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Advanced Practice Nurse Synthesis of Policy, Healthcare Systems, and Nursing Organizations Impact

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Synthesis of Policy, Healthcare Systems, and Nursing Organizations Impact on the Advanced Practice Nurse

• Find an organization that coincides with your specialty (If you can’t find one use AANP).

***My organization will be Mental Health of American

• Explain the advocacy priorities of the organization you have chosen.

• Focus on one of the issues from the organization’s advocacy priorities.

o Explain the issue you have chosen in depth and why it is important to you using an example from a clinical experience or work situation. Do not support your choice with a personal story.

o From the viewpoint of an Advanced Practice Nurse, discusses challenges and opportunities envisioned for the advanced practice registered nurse related to the issue and examples provided.

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o Identify who the stakeholders are related to the issue. Discuss why they are impacted by the advocacy priority and how they influence policy. Include both formal and informal stakeholders (ie: healthcare providers and patient advocacy groups).

o Describe needed revisions in local, state, federal, or organizational regulations or policies to attain the desired outcome/revision (provide at least one example, no need to provide all four).

Your paper should be no more than 5-6 pages, excluding the cover page and reference page. No abstract is required. You must use APA format, or your paper will be returned. If your paper exceeds 6 pages, your professor will stop reading at 6 pages. Use headings within your paper. Use sufficient references to assure your paper is scholarly and unbiased. Upload your assignment to Moodle by the due date.

You will be assessed on the following criteria:

• Critically presents the issue and the literature supporting it;

• Succinctly but poignantly states own position;

• Applies course content and draws on scholarly literature to develop a logical argument in appraisal of the evidence, the issue, and a potential solution;

• Poses a viable, creative, and innovative solution that has the potential to transform the health care system vis-à-vis the problem/issue that is the topic of the paper;

• Communicates in a scholarly manner, which is commensurate with graduate educational standing.

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Example Outline of Paper

• Description of chosen organization (Introduction-one paragraph)

o Paraphrase mission of organization

o If a specialty organization, describe the specialty and how it impacts or supports the specialty

• Description of advocacy priorities for the organization (1-2 paragraphs depending on how many there are)

• Describe one of the priorities that you identify with most in your practice currently (1-2 paragraphs including the points below)

o Paraphrase the advocacy priority and how it supports the specialty or advanced practice nurse

o Describe how this advocacy priority relates to practice

• Briefly describe the advanced practice nurse within this specialty (1-2 paragraphs)

o Practice priorities/competencies

o Strengths

o Billing practices (if known)

• From the viewpoint of an advanced practice nurse in this specialty:

o Identify who the stakeholders are related to the issue

 Discuss why they are impacted by the advocacy priority and how they influence policy (1-2 paragraphs)

o Discusses challenges for the advanced practice nurse in this specialty related to the advocacy priority you have chosen (1-2 paragraphs)

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 Support with evidence (peer reviewed articles)

o Discuss opportunities envisioned for the advanced practice registered nurse related to become more involved with the issue (1-2 paragraphs)

 Support with evidence (peer reviewed articles)

o Describe needed revisions in at least one of the following areas: local, state, federal, or organizational regulations or policies to attain the desired outcome/revision (provide at least one example, no need to provide all four) (1-2 paragraphs)

 Support your view with rationale synthesized from peer reviewed journal articles

• Closing paragraph (1 paragraph)

o Summarize the whole paper using one sentence to summarize each major section with a closing statement of position on the issue.

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Synthesis of Policy, Healthcare Systems, and Nursing Organizations Impact on the Advanced Practice Nurse: Evaluative Criteria for Assessment

Student: _________________ Topic: ___________________

In the final paper, the student Exceeds Expectations Meets Expectations Falls below Expectations of Graduate Level

1. Identifies an organization that aligns with future specialty. Presents the advocacy priorities for the organization.

Evidence

Faculty Feedback:

2. Succinctly identifies a single priority from the organization and why it is important using an example from a clinical experience or work situation. (Do not support your choice with a personal story.)

Evidence

Faculty Feedback:

3. Astutely discusses key stakeholders, challenges and opportunities envisioned for the advanced practice registered nurse related to the chosen advocacy priority/issue using evidence to support.

Evidence

Faculty Feedback:

4. Clearly describes needed revisions in local, state, federal, or organizational regulations or policies to attain the desired outcome/revision (provide at least one example).

Evidence

Faculty Feedback:

5. Summarizes the above points in a PowerPoint in 5-7 slides. Provides visual appeal in the presentation. Provides feedback for one other student’s presentation.

Evidence

Faculty Feedback:

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6. Communicates in a scholarly manner, which is commensurate with graduate educational standing, and in accordance with APA formatting.

Review the six outcome criteria and reflect on your performance in addressing each in your paper. Then, answer the following questions:

1. Identify one of the criteria that you struggled to adequately address but for which you believe you were eventually successful. Comment on what strengths you brought to bear in resolving your uncertainty and struggle.

2. Identify one of the criteria that you struggled to address and still are not sure how well you addressed it in your health policy brief. What gaps in knowledge, ways of thinking, resources, etc. might underlie that struggle? How will you address them (i.e., what plan might you create)?

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Mental health patients with no Medical health insurance

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Mental health patients with no Medical health insurance

Taken from: Milstead, JA & Short, NM. (2019) Health Policy and Politics: A Nurse’s Guide (6th ed). Jones and Bartlett Learning. ISBN: 978-1284-12637-2

Discuss how the diagram of the policy process (see above) can help inform how you approach finding a solution to this problem.

Reflect on which level of government might address this problem and why. Identify the stakeholders in this issue.

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Fire and Emergency Services Administrator

You will use your skills as a fire and emergency services (FES) administrator to respond to the allegations made by the watchdog. As a part of your preparation for this response, you requested an Incident Action Plan (IAP) ICS Form 202 to review. Click here to review the ICS Form 202. The allegations made to the news media include the items listed below.

The fire department is not adhering to the National Fire Protection Association (NFPA) 1710 standard of a minimum of four firefighters on the first due engine.

The Washington Fire Department (WFD) did not comply with training requirements for hazardous materials response, which are mandated by law.

Fire department personnel entered the hot zone without hazardous waste operations and emergency response (HAZWOPER) training.

Fire and Emergency Services Administrator

Elected officials and the public are not apprised of what is going on in the fire department.

You will need to demonstrate best practices for dealing with the media as you make your presentation. You will need to discuss the decision your firefighters made to protect the residents of the nursing home by supporting their actions even though many believe it was unethical to cause the massive fish kill. You will need to discuss the legal aspect of HAZWOPER and firefighters just beginning the training. You will need to discuss keeping elected officials and the public aware of fire department goals for training.

If you do not have a way to record a video, you may create an eight-slide PowerPoint presentation instead. For the presentation, you must follow the same prompt as described above, but you must also include any image(s) that you would use in the town hall meeting. The presentation needs a title slide, which should include your name, the date, and the title of your presentation, and a reference slide. The title slide and reference slide do not count toward meeting the eight-slide minimum. You will do a voiceover narration for every slide—except for the reference slide. Ensure you follow APA guidelines.

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Fire and emergency services (FES) organizations

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Fire and emergency services (FES) organizations

Order Instructions:

In fire and emergency services (FES) organizations, ethical behavior encompasses a wide range of behavior, and firefighters make subjective decisions every day that could lead to an ethical allegation. Do you believe a formalized code of ethics should be developed by a national organization that would hold FES personnel to a standard? Consider if personnel violated their certification or license; could their certification be revoked? Why, or why not? What would you do to develop a formalized code of ethics?

Fire departments must build a culture that encourages integrity, trust, and ethical behavior

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A Nurse Practitioner-Initiated Bill in the Spring 2014 Nebraska Unicameral Legislature

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A Nurse Practitioner-Initiated Bill in the Spring 2014 Nebraska Unicameral Legislature

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CASE STUDY Unit 3: A Nurse Practitioner-Initiated Bill in the Spring 2014 Nebraska Unicameral Legislature

An example of agenda setting in 2014 was an effort by the Nebraska Nurse Practitioners (NNP), a state nursing association, to find a state senator who would introduce a bill into the Nebraska unicameral legislative session to eliminate the Integrated Practice Agreement (IPA) from the Nurse Practitioner Practice Act (Nebraska Legislature, 2014).

The public hearing for the bill was held on January 31, 2014; the sponsoring state senator’s goal was for the bill to emerge from the seven-member Health and Human Services Committee with support from all or most of the members (Senator S. Crawford, personal communication, January 2014).

A Nurse Practitioner–Initiated Bill in the Spring 2014 Nebraska Unicameral Legislature

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Prior to the bill’s introduction, the NNP had to undergo review by the Nebraska Credentialing Review (407) Program. This state-level review program had been created to evaluate current Nebraska health professionals who are seeking to expand their scope of practice or to evaluate the scope of practice of a new type of provider (Nebraska Department of Health and Human Services, n.d.).

As part of its review, the NNP submitted extensive documentation to three review bodies—an ad hoc Technical Review Committee appointed by the director of the Nebraska Division of Public Health, a second review by the State Board of Health, and a third review by the director of the Division of Public Health. These reviews represented input from the Department of Health and Human Services (DHHS) about possible concerns for Nebraskans in either public health or safety.

Although the recommendations at the three levels are advisory, they serve to inform state senators when considering and voting on proposed legislation (D. Wesley, lobbyist, personal communication, June 2013). The NNP proposal received support at the first two levels; at the second level, the vote was 12–5 to eliminate the IPA requirement (Whitmire, 2013).

There also were recommendations with this second vote to (1) have practice requirements for the new graduate nurse practitioner (NP) and (2) have ongoing competency evaluations of all NPs. At the third level of review, the director and chief medical director of the DHHS were strongly opposed to the NNP proposal (Ruggles, 2013).

A Nurse Practitioner–Initiated Bill in the Spring 2014 Nebraska Unicameral Legislature

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APRNs in Nebraska set the agenda with four goals in mind:

Decrease barriers to their full scope of practice

Provide more and needed access to health care (especially primary care and mental health care) in rural parts of the state

Meet the emerging primary healthcare needs associated with an increased Nebraska population having health insurance because of the Affordable Care Act

Decrease the exodus of APRNs to contiguous states that did not have such IPA agreements (Sundermeier, 2013/2014)

In seeking passage of this bill, Nebraska NPs wanted to join the 17 other states and the District of Columbia that had facilitated full scope of practice availability for nurse practitioners. As noted by Bobrow and Dryzek (1987), this case study underscores the importance of contextual dimensions furthering agenda setting. As noted previously, there were four important contexts in setting this agenda topic at this time in this state.

This agenda, which was based on evidence-based practice studies and the promotion of all nurses working to their full potential, is also advocated by the National Academy of Medicine (Institute of Medicine, 2010). By providing legislative language to a state senator to introduce a bill, APRNs set the agenda in Nebraska.

A Nurse Practitioner–Initiated Bill in the Spring 2014 Nebraska Unicameral Legislature

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A variety of strategies were implemented to further the agenda goal. This chapter’s author served as chair of the Nebraska Nurses Association’s Legislative Advocacy and Representation Committee (LARC). This committee worked in unison and collaboratively with the NNP, its lobbyist, the NNA lobbyist, and the sponsoring state senator to serve as the lead strategists and voices. APRNs used public media to promote their perspectives. For example, following a negative review from the Nebraska DHHS, one APRN educated the public via an op-ed article about APRNs in the state’s largest newspaper (Holmes, 2013). She noted several of the previously made arguments as support for why APRNs wanted the IPA eliminated.

The bill passed by a 43–0 vote during the last day of the 2014 unicameral session. However, the governor vetoed the legislation, and there was not time for the unicameral legislature to enact an override.

In early 2015, the bill was reintroduced, passed, and signed by the new governor on March 5, 2015 (Lazure, Cramer, & Hoebelheinrich, 2016). Other factors facilitating its passage included

A Nurse Practitioner–Initiated Bill in the Spring 2014 Nebraska Unicameral Legislature

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(1) education regarding APRN capabilities along with advocacy during the campaigns of 17 new state senators;

(2) obtaining commitments from both gubernatorial candidates that they would not veto the bill if reintroduced in 2015;

(3) ongoing advocacy by the earlier noted nursing groups; and (

4) interprofessional health groups that both supported the bill and said they would testify at a public hearing. Nebraska is now one of 21 states in which nurse practitioners have full practice authority (Pohl, Thomas, Barksdale, & Werner, 2016).

Read the Case Study above to Answer the Questions Below:

1: How does the Kingdon model apply to the Nebraska case study?

2: How can all healthcare providers support one another and further some of the IOM goals or Healthy People 2030 goals using the Kingdon Model to get the policy process started?

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APN policy and procedures

Order Instructions:

Provide your thoughts about the process used to guide the policy process AND explain how the APN/RN could impact this particular policy process.

This reading is meant to provide an extensive example of policy process AND motivate students to think about how they could be a part of the policy process, even a small component.

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Advise the President Essay

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Advise the President

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***Each answer to the question must be at least 200 words with 1 reference.

What would you advise the President of the US to do to help the countries you and your colleagues have discussed? Why?

Is the U.S. really taking on a heavier burden of the world’s needs? What does U.S. foreign aid accomplish and what would happen under the drastic cuts President Trump proposes? In recent work, Brookings experts have dispelled myths about foreign aid and explained why development assistance is important for recipient countries as well as for U.S. security

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Health disparities Essay Paper

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Health disparities

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Question 1

What rules or principles would you follow in helping an underdeveloped country address its health disparities?

Health-disparities are preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by socially disadvantaged populations.

While the term disparities is often used or interpreted to reflect differences between racial or ethnic groups, disparities can exist across many other dimensions as well, such as gender, sexual orientation, age, disability status, socioeconomic status, and geographic location. Disparities are inequitable and are directly related to the historical and current unequal distribution of social, political, economic, and environmental resources.

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Organization for Economic Cooperation and Development (OECD)

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Organization for Economic Cooperation and Development (OECD)

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Describe the organization. Discuss what kind of organization it is. If it is an NGO, what generation is it? If it is a TNC, what kind of business does it do? If it does not fit either NGO or TNC categories, comment on why not. What is the normative underpinning of this organization (i.e., under what ethical orientation(s) does it operate)?

Organization: Organization for Economic Cooperation and Development (OECD)

The Organisation for Economic Co-operation and Development is an intergovernmental economic organisation with 38 member countries, founded in 1961 to stimulate economic progress and world trade.

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