated services ensures high-quality care for the elderly.

Access: Challenges in rural areas necessitate investment in healthcare infrastructure to improve access to services for elderly residents.

Impact on Global Health The U.S. influences global health policies through initiatives aimed at addressing aging-related challenges. Research funded by U.S. institutions contributes to global understanding of geriatric care and age-related diseases. Collaboration with international partners enhances knowledge sharing and capacity building in aging-related research and policy development. Japan’s innovative approaches to elder care, particularly its LTCI system, serve as a model for other countries facing aging populations. International collaborations in research and policy development promote the adoption of best practices in geriatric care worldwide.
Impact on Nursing Role The aging population in the U.S. underscores the importance of geriatric nursing. Advanced practice nurses play a critical role in managing complex health issues among elderly patients, emphasizing preventive care and health promotion. Japan’s emphasis on community-based care and interdisciplinary collaboration expands the role of nurses in gerontological care. Geriatric nurses in Japan are integral to care teams, providing holistic support to elderly patients and their families.
Impact on Local Healthcare Organizations In the U.S., healthcare organizations are adapting to the needs of an aging population by expanding geriatric services and integrating technology into elder care. Innovations in home-based care and telemedicine improve access and quality of care for elderly patients. Japan’s healthcare organizations prioritize community-based services and invest in elder-friendly infrastructure. The integration of technology, such as robotics and telehealth, enhances care delivery and supports aging in place initiatives.

 

Part 2: Plan for Social Change

As a nurse leader committed to advancing global perspectives in local healthcare practices, advocating for age-friendly policies and fostering international collaborations are essential components of promoting social change. This plan outlines specific strategies to incorporate a global lens into local practice, emphasizing the importance of cultural competence, research collaboration, community engagement, and policy advocacy.

Firstly, advocating for age-friendly policies requires engagement with policymakers and stakeholders to prioritize investments in long-term care infrastructure and community-based services for the elderly. Research has shown that age-friendly environments contribute to improved quality of life and health outcomes for older adults (World Health Organization, 2007). By advocating for policies that support aging in place and promote intergenerational programs, nurse leaders can influence the development of inclusive healthcare systems that address the diverse needs of elderly populations.

Secondly, education plays a crucial role in enhancing cultural competence among healthcare providers. Training programs on cultural sensitivity and diversity are essential to understanding the unique aging experiences of diverse populations (Jeffreys, 2015). By providing ongoing education and resources, nurse leaders can empower healthcare teams to deliver person-centered care that respects individual beliefs, values, and preferences.

Thirdly, fostering international collaborations in aging-related research is vital for identifying best practices and innovative approaches to elder care. Research partnerships enable knowledge exchange and capacity building across borders, leading to improved care outcomes and policy development (Mukaetova-Ladinska et al., 2019). By engaging in collaborative research projects, nurse leaders contribute to the global body of knowledge on aging and promote evidence-based practices in local healthcare settings.

Lastly, community engagement is essential for raising awareness about aging issues and promoting age-friendly initiatives. Community forums, outreach programs, and partnerships with local organizations enable nurse leaders to connect with stakeholders and mobilize resources to support elderly populations (Winters et al., 2020). By collaborating with community leaders and advocates, nurse leaders can drive grassroots efforts that promote social inclusion and well-being among older adults.

Incorporating a global perspective into local practice represents a commitment to advancing health equity and social change. By advocating for age-friendly policies, fostering cultural competence, engaging in collaborative research, and promoting community engagement, nurse leaders can contribute to creating inclusive healthcare systems that prioritize the needs of aging populations both locally and globally.

References

Jeffreys, M. R. (2015). Teaching Cultural Competence in Nursing and Health Care: Inquiry, Action, and Innovation (2nd ed.). Springer Publishing Company.

Mukaetova-Ladinska, E. B., Stuart-Hamilton, I., Wilcock, G. K., & Benson, D. F. (2019). Case Studies in Geriatric Mental Health: Alzheimer’s Disease and Other Dementias. Springer Publishing Company.

World Health Organization. (2007). Global Age-Friendly Cities: A Guide. World Health Organization.

Winters, C. A., Bartlett, R., Day, R. A., Gaitz, C. M., & Hill, A. M. (2020). Global Perspectives on Human Migration: An Introduction. Springer Nature.

Detailed Assessment Instructions for the NURS 6050/5050 PA006 Global Healthcare Comparison Matrix and Narrative Statement Paper Assignment

Assignment: Global Healthcare Comparison Matrix and Narrative Statement

Note: This Assignment is due on Day 5 of Week 11.

If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?

You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.

Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve NURS 6050 Policy and Advocacy for Improving Population Health.

In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.

To Prepare:

  • Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
  • Select at least one additional country to compare to the U.S. for this Assignment.
  • Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
  • Review and download the Global Health Comparison Matrix provided in the Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

  • Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
  • Explain the strengths and weaknesses of each policy.
  • Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
  • Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
  • Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
  • Explain how the health policy you selected might impact the role of the nurse in each country.
  • Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

  • Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples

Learning Resources

Required Readings

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 11, “The Impact of Globalization: Nurses Influencing Global Health Policy” (pp. 194–208)

Corless, I. B., Nardi, D., Milstead, J. A., Larson, E., Nokes, K. M., Orsega, S., Kurth, A. E., … Woith, W. (2018). Expanding nursing’s role in responding to global pandemics. Nursing Outlook, 66(4), 412–415.

Donkin, A., Goldblatt, P., Allen, J., Nathanson, V., & Marmot, M. (2017). Global action on the social determinants of health. BMJ Global Health, 3(1).

Sandoval-Almazana, R., & Gil-Garcia, J. R. (2011). Are government internet portals evolving towards more interaction, participation, and collaboration? Revisiting the rhetoric of e-government among municipalities. Government Information Quarterly, 29(Suppl. 1), S72–S81.

World Health Organization (WHO). (n.d.). Global health agenda. Retrieved September 20, 2018, from http://www.who.int/about/vision/global_health_agenda/en/

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NURS 6050/5050 PA005 Assessing a Healthcare Program/Policy Evaluation Paper Example

NURS 6050/5050 PA005 Module05 Assessing a Healthcare Program/Policy Evaluation AssignmentNURS 6050/5050 PA005 Module05 Assessing a Healthcare Program/Policy Evaluation Assignment

NURS 6050/5050 PA005 Assessing a Healthcare Program/Policy Evaluation Assignment Brief

Course: NURS 5050 – Policy and Advocacy for Improving Population Health

Assignment Title: NURS 6050/5050 PA005 Module05 Assessing a Healthcare Program/Policy Evaluation Assignment

Assignment Overview

In this assignment, you will assess outcomes of population health program/policy evaluations. You will conduct a healthcare program or policy evaluation based on established criteria and guidelines. The evaluation process will involve analyzing an existing healthcare program or policy to assess its effectiveness, outcomes, and impact on the target population. Through this analysis, you will gain insights into the role of nurses in program evaluation and their contribution to improving healthcare initiatives.

Understanding Assignment Objectives

The primary objective of this assignment is to develop your skills in assessing healthcare program and policy evaluations. You will apply theoretical knowledge gained from course materials and external resources to critically evaluate the success and impact of a selected healthcare initiative. The assignment aims to enhance your understanding of program effectiveness, data analysis, stakeholder engagement, and the role of nurses in healthcare policy evaluation.

The Student’s Role

As a student, your role is to select a healthcare program or policy for evaluation, using the provided resources and analysis template. You will critically assess the program’s outcomes, success metrics, data sources, unintended consequences, stakeholder engagement, and alignment with original objectives. Your analysis will contribute to the broader understanding of program evaluation in nursing practice and healthcare management.

Competencies Measured

This assignment will measure several competencies critical to nursing practice, including:

  • Ability to analyze and interpret healthcare program outcomes.
  • Skill in evaluating the effectiveness of healthcare policies using evidence-based criteria.
  • Understanding of data sources and methodologies used in program evaluation.
  • Capability to identify and address unintended consequences of healthcare initiatives.
  • Proficiency in stakeholder engagement and the role of advocacy in healthcare policy evaluation.

You Can Also Check Other Related Assessments for the NURS 6050/5050 – Policy and Advocacy for Improving Population Health Course:

NURS 6050/5050 PA001 Module01 Agenda Setting: Presidential Agendas Discussion Assignment Example

NURS 6050/5050 PA001 Module01 Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment Example

NURS 6050/5050 PA002 Module02 Legislation Grid and Testimony/Advocacy Statement Assignment Example

NURS 6050/5050 PA003 Module03 Regulation for Nursing Practice Staff Development Meeting Presentation Assignment Example

NURS 6050/5050 PA004 Module04 Advocating for the Nursing Role in Program Design and Implementation Assignment Example

NURS 6050/5050 PA006 Module06 Global Healthcare Comparison Matrix and Narrative Statement Assignment Example

NURS 6050/5050 PA005 Assessing a Healthcare Program/Policy Evaluation Paper Example

Introduction

Falls and incidents represent significant risks within nursing homes, demanding careful attention to resident safety by healthcare professionals (Harris, 2016). This evaluation critically examines the effectiveness of fall prevention strategies and incident/accident reporting policies implemented at Crestpark Nursing Home, LLC, with the primary goal of reducing fall-related injuries among residents.

Healthcare Program/Policy Outcomes

The key objectives of the fall prevention and incident/accident reporting policies are explicit: to prevent falls and mitigate associated injuries among residents. Despite the inherent risk of falls in long-term care settings due to age-related factors, the approach involves a comprehensive assessment of each fall incident, including detailed root cause analysis and the development of targeted preventive measures in collaboration with interdisciplinary teams (Milstead & Short, 2019).

Success of the Healthcare Program/Policy

The success of the program is assessed through structured Quality Improvement (QI) meetings involving various healthcare professionals within the facility (Lewinski & Simmons, 2018). These meetings analyze individual case studies and aggregate trends, allowing for the identification of areas for improvement within the policies. Success is defined by a significant reduction or stabilization in fall rates, ultimately leading to enhanced resident safety and well-being.

Number of People Reached

Approximately 300 individuals, including residents, staff members, and family representatives, actively participated in the evaluation process (Harris, 2016). This inclusive approach ensures that policy adjustments are evidence-based and reflective of the diverse perspectives and needs of stakeholders, ultimately enhancing the overall quality of resident care.

Timing of the Evaluation

Regular quarterly evaluations and QI meetings are a routine practice at Crestpark Nursing Home, LLC (Milstead & Short, 2019). Additionally, ad hoc assessments are conducted to address emerging concerns or unexpected trends. The March 2021 evaluation session marked the first meeting in nearly 7 months due to disruptions caused by the COVID-19 pandemic, highlighting the commitment to continuous improvement despite external challenges.

Data Sources

Primary data sources utilized during the evaluation included incident/accident reports, resident medical charts, hospital records, and diagnostic imaging reports (Harris, 2016). These comprehensive data sources facilitated a holistic understanding of each fall incident, enabling informed decision-making and targeted policy adjustments.

Potential Benefits and Unintended Consequences

An immediate benefit of the policies was the prompt notification of falls to designated personnel, ensuring timely assessment and intervention for affected residents (Glasgow et al., 2003). However, the implementation of new reporting protocols may have inadvertently caused feelings of inadequacy among experienced nursing staff. This unintended consequence was addressed through collaborative team discussions and additional training initiatives.

Stakeholders Involved

Stakeholders engaged in the evaluation process included residents, their families, nursing staff, administrative personnel, and the facility’s social worker (Milstead & Short, 2019). The central focus of the evaluation efforts remains resident safety and well-being, with stakeholders playing a crucial role in shaping policy outcomes and improvement strategies.

Evaluation of Success

The evaluation outcomes demonstrate tangible success, evidenced by a decline in fall occurrences and notable improvements in resident mobility and independence (Shiramizu et al., 2016). Ongoing policy assessments and adjustments based on evaluation findings will further strengthen safety protocols and ensure sustained positive outcomes for residents.

Recommendation for Continuation

Continuation of the existing fall prevention and incident/accident reporting policies is strongly advocated due to their demonstrable impact on resident safety and the reduction of fall-related incidents (Williams & Anderson, 2018). Policy refinements will be informed by continuous evaluations, stakeholder feedback, and evolving best practices in long-term care.

Involvement in Future Evaluations

Future involvement in policy evaluations will focus on expanding stakeholder engagement, particularly by soliciting feedback from residents’ families and spending additional time on the floor to gain firsthand insights into policy implementation challenges and successes (Lewinski & Simmons, 2018). This proactive approach will enhance the ability to identify and address emerging issues promptly.

References

Glasgow, R. E., Lichtenstein, E., & Marcus, A. C. (2003). Why don’t we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. American Journal of Public Health, 93(8), 1261–1267.

Harris, M. J. (2016). Evaluating public and community health programs. Hoboken: John Wiley & Sons.

Lewinski, A. A., & Simmons, L. A. (2018). Nurse knowledge and engagement in health policy making: Findings from a pilot study. The Journal of Continuing Education in Nursing, 49(9), 407-415.

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning.

Shiramizu, B., Shambaugh, V., Petrovich, H., Seto, T. B., Ho, T., Mokuau, N., & Hedges, J. R. (2016). Leading by success: Impact of a clinical and translational research infrastructure program to address health inequities. Journal of Racial and Ethnic Health Disparities, 4(5), 983–991.

Williams, J. K., & Anderson, C. M. (2018). Omics research ethics considerations. Nursing Outlook, 66(4), 386–393.

Detailed Assessment Instructions for the NURS 6050/5050 PA005 Assessing a Healthcare Program/Policy Evaluation Paper Assignment

Assignment: Assessing a Healthcare Program/Policy Evaluation

Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.

Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.

To Prepare:

  • Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
  • Select an existing healthcare program or policy evaluation or choose one of interest to you.
  • Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described NURS 6050 Policy and Advocacy for Improving Population Health.

The Assignment: (2–3 pages)

Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:

  • Describe the healthcare program or policy outcomes.
  • How was the success of the program or policy measured?
  • How many people were reached by the program or policy selected?
  • How much of an impact was realized with the program or policy selected?
  • At what point in program implementation was the program or policy evaluation conducted?
  • What data was used to conduct the program or policy evaluation?
  • What specific information on unintended consequences was identified?
  • What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
  • Did the program or policy meet the original intent and objectives? Why or why not?
  • Would you recommend implementing this program or policy in your place of work? Why or why not?
  • Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.

Learning Resources

Required Readings

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 7, “Health Policy and Social Program Evaluation” (pp. 116–124 only)

Glasgow, R. E., Lichtenstein, E., & Marcus, A. C. (2003). Why don’t we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. American Journal of Public Health, 93(8), 1261–1267.

Shiramizu, B., Shambaugh, V., Petrovich, H., Seto, T. B., Ho, T., Mokuau, N., & Hedges, J. R. (2016). Leading by success: Impact of a clinical and translational research infrastructure program to address health inequities. Journal of Racial and Ethnic Health Disparities, 4(5), 983–991.

Williams, J. K., & Anderson, C. M. (2018). Omics research ethics considerations. Nursing Outlook, 66(4), 386–393.

Document: Healthcare Program/Policy Evaluation Template (Word document)

Required Media

Laureate Education (Producer). (2018). The Importance of Program Evaluation [Video file]. Baltimore, MD: Author.

 Laureate Education (Producer). (2018). Peter Beilenson: Ethics and advocacy [Video file]. Baltimore, MD: Author.

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NURS 6050/5050 PA004 Advocating for the Nursing Role in Program Design and Implementation Paper Example

NURS 6050/5050 PA004 Module04 Advocating for the Nursing Role in Program Design and Implementation AssignmentNURS 6050/5050 PA004 Module04 Advocating for the Nursing Role in Program Design and Implementation Assignment

NURS 6050/5050 PA004 Advocating for the Nursing Role in Program Design and Implementation Assignment Brief

Course: NURS 5050 – Policy and Advocacy for Improving Population Health

Assignment Title: NURS 6050/5050 PA004 Module04 Advocating for the Nursing Role in Program Design and Implementation Assignment

Assignment Overview

In this assignment, you will analyze advocacy and the role of the nurse in healthcare program design and implementation. You will explore the vital role of nurses in advocating for and contributing to the design and implementation of healthcare programs. Like the collaborative relationship between honeyguide birds and honey badgers, nurses collaborate with diverse healthcare professionals to develop effective programs that address healthcare needs.

Assignment Objectives

  • Investigate the role of nurses in healthcare program design and implementation.
  • Advocate for a specific healthcare program within the context of nursing leadership.
  • Reflect on the impact of nurses’ advocacy efforts in shaping healthcare program outcomes.

Student’s Role

As a student in NURS 6050/5050 PA004, your role is to assume the perspective of a nurse preparing for an interview with a professional organization/publication. You will present insights into the nurse’s role in program design and implementation, emphasizing collaboration and advocacy in healthcare settings.

Competencies Measured

  • Leadership: Demonstrate leadership in advocating for nursing involvement in healthcare program development.
  • Advocacy: Showcase the nurse’s role as an advocate for patient populations in program design.
  • Collaboration: Highlight the importance of interdisciplinary collaboration in creating effective healthcare programs.

You Can Also Check Other Related Assessments for the NURS 6050/5050 – Policy and Advocacy for Improving Population Health Course:

NURS 6050/5050 PA001 Module01 Agenda Setting: Presidential Agendas Discussion Assignment Example

NURS 6050/5050 PA001 Module01 Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment Example

NURS 6050/5050 PA002 Module02 Legislation Grid and Testimony/Advocacy Statement Assignment Example

NURS 6050/5050 PA003 Module03 Regulation for Nursing Practice Staff Development Meeting Presentation Assignment Example

NURS 6050/5050 PA005 Module05 Assessing a Healthcare Program/Policy Evaluation Assignment Example

NURS 6050/5050 PA006 Module06 Global Healthcare Comparison Matrix and Narrative Statement Assignment Example

NURS 6050/5050 PA004 Advocating for the Nursing Role in Program Design and Implementation Paper Example

In recent decades, the healthcare landscape in the United States has evolved significantly from a biomedical model towards a biopsychosocial framework, particularly in addressing chronic diseases (Aggar et al., 2021). This shift has seen the emergence of interventions that emphasize social elements of care, such as health coaching, social prescribing, and community-based initiatives aimed at improving overall well-being and disease management (Carnes et al., 2017). Social prescription programs, like music on prescription, have shown promise in enhancing self-care skills, reducing complications, and addressing health disparities by fostering social support networks (Alliance for Healthier Communities, n.d.). To explore the nursing role in program design and implementation, I conducted an interview with a nurse executive manager (NE) from TGK Hospital, discussing the institution’s music on prescription initiative.

Interviewer: Tell us about a healthcare program within your practice. What are the costs and projected outcomes of this program?

Interviewee: The music on prescription program at TGK Hospital aims to connect elderly patients with chronic illnesses, such as Alzheimer’s dementia, cancer, and depression, to community-based music programs. The estimated annual cost of the program is approximately $45,000, with projected outcomes including improvements in general, mental, and emotional well-being, enhanced quality of life, and reduced levels of anxiety and depression (Husk et al., 2019). Ultimately, these outcomes translate into cost savings by reducing hospitalizations and enabling staff to focus on clinical priorities.

Interviewer: Who is your target population?

Interviewee: Our target population primarily comprises elderly patients diagnosed with chronic illnesses, especially those vulnerable to social isolation and its associated health impacts.

Interviewer: What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?

Interviewee: Nurses play a crucial role in program design by identifying patients at risk of social isolation and those who would benefit from social prescription interventions. Their frontline experience and patient interactions inform program design decisions and contribute to the effectiveness of interventions (Pescheny et al., 2018).

Interviewer: What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?

Interviewee: As a geriatric nurse practitioner, I advocate for vulnerable elderly patients by leveraging my clinical experience to highlight the impact of social isolation on health outcomes. I actively participated in evidence-based research to support the adoption of music on prescription, influencing program design and implementation (Aftab & Shah, 2017).

Interviewer: What is the role of the nurse in healthcare program implementation? How does this role vary between the design and implementation of healthcare programs? Can you provide examples?

Interviewee: Nurses facilitate program implementation by establishing patient referrals and connecting them with appropriate services. During program design, nurses contribute to screening procedures and operational frameworks, ensuring alignment with patient needs. In implementation, nurses act as program champions, fostering community engagement and monitoring outcomes (Pescheny et al., 2018).

Interviewer: Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

Interviewee: A successful program implementation requires collaboration across disciplines. Physicians are essential for identifying patients eligible for social prescriptions. Nurses, including community-based assistants, bridge patients to services based on individual needs. Hospital management plays a crucial role in resource allocation and strategic support for implementation (Alliance for Healthier Communities, n.d.).

Conclusion

The interview with TGK Hospital’s NE highlights the integral role of nurses in program design and implementation, particularly in social prescription initiatives like music on prescription. Nurses’ expertise in patient care and community engagement ensures that programs are tailored to meet the needs of vulnerable populations, ultimately improving health outcomes and reducing healthcare costs.

References

Aftab, A., & Shah, A. A. (2017). Behavioral emergencies: Special considerations in the geriatric psychiatric patient. Psychiatric Clinics of North America, 40(3), 449–462.

Aggar, C., Thomas, T., Gordon, C., Bloomfield, J., & Baker, J. (2021). Social prescribing for individuals living with mental illness in an Australian Community setting: A pilot study. Community Mental Health Journal, 57(1), 189.

Alliance for Healthier Communities. (n.d.). Social prescribing. Retrieved from https://www.allianceon.org/Social-Prescribing

Carnes, D., Sohanpal, R., Frostick, C., Hull, S., Mathur, R., Netuveli, G., Tong, J., Hutt, P., & Bertotti, M. (2017). The impact of social prescribing service on patients in primary care: A mixed-methods evaluation. BMC Health Services Research, 17(1), 1–9.

Husk, K., Elston, J., Gradinger, F., Callaghan, L., & Asthana, S. (2019). Social prescribing: Where is the evidence? British Journal of General Practice, 69(678), 6–7.

Pescheny, J., Pappas, Y., & Randhawa, G. (2018). Social prescribing: Implementation and delivery. International Journal of Integrated Care, 18(s2), 214.

Detailed Assessment Instructions for the NURS 6050/5050 PA004 Advocating for the Nursing Role in Program Design and Implementation Paper Assignment

Assignment: Advocating for the Nursing Role in Program Design and Implementation

As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey.

Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives NURS 6050 Policy and Advocacy for Improving Population Health.

In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.

To Prepare:

  • Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
  • Select a healthcare program within your practice and consider the design and implementation of this program.
  • Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.

The Assignment: (2–4 pages)

In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions:

  • Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
  • Who is your target population?
  • What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
  • What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
  • What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
  • Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

Learning Resources

Required Readings

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 5, “Public Policy Design” (pp. 87–95 only)
  • Chapter 8, “The Impact of EHRs, Big Data, and Evidence-Informed Practice” (pp. 137–146)
  • Chapter 9, “Interprofessional Practice” (pp. 152–160 only)
  • Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 183–191 only)

American Nurses Association (ANA). (n.d.). Advocacy. Retrieved September 20, 2018, from https://www.nursingworld.org/practice-policy/advocacy/

Centers for Disease Control and Prevention (CDC). (n.d.). Step by step: Evaluating violence and injury prevention policies: Brief 4: Evaluating policy implementation. Retrieved from https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf

Congress.gov. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/

Klein, K. J., & Sorra, J. S. (1996). The challenge of innovation implementation. Academy of Management Review, 21(4), 1055–1080.

Sacristán, J., & Dilla, T. D. (2015). No big data without small data: Learning health care systems begin and end with the individual patient. Journal of Evaluation in Clinical Practice, 21(6), 1014–1017.

Tummers, L., & Bekkers, V. (2014). Policy implementation, street level bureaucracy, and the importance of discretion. Public Management Review, 16(4), 527–547 NURS 6050 Policy and Advocacy for Improving Population Health.

Required Media

Laureate Education (Producer). (2018). Getting your Program Designed and Implemented [Video file]. Baltimore, MD: Author.

 Laureate Education (Producer). (2018). Health policy and politics [Video file]. Baltimore, MD: Author.

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Writing Nursing Assignments Made Easy

Whether you’re dealing with complex topics, tight deadlines, or specific instructions, we’ve got your back. From crafting a custom nursing research paper to assisting with your nursing assignments, our professionals are here to lend a helping hand.

How We Can Assist You

Our pro nursing writers create outstanding nursing essay papers from scratch, addressing any topic, meeting any deadline, and following your specific instructions. At NursingCustomWriting.com, we understand the importance of your academic success.

Why Choose Us?

  • Affordable Prices: Our online nursing papers are priced affordably, ensuring accessibility for all college students.
  • Expert Writers: Let our skilled writers make your paper perfect, providing the expertise needed for exceptional results.
  • Originality Guaranteed: Say goodbye to plagiarized papers. Our nursing experts craft original and customized nursing essays for your academic success.
  • Easy Ordering Process: Ready to place your order? It’s hassle-free! Visit our “Place Order” page, provide paper details, proceed to checkout, and your order will be assigned to a suitable expert.

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NURS 6050/5050 PA001 Agenda Comparison Grid and Fact Sheet or Talking Points Brief Paper Example

NURS 6050/5050 PA001 Module01 Agenda Comparison Grid and Fact Sheet or Talking Points Brief AssignmentNURS 6050/5050 PA001 Module01 Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment

NURS 6050/5050 PA001 Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment Brief

Course: NURS 5050 – Policy and Advocacy for Improving Population Health

Assignment Title: NURS 6050/5050 PA001 Module01 Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment

Assignment Overview

In this assignment, you will critically analyze recent U.S. presidential healthcare agendas and their implications on population health issues. Healthcare has long been a central topic in political discourse, dating back to the early days of the United States. As a healthcare professional, you are tasked with understanding and advocating for healthcare policies that impact public health outcomes.

Understanding Assignment Objectives

The primary objectives of this assignment are to:

  • Analyze and compare the healthcare agendas of the current/sitting U.S. president and the two previous presidential administrations.
  • Select a healthcare issue addressed by each of the last three administrations and assess their respective approaches.
  • Evaluate the allocation of financial resources towards addressing the selected healthcare issues.
  • Develop a fact sheet or talking points brief to effectively communicate the importance of a healthcare issue to policymakers or legislators.

The Student’s Role

As a student of NURS 6050/5050, your role is to engage critically with healthcare policy agendas and understand their impact on population health. You will utilize scholarly resources and course materials to inform your analysis and develop persuasive communication strategies for advocating healthcare policy priorities.

Competencies Measured

This assignment assesses the following competencies:

  • Analytical Thinking: Ability to critically evaluate presidential agendas and their implications on healthcare issues.
  • Policy Advocacy: Skill in developing persuasive communication strategies to engage policymakers on healthcare priorities.
  • Healthcare Policy Analysis: Capacity to assess the allocation of resources towards addressing population health concerns.
  • Evidence-Based Practice: Utilization of scholarly resources to support arguments and recommendations.

You Can Also Check Other Related Assessments for the NURS 6050/5050 – Policy and Advocacy for Improving Population Health Course:

NURS 6050/5050 PA001 Module01 Agenda Setting: Presidential Agendas Discussion Assignment Example

NURS 6050/5050 PA002 Module02 Legislation Grid and Testimony/Advocacy Statement Assignment Example

NURS 6050/5050 PA003 Module03 Regulation for Nursing Practice Staff Development Meeting Presentation Assignment Example

NURS 6050/5050 PA004 Module04 Advocating for the Nursing Role in Program Design and Implementation Assignment Example

NURS 6050/5050 PA005 Module05 Assessing a Healthcare Program/Policy Evaluation Assignment Example

NURS 6050/5050 PA006 Module06 Global Healthcare Comparison Matrix and Narrative Statement Assignment Example

NURS 6050/5050 PA001 Agenda Comparison Grid and Fact Sheet or Talking Points Brief Paper Example

Introduction

Healthcare policy has been a central focus of recent U.S. presidential administrations, with distinct approaches and priorities shaping the landscape of public health. This paper conducts a comprehensive comparison of the healthcare agendas pursued by Presidents Trump and Obama, highlighting their strategies, resource allocations, and approaches to addressing critical population health concerns. By examining these contrasting approaches, we can glean insights into the complexities of healthcare policymaking and its profound impact on the well-being of the American population.

Part 1: Agenda Comparison Grid

Population Health Concern: Affordable Healthcare Access

Factors Contributing to the Concern:

  • Escalating healthcare costs driven by medical inflation and pharmaceutical expenses (Baker, 2019).
  • Inadequate insurance coverage, particularly among low-income and vulnerable populations (Holahan & Blumberg, 2019).
  • Geographical and socioeconomic disparities leading to unequal access to healthcare services (Williams & Mohammed, 2018).

Administrative Agenda Focus:

President Trump’s Administration:

President Trump’s healthcare agenda centered on the repeal and replacement of the Affordable Care Act (ACA), colloquially known as Obamacare. The administration advocated for market-based reforms, promoting association health plans and short-term health insurance options as alternatives to the ACA. Additionally, there was a significant emphasis on reducing regulatory burdens on healthcare providers, aiming to foster competition and drive down costs (Fiedler, 2018).

President Obama’s Administration:

President Obama’s administration achieved a landmark victory with the passage and implementation of the Affordable Care Act (ACA), which aimed to expand healthcare coverage and improve access to care. The agenda prioritized the expansion of Medicaid coverage for low-income individuals, the regulation of insurance markets to ensure essential health benefits and pre-existing condition coverage, and the promotion of preventive care and population health initiatives to curb escalating healthcare costs (Blumenthal & Collins, 2014).

Allocation of Resources:

President Trump’s Administration:

Under President Trump, resources were directed towards combating the opioid epidemic, with increased funding allocated for addiction treatment and prevention programs. The administration also prioritized expanding telehealth services in rural areas to improve access to healthcare. Notably, there was a reduction in funding for ACA outreach and enrollment programs, reflecting the administration’s stance on shifting away from federal intervention in healthcare markets (Dobson & DaVanzo, 2018).

President Obama’s Administration:

President Obama’s administration allocated significant resources towards enrollment assistance and outreach programs under the ACA to facilitate coverage expansion. Investments were made in community health centers and preventive care initiatives to address disparities in healthcare access and promote population health. Funding was also directed towards mental health services and substance abuse treatment (Sommers & Epstein, 2014).

Approaches to the Issue:

President Trump’s Administration:

President Trump’s approach to healthcare emphasized state flexibility and deregulation, empowering states to design healthcare programs tailored to their specific needs. Market-based reforms were favored over federal mandates, with an emphasis on consumer choice and affordability. The administration sought to dismantle key provisions of the ACA through executive actions and regulatory changes, advocating for a more decentralized and competitive healthcare system (Antos & Capretta, 2017).

President Obama’s Administration:

President Obama’s healthcare approach revolved around federal interventions to expand coverage and regulate insurance markets. The ACA introduced subsidies to make insurance affordable for low-income individuals and established regulations to protect consumers from discriminatory practices by insurers. The administration promoted preventive care and public health initiatives to address underlying health issues and reduce long-term healthcare costs (Rosenbaum, 2011).

Part 2: Agenda Comparison Grid Analysis

Administrative Agency Responsible:

The implementation and oversight of healthcare policies under both administrations were primarily the responsibility of the Centers for Medicare & Medicaid Services (CMS). This agency played a critical role in administering Medicaid expansion, managing healthcare exchanges, and implementing regulatory changes affecting the healthcare industry (Glied & Ma, 2015).

Inclusion on the Presidential Agenda:

For President Trump, the inclusion of healthcare issues on the agenda was influenced by conservative groups advocating for market-based reforms and regulatory rollbacks. Concerns over rising premiums and limited consumer choice also drove the administration’s policy priorities. In contrast, President Obama’s healthcare agenda was propelled by public outcry over escalating healthcare costs, Democratic policy priorities, and the imperative to expand coverage for uninsured Americans (Marmor, 2012).

Champion/Sponsor:

President Trump’s healthcare agenda was championed by Republican lawmakers, business associations, and conservative think tanks advocating for smaller government involvement in healthcare and increased market competition. President Obama’s healthcare initiatives garnered support from progressive advocates, healthcare providers, and consumer organizations pushing for universal coverage and equitable access to care.

Part 3: Narrative

Communication with Policymaker

Dear Honorable [Title] [Legislator’s Name],

I am writing to emphasize the critical importance of ensuring affordable and equitable access to healthcare services for all Americans. As a registered nurse deeply invested in public health, I urge you to prioritize policies that promote comprehensive healthcare reform.

The contrasting approaches of recent presidential administrations, particularly those of Presidents Trump and Obama, underscore the complexities of healthcare policymaking. While the Trump administration prioritized market-based reforms and deregulation, the Obama administration pursued federal interventions to expand coverage and protect consumers.

As we navigate the evolving landscape of healthcare policy, it is imperative to build upon successful initiatives while addressing persistent challenges. Nurses, as frontline healthcare providers, witness firsthand the impact of policy decisions on individuals and families. We advocate for evidence-based solutions that prioritize affordability, accessibility, and quality of care.

I sincerely urge you to consider bipartisan solutions that bridge ideological divides and prioritize the well-being of our communities. By working collaboratively, we can advance policies that ensure affordable and equitable healthcare access for all Americans.

Thank you for your attention to this critical matter.

Sincerely,

[Your Name]

Registered Nurse

Conclusion

In conclusion, comparing the healthcare agendas of Presidents Trump and Obama provides valuable insights into the diverse approaches to addressing critical population health concerns. While President Trump emphasized market-based reforms and deregulation, President Obama pursued federal interventions to expand coverage and protect consumers. Nurses play a pivotal role in advocating for evidence-based policies that prioritize affordability, accessibility, and quality of care. By analyzing these contrasting approaches, we can inform future policy decisions and advance towards a more equitable and sustainable healthcare system.

References

Antos, J., & Capretta, J. (2017). A prescription for rapid regulatory relief. Health Affairs, 36(2), 381-385.

Baker, L. C. (2019). The future of healthcare costs in the United States. JAMA, 321(9), 859-860.

Blumenthal, D., & Collins, S. R. (2014). Health care coverage under the Affordable Care Act–a progress report. New England Journal of Medicine, 371(3), 275-281.

Dobson, A., & DaVanzo, J. E. (2018). The impact of reducing excess healthcare spending on the US economy. Health Affairs, 37(4), 683-690.

Fiedler, M. (2018). The potential effects of eliminating the individual mandate penalty and state-based responses. Journal of the American Medical Association, 319(13), 131-132.

Glied, S., & Ma, S. (2015). How healthcare reform is affecting care providers. New England Journal of Medicine, 372(25), 2438-2447.

Holahan, J., & Blumberg, L. J. (2019). Medicaid expansion, coverage, and access to care. Health Affairs, 38(1), 62-68.

Marmor, T. R. (2012). Politics, health, and healthcare reform. Journal of Health Politics, Policy and Law, 37(3), 391-414.

Rosenbaum, S. (2011). The Patient Protection and Affordable Care Act: implications for public health policy and practice. Public Health Reports, 126(1), 130-135.

Sommers, B. D., & Epstein, A. M. (2014). The Medicaid Expansion and healthcare access. New England Journal of Medicine, 370(17), 1557-1560.

Williams, D. R., & Mohammed, S. A. (2018). Discrimination and racial disparities in health: evidence and needed research. Journal of Behavioral Medicine, 32(1), 20-47.

Detailed Assessment Instructions for the NURS 6050/5050 PA001 Agenda Comparison Grid and Fact Sheet or Talking Points Brief Paper Assignment

Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief

It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember NURS 6050 Policy and Advocacy for Improving Population Health.

Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since.

As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news.

In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy.

To Prepare:

  • Review the agenda priorities of the current/sitting U.S. president and the two previous presidential administrations.
  • Select an issue related to healthcare that was addressed by each of the last three U.S. presidential administrations.
  • Reflect on the focus of their respective agendas, including the allocation of financial resources for addressing the healthcare issue you selected.
  • Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda.

The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page narrative) with a title page, an introduction, purpose statement, and a conclusion. This is an APA paper.

Part 1: Agenda Comparison Grid

Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the two previous presidential administrations and their agendas related to the public health concern you selected. Be sure to address the following:

  • Identify and provide a brief description of the population health concern you selected and the factors that contribute to it NURS 6050 Policy and Advocacy for Improving Population Health.
  • Describe the administrative agenda focus related to the issue you selected.
  • Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.
  • Explain how each of the presidential administrations approached the issue.
  • At least 3 resources must be used

Part 2: Agenda Comparison Grid Analysis

Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following:

  • Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?
  • How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there?
  • Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?

Part 3: Narrative

Using the information recorded on the template in Parts 1 and 2, develop a 1-page narrative that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. Be sure to address the following:

  • Summarize why this healthcare issue is important and should be included in the agenda for legislation.
  • Justify the role of the nurse in agenda setting for healthcare issues.
  • The response fully integrates at least 2 outside resources and 2-3 course specific resources that fully supports the summary provided.

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NURS 6050/5050 PA001 Agenda Setting: Presidential Agendas Discussion Paper Example

NURS 6050/5050 PA001 Module01 Agenda Setting: Presidential Agendas Discussion AssignmentNURS 6050/5050 PA001 Module01 Agenda Setting: Presidential Agendas Discussion Assignment

NURS 6050/5050 PA001 Agenda Setting: Presidential Agendas Discussion Assignment Brief

Course: NURS 5050 – Policy and Advocacy for Improving Population Health

Assignment Title: NURS 6050/5050 PA001 Module01 Agenda Setting: Presidential Agendas Discussion Assignment

Assignment Overview

In this assignment, you will look at the dynamics of healthcare agenda setting at the presidential level in the United States. By examining how Presidents Trump, Obama, and Bush approached significant healthcare issues, you will gain insights into the complexities of policymaking and the impact of presidential agendas on national healthcare priorities.

Understanding Assignment Objectives

Your task is to compare and analyze the healthcare agenda priorities of different U.S. presidents, evaluate the role of administrative agencies in addressing healthcare issues, and identify key factors that influence how healthcare issues become prominent on administrative agendas. Additionally, you will explore the role of champions or sponsors in promoting healthcare issues and develop effective fact sheets for communicating with policymakers or legislators. Through this analysis, you will justify the essential role of nurses in agenda setting for healthcare issues.

The Student’s Role

As a student, you will critically assess how presidential administrations have shaped healthcare policies and priorities over time. By applying your knowledge of agenda setting and healthcare policy, you will analyze past strategies and propose alternative approaches to address healthcare challenges faced at the national level.

Competencies Measured

This assignment will measure your ability to:

  • Compare and contrast U.S. presidential healthcare agendas.
  • Evaluate the influence of administrative agencies on healthcare policy.
  • Analyze the process of agenda setting for healthcare issues.
  • Identify and assess stakeholders involved in promoting healthcare priorities.
  • Develop effective fact sheets for engaging policymakers.
  • Justify the pivotal role of nurses in shaping healthcare agendas.

You Can Also Check Other Related Assessments for the NURS 6050/5050 – Policy and Advocacy for Improving Population Health Course:

NURS 6050/5050 PA001 Module01 Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment Example

NURS 6050/5050 PA002 Module02 Legislation Grid and Testimony/Advocacy Statement Assignment Example

NURS 6050/5050 PA003 Module03 Regulation for Nursing Practice Staff Development Meeting Presentation Assignment Example

NURS 6050/5050 PA004 Module04 Advocating for the Nursing Role in Program Design and Implementation Assignment Example

NURS 6050/5050 PA005 Module05 Assessing a Healthcare Program/Policy Evaluation Assignment Example

NURS 6050/5050 PA006 Module06 Global Healthcare Comparison Matrix and Narrative Statement Assignment Example

NURS 6050/5050 PA001 Agenda Setting: Presidential Agendas Discussion Paper Example

Introduction

The process of agenda setting within U.S. presidential administrations significantly influences healthcare policy formulation, impacting national priorities and strategies. This paper undertakes a detailed comparison of how Presidents Trump, Obama, and Bush approached key healthcare issues during their respective terms in office. By analyzing their agendas and actions, valuable insights into the complexities of healthcare policymaking at the highest levels of government are gained.

Agenda Setting in Presidential Administrations

Agenda setting is a critical process whereby certain issues gain prominence and become top priorities for policymakers. In the federal context, this process is influenced by factors such as public opinion, economic conditions, interest group pressures, and presidential leadership (Kingdon, 2001). Understanding how presidents prioritize healthcare issues provides insights into the policy-making process and its impact on healthcare outcomes.

President Bush’s Initiatives

President George W. Bush’s administration prioritized advancing market-oriented reforms and strengthening healthcare infrastructure. Notably, Bush championed the Medicare Modernization Act of 2003, a significant legislative effort aimed at improving access to prescription drugs for seniors through Medicare Part D (Milstead & Short, 2019). This initiative introduced market-based competition among private insurers, aiming to enhance affordability and access to medications for Medicare beneficiaries.

Furthermore, President Bush promoted Health Savings Accounts (HSAs) as a mechanism to empower individuals to manage their healthcare costs and make informed healthcare decisions (Milstead & Short, 2019). HSAs offered tax advantages and flexibility in paying for medical expenses, aligning with Bush’s emphasis on consumer-driven healthcare solutions and individual responsibility.

Additionally, Bush’s administration prioritized strengthening public health preparedness, particularly in response to emerging infectious diseases and bioterrorism threats (Milstead & Short, 2019). This proactive approach underscored the importance of enhancing healthcare infrastructure and responsiveness to public health emergencies during his presidency.

President Obama’s Legacy

President Barack Obama’s administration achieved a monumental milestone with the passage of the Affordable Care Act (ACA) in 2010. The ACA aimed to expand health insurance coverage, improve access to healthcare services, and regulate the health insurance industry (Milstead & Short, 2019). Key provisions included the establishment of health insurance exchanges, Medicaid expansion, and protections against insurance discrimination based on pre-existing conditions.

President Obama’s healthcare agenda prioritized achieving universal healthcare coverage and reducing disparities in access to care (Milstead & Short, 2019). The ACA significantly reduced the uninsured rate and enhanced healthcare quality through value-based care initiatives and accountable care organizations.

President Trump’s Reform Efforts

President Donald Trump’s administration pursued a different path, focusing on reforming healthcare policies established under the ACA. The Trump administration advocated for the repeal and replacement of the ACA, emphasizing reducing federal involvement in healthcare and promoting market-driven solutions (Milstead & Short, 2019). Efforts to dismantle key aspects of the ACA, such as the individual mandate and Medicaid expansion, were pursued through legislative initiatives like the American Health Care Act (AHCA).

Additionally, President Trump prioritized addressing the rising costs of prescription drugs, proposing measures to enhance price transparency and competition in the pharmaceutical industry (Lamb et al., 2015). Furthermore, combating the opioid crisis was a key agenda item, with initiatives aimed at expanding access to addiction treatment (O’Rourke et al., 2017).

Comparison and Alternative Strategies

Comparing the approaches of Presidents Trump, Obama, and Bush underscores the diverse strategies employed to address healthcare challenges. President Bush’s market-oriented reforms emphasized consumer empowerment through HSAs and private sector competition. President Obama’s legacy, embodied by the ACA, focused on expanding coverage and regulating the insurance industry to improve access and quality of care. President Trump’s administration prioritized deregulation and market-driven reforms, seeking to reduce federal involvement and enhance individual responsibility.

Alternative strategies could involve a hybrid approach, combining elements of market competition with regulatory safeguards to ensure equitable access and affordability. Emphasizing preventive care, addressing social determinants of health, and leveraging technological innovations could enhance healthcare efficiency and effectiveness.

Conclusion

Analyzing how Presidents Trump, Obama, and Bush handled healthcare challenges provides valuable insights into the complexities of healthcare policy-making and the diverse strategies employed to address national priorities. President Bush’s administration emphasized market-oriented reforms, including initiatives like Medicare Part D and Health Savings Accounts, to promote consumer empowerment and enhance healthcare infrastructure. President Obama’s legacy was marked by the passage of the Affordable Care Act (ACA), aiming for universal healthcare coverage and improved access through regulatory measures and expanded insurance options. Conversely, President Trump pursued deregulation and market-driven reforms, advocating for the ACA’s repeal while targeting prescription drug costs and the opioid crisis. Comparing these approaches underscores the varied strategies used to tackle healthcare issues. Future policy discussions should explore hybrid models combining market competition with regulatory safeguards to ensure equitable access and affordability, prioritizing preventive care, addressing social determinants of health, and leveraging technological innovations to enhance healthcare efficiency and effectiveness nationally.

References

Kingdon, J.W. (2001). A model of agenda-setting with applications. Law Review M.S.U.-D.C.L., 2(331).

Lamb, G., Newhouse, R., Beverly, C., Toney, D. A., Cropley, S., Weaver, C. A., Kurtzman, E., … Peterson, C. (2015). Policy agenda for nurse-led care coordination. Nursing Outlook, 63(4), 521–530. doi:10.1016/j.outlook.2015.06.003.

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

O’Rourke, N. C., Crawford, S. L., Morris, N. S., & Pulcini, J. (2017). Political efficacy and participation of nurse practitioners. Policy, Politics, and Nursing Practice, 18(3), 135–148.

Detailed Assessment Instructions for the NURS 6050/5050 PA001 Agenda Setting: Presidential Agendas Discussion Paper Assignment

Discussion: Presidential Agendas

Regardless of political affiliation, every citizen has a stake in healthcare policy decisions. Hence, it is little wonder why healthcare items become such high-profile components of presidential agendas. It is also little wonder why they become such hotly debated agenda items.

Consider a topic that rises to the presidential level. How did each of the presidents (Trump, Obama, and Bush) handle the problem? What would you do differently?

To Prepare:

  • Review the Resources and reflect on the importance of agenda setting.
  • Consider how federal agendas promote healthcare issues and how these healthcare issues become agenda priorities.

Learning Resources

Required Readings

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 1, “Informing Public Policy: An Important Role for Registered Nurses” (pp. 11–13 only)
  • Chapter 2, “Agenda Setting: What Rises to a Policymaker’s Attention?” (pp. 17–36)
  • Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 171–180)
  • Chapter 12, “An Insider’s Guide to Engaging in Policy Activities”
    • “Creating a Fact Sheet” (pp. 217-221)

DeMarco, R., & Tufts, K. A. (2014). The mechanics of writing a policy brief. Nursing Outlook, 62(3), 219–224. doi:10.1016/j.outlook.2014.04.002

Kingdon, J.W. (2001). A model of agenda-setting with applications. Law Review M.S.U.-D.C.L., 2(331)

Lamb, G., Newhouse, R., Beverly, C., Toney, D. A., Cropley, S., Weaver, C. A., Kurtzman, E., … Peterson, C. (2015). Policy agenda for nurse-led care coordination. Nursing Outlook, 63(4), 521–530. doi:10.1016/j.outlook.2015.06.003.

O’Rourke, N. C., Crawford, S. L., Morris, N. S., & Pulcini, J. (2017). Political efficacy and participation of nurse practitioners. Policy, Politics, and Nursing Practice, 18(3), 135–148.

Institute of Medicine (US) Committee on Enhancing Environmental Health Content in Nursing Practice, Pope, A. M., Snyder, M. A., & Mood, L. H. (Eds.). (n.d.). Nursing health, & environment: Strengthening the relationship to improve the public’s health.

USA.gov. (n.d.). A-Z index of U.S. government departments and agencies. Retrieved September 20, 2018, from https://www.usa.gov/federal-agencies/a

USA.gov. (n.d.). Executive departments. Retrieved September 20, 2018, from https://www.usa.gov/executive-departments

The White House. (n.d.). The cabinet. Retrieved September 20, 2018, from https://www.whitehouse.gov/the-trump-administration/the-cabinet/

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Why Choose Us?

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NURS 6050/5050 PA003 Regulation for Nursing Practice Staff Development Meeting Presentation Example

NURS 6050/5050 Module03 Assignment PA003 Regulation Nursing PresentationNURS 6050/5050 PA003 Module03 Regulation for Nursing Practice Staff Development Meeting Presentation Assignment

NURS 6050/5050 PA003 Regulation Nursing Presentation Assignment Brief

Course: NURS 5050 – Policy and Advocacy for Improving Population Health

Assignment Title: NURS 6050/5050 PA003 Module03 Regulation for Nursing Practice Staff Development Meeting Presentation Assignment

Assignment Overview

In this assignment, you will prepare a detailed PowerPoint presentation focusing on the regulation of nursing practice, comparing boards of nursing (BoNs) and professional nurse associations. This presentation is designed for a staff development meeting at a healthcare organization or agency, aiming to educate participants on the roles and impacts of these regulatory bodies.

Assignment Objectives

  • Understand Regulatory Framework: Explore the differences between boards of nursing and professional nurse associations to grasp their respective functions and impacts on nursing practice.
  • Analyze State Board of Nursing: Investigate the composition and processes of your specific region or area’s board of nursing to understand its governance structure and membership.
  • Examine State Regulations: Evaluate state regulations affecting general nurse scope of practice and advanced practice registered nurses (APRNs), assessing their influence on roles, healthcare delivery, costs, and access.

The Student’s Role

You are a knowledgeable presenter leading a staff development meeting focused on nursing regulation. Your goal is to impart essential knowledge about the regulatory landscape of nursing practice to fellow healthcare professionals.

Competencies Measured

  • Critical Thinking: Analyze and compare regulatory structures and their implications for nursing practice.
  • Communication Skills: Effectively convey complex information through a professional presentation format.
  • Research Proficiency: Utilize authoritative sources such as the NCSBN and ANA websites to gather accurate and up-to-date information.

You Can Also Check Other Related Assessments for the NURS 6050/5050 – Policy and Advocacy for Improving Population Health Course:

NURS 6050/5050 PA001 Module01 Agenda Setting: Presidential Agendas Discussion Assignment Example

NURS 6050/5050 PA001 Module01 Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment Example

NURS 6050/5050 PA002 Module02 Legislation Grid and Testimony/Advocacy Statement Assignment Example

NURS 6050/5050 PA004 Module04 Advocating for the Nursing Role in Program Design and Implementation Assignment Example

NURS 6050/5050 PA005 Module05 Assessing a Healthcare Program/Policy Evaluation Assignment Example

NURS 6050/5050 PA006 Module06 Global Healthcare Comparison Matrix and Narrative Statement Assignment Example

NURS 6050/5050 PA003 Regulation for Nursing Practice Staff Development Meeting Presentation Example

Slide 1: Introduction

  • Title: Regulation of Nursing Practice: Understanding Boards of Nursing and Professional Associations

Speaker Notes:

  • Welcome to today’s staff development presentation on the regulation of nursing practice. Today, we will explore the roles of boards of nursing (BoNs) and professional nurse associations, focusing on their impact on nurse practitioners and healthcare delivery.

Slide 2: Boards of Nursing vs. Professional Nurse Associations

Title: Understanding the Differences

  • Boards of Nursing (BoNs):
    • State agencies regulating nursing practice (National Council State Board of Nursing, Inc., 2022).
    • Ensure public health and safety through licensure and oversight (Short & Loversidge, 2019).
  • Professional Nurse Associations:
    • Private organizations advocating for nursing profession (American Nurses Association, 2021).
    • Focus on professional development and advocacy

Speaker Notes:

  • BoNs oversee licensure and ensure nurses meet competency standards, whereas professional nurse associations promote professional development and advocate for nursing interests.
  • Specifically, BoNs are state agencies responsible for regulating nursing practice to protect public health and safety. They oversee the licensure and discipline of nurses, ensuring compliance with state laws and standards.
  • In contrast, professional nurse associations are private organizations that advocate for nurses’ interests and professional development.

Slide 3: Membership and Composition of State Boards of Nursing

Title: Composition of BoN

  • State-specific board compositions (e.g., Florida Board of Nursing) (Florida Board of Nursing, 2022).
  • Appointment process by Governor and confirmation by Senate (Toney-Butler & Martin, 2021).

Speaker Notes:

  • Each state’s BoN comprises appointed members representing various stakeholders. For example, the Florida Board of Nursing (FBON) includes nurse practitioners, registered nurses, non-nursing professionals, and laypersons. Members are typically appointed by the Governor and confirmed by the Senate.

Slide 4: State Regulation Impacting General Nurse Scope of Practice

Title: General Nurse Scope of Practice

  • Overview of state regulations (e.g., Florida Nurse Practice Act) (Florida Board of Nursing, 2022).
  • Influence on nurse roles, responsibilities, and standards of care

Speaker Notes:

  • State regulations define permissible duties and responsibilities for registered nurses, ensuring standardized and quality care delivery.
  • In Florida, the Nurse Practice Act outlines the scope of practice for registered nurses. This regulation influences nurses’ roles by defining permissible duties and responsibilities. It impacts healthcare delivery by ensuring standardization and quality of care, which can influence patient outcomes and safety.

Slide 5: Impact on Healthcare Delivery, Cost, and Access (General Nurse Scope)

Title: Influence on Healthcare System

  • How regulations impact healthcare delivery, cost, and access (Courtemanche et al., 2018).
  • Examples of improved quality and efficiency in care delivery

Speaker Notes:

  • State regulations contribute to improved healthcare outcomes and patient safety by setting standards for nurse practice.
  • In Florida, the Nurse Practice Act outlines the scope of practice for registered nurses. This regulation influences nurses’ roles by defining permissible duties and responsibilities. It impacts healthcare delivery by ensuring standardization and quality of care, which can influence patient outcomes and safety.

Slide 6: State Regulation Impacting Advanced Practice Registered Nurses (APRNs)

Title: APRN Regulations

  • Overview of APRN regulations (e.g., Florida APRN requirements) (Florida Board of Nursing, 2022).
  • Requirements for education, certification, and practice autonomy

Speaker Notes:

  • APRN regulations in Florida govern advanced practice roles, education requirements, and practice autonomy.
  • Florida’s regulations for APRNs govern their education, certification, and scope of practice. Recent changes in regulations, such as increasing autonomy for APRNs, have expanded access to healthcare services, especially in underserved areas. This can potentially lower costs by utilizing APRNs’ expertise more efficiently.

Slide 7: Impact on Healthcare Delivery, Cost, and Access (APRNs)

Title: Impact of APRN Regulations

  • Increased access to care and cost-effectiveness with APRN practice (Cleveland et al., 2019).
  • Alleviation of healthcare provider shortages

Speaker Notes:

  • APRNs play a vital role in expanding access to care, reducing costs, and improving healthcare efficiency.
  • Regulatory changes, like those affecting APRN practice, have implications for healthcare delivery. Expanded roles for APRNs can alleviate physician shortages and improve patient access to care. Additionally, regulatory changes may impact healthcare costs by optimizing resource utilization and enhancing care efficiency.

Slide 8: Recent Changes in Regulation

Title: Evolution of Regulations

  • Overview of recent changes (e.g., Affordable Care Act)
  • Impact of regulatory changes on nursing practice

Speaker Notes:

  • The Affordable Care Act and other legislative changes have influenced nursing practice, emphasizing patient-centered care and expanded roles for nurses.
  • The evolution of healthcare policy, such as the Affordable Care Act (ACA), has significantly influenced nursing practice. Changes in regulations aim to improve healthcare access, quality, and cost-effectiveness. For instance, telehealth provisions during the COVID-19 pandemic have facilitated remote care delivery.

Slide 9: Future Trends and Challenges

Title: Looking Ahead

  • Anticipated Future Trends in Nursing Regulation
    • Expansion of Scope for Advanced Practice Nurses: There is a growing trend towards expanding the scope of practice for advanced practice registered nurses (APRNs), allowing them to practice more independently and take on greater responsibilities (American Nurses Association, 2021).
    • Increased Emphasis on Telehealth: Telehealth is expected to continue evolving, with more states enacting policies to support and regulate telehealth services. This trend is driven by the need for accessible and convenient healthcare delivery, especially in rural and underserved areas (Park & Yu, 2018).
    • Enhanced Focus on Interprofessional Collaboration: Nursing regulation is likely to emphasize interprofessional collaboration to improve patient outcomes and healthcare delivery. This includes collaborative practice agreements and team-based care models (Park & Yu, 2018).
  • Challenges and Opportunities for Nurses and Healthcare Systems
    • Regulatory Compliance and Adapting to Change: Nurses and healthcare systems will face challenges in adapting to evolving regulations, requiring continuous education and training to stay compliant (Short & Loversidge, 2019).
    • Addressing Healthcare Disparities: Nursing regulation will need to address healthcare disparities, focusing on equitable access to care and culturally competent practices (Courtemanche et al., 2018).
    • Leveraging Technology for Quality Care: Opportunities exist to leverage technology for improved patient care outcomes, including electronic health records, remote monitoring, and artificial intelligence applications (Park & Yu, 2018).

Speaker Notes:

  • The future of nursing regulation is shaped by various emerging trends and challenges. Firstly, there is a movement towards expanding the scope of practice for APRNs, allowing them greater autonomy in delivering care. Additionally, telehealth is poised to become more prevalent, especially as policies supporting telehealth services continue to evolve across states. Interprofessional collaboration will also play a key role in future nursing regulation, emphasizing teamwork and coordinated care.
  • In terms of challenges and opportunities, nurses and healthcare systems will need to navigate regulatory compliance and adapt to changing requirements. Addressing healthcare disparities and leveraging technology for quality care delivery will also be important focuses. By embracing these trends and addressing challenges, nurses can contribute to improving healthcare access and outcomes in the coming years.

Slide 10: Conclusion

Title: Key Takeaways

  • Recap of key points on BoNs, professional associations, and state regulations
  • Importance of staying informed and engaged in nursing regulation

Speaker Notes:

  • Understanding the regulatory landscape is essential for nurses to advocate for patient care and navigate evolving healthcare environments effectively.
  • State regulations significantly influence nursing practice, impacting healthcare delivery, costs, and access.
  • By staying informed and engaged with regulatory changes, nurses can advocate for optimal patient care within the evolving healthcare landscape.

References

American Nurses Association. (2021). American Nurses Association. Retrieved from https://www.nursingworld.org/ana/

Courtemanche, C., Marton, J., Ukert, B., Yelowitz, A., & Zapata, D. (2018). Effects of the Affordable Care Act on health care access and self-assessed health after 3 years. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 55, 0046958018796361.

Florida Board of Nursing. (2022). Licensing and registration. Retrieved from https://floridasnursing.gov/licensing/

National Council State Board of Nursing, Inc. (2022). Nursing regulation. Retrieved from https://ncsbn.org/boards.htm

Park, H., & Yu, S. (2018). Policy issues in simulation-based nursing education and technology development. Health Policy and Technology, 7(3), 318-321.

Short, N. M., & Loversidge, J. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning.

Toney-Butler, T. J., & Martin, R. L. (2021). Florida Nurse Practice Act Laws and Rules. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. Available from https://www.ncbi.nlm.nih.gov/books/NBK532859/

Detailed Assessment Instructions for the NURS 6050/5050 PA003 Regulation for Nursing Practice Staff Development Meeting Presentation Assignment

Assignment: Regulation for Nursing Practice Staff Development Meeting

Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

To Prepare:

  • Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.
  • Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (8- to 9-slide PowerPoint presentation)

Develop a 8- to 9-slide PowerPoint Presentation that addresses the following:

  • Describe the differences between a board of nursing and a professional nurse association.
  • Describe the board for your specific region/area.
    • Who is on the board?
    • How does one become a member of the board?
  • Describe at least one state regulation related to general nurse scope of practice.
    • How does this regulation influence the nurse’s role?
    • How does this regulation influence delivery, cost, and access to healthcare?
  • Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
    • How does this regulation influence the nurse’s role?
    • How does this regulation influence delivery, cost, and access to healthcare?
    • Has there been any change to the regulation within the past 5 years? Explain.  
  • Include Speaker Notes on Each Slide (except on the title page and reference page)

Learning Resources

Required Readings

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 4, “Government Response: Regulation” (pp. 57–84)

American Nurses Association. (n.d.). ANA enterprise. Retrieved September 20, 2018, from http://www.nursingworld.org

Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary care. Nursing Outlook, 65(6), 761–765.

Halm, M. A. (2018). Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing. Worldviews on Evidence-Based Nursing, 15(4), 272–280. doi:10.1111/wvn.12291

National Council of State Boards of Nursing (NCSBN). (n.d.). Retrieved September 20, 2018, from https://www.ncsbn.org/index.htm

Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, D., & Harman J. S. (2018). The impact of nurse practitioner regulations on population access to care. Nursing Outlook, 66(4), 379–385. doi:10.1016/j.outlook.2018.03.001

Peterson, C., Adams, S. A., & DeMuro, P. R. (2015). mHealth: Don’t forget all the stakeholders in the business case. Medicine 2.0, 4(2), e4 NURS 6050 Policy and Advocacy for Improving Population Health.

Required Media

Laureate Education (Producer). (2018). The Regulatory Process [Video file]. Baltimore, MD: Author.

Laureate Education (Producer). (2018). Healthcare economics and financing [Video file]. Baltimore, MD: Author.

Laureate Education (Producer). (2018). Quality improvement and safety [Video file]. Baltimore, MD: Author.

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NURS 6050/5050 PA002 Legislation Grid and Testimony/Advocacy Statement Paper Example

NURS 6050/5050 Module02 Assignment PA002 Legislation Nursing Paper ExampleNURS 6050/5050 PA002 Module02 Legislation Grid and Testimony/Advocacy Statement Assignment

NURS 6050/5050 PA002 Legislation Nursing Paper Assignment Brief

Course: NURS 5050 – Policy and Advocacy for Improving Population Health

Assignment Title: NURS 6050/5050 PA002 Module02 Legislation Grid and Testimony/Advocacy Statement Assignment

Assignment Instructions Overview

In this assignment, you will delve into the realm of healthcare policy and advocacy by selecting a proposed health-related bill from the congressional resources provided. Your task involves two main components: creating a Legislation Grid and developing a Legislation Testimony/Advocacy Statement.

Understanding Assignment Objectives

As a nurse, your role extends beyond clinical practice to advocating for healthcare policies that impact patient outcomes and access to care. This assignment will empower you to understand the legislative process, identify stakeholders involved in healthcare policy, and articulate your position on a proposed bill through testimony and advocacy.

The Student’s Role

As a student undertaking this assignment, you will analyze a proposed health-related bill, assess its legislative intent, identify its proponents and opponents, evaluate its target populations, and understand its current status within the legislative process. Subsequently, you will craft a compelling testimony advocating for or against the bill based on evidence and rationale.

Competencies Measured

This assignment assesses your ability to:

  • Analyze healthcare legislation and its potential impact on patient care.
  • Identify key stakeholders and their perspectives related to proposed healthcare policies.
  • Formulate persuasive arguments to support or oppose healthcare bills based on evidence.
  • Recommend amendments to proposed bills to enhance their effectiveness or address concerns.

You Can Also Check Other Related Assessments for the NURS 6050/5050 – Policy and Advocacy for Improving Population Health Course:

NURS 6050/5050 PA001 Module01 Agenda Setting: Presidential Agendas Discussion Assignment Example

NURS 6050/5050 PA001 Module01 Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment Example

NURS 6050/5050 PA003 Module03 Regulation for Nursing Practice Staff Development Meeting Presentation Assignment Example

NURS 6050/5050 PA004 Module04 Advocating for the Nursing Role in Program Design and Implementation Assignment Example

NURS 6050/5050 PA005 Module05 Assessing a Healthcare Program/Policy Evaluation Assignment Example

NURS 6050/5050 PA006 Module06 Global Healthcare Comparison Matrix and Narrative Statement Assignment Example

NURS 6050/5050 PA002 Legislation Grid and Testimony/Advocacy Statement Paper Example

Introduction

In the dynamic landscape of healthcare policy, legislative actions shape the future of healthcare delivery and access in the United States. This paper critically analyzes two proposed bills from the 116th Congress, highlighting their legislative intent, target populations, current status, and implications. The bills under scrutiny are H.R.1390 – Mobile Health Record Act of 2019 and H.R.1346 – Medicare Buy-In and Health Care Stabilization Act of 2019.

Part 1: Legislation Comparison Grid

Health-related Bill Name: H.R.1390 – Mobile Health Record Act of 2019

Description:

The bill aims to amend the Social Security Act to allow Medicare and Medicaid beneficiaries access to their personal medical data, including prescriptions, providers, diagnoses, and test results, through mobile health record applications.

Federal or State: Federal

Legislative Intent:

The legislative intent of H.R.1390 is to enhance patient access to healthcare information by leveraging mobile technology. By allowing beneficiaries to access their medical data conveniently, the bill seeks to empower individuals to make informed decisions about their healthcare.

Target Population:

The target population includes beneficiaries of Medicare and Medicaid.

Status of the Bill:

Introduced on February 27, 2019, H.R.1390 is currently under review by the Committee on Energy and Commerce and the House Committee on Ways and Means.

Proponents/Opponents:

Proponents of the bill advocate for improved patient autonomy and healthcare transparency. Opponents may have concerns about data security and the efficacy of mobile health records.

Press Coverage:

Given its recent introduction, H.R.1390 has not yet garnered significant press coverage.

General Notes/Comments:

The bill addresses a critical need for enhanced patient engagement and information access in healthcare, potentially revolutionizing how individuals interact with their medical data.

Health-related Bill Name: H.R.1346 – Medicare Buy-In and Health Care Stabilization Act of 2019

Description:

H.R.1346 proposes amendments to Medicare to allow individuals aged 50 to 64 to buy into the program, addressing gaps in coverage for dental, vision, and hearing care.

Federal or State: Federal

Legislative Intent:

The intent is to expand Medicare eligibility to a younger age group and improve coverage for essential health services not currently included in traditional Medicare plans.

Target Population:

Vulnerable populations, specifically individuals aged 50 to 64, who face challenges in accessing affordable healthcare coverage.

Status of the Bill:

Introduced on February 25, 2019, H.R.1346 is currently under review by the Committee on Ways and Means and the Committee on Energy and Commerce.

Proponents/Opponents:

Proponents support expanded healthcare coverage and reducing out-of-pocket costs for older adults. Opponents may argue about the financial implications of expanding Medicare eligibility.

Press Coverage:

Similar to H.R.1390, H.R.1346 has not received extensive press coverage due to its recent introduction.

General Notes/Comments:

The bill seeks to address critical gaps in Medicare coverage, particularly for preventive services like dental, vision, and hearing care, which are essential for maintaining overall health and well-being.

Part 2: Legislation Testimony/Advocacy Statement

Advocacy Statement for H.R.1390 – Mobile Health Record Act of 2019:

As a healthcare professional, I strongly support H.R.1390 as it promotes patient-centered care by granting individuals access to their medical information via mobile platforms. This bill empowers patients, fosters informed decision-making, and strengthens the patient-provider relationship. Mobile health records have the potential to enhance care coordination and patient outcomes while respecting privacy and data security.

Addressing Opponents:

Opponents of H.R.1390 may raise concerns about data privacy and the effectiveness of mobile health technology. To address these concerns, the bill should include robust provisions for data encryption, secure transmission, and stringent privacy regulations. Additionally, ongoing evaluation and feedback mechanisms should be implemented to ensure the efficacy and scalability of mobile health records.

Recommended Amendment:

To strengthen H.R.1390, I propose an amendment that mandates interoperability standards among mobile health record applications. This amendment would facilitate seamless data exchange across different platforms, enhancing accessibility and usability for patients and providers alike.

Advocacy Statement for H.R.1346 – Medicare Buy-In and Health Care Stabilization Act of 2019:

The Medicare Buy-In and Health Care Stabilization Act of 2019 represents a crucial step towards improving healthcare access for vulnerable populations. By allowing individuals aged 50 to 64 to buy into Medicare and expanding coverage to include dental, vision, and hearing care, this bill addresses significant gaps in our healthcare system.

Addressing Opponents:

Opponents may express concerns about the financial implications of expanding Medicare eligibility. However, evidence suggests that investing in preventive care can yield long-term cost savings by reducing the burden of untreated conditions and complications.

Recommended Amendment:

To enhance H.R.1346, I recommend an amendment that extends coverage to individuals older than 64 who may also struggle with dental, vision, and hearing care costs. This amendment would ensure equitable access to essential health services for all Medicare beneficiaries.

Conclusion

In conclusion, the proposed bills, H.R.1390 and H.R.1346, demonstrate legislative efforts to advance healthcare access and address critical gaps in coverage and information access. Advocating for these bills involves engaging with stakeholders, addressing concerns, and proposing meaningful amendments to strengthen their impact. By supporting these legislative initiatives, healthcare professionals can contribute to shaping policies that promote equitable, patient-centered care in the United States.

References

All Information (Except Text) for H.R.1390 – Mobile Health Record Act of 2019. (2019). Retrieved from https://www.congress.gov/bill/116th-congress/house-bill/1390/all-info?r=1

All Information (Except Text) for H.R.1346 – Medicare Buy-In and Health Care Stabilization Act of 2019. (2019). Retrieved from https://www.congress.gov/bill/116th-congress/house-bill/1346/text?q=%7B%22search%22%3A%5B%22GAPS+IN+MEDICARE%22%5D%7D&r=2

Bouri, N., & Ravi, S. (2014). Going mobile: How mobile personal health records can improve health care during emergencies. JMIR mHealth and uHealth, 2(1), e8.

Bouayad, L., Ialynytchev, A., & Padmanabhan, B. (2017). Patient health record systems scope and functionalities: Literature review and future directions. Journal of Medical Internet Research, 19(11), e388.

Burke, G., Christ, A., & Goldberg, J. (2019). Creating an oral health benefit in Medicare: A statutory analysis. Issue Brief, 2019(1), 1-7.

Dameff, C., Clay, B., Longhurst, C. A. (2019). Personal Health Records: More Promising in the Smartphone Era? JAMA, 321(4), 339–340.

Willink, A., Shoen, C., & Davis, K. (2018). How Medicare could provide dental, vision, and hearing care for beneficiaries. Issue Brief (CommonWealth Fund), 2018(1), 1-12.

Detailed Assessment Instructions for the NURS 6050/5050 PA002 Legislation Grid and Testimony/Advocacy Statement Paper Assignment

Assignment: Legislation Grid and Testimony/Advocacy Statement

As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice.

Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy.

To Prepare:

  • Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.

The Assignment: (1- to 2-page Legislation Grid; 1-page Legislation Testimony/Advocacy Statement)

Be sure to add a title page, an introduction, purpose statement, and a conclusion. This is an APA paper.

Part 1: Legislation Grid

Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Grid Template. Be sure to address the following:

  • Determine the legislative intent of the bill you have reviewed.
  • Identify the proponents/opponents of the bill.
  • Identify the target populations addressed by the bill.
  • Where in the process is the bill currently? Is it in hearings or committees?
  • Is it receiving press coverage?

Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following:

  • Advocate a position for the bill you selected and write testimony in support of your position.
  • Describe how you would address the opponent to your position. Be specific and provide examples.
  • Recommend at least one amendment to the bill in support of your position.

At least 2 outside resources and 2-3 course specific resources are used

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NURS 5052 – Essentials of Evidence-Based Practice (Course Project Overview)

Essentials of Evidence-Based PracticeEssentials of Evidence-Based Practice

NURS 5052 – Essentials of Evidence-Based Practice Course (5 credits)

  • EB001 Evidence-Based Practice and the Quadruple Aim
    • Analyze the relationship between evidence-based practice and the Quadruple Aim in healthcare organizations.
  • EB002 Research Methodology
    • Analyze research methodologies described in peer-reviewed articles.
  • EB003 Clinical Inquiry, Problem-Intervention-Comparison-Outcome-Time (PICOT), and
    • Searching Databases
    • Analyze relevant, peer-reviewed articles in support of PICOT questions.
  • EB004 Critical Appraisal, Evaluation/Summary, and Synthesis of Evidence Recommend best practices based on critical appraisal of evidence-based research.
  • EB005 Evidence-Based Decision-Making
    • Recommend evidence-based organizational changes using an evidence-based practice approach to decision making.
  • EB006 Disseminating Evidenced-Based Practice Changes
    • Analyze dissemination strategies for evidence-based practice changes in healthcare.

NURS 5052/NURS 6052: Essentials of Evidence-Based Practice

 Course Project Overview

Evidence-based practice involves a great deal more than simply reading nursing periodicals on a regular basis. Nurses can take a more proactive approach to evidence-based practice by identifying authentic problems and concerns, and then using that to guide their inquiries into current research. In this way, nurses can connect the results of relevant research studies to their nursing practice.

For the Course Project, you identify and apply relevant research to a specific nursing topic or problem. You begin by formulating an answerable question that is relevant to nursing and evidence-based practice. In later weeks of this course, you continue the course project by conducting a literature review and then determining how the evidence from the literature can be applied to nursing practice. NURS 5052/NURS 6052: Essentials of Evidence-Based Practice.

You Can Also Check Other Related Course Project Overview for the Master of Science in Nursing (MSN) at Walden University:

NURS 5050 – Policy and Advocacy for Improving Population Health

NURS 5051 – Transforming Nursing and Healthcare Through Technology

Module 1: Evidence-Based Practice and the Quadruple Aim (Week 1)

Laureate Education (Producer). (2018). Evidence-based Practice and the Quadruple Aim [Video file]. Baltimore, MD: Author.

 

 

Due By Assignment
Week 1, Days 1-2 Read the Learning Resources.
Compose your initial Discussion post.
Week 1, Day 3 Post your initial Discussion post.
Begin to compose your Assignment.
Week 1, Days 4-5 Review peer Discussion posts.
Compose your peer Discussion responses.
Continue to compose your Assignment.
Week 1, Day 6 Post two peer Discussion responses.
Week 1, Day 7 Wrap up Discussion.
Deadline to submit your Assignment.

 

Learning Objectives

Students will:

  • Evaluate healthcare organizations for evidence-based practices
  • Analyze the relationship between evidence-based practice and the Quadruple Aim in healthcare organizations

Learning Resources

Note: To access this module’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Philadelphia, PA: Wolters Kluwer.

  • Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)

Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01

Note: You will access this article from the Walden Library databases.

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126 NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice

Note: You will access this article from the Walden Library databases.

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171

Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53. doi:10.1097/01.NAJ.0000366056.06605.d2

Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021

Note: You will access this article from the Walden Library databases.

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160

Note: You will access this article from the Walden Library databases.

Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

Required Media

Laureate Education (Producer). (2018). Introduction to Evidence-Based Practice and Research [Video file]. Baltimore, MD: Author.

 

Discussion: Where in the World Is Evidence-Based Practice?

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice.

To Prepare:

  • Review the Resources and reflect on the definition and goal of EBP.
  • Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
  • Explore the website to determine where and to what extent EBP is evident.

By Day 3 of Week 1

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

By Day 6 of Week 1

Respond to at least two of your colleagues on two different days by visiting the websites they shared and offering additional examples of EBP or alternative views/interpretations to those shared in your colleagues’ posts.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 1 Discussion Rubric

Post by Day 3 and Respond by Day 6 of Week 1

To participate in this Discussion:

Week 1 Discussion

Assignment: Evidence-Based Practice and the Quadruple Aim

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

  • Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
  • Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
  • Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

  • Patient experience
  • Population health
  • Costs
  • Work life of healthcare providers

By Day 7 of Week 1

Submit your anaylsis.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK1Assgn+last name+first initial.(extension)” as the name.
  • Click the Week 1 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 1 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK1Assgn+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

Week 1 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment Draft for Authenticity

Submit your Week 1 Assignment Draft and review the originality report

Submit Your Assignment by Day 7 of Week 1

To participate in this Assignment:

Week 1 Assignment

Next Module

Module 2: An Introduction to Clinical Inquiry and Research Methodologies (Weeks 2-3)

Laureate Education (Producer). (2018). Research Methodologies [Video file]. Baltimore, MD: Author.

 

 

Due By Assignment
Week 2, Days 1-4 Read the Learning Resources.
Begin to check your knowledge with the Quiz.
Week 2, Days 5-6 Continue to check your knowledge with the Quiz.
Week 2, Day 7 Final day to complete Quiz.
Begin to compose your Assignment.
Week 3, Days 1-6 Continue to compose your Assignment.
Week 3, Day 7 Deadline to submit your Assignment.

 

Learning Objectives

Students will:

  • Differentiate between quantitative, qualitative, and mixed-method research methodologies
  • Analyze the relationship between peer-reviewed articles and clinical issues
  • Analyze research ethics related to clinical issues and peer-reviewed research
  • Analyze the aims of research studies presented in peer-reviewed articles
  • Analyze research methodologies described in peer-reviewed articles
  • Analyze strengths, reliability, and validity of research methodologies in peer-reviewed research
  • NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice

Learning Resources

Note: To access this module’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

  • Chapter 2, “Asking Compelling Clinical Questions” (pp. 33–54)
  • Chapter 21, “Generating Evidence Through Quantitative and Qualitative Research” (pp. 607–653)

Grant, M. J., & Booth, A. (2009). A typology of reviews: An analysis of 14 review types and associated methodologies. Health Information and Libraries Journal, 26, 91–108. doi:10.1111/j.1471-1842.2009.00848.x

Note: You will access this article from the Walden Library databases.

Hoare, Z., & Hoe, J. (2013). Understanding quantitative research: Part 2. Nursing Standard, 27(18), 48–55. doi:10.7748/ns2013.01.27.18.48.c9488

Note: You will access this article from the Walden Library databases.

Hoe, J., & Hoare, Z. (2012). Understanding quantitative research: Part 1. Nursing Standard, 27(15), 52–57. doi:10.7748/ns2012.12.27.15.52.c9485

Note: You will access this article from the Walden Library databases.

Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

Walden University Library. (n.d.-b). Evaluating resources: Primary & secondary sources. Retrieved January 22, 2020, from https://academicguides.waldenu.edu/library/evaluating/sources

Walden University Library. (n.d.-f). Keyword searching: Finding articles on your topic: Boolean terms. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/boolean

Walden University Library. (n.d.-g). Keyword searching: Finding articles on your topic: Introduction to keyword searching. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/searching-basics

Walden University Library. (n.d.-i). Quick Answers: What are filtered and unfiltered resources in nursing? Retrieved September 6, 2019, from https://academicanswers.waldenu.edu/faq/73299

Document: Matrix Worksheet Template (Word Document)

Required Media

Centers for Research Quality. (2015a, August 13). Overview of qualitative research methods [Video file]. Retrieved from https://youtu.be/IsAUNs-IoSQ

Centers for Research Quality. (2015b, August 13). Overview of quantitative research methods [Video file]. Retrieved from https://youtu.be/cwU8as9ZNlA

Laureate Education (Producer). (2018). Review of research: Anatomy of a research study [Mutlimedia file]. Baltimore, MD: Author.

Schulich Library McGill. (2017, June 6). Types of reviews [Video file]. Retrieved from https://youtu.be/5Rv9z7Mp4kg

Quiz: Is It Quantitative, Qualitative, or Mixed Methods?

An effective understanding and application of research requires an understanding of the underlying methodologies employed. This quiz will assess your understanding of the quantitative, qualitative, and mixed-method research methodologies NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice.

To Prepare:

  • Review the research methodology terms and concepts presented to you this week.

By Day 7 of Week 2

Submit your Quiz.

Note: You may submit your Quiz as many times as you like until Day 7 of Week 2.

Submission Information

Submit Your Quiz by Day 7 of Week 2

To submit your Quiz

Week 2 Quiz

Assignment: Evidence-Based Project, Part 1: Identifying Research Methodologies

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

  • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course.
  • Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
  • Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
  • Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

  • The full citation of each peer-reviewed article in APA format.
  • A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
  • A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
  • A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
  • NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice
  • A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

By Day 7 of Week 3

Submit your Evidence-Based Project.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK3Assgn+last name+first initial.(extension)” as the name.
  • Click the Week 3 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 3 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK3Assgn+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.
  • Due to the nature of this assignment, your instructor may require more than 5 days to provide you with quality feedback.

Grading Criteria

To access your rubric:

Week 3 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment Draft for Authenticity

Submit your Week 3 Assignment Draft and review the originality report

Submit Your Assignment by Day 7 of Week 3

To submit your Assignment:

Week 3 Assignment

Next Module

To go to the next module:

Module 3: Advanced Clinical Inquiry and PICO(T) Questions (Weeks 4-5)

Laureate Education (Producer). (2018). The Value of Clinical Inquiry [Video file]. Baltimore, MD: Author.

 

 

Due By Assignment
Week 4, Days 1-2 Read the Learning Resources.
Compose your initial Discussion post.
Week 4, Day 3 Post your initial Discussion post.
Begin to compose your Assignment.
Week 4, Days 4-5 Review peer Discussion posts.
Compose your peer Discussion responses.
Continue to compose your Assignment.
Week 4, Day 6 Post two peer Discussion responses.
Continue to compose your Assignment.
Week 4, Day 7 Wrap up Discussion.
Week 5, Days 1-6 Continue to compose your Assignment.
Week 5, Day 7 Deadline to submit your Assignment.

 

Learning Objectives

Students will:

  • Create an answerable research question using the PICO(T) question format
  • Apply effective search strategies to identify relevant peer-reviewed and systematic reviewed research
  • Analyze strategies to increase rigor and effectiveness of database searches for PICO(T) questions
  • Analyze levels of evidence in peer-reviewed research

Learning Resources

Note: To access this module’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice.

  • Chapter 2, “Asking Compelling Clinical Questions” (pp. 33–54)
  • Chapter 3, “Finding Relevant Evidence to Answer Clinical Questions” (pp. 55–92)

Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks for LIS professionals. Evidence Based Library and Information Practice, 6(2), 75–80. https://doi.org/10.18438/B8WS5N

Note: You will access this article from the Walden Library databases.

Library of Congress. (n.d.). Search/browse help – Boolean operators and nesting. Retrieved September 19, 2018, from https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchBoolean.html

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010a). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110(3), 58–61. doi:10.1097/01.NAJ.0000368959.11129.79

Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2009). Evidence-based practice: Step by step: Igniting a spirit of inquiry. American Journal of Nursing, 109(11), 49–52. doi:10.1097/01.NAJ.0000363354.53883.58

Note: You will access this article from the Walden Library databases.

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010b). Evidence-based practice, step by step: Searching for the evidence. American Journal of Nursing, 110(5), 41–47. doi:10.1097/01.NAJ.0000372071.24134.7e

Note: You will access this article from the Walden Library databases.

Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

Walden University Library. (n.d.-c). Evidence-based practice research: CINAHL search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/cinahlsearchhelp

Walden University Library. (n.d.-d). Evidence-based practice research: Joanna Briggs Institute search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/jbisearchhelp

Walden University Library. (n.d.-e). Evidence-based practice research: MEDLINE search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/medlinesearchhelp

Walden University Library. (n.d.-f). Keyword searching: Finding articles on your topic: Boolean terms. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/boolean

Walden University Library. (n.d.-g). Keyword searching: Finding articles on your topic: Introduction to keyword searching. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/searching-basics

Walden University Library. (n.d.-h). Quick Answers: How do I find a systematic review article related to health, medicine, or nursing? Retrieved September 6, 2019, from https://academicanswers.waldenu.edu/faq/72670

Walden University Library. (n.d.-i). Systematic review. Retrieved January 22, 2020, from https://academicguides.waldenu.edu/library/healthevidence/types#s-lg-box-1520654

Required Media

Laureate Education (Producer). (2018). Searching the Evidence [Video file]. Baltimore, MD: Author.

 

Discussion: Searching Databases

When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.

The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice.

In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.

To Prepare:

  • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
  • Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.
  • Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
  • Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course.

By Day 3 of Week 4

Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.

By Day 6 of Week 4

Respond to at least two of your colleagues on two different days and provide further suggestions on how their database search might be improved.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 4 Discussion Rubric

Post by Day 3 and Respond by Day 6 of Week 4

To participate in this Discussion:

Week 4 Discussion

Assignment: Evidence-Based Project, Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

  • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
  • Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.
  • Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.
  • Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

  • Identify and briefly describe your chosen clinical issue of interest.
  • Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
  • Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
  • Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
  • Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice.

By Day 7 of Week 5

Submit Part 2 of your Evidence-Based Project.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK5Assgn+last name+first initial.(extension)” as the name.
  • Click the Week 5 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 5 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK5Assgn+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

Week 5 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment Draft for Authenticity

Submit your Week 5 Assignment Draft and review the originality report

Submit Your Assignment by Day 7 of Week 5

To participate in this Assignment:

Week 5 Assignment NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice

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