250 WORDS 2 REFERENCES WITHIN 5 YEARS (NURSING JOURNALS ONLY!! IN TEXT CITATIONS ARE A MUST!!

The Institute of Medicine (IOM) report, The Future of Nursing: Leading Change, Advancing Health has stimulated much discussion, both pro and con. Key Message 3 states: Nurses should be full partners, with physicians and other health care professionals, in redesigning healthcare in the United States (US). Offer your analysis on this key message.

  • Discuss the meaning of ‘full partners’
  • Explain initiatives implemented and/or are recommended to advance this key message 
  • Discuss how the Affordable Care Act (ACA) supported the Future of Nursing initiatives
  • Discuss 2 initiatives that may be affected if the American Health Care Act is voted into law 

Purpose

This week’s graded topics relate to the following Course Outcomes (COs).

  • CO 1 – Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
  • CO 2 – Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1)
  • CO 4 – Identify teaching/learning needs from the health history of an individual. (PO 2)

The Assignment

As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After conducting her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She attends class a total of 15 hours per week, plus she must be present for 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get 5 hours of sleep per night, but that is okay with her. She drinks coffee all morning to “keep her going.” She lives 1 hour from campus and commutes each day, and often drinks diet cola to “stay awake.” When asked what she does to relax and de-stress, Maria states she “doesn’t even have time to think about that.”

Maria’s vitals today are as follows; T 98.6, R 20, HR 88, BP 148/90

Using the lesson and text as your guide, answer the following questions.

  1. What additional assessment data (subjective and/or objective) would you like to gather from Maria?
  2. What actual health concerns and risk factors have you identified?
  3. What are some opportunities to promote health and wellness for Maria?
  4. Write one nursing diagnosis for Maria (actual, wellness or risk), based on one of the health concerns or opportunities you have identified. (Please use one of the formulas outlined in the text and lesson!)

Remember to use and credit the textbook or lesson, as well as an outside scholarly source, for full credit.

Primary Task Response: Within the Discussion Board area, write 250 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. You are required to use 1 scholarly resource, in addition to your textbook. Be substantive and clear, and use examples to reinforce your ideas.The nursing process is commonly used to manage change or to problem-solve.

  • Using the nursing process, apply the steps of the nursing process (assessment, analysis and diagnosis, planning, implementation, and evaluation) to describe your change topic to your peers. You are required to use 1 scholarly resource, in addition to your textbook.

Theme#1: Defined by the UMUC:
A literature review is a survey of the scholarly work in a particular subject area.  Use scholarly, peer reviewed, or refereed journals in your research. How do I know what a scholarly source is?  Review this UMUC link for clarification:  https://www.umuc.edu/library/libhow/scholarlyjournals.cfm
Defined by the UNC-Chapel Hill:
A literature review discusses published information in a particular subject area, and sometimes information in a particular subject area within a certain time period (within the past 5-7 years is preferred in our course).  A literature review can be just a simple summary of (scholarly) sources.
Why do we write literature reviews? 
Literature reviews provide you with a handy guide to a particular topic. If you have limited time to conduct research, literature reviews can give you an overview or act as a stepping stone. For professionals, they are useful reports that keep them up to date with what is current in the field. For scholars, the depth and breadth of the literature review emphasizes the credibility of the writer in his or her field. Literature reviews also provide a solid background for a research paper’s investigation. Comprehensive knowledge of the literature of the field is essential to most research papers.
References
The University of Maryland University College. Retrieved from: https://www.umuc.edu/library/libhow/scholarlyjournals.cfm
The University of North Carolina-Chapel, The Writing Center.  Retrieved from:  http://writingcenter.unc.edu/handouts/literature-reviews/

Theme #2:
Note: Please select one of the following topics and discuss in-depth ONLY one theme, for example, if you selected the first topic please pick up ONE theme, the same for the 2nd topic, select one theme and discuss. You are welcome to discuss both topics, but the requirement is ONE. 
Topic 1: There are four themes in health science learning and teaching which all become more prominent in recent years, for this discussion pick up one of them and discuss:
– Evidence-based practice
– Research-based learning
– Learning research methods
– linking staff research activity and teaching

Background:
Evidence-based practice
https://chalderan.umsu.ac.ir/uploads/Evidence-based_practice_119.pdf
Evidence-based practice step by step: Critical appraisal of the evidence: part I
http://journals.lww.com/ajnonline/Fulltext/2010/07000/Evidence_Based_Practice_Step_by_Step__Critical.26.aspx
Evidence-Based Practice: Step by Step: Igniting a Spirit of Inquiry
http://journals.lww.com/ajnonline/Abstract/2009/11000/Evidence_Based_Practice__Step_by_Step__Igniting_a.28.aspx
The following link is the useful book for most of the class discussion, please remember to review class material as well.

Field Trials of Health Interventions: A Toolbox
http://oxfordmedicine.com/view/10.1093/med/9780198732860.001.0001/med-9780198732860
Topic 2: Health Services Research and Research Question
The goal of health services research is to acquire and disseminate relevant evidence that can advance population health, improve health services and inform health policy in governments and organizational policies in health care for this week pick up one of the following areas and discuss:

What are the major steps in the conceptualization stage of health services research?
What is Health Services Research? What are the overall goals of health system research? What are the functions of health research systems?
Discuss main components of a research question (this is a general discussion and you can discuss health system research as a general term)
What are the unique characteristics of medical care services compared with other market products or services?

Background: Ten steps for conceptualizing and conducting qualitative research studies in a pragmatically curious manner
http://www.nova.edu/ssss/QR/QR16-6/chenail.pdf 
Arrow and the Information Market Failure in Health Care
/content/enforced/348512-027318-01-2192-OL1-6380/Arrow_and_the_Information_Market_Failure_in_Health.pdf
http://www.smith.edu/econ/documents/ArrowandtheInformationMarketFailure.pdf
Participatory Research Methods: A Methodological Approach in Motion
http://www.qualitative-research.net/index.php/fqs/article/view/1801/3334

At least three credible citations needed.

Health care organizations are continuously immersed in change from the emergence of new policies to promote quality care and improve patient safety to keeping pace with the rapid growth in knowledge and best practices. Establishing a solid framework for planning and implementing change is a wise move as it provides a foundation for the extensive coordination that will be needed to successfully facilitate the change.For this Assignment you propose a change at the department or unit level and develop a plan for guiding the change effort.To prepare:To complete:Write a 3- to 5-page paper (page count does not include title and reference page) that addresses the following:Reminder:The School of Nursing requires that all papers submitted include a title page introduction summary and references. .

Q2

250 words with referencesRespond to the following four discussion questions based on the Case Example on pages 124-125 in Essentials of Management and Leadership in Public Health:4. Finally what would be an effective communication plan at this point to address the discontent among theemployees?

Being able to articulate your personal worldview can help you formulate a personal philosophy of practice and enhance your influence on patients and the industry. In this assignment, you will have an opportunity to reflect on your current and future practice, and the ways worldview and nursing theory influence that practice.  Draft a 1,000 word paper in which you:

1 Describe an integrative worldview, which attempts to reconcile rational thought and science with a spiritual sense of awe for the environment, including the religious, spiritual, and cultural elements that you think most influence personal philosophy of practice and attitude towards patient care.

2 Choose a specific nursing theory (Sister Callista Roy’s View of Adaptation) and discuss the similarities. Explain how the nursing theory reinforces your approach to care.

3 Finally, explain how the worldview and the nursing theory can assist in further developing future practice.You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Q2

Assignment Context

By successfully completing this assignment, you will demonstrate your proficiency in the following course competencies and assignment criteria:

  • Competency 1: Explain strategies for effective interprofessional teamwork and collaboration in health care delivery.
  • Identify challenges of working in interprofessional teams.
  • Describe strategies to help people work effectively together.
  • Competency 2: Analyze the implications of working with interprofessional teams in multifaceted health care settings.
  • Explain the meaning of the term “interprofessional collaboration” from a nursing perspective.
  • Explain how interprofessional teams define success.
  • Describe the characteristics and qualities of effective interprofessional teams in terms of patient safety.
  • Describe the benefits and limitations of interprofessional teams for health care organizations, interprofessional team members, and patients.

Question Description

In the chapter titled “Spiritual Assessment” in your course textbook, there is a case study describing parents who have spiritual concerns related to their daughter’s health care. The nursing diagnosis of spiritual distress is made based on the assessment data. You are required to provide at least 1 short-term outcome and 3–4 nursing interventions that will aid in attaining the outcome.

Tasks:

Based on your own experience and from your readings in this course, the Argosy University online library resources, and the Internet, address the following:

Read the case study in the chapter “Spiritual Assessment” in your course textbook, and based on your understanding, answer the following questions:

  • What are the factors causing spiritual distress for this family?
  • What are the short-term outcomes related to the diagnosis of spiritual distress in this case study?
  • What are the priority nursing interventions in this situation?
  • What are your thoughts, feelings, and/or concerns related to caring for this family including why you think this self-reflection may be important as you provide nursing care?

Submission Details:

  • Write your initial response in a 2- to 3-page Microsoft Word document.
  • Your response should be thorough and address all components of the discussion question in detail. Include citations of all sources, where needed, according to the APA style. Demonstrate accurate spelling, grammar, and punctuation. Use this APA Citation Helper as a convenient reference for properly citing resources.

By the due date assigned, copy your response from your document and paste it in the Discussion Area. In addition, post your Microsoft Word document as an attachment. Through the end of the module, review and comment on at least two classmates’ responses.

Do the following when responding to your classmates:

  • Read your classmates’ responses.
  • Provide substantive comments by doing some or all of the following:
    • Contribute new, relevant information from course readings, websites, or other sources
    • Build on the remarks or questions of others
    • Share practical examples of key concepts from your professional or personal experiences
  • Respond to feedback on your posting and provide feedback to your classmates on their ideas.
  • Make sure your writing:
    • Is clear, concise, and organized
    • Demonstrates ethical scholarship in the accurate representation and attribution of sources
    • Displays accurate spelling, grammar, and punctuation

Question Description

Data Collection

The clinic in which you work has used the same brand of hand soap and sanitizer for the past 10 years. Just recently, a salesperson called the office manager at the clinic and offered a compelling price on a new brand of soaps. The new soap meets industry standards; however, the office manager is concerned that the reduced cost will also mean an inferior product. As nurses must frequently wash their hands throughout the day, having high-quality soap is very important. The office manager has asked you to determine if the new brand of soap is of a lesser quality than the soap currently used. As you do not want to make this determination alone, you decide to get the other nurses involved in the evaluation process. How would you proceed? Would you have everyone try the new product or just selected individuals? How long will they use it? How will they provide feedback? Will you have a survey or face-to-face interviews? These are all types of questions that a researcher faces when he or she begins to plan for data collection.

This week, you consider the process of data collection for both quantitative and qualitative research. You will examine the various approaches to data collection, how you can test the reliability and validity of your data, and the ethical considerations involved with collecting data.

Learning Objectives

Students will:

Evaluate data collection methods

Learning Resources

To access this week’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

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 12, “Sampling in Quantitative Research”This chapter introduces key concepts concerning sampling in quantitative research. This includes such concepts as a description of populations, different types of sampling and their uses, and how to determine a manageable, yet sufficient number to be included in a sample. The chapter also includes suggestions for implementing a sampling plan.
Chapter 13, “Data Collection in Quantitative Research”Once a sampling design is complete, the next step is to collect the data, and this is the focus of Chapter 13. The chapter describes how to develop a data collection plan, and provides information about the different types of instruments that can be used, such as structured observation and biophysiologic measures.
Chapter 22, “Sampling in Qualitative Research”The focus of this chapter is on the sampling process in qualitative research. The chapter describes the different types of sampling and when they are commonly used. Sampling techniques in the three main qualitative traditions (ethnography, phenomenological studies and grounded theory studies) are highlighted.

Chapter 23, “Data Collection in Qualitative Research”This chapter examines the process of data collection in qualitative research as well as key issues surrounding data collection. This includes such methods as self-reporting, surveys, interviews, and personal journal keeping. The chapter also highlights important considerations when utilizing unstructured observations to gather data and how to record field notes.

Keough, V. A., & Tanabe, P. (2011). Survey research: An effective design for conducting nursing research. Journal of Nursing Regulation, 1(4), 37–44. Copyright 2011 by Elsevier Science & Technology Journals. Used with permission of Elsevier Science & Technology Journals via the Copyright Clearance Center.

This text emphasizes the advantages of survey research. The authors describe the nuances of survey research projects, including their design, methods, analysis, and limitations.

Walden University. (n.d.a.). Paper templates. Retrieved July 23, 2012, from http://writingcenter.waldenu.edu/57.htm

This resource provides you access to the School of Nursing Sample Paper, which will serve as a template for formatting your papers.

Dr. Kristen Mauk discusses how she collected data for her DNP project in this video. She describes the details of her pre- and post-tests used to track nurses’ knowledge in a rehabilitation unit.

Krainovich-Miller, B., Haber, J., Yost, J., & Jacobs, S. (2009). Evidence-based practice challenge: teaching critical appraisal of systematic reviews and clinical practice guidelines to graduate students. Journal of Nursing Education, 48(4), 186–195.

This text emphasizes the advantages of survey research. The authors describe the nuances of survey research projects, including their design, methods, analysis, and limitations.

Horsley, T., Hyde, C., Santesso, N., Parkes, J., Milne, R., & Stewart, R. (2011). Teaching critical appraisal skills in healthcare settings. Cochrane Database of Systematic Reviews (Online), 11, Art. No.: CD001270.

Melnyk, B., Fineout-Overholt, E., & Mays, M. (2009). The evidence-based practice beliefs and implementation scales: Psychometric properties of two new instruments. Worldviews on Evidence-Based Nursing, 6(1), 49.

Fawcett, J., & Garity, J. (2009). Evaluating research for evidence-based nursing. Philadelphia, PA: F.A. David Company.

Chapter 9, “Evaluation of Research Instruments and Experimental Conditions”

Discussion: Planning for Data Collection

Data collection is an important part of both quantitative and qualitative research. Although the actual approach to gathering information may vary, for either research design, researchers need to plan in advance how the data will be gathered, reported, and stored, and they need to ensure that their methods are both reliable and valid. As nurses review research when considering a new evidence-based practice, it is important to be familiar with sound collection practices in order to ascertain the credibility of the data presented.

Consider the following scenario:

Nurses and other health care professionals are often interested in assessing patient satisfaction with health care services. Imagine that you are a nurse working in a suburban primary care setting that serves 10,000 patients annually. Your organization is very interested in understanding the patient’s point of view to help determine areas of care that can be improved. With this focus in mind, consider how you would create a survey to assess patient satisfaction with the services your organization provides. You may wish to consider variables such as the ease of accessing care, patient wait time, friendliness of the staff, or the likelihood that a patient would recommend your organization to others.

For this Discussion, you generate questions and an overall plan for data collection that would be appropriate for a patient satisfaction survey in relation to the above scenario.

To prepare:

Consider the guidelines for generating questions presented in this week’s Learning Resources.

Review the scenario and formulate at least five questions that you could use to evaluate patient satisfaction.

Reflect on the different methods or instruments that can be used for gathering data described in Chapter 13 and Chapter 23 of the course text.

Which methods or instruments would work well for the scenario? Determine an appropriate sample size for the scenario.

ASSIGNMENT 1

WRITE the questions that you created for gathering information about patient satisfaction based on the above scenario. Explain which method or instrument you would use to gather data. Describe the sample size appropriate for the population and how you would select participants. Provide a rationale for your choices, and explain how you can ensure high standard of reliability and validity.

Course Project: Part 3—Translating Evidence Into Practice

In Part 3 of the Course Project, you consider how the evidence you gathered during Part 2 can be translated into nursing practice.

Now that you have located available research on your PICOT question, you will examine what the research indicates about nursing practices. Connecting research evidence and findings to actual decisions and tasks that nurses complete in their daily practice is essentially what evidence-based practice is all about. This final component of the Course Project asks you to translate the evidence and data from your literature review into authentic practices that can be adopted to improve health care outcomes. In addition, you will also consider possible methods and strategies for disseminating evidence-based practices to your colleagues and to the broader health care field.

To prepare:

Consider Parts 1 and 2 of your Course Project. How does the research address your PICOT question?

With your PICOT question in mind, identify at least one nursing practice that is supported by the evidence in two or more of the articles from your literature review. Consider what the evidence indicates about how this practice contributes to better outcomes.

Explore possible consequences of failing to adopt the evidence-based practice that you identified.

Consider how you would disseminate information about this evidence-based practice throughout your organization or practice setting. How would you communicate the importance of the practice?

To complete:

In a 3- to 4-page paper:

Restate your PICOT question and its significance to nursing practice.

Summarize the findings from the articles you selected for your literature review. Describe at least one nursing practice that is supported by the evidence in the articles. Justify your response with specific references to at least 2 of the articles.

Explain how the evidence-based practice that you identified contributes to better outcomes. In addition, identify potential negative outcomes that could result from failing to use the evidence-based practice.

Outline the strategy for disseminating the evidence-based practice that you identified throughout your practice setting. Explain how you would communicate the importance of the practice to your colleagues. Describe how you would move from disseminating the information to implementing the evidence-based practice within your organization. How would you address concerns and opposition to the change in practice?

This part of the Course Project is due. It should be combined with the other two components of the Course Project and turned in as your Portfolio Assignment for this course.

Note: In addition, include a 1-page summary of your project.

For this final iteration, you will need to:

Submit your paper to Grammarly and SafeAssign through the Walden Writing Center. Based on the Grammarly and SafeAssign reports, revise your paper as necessary.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The School of Nursing Sample Paper provided at the Walden Writing Center provides an example of those required elements.

The benchmark assesses the following competencies:

1.4 Participate in health care policy development to influence nursing practice and health care.

Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA) website. Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.

Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue.

Follow this outline when writing the policy brief:

  1. Describe the policy health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issues supported by resources.
  2. Create a problem statement.
  3. Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable.
  4. Discuss the impact on the health care delivery system.

Include three peer-reviewed sources and two other sources to support the policy brief.

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

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

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

RUBRIC

Attempt Start Date: 29-Apr-2019 at 12:00:00 AM

Due Date: 05-May-2019 at 11:59:59 PM

Maximum Points: 120.0

Benchmark – Policy Brief – Rubric

No of Criteria: 9 Achievement Levels: 5CriteriaAchievement LevelsDescriptionPercentageUnsatisfactory0.00 %Less than Satisfactory75.00 %Satisfactory79.00 %Good89.00 %Excellent100.00 %Content80.0     Description of Policy Health Issue 20.0Description of the policy issue is omitted.An incomplete description of the policy issue is presented. The origin of this policy is unclear. There is no evidence that this policy creates a health issue, or that it is an issue for the population selected. The level at which the issue occurs has not been identified. There are major inaccuracies. A description of the policy issue is summarized. The origin of the policy is described, but it is unclear why the policy creates a health issue for the population selected. The level at which the issue occurs is identified. There are some inaccuracies. More information and rationale are needed.A general description of the policy issue is presented. The origin of the policy is described and a correlation between the policy and the health issue for the population selected is established. The level at which this occurs is discussed. Some rationale or detail is needed for clarity.A detailed description of the policy issue is presented. The origin of the policy is described and a strong correlation between the policy and the health issue for the population selected is established. The level at which this occurs is discussed. Strong rationale and evidence are offered for support. Insight into the policy health issue is demonstrated.Problem Statement20.0A problem statement is not included.A problem statement is present but lacks detail or is incomplete. Subject knowledge is unclear or inconsistent.A problem statement is present. Some subject knowledge is evident.A problem statement is included, and subject knowledge is competent.A problem statement is thoroughly developed with supporting details.Suggestions for Addressing the Policy Health Issue (C 1.4 Participate in health care policy development to influence nursing practice and health care.)20.0Suggestions for addressing the policy health issue are not included.Suggestions for addressing the policy health issue are incomplete. Suggestions do not include all assignment criteria. The suggestions do not support policy change for the policy health issue.Suggestions for addressing the issue are present. Some subject knowledge is evident. Most assignment criteria are met. The suggestions generally outline steps for policy change. More information or evidence is needed.Suggestions for addressing the issue are present, and subject knowledge is competent. All assignment criteria are met. The suggestions outline steps for policy change. Minor detail is needed for clarity.Suggestions for addressing the issue are thoroughly developed with supporting details. All assignment criteria are met and well-supported. The suggestions are well-supported and offer clear steps for initiating policy change.Impact on Health Care Delivery System20.0A discussion on the impact on the health care delivery system is not included.A discussion on the impact on the health care delivery system is present but lacks detail or is incomplete. Subject knowledge is unclear or inconsistent.A discussion on the impact on the health care delivery system is present. Some subject knowledge is evident.A discussion on the impact on the health care delivery system is present, and subject knowledge is competent.A discussion on the impact on the health care delivery system is thoroughly developed with supporting details.Organization and Effectiveness 15.0     Thesis Development and Purpose5.0Paper lacks any discernible overall purpose or organizing claim.Thesis is insufficiently developed or vague. Purpose is not clear.Thesis is apparent and appropriate to purpose.Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.Argument Logic and Construction5.0Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.Mechanics of Writing (includes spelling, punctuation, grammar, language use)5.0Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.Format5.0     Paper Format (use of appropriate style for the major and assignment)2.0Template 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. Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)3.0Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.Total Percentage  100

“The greatest leader is not necessarily the one who does the greatest things. He is the one that gets the people to do the greatest things.”

— Ronald Reagan
U.S. President (1981-1989)

Leadership is a critical role for advanced practice nurses. In order to be an effective leader, one must examine his or her role as an advanced practice nurse, and use his or her knowledge, and leadership skills to address issues related to his or her specialty area. There is a saying that one must know when to follow and when to lead. In order to be a good leader, you must also learn how to follow. As you transition from student to practicing NP, seek opportunities for mentorship to develop your leadership skills. Recognizing when to lead and when to follow is an interchangeable process that requires experience and preparation. The future for Americans in health care is unpredictable. This week it is important to focus on the complex and advanced leadership role that is needed to make effective change in a dynamic and demanding health care system.

This week you will focus on the importance of leadership in advanced practice nursing. You will have an opportunity to examine how you can execute positive social change in your state for salient advanced practice nursing issues.

State Practice Agreements

Write 1 page

This week you will have an opportunity to evaluate state practice agreements in your state ( of TEXAS ) and examine issues related to NP practice.

To prepare:

1. Review and Post a brief description of the REVIEW of practice agreements for NPs in your state of TEXAS.

2. dentify /name at least two physician collaboration issues in your state of Texas.

3. Explain what you think are the barriers to NPs practicing independently in your state mof TEXAS.

4. Finally, outline a plan for how you might address NP practice issues in your state.

5. Suggest additional actions you will  take.

6. Validate an idea with your own clinical experiences with the support of an additional literature search from a reputable source.

REFERENCES:
Required Readings

Buppert, C. (2015). The Employed Nurse Practitioner. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.). (323-336). Burlington, MA: Jones & Bartlett.

This chapter covers the rights of employed NPs, contract negotiation, interviewing, responsibilities of an NP employee, employer’s evaluation of the NP’s performance, malpractice insurance, and collaborative practice agreements.

Hatt, K. (2015). 5 Interview Pitfalls. Recruiters reveal how to respond to the most complicated questions. Advance Healthcare Network for NPs & PAs. Retrieved from http://nurse-practitioners-and-physician-assistants.advanceweb.com/student-and-new-grad-center/student-top-story/5-interview-pitfalls.aspx

Thomas, A. C., Crabtree, M. K., Delaney, K. R., Dumas, M. A., Kleinpell, R., Logsdon, C.,…Nativio, D. G. (2012). Nurse Practitioner Core Competencies. Retrieved from http://c.ymcdn.com/sites/www.nonpf.org/resource/resmgr/competencies/npcorecompetenciesfinal2012.pd

Assignment #2

W11 – Discussion: Write 1 page. 

State Practice Agreements

Social Change Agents

Assignment #2

W 11 Discussion

STATE PRACTICE AGREEMENT

Social change Agents

“We’ve been called disruptive innovators,” Ford said. “And I think ‘disruptive innovators’ is great – we just need more of them.”

— Heidesch, T. (2008)

As NPs, we are obligated to promote our profession. A component of promoting the profession is proactively being engaged with our communities and identifying areas where change is needed. An example of this would be identifying a community issue, such as an increase in the rate of obesity in a middle-school population and discovering that soda machines are present in the schools. Identifying a problem and being a positive change agent is an essential component of the NP role. Understanding the lawmaking process and how to initiate a local or state change empowers the NP to impart Social Change.

This week you will focus on the importance of leadership in advanced practice nursing. You will have an opportunity to examine how you can execute positive social change in your state for salient advanced practice nursing issues.

Consider the following:

During NP clinical practicum experiences, we identify, as nurses, many health care issues that need to be addressed at the local, state, or national level. Addressing the need for change in health care policy is now an intricate part of your role as a social change agent.

For this Discussion, you will identify a change needed in your community and what your nursing legacy for positive social change will be.

To prepare:

· 1. Consider the health care issues and deficits you have recognized in your professional practice.

· 2. Identify a change needed in your community in health care policy and discuss how you could impart change during your career as an NP.) (A change needed in my community is Obesity ).

· 3. Consider your future as a NP and what your nursing legacy will be. How will you impart Social Change?

1. Post a change needed in your community and an explanation for how you will begin to implement that change. 

2. Then, share with your colleagues a brief explanation of what your nursing legacy will be:(My nursing legacy  will be (Being an advocate for health promotion through disease screenings and illness prevention)

3.  How will you impart Social Change. 

4.  Provide  at least one suggestion for a colleague in your class on how they could implement this change and for their nursing legacy.

REFERENCES: Required Readings

Buppert, C. (2018). Nurse practitioner’s business practice and legal guide (6th ed.). Sudbury, MA: Bartlett & Jones Learning.

· Chapter 12, “Lawmaking and Health Policy” (pp. 421-433)

This chapter covers the legal process, the judicial system and health policy. Additionally, law and rules that affect NPs, how to initiate a change in law and the process involved from beginning until law or rule is finalized.

Christensen, C. M., Bohmer, R. M. J., & Kenagy, J. (2000). Will disruptive innovations cure health care? Harvard Business Review, 78(5), 102-112, 199.

Note: Retrieved from the Walden Library databases.

Heidesch, T. (2008). Disruptive innovation NPs are true Health Care Reformers. Advance Healthcare Network for NPs & PAs, 16(12), 94. Retrieved from http://nurse-practitioners-and-physician-assistants.advanceweb.com/Article/Disruptive-Innovator.aspx

National Conference of State Legislatures (n.d.). Glossary of Legislative Terms. Retrieved from http://www.ncsl.org/research/about-state-legislatures/glossary-of-legislative-terms.aspx

No plagiarism. Due Jan.30.18 by 12noon

Write 1 page only on each discussion (2 pages $20)

Use references provides ONLY

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