Category: Nursing

Respond to the following on health insurance, healthcare and abortion…

States have been cutting insurance for women to access reproductive health services. This particularly affects low-income families with the overall lack of access to quality reproductive health care. The lack of proper health insurance for women impedes on their reproductive rights as they should be given an opportunity to make their own reproductive choices when it comes to the use of contraceptives and abortions.

This scenario is not different in the state of Florida. As of April 2017, the state only covers abortion under the Affordable Care Act if the woman in question has been raped, is in danger, or if it is an incest case. An abortion may so be performed from week 24 of the woman last menstrual period, but only if the woman’s life is endangered (Jones & Jerman, 2017). Looking at the state’s infant and maternal mortality rates, one can make the connection between bad policies and the consequences. 160 resident pregnancy-associated deaths were recorded in the state January 1, 2015, to December 31, 2015 (Jones & Jerman, 2017). With a pregnancy-related mortality ratio 16.9 per 100,000 live births, it is not hard to associate lack of good reproductive health policies as a major cause attributed to these rates. Of the deaths, approximately 31.6% were non-Hispanic Black women with Hispanic women accounting for 10.5%. It is illustrative of the lack of proper reproductive health insurance.

As an advanced practice nurse and nursing leader, it is the individual’s responsibility to advocate for changes in such policies to ensure better health outcomes for women. Essential VII: Interprofessional Collaboration for Improving Patient and Population Health Outcomes adequately prepares nurses to collaborate, communicate, and consult with other interprofessional groups in order to manage and coordinate care (American Association of Colleges of Nursing, 2014). Women reproductive health is highly important and as a nurse, one is required to play a leading role to ensure better policies are put in place to insure women requiring reproductive health not only in the state of Florida but all over the country.

References

Jones, R. K., & Jerman, J. (2017). Abortion incidence and service availability in the United States, 2014. Perspectives on Sexual and Reproductive Health, 49(1), 17-27.

American Association of Colleges of Nursing. (2014). The essentials of master’s education in nursing. March 21, 2011.

The impact of Nursing Home Transparency-Nursing home compare Medicare Website Section 6103 has impacted my current practice by making patients more aware of what kind of services and environment they will be living in.  This allows the patient or family to make an informed decision before being placed.  When the consumer has the power to choose the place to receive care the corporations owning the facilities are motivated to invest time and money in areas that provide direct patient care. In my practice, this means that my care to the patient will be rated by quality and should motivate the corporation I work for to concentrate efforts on improvements to the nursing staff.  Even with this comparison in place, the industry of skilled and long-term care has been slow to respond to the provisions.  It still seems that corporate-owned facilities fail to concentrate on nursing which is the main area that consumers are dependent on when admitted to this environment.  The website at
www.medicate.gov
 is also hard to access, slow to show information and information are hard to understand for those who do not have a medical background or experience with this form of care. Quality and staffing levels are self-reported by the facility making it difficult to find accurate information.  In the future, the system could be streamlined and have a large impact on patient care, staffing levels and the hourly wages of nurses committed to this care area. I have noticed a greater respect from acute care nursing professionals for nurses working in skilled, long-term and home health areas.  I believe this is a direct effect of the PPACA.

Nursing home transparency-whistleblower protection section 6105 requires that states have a complaint resolution process. This provides both an employee or a patient/family member to contact the state with concerns about the quality of care or services provided without fear of retaliation from the facility.  This has impacted my practice in positive ways by requiring a investigation into complaints.  After an investigation, it could be determined that the concern was a misunderstanding of policy but it can also lead to changes how the workflow is distributed or led to increased patient safety through increased focus on potential safety risks.

I NEED YOU TO COMMENT FROM THIS POST, 100 WORDS NEEDED AND A REFERENCE PLEASE

Comment on this…

D
iscuss current research that links patient safety outcomes to ADN and BSN nurses. Based on some real-life experiences, do you agree or disagree with this research?

Through research by Linda Aiken, a study that suggested that a more educated nursing workforce means better patient outcomes. This study linked higher ratios of BSN-prepared nurses with lower patient mortality rates after having common surgical procedures (How Does your Nursing, 2014). What I found to be interesting was when RNs return to school to obtain a BSN degree due to an employer’s requirement, do not at first believe that by receiving the new degree will change the way they practice nursing. But several studies have shown that these nurses find that the education they have received reaped some unexpected benefits (How Does your Nursing, 2014). It was the National Student Nurses Association (NSNA) that went through and presented these studies in an article online that found that RNs in a BSN program were noticing chances in their skills, reasoning abilities, and perspectives on nursing practice (How Does your Nursing, 2014).

Based on real-life experiences, before starting this RN to BSN program, I could not imagine what it could teach me that I don’t already know or have seen. But I have come to believe that acquiring a BSN degree has honed and refined skills, increased my critical thinking skills and reasoning abilities, and changed some perspectives on nursing practice. I think with these advanced and refined skills, it can lead to better judgement and improved thinking, with a new and fresh view on the changes that are happening, BSN prepared RNs can be in a position to embrace and contribute to the success of health care in a way that an ADN nurse may not have the background to. I think it is these advanced skills that BSN degree nurses possess that contribute to the studies of lower mortality rates and better patient outcomes.

Reference:

How Does Your Nursing Degree Affect Patient Mortality Rates? (2014, June 04). Retrieved September 18, 2017, from http://www.americansentinel.edu/blog/2014/06/04/how-does-your-nursing-degree-affect-patient-mortality-rates/

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.

Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.

In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.

A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

THIS IS A CLARIFICATION FOR THE ASSIGNMENT FROM THE PROFESSOR

 

This is a two-part assignment. You will need to attach both parts in the assignment box before sending the information through TII and selecting final submit.

The informal presentation that is shared within your organization can be a word document, powerpoint presentation, a flyer, poster, etc. This must include appropriate APA citations of resources used.

The second part of the assignment is a paper that should describe the topic, the content used during the presentation, and a summary of impressions from staff who participated in the presentation. References should be included and cited using APA.

RUBRICS

 

Clearly States How the Practice of Nursing and Patient Delivery Will Evolve, While Addressing Relevant Concepts That Include Continuity or Continuum of Care, Accountable Care Organizations, Medical Homes, and Nurse-Managed Health Clinics

Main concept is not clearly identified, and subconcepts do not consistently branch from the main idea. Does not address any issues related to the evolving practice of nursing and patient care delivery.

Main concept is not clearly identified, and few subconcepts branch appropriately. Addresses at least one issue related to the evolving practice of nursing and patient care delivery.

Main concept is identified, and a few subconcepts branch from the main idea. Addresses many of the issues related to the evolving practice of nursing and patient delivery and patient care delivery.

Main concept is easily identified and most subconcepts branch from the main idea. Addresses all of the issues related to the evolving practice of nursing and patient care delivery.

Main concept is easily identified, and subconcepts branch appropriately from the main idea. Addresses all of the issues related to the evolving practice of nursing and patient care delivery.

20.0 %Evidence of Feedback and Forecasting of Nursing Role From Colleagues

No evidence of feedback and forecasting of the nursing role from colleagues is included.

Evidence of feedback and forecasting of the nursing role from colleagues may be incomplete or lack relevant scope.

Evidence of feedback and forecasting of the nursing role from colleagues is included.

Evidence of feedback and forecasting of the nursing role from colleagues is described in detail.

Evidence of feedback and forecasting of the nursing role from colleagues is described in detail, with relevant personal insight, reflection, or analysis.

20.0 %Use of Vocabulary Regarding Evolving Practice of Nursing and Patient Care Delivery

No recommended terms have been included in the correct context.

Few recommended terms have been included in the correct context.

Some recommended terms have been included in the correct context.

Most recommended terms have been included in the correct context.

All of the recommended terms have been included in the correct context.

15.0 %Organization and Effectiveness

10.0 %Originality

Content is an extensive collection and rehash of other people’s ideas, products, images, or inventions. There is no evidence of new thought or inventiveness.

Content is a minimal collection or rehash of other people’s ideas, products, images, or inventions. There is no evidence of new thought.

Content shows evidence of originality. While based on other people’s ideas, products, images, or inventions, the work does offer some new insights.

Content shows evidence of originality and inventiveness. While based on an extensive collection of other people’s ideas, products, images, or inventions, the work extends beyond that collection to offer new insights.

Content shows significant evidence of originality and inventiveness. The majority of the content and many of the ideas are fresh, original, inventive, and based upon logical conclusions and sound research.

15.0 %Organization and Effectiveness

5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, and language use)

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are employed.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) and/or word choice are present.

Some mechanical errors or typos are present, but are not overly distracting to the reader. Audience-appropriate language is employed.

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of sentence structures and effective figures of speech.

The writer is clearly in command of standard, written academic English.

5.0 %Format

2.0 %Paper Format (use of appropriate style for the major and assignment)

Template is not used appropriately or documentation format is rarely followed correctly.

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

Template is used, and formatting is correct, although some minor errors may be present.

Template is fully used; There are virtually no errors in formatting style.

All format elements are correct.

3.0 %Research Citations (in-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)

No reference page is included. No citations are used.

Reference page is present. Citations are inconsistently used.

Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.

Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and style is usually correct.

In-text citations and a reference page are complete. The documentation of cited sources is free of error.

100 %Total Weightage

Comment on this DNP vs PhD debate…

Although the PhD has been the traditional doctoral degree in nursing, nurses now have a choice between that degree and the Doctor of Nursing Practice (DNP) degree. In the most general terms, the DNP, or Doctor of Nursing Practice, is a clinical practice degree while the PhD, or Doctor of Philosophy, in nursing is a research-focused degree. The core curriculum for DNP includes translating research evidence into nursing practice, healthcare policy (including budgets, financial

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management, leadership theory), and cultivating practice expertise While the curriculum for a PhD focuses on research methodologies, theories of nursing research, and faculty development. Many PhD programs require a Master’s degree as a prerequisite. Typically, the DNP is for nurses that have a desire to stay in a clinical setting. Many nurses with a PhD tend to work as faculty or in nursing research position (Loomis, Willard, and Cohen, 2006). I would prefer to get a DNP over getting a PhD. The DNP program prepares nurse leaders for evidence-based practice in patient care, education, policy, and executive roles. This requires competence in translating research in practice, evaluating evidence, applying research in decision-making, and implementing viable innovations to change practice within and across the spectrum of health and healthcare systems. I am more interested in clinical practice and how to improve it than I am in nursing research. I do, however, have an interest in education. Since starting in the OB department last year, I am interested in becoming a nurse midwife. Being a nurse provides so many opportunities and no matter what path one decides, it will be a rewarding journey. DNP vs PhD debate.

Loomis, J., Willard, B., Cohen, J., (December 22, 2006). “Difficult Professional Choices: Deciding Between the PhD and the DNP in Nursing”. OJIN: The Online Journal of Issues in Nursing. Vol. 12 No. 1.

The Patient Protection and Affordable Care Act (PPACA) sought to bring to the forefront health promotion and prevention, and ultimately enhance the ability of health care professionals to offer services to all that needed them. Much of the PPACA focuses on incorporating interdisciplinary care in order to deliver more holistic, and efficient, patient care. An example of an innovative health care delivery model the PPACA initiated is that of patient-centered medical homes (PCMHs) and accountable care organizations (ACOs).

A PCMH, “…is a care delivery model whereby patient treatment is coordinated through their primary care physician to ensure they receive the necessary care when and where they need it, in a manner they can understand” (What is the Patient, n.d.). The purpose of PCHMs are to create a centralized setting in which individual patients may easily have communication with their personal physician in a culturally appropriate setting. This is achieved through the use of facilities such as: registries, information technology, health information exchange, etc. This enables patients to access their health care needs at more convenience.

ACOs are defined by the Centers for Medicare and Medicaid Services website as, “…groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high-quality care to their Medicare patients” (Accountable, 2017). With a large population of patients being defined as “chronically ill”, employing coordinated care efforts among health care professionals ensures that these patients get the most appropriate care at the most appropriate times. This eliminates duplicate services, and helps to prevent possible medical errors (Accountable, 2017). Thus, increasing the incidence of accessed care and optimizing the care these patients receive.

I NEED YOU TO COMMENT FROM THIS POST, 100 WORDS NEEDED AND A REFERENCE PLEASE

Earlier we discussed the importance of researching and gathering information about both sides of a controversial topic. For this assignment the majority of the work has been done for you. Go to the website link https://healthcare.procon.org/  and USE THE INFORMATION PRESENTED HERE for this assignment.  The websites have done the majority of the work for you for this assignment.

Discuss current research that links patient safety outcomes to ADN and BSN nurses. Based on some real-life experiences, do you agree or disagree with this research?

NEEDS AS A LEAST  OF TWO  REFERENCES

Discuss current research that links patient safety outcomes to ADN and BSN nurses. Based on some real-life experiences, do you agree or disagree with this research?

A study done in 2011 by Aiken and colleagues revealed that increasing the number of the registered nurses in hospitals is not only the solution to reducing patients’ mortality rate, but rather increasing number of nurses who have a higher educational, and a positive work environment, positively decrease the mortality rate in the hospitals (Cherry & Jacob, 2017). It interesting to know that every 10% increase in number of BSN nurses, decreases the mortality rate to 4% (Cherry & Jacob, 2017) even though 4% seems small, but it is still a great impact to life-saving effort.

There is no doubt that knowledge is the key, just like we all are getting our bachelors in nursing, there is a huge difference in the knowledge acquired. I personally have grown in confidence and knowledge through the course of this study and I am excited to be a better nurse clinically and in the community.

Recently, hospital position openings are BSN preferred, based on the reports like that of Institute of Medicine which support that nurses who are BSN possess the skills and knowledge needed to produce a better or positive patient outcome (Sherman, 2012). Last year, I attended a job-fair organized my Methodist hospital, and it was an instant offer for the positions available, everyone was qualified except me because I didn’t have a BSN, so that was my instant driving force to enroll in BSN program.

Based on my experience, I have worked with nurses who have years of work experiences without BSN and Nurses who have BSN but no experience. I personally think that having years’ experience is a big plus in terms of practical nursing. For example, an LPNs/LVNs took me on floor orientation in Nursing home after I was hired, even though she is an LVN, there are things she taught me that I didn’t know as an RN, obviously because she has years of experience, but not a higher education. I strongly believe also that having a higher education in nursing, prepares nurses to assume leadership roles, and exposes nurses to skills and knowledge needed to deliver a high-quality nursing care.

I agree with the aspect of BSN being prepared to assume leadership roles, but I do not believe that ADN nurses contribute to higher mortality role, because all nurses are exposed to the same clinical training in the hospitals. I believe that having a positive work environment, increasing the number of nurses, and a better communication with other health care teams improve a better patient outcome.

If I am in a hiring position, I would refer to hire a registered nurse with ADN who have years of experience over a BSN nurse who has no experience based on the type of position available, leadership positions would go for BSN, while floor position goes to ADN with a higher years of work experience.

References

Cherry, B. & Jacob. S. (2017) Contemporary nursing, issues, trends, & management. St. Louis: Elsevier. Six editions. Retrieved from https://pageburstls.elsevier.com/#/books/978-0-323-101097/cfi/6/8!/4/2/14/4@0:10

Sherman. R (2012) An 80% BSN Prepared Nursing Workforce by 2020? Emerging RN Leader. Retrieved on September 18th. From http://www.emergingrnleader.com/80bsnworkforce2020/

In collaboration with your approved course mentor, you will identify   a specific evidence-based practice proposal topic for the capstone   project. Consider the clinical environment in which you are currently   working or have recently worked. The capstone project topic can be a   clinical practice problem, an organizational issue, a quality   improvement suggestion, a leadership initiative, or an educational   need appropriate to your area of interest as well as your practice   immersion (practicum) setting. Examples of the integration of   community health, leadership, and an EBP can be found on the   “Educational and Community-Based Programs” page of the 
Healthy     People 2020
 website.

Write a 500-750 word description of your proposed capstone project   topic. Make sure to include the following:

The problem, issue, suggestion, initiative, or educational     need that will be the focus of the project

The setting or     context in which the problem, issue, suggestion, initiative, or     educational need can be observed.

A description providing a     high level of detail regarding the problem, issue, suggestion,     initiative, or educational need.

Impact of the problem,     issue, suggestion, initiative, or educational need on the work     environment, the quality of care provided by staff, and patient   outcomes.

Significance of the problem, issue, suggestion,     initiative, or educational need and its implications to   nursing.

A proposed solution to the identified project   topic

You are required to retrieve and assess a minimum of 8 peer-reviewed   articles. Plan your time accordingly to complete this assignment.

Prepare this assignment according to the guidelines found in the APA   Style Guide, located in the Student Success Center. An abstract is not required.

You are required to submit this assignment to Turnitin.