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How should nurses assure policy change for advanced practice registered nurses?

Reply to classmate’s discussion ( answers to your peer of 150 words) each reply needs citation and reference independently. Turnitin less 15%.

Classmate 1 post:

The United States has a growing demand for highly skilled and specialized nurses. An aging population, a growth in chronic illnesses, and an increasing emphasis on preventative care drive this demand. Nurses must be able to grow their careers and practice to their full ability to meet this demand. Unfortunately, various barriers prevent nurses from doing so, one of the most significant being policy. Nurses must be able to ensure policy change for advanced practice registered nurses to solve labor shortages in remote places. The Affordable Care Act (ACA) is one strategy to accomplish this. The Affordable Care Act gives financial incentives to nurses.

Nurses can advocate for policy changes in a variety of ways. One approach is to educate decision-makers on the value of advanced practice registered nurses (APRNs). APRNs play a crucial role in providing high-quality care, and policymakers must recognize their value to the healthcare system (Hassmiller, 2022). Another option for nurses to lobby for policy change is to speak out about the importance of APRNs having access to the resources they require to be successful. It includes education and training, as well as adequate remuneration. Nurses can also endeavor to educate the public about the value of APRNs and the need for legislative reform (van Wijk et al., 2022). This objective can be accomplished through social media, community outreach, and other forms of public interaction.

The Affordable Care Act (ACA) has many provisions aimed at addressing rural labour shortages. One section authorizes the establishment of Community Health Centers (CHCs), which will offer primary care services in underprivileged communities. CHCs can help attract and maintain rural health care practitioners by offering debt repayment assistance and other financial incentives. Another ACA provision created the National Health Service Corps (NHSC), which offers medical practitioners scholarships and loan repayment aid if they agree to serve in underprivileged communities. The NHSC also provides loan repayment help to providers who commit to work for at least two years in underserved areas. The Affordable Care Act (ACA) offers financial incentives for medical care providers (Zhang et al., 2020). Increasing the number of graduates from medical institutions, attracting foreign-trained physicians, and implementing contemporary technology are some initiatives to equip the physician workforce to cater to the rising healthcare demand.

The current demand in the United States for highly competent and specialized nurses can only be met if legislative adjustments are adopted to allow nurses to reach their full potential. One technique used to do this is the Affordable Care Act. Financial incentives are provided to healthcare providers under the Affordable Care Act (ACA), which also forms Community Health Centers (CHCs) that might assist attract and retaining rural healthcare practitioners. Nurses may help bring about the policy reforms needed to solve the nursing crisis by educating decision-makers and the general public about the significance of advanced practice registered nurses and the need for legislative reform.

References

Hassmiller, S. B. (2022). How Nurses Can Help to Create a Better Post-Pandemic World. Policy, Politics, & Nursing Practice23(1), 3–4.  https://doi.org/10.1177/15271544221075201

van Wijk, M., Lalleman, P. C. B., Cummings, G. G., & Engel, J. (2022). Public Opinion Leadership in Nursing Practice: A Rogerian Concept Analysis. Policy, Politics, & Nursing Practice23(1), 67–79.  https://doi.org/10.1177/15271544211071099

Zhang, X., Lin, D., Pforsich, H., & Lin, V. W. (2020). Physician workforce in the United States of America: forecasting nationwide shortages. Human Resources for Health18(1).  https://doi.org/10.1186/s12960-020-0448-3

Classmate 2 post:

How should nurses assure policy change for advanced practice registered nurses? What role does the Affordable Care Act (ACA) play in addressing workforce shortages in rural communities?

Nurses participate in policymaking as healthcare professionals, which is critical for improving service, protecting patient safety, increasing healthcare outcomes, and facilitating access to excellent health care. Advanced registered nurses are particularly suited to play a significant role in healthcare policy formation. Advanced registered nurses have an impact on health policy at several levels, particularly organizational, regional, and national levels. They use their leadership abilities to drive shifts in policy at both levels. Advanced registered nurses impact policy at these levels by introducing advocacy skills to the management and advocating collaborative governance mechanisms in their organization (Arabi et al., 2014). They may, for example, lobby fellow caregivers to optimize staffing numbers, emphasize professional growth, and guarantee an appropriate provision of safety gear. Through these channels, nurses encourage a safe working environment in order to safeguard both patients and staff from injuries and other hazards.

By taking on leadership roles in healthcare and addressing policy issues with state authorities, registered nurses may influence policy. This may be achieved through enrolling in formal political education programs, participating in local government organizations and councils, or even campaigning for local office. Additionally For example, by engaging in lobbying and using their voting privileges. Specialized training Registered nurses may also do this by joining organizations for professionals, many of which include lobbyists who can raise concerns about nursing with authority or political figures (BARZEGAR SAFARI et al., 2020). They may also become members of state nursing organizations, in which they can fight for unrestricted practice rights, or join state nursing associations, where they have the chance to promote professional autonomy (BARZEGAR SAFARI et al., 2020). Nurses may also promote policy change by campaigning for elected office; if elected, they will have the ability to directly address concerns with the Legislature or the Presidency.

The Affordable Care Act is a critical component in the effort to alleviate labor force shortages. This is made easier by the availability of financial support to support rural communities in attracting and retaining clinical staff and also by the creation of a national office of rural healthcare reform to aid in coordinating and improving medical coverage in remote regions (Kominski et al., 2017). Both of these measures are aimed at making it easier for rural residents to receive medical treatment. It is possible that the ACA can help alleviate the nursing labor shortage by investing in education and training initiatives that will assist in the expansion of the proportion of healthcare practitioners working in rural regions (Kominski et al., 2017). This is accomplished by providing financial aid to remote healthcare professionals in order to assist them in the recruitment and retention of staff members. The Affordable Care Act (ACA) contributes to an increase in the number of nurses actively working in the field, which in turn helps alleviate any labor shortages that may exist in the field.

References

Arabi, A., Rafii, F., Cheraghi, M. A., & Ghiyasvandian, S. (2014). Nurses’ policy influence: A concept analysis. Iranian journal of nursing and midwifery research, 19(3), 315–322.

BARZEGAR SAFARI, M., BAHADORI, M., & ALIMOHAMMADZADEH, K. (2020). The Related Factors of Nurses’ Participation and Perceived Benefits and Barriers in Health Policy Making. Journal of Nursing ResearchPublish Ahead of Print. https://doi.org/10.1097/jnr.0000000000000385

Kominski, G. F., Nonzee, N. J., & Sorensen, A. (2017). The Affordable Care Act’s Impacts on Access to Insurance and Health Care for Low-Income Populations. Annual Review of Public Health38(1), 489–505.  https://doi.org/10.1146/annurev-publhealth-031816-044555

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Registered nurses (RNs) and advanced practice registered nurses (APRNs) play a vital role in healthcare delivery.

Respond to the two following post

APA format

2 scholarly References within the last two years for each post

Plagiarism free, Turnitin report

Chloe C

Discusion # 1

Top of Form

Opportunities

Nursing plays a role in changing health policy on multiple levels: conduct quality improvement projects on the job, attend local meetings to share their expertise and advice and write to their political representatives to advise them on critical health-related issues. Registered Nurses and Advanced Practice Registered Nurses are in a great position to advocate for policy development because they spend so much time with patients to know the specific needs of the communities they serve. (Regis College, n.d.).

 Challenges

Nurses often must move out of their comfort zone to advocate for health policy changes, and this process can be very time-consuming. Some have no interest in politics and policy-making and lack educational preparedness. Some have found a lack of resources and mentorship from exemplary nurse leaders. 

           Joining nursing organizations is essential for nurses to enhance individual advocacy efforts. These groups provide resources and strategize more effectively to bring nursing perspectives to health policy decision-makers. Nursing organizations can monitor public policy, offer ways for their members to learn about health policy, and serve as a resource for reliable information related to policy issues and policymakers. (Abood, n.d.).

 Strategies 

As nurses, these opportunities to participate in policy-making can be communicated in the employment setting through word of mouth directly to coworkers or nursing-led education classes about the subject. Also, social media is a great way to reach, educate, advocate, and communicate with a specific target audience on a larger scale in this day and age. (Anders, 2021).

Andrikia W

Discussion post #2

Top of Form

Registered nurses (RNs) and advanced practice registered nurses (APRNs) play a vital role in healthcare delivery. As RNs and APRNs, we must become actively involved and continue to be the voice and advocate for our patients and community. We can become involved by meeting with local legislators and community leaders to address the problems we are facing with health care. Also, joining an organization such as American Nurses Association is a way for nurses to become actively involved in the policy-making process. In addition to lobbying on issues that directly affect the nursing profession, ANA takes bold stances on issues important to its members. ANA has taken firm positions on a range of issues including Medicare reform, the importance of safe nurse staffing, workplace violence, whistleblower protections for health care workers, and adequate reimbursement for health care services (ANA, n.d.). Social media is a key platform for nurses to be advocates. For example, Facebook has a variety of distinct groups designated for RNs and APRNs. It is a resourceful tool to utilize to network and get information to the public. Another strategy in increasing participation and bringing awareness to politics and policymaking is providing nurses with efficient information regarding health policies. For example, I did not have a lot of knowledge about healthcare policy making until taking this course. Surprisingly, this information is not provided or taught in undergraduate courses. If the information is introduced at an early stage in nurses’ careers, then they will be more actively engaged.

Nurses are not always granted the opportunity to voice their concerns. The International Nursing Review article identifies a lack of support, resources, and time for nurses to do so in their workplaces, and too often nurses lack confidence and skills in policymaking and do not understand the differences or connections between policy and politics (Health Stream, 2021). However, nurses should not allow negativity or lack of support from legislators to discourage them from becoming involved. Instead, nurses should fight back and have adequate evidence-based practice to support the topic of concern. Nursing organizations allow nurses to band together and support one another in policy implementation. Nurses can create healthcare change and should become involved in the policy process and learn about upcoming issues. As a component of professional nursing, active participation in the policy process is essential in the formulation of policies designed to provide quality health care at sustainable costs to all individuals (Milstead & Short, 2019).

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What two provisions in the ANA’s Code of Ethics for Nurses may help you in this transition?

As you prepare to transition from an academic student to a newly graduated nurse in clinical practice, consider the following:

  • What two provisions in the ANA’s Code of Ethics for Nurses may help you in this transition?
  • Expand on your chosen provisions and describe how adopting them into your clinical practice will help you to be successful.

In order to receive full credit, you will need to clearly respond to both parts of the question using subtitles or bullets AND cite at least one scholarly reference in your response. 

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  • What two provisions in the ANA’s Code of Ethics for Nurses may help you in this transition?
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    Nurses as Change Agents in the Community

     Discussion

    Discussion Question – A reference and citation are required. 

    Nurses as Change Agents in the Community

    In the chapter, “How Community-Based Organizations Are Addressing Nursing’s Role in Transforming Health Care,” the authors describe the community as the focus of advocacy action for change. They list a series of questions that help community teams develop organizing principles to guide their interventions, and the aim is to attack social determinants of health to make community change. Suppose a community team identifies lack of access to exercise modalities as a public health issue. If the team were to determine that pedestrian walkways need to be constructed:

    • Discuss at least two factors that would facilitate the development of the walkways.
    • Discuss at least two factors that would hinder the development of the walkways.
      • Include in your discussions ways that the team might work to overcome those hindrances.

    Textbook Information

    Mason, D. J., Dickson, E. L., Perez, G. A., & McLemore, A. R. (Eds). (2020). Policy & politics in nursing and health care (8th ed.). Elsevier. ISBN: 9780323554985.

    From your course textbook, Policy & Politics in Nursing and Health Care, read the following chapters:

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    Florence Nightingale is familiar to most nurses

    The basic story of Florence Nightingale is familiar to most nurses.  This week we learned more about Nightingale’s life and work. Select one  area of Nightingale’s leadership that was new to you and tell us how this changed your understanding of this important woman and her contributions to nursing.

    Grading:

    To view the grading criteria/rubric, please click on the 3 dots in  the box at the end of the solid gray bar above the discussion board  title and then Show Rubric. See Syllabus for Grading Rubric Definitions.

    Directions

    • Discussions are designed to promote dialogue between faculty and  students, and students and their peers. In discussions students: 
      • Demonstrate understanding of concepts for the week
      • Integrate outside scholarly sources when required
      • Engage in meaningful dialogue with classmates and/or instructor
      • Express opinions clearly and logically, in a professional manner
    • Use the rubric on this page as you compose your answers.
    • Best Practices include: 
      • Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.
      • Enter the discussion often during the week to read and learn from posts.
      • Select different classmates for your reply each week

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    Nurses on Boards and the National Nurse Campaign

    At least 2 pages- at least 2 references (must be within 5 years). Please Provide turni-it in report with zero plagiarism.

    Practice Readiness and a Call to Action

    For this last week of discussion, go back to the lesson for the week and review the Nurses on Boards and the National Nurse Campaign(See next page). As you reflect on what you have learned over the last 8 weeks:

    1.  What are your plans for the future?….Learn more through the DNP program…. Utilize the knowledge and skills…… I wish to use the awareness and knowledge gained to play important role you can play in your community and within health care…..Advocate for improved healthcare quality…..

    2.  Will you heed the call for action and join an organization like Nurses on Boards or become engaged with the National Nurse Campaign? (See next page for info on the 2 organizations)….Would like to join…..

    3.  Will you join a professional nursing organization?…. Already a Member of American Nurses Association (AMA).

    4.  Do you have other ideas that would work to benefit your community or an organization that is important to you?

    5.  Share with the class what your plans are now that you have a new awareness of your abilities and capabilities to provide advocacy beyond the beside.

    6.  Compose your final Tweet about this class. Remember to be concise as Twitter only allows 140 characters. Share your Tweet in the discussion.

    Supplemental reading:

    Garcia, A. L. (2019). National clinical research networks: Where is the nurse? (Links to an external site.)  Nursing Economics, 37(2), 100-102. https://doi,org/135960824

    Hardy, A. K., Nevin-Woods, C., Proud, S., & Brownson, R. C. (2015). Promoting evidence-based decision making in a local health department, Pueblo City-County, Colorado (Links to an external site.) . Preventing Chronic Disease, 12, E100. https://doi.org/10.5888/pcd12.140507

    Terhaar, M. F., Taylor, L. A., & Sylvia, M. L. (2016). The Doctor of Nursing Practice: From start to impact (Links to an external site.)  Nursing Education Perspectives (National League for Nursing), 37(1), 3-9.

    Nurses on Boards and the National Nurse Act

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    In 2010 the Institutes for Medicine published The Future of Nursing: Leading Change, Advancing Health (The future of nursing, 2010), through a grant provided by the Robert Wood Johnson Foundation. The context of this report spoke to the idea that nurses can and should play a larger part in the delivery of health care in the United States. Central to this theme, the IOM called for a number of significant actions that would promote the advancement of nursing in health care and increase the role of nurses across the entire spectrum. To this end, one of the recommendations is that nurses should serve on board, health care panels, and corporate boards as a means of providing a unique and qualified perspective to those these boards would serve. As a result of this recommendation, nurses on boards was formed in 2014 with the initial goal of achieving 10,000 nurses on boards by 2020 (Nurses on Boards, n.d.).

    The Nurses on Boards (n.d) website says, “Nurses represent the largest segment of the healthcare workforce, are considered the most trustworthy of all professions and play a huge role on the frontlines of care in our schools, hospitals, community health centers, long-term care facilities, and other places. Their perspective and influence must be felt more at decision-making tables (Our Story, Para 3).”

    National Nurse Campaign

    Another important initiative is the National Nurse Campaign (Links to an external site.) .  Few people knew Terri Mills, a nursing instructor from Oregon, when she began her work to develop support for a national nurse.  The premise of her idea was to provide a larger voice to the perspective of nursing on public health, wellness, and disease prevention. While the nation has a surgeon general, typically a physician, the nation did not have a voice for public health.  Terri’s aim was to change this by introducing legislation that would pass into law the appointment of a National Nurse (Chief Nursing Officer for Public Health) (National Nurse Website, 2019).

    Over the last 14 years Terri has worked on this idea, she has gain a tremendous amount of political momentum.  Receiving support from Eddie Bernice Johnson (Links to an external site.)  (D-TX) and Congressman Peter King (Links to an external site.)  (R-NY), several iterations of the National Nurse Act house bill was introduced to Congress and the Senate. Sadly, each iteration would get lost in subcommittee and then die.  Support from national nursing organizations was limited or absent.  However, between the 113th Congress and the 114th Congress – the American Nurses Association did an about face and with changes to the bill, now provides support for the legislative initiative.  Please read “In a U-Turn, the ANA Supports the National Nurse Act” (2015).

    In March of 2019, the National Nurse Act (Links to an external site.)  was submitted to Congress (H.R. 1597 (Links to an external site.) ) and the Senate (S. 696 (Links to an external site.) ) with reforms and changes requested by grass root supporters, national supporters, and elected officials.  In 2019 – Terri Mills has gained more support for this bill than she ever thought possible.  Interesting to note here is the support from other elected officials from across the country continues to grow. Click on this link to see the support to date (Links to an external site.)  as well as the nursing advocates (Links to an external site.) for this legislation (National Nurse Website, 2019).

    Read through H.R. 1597 and S. 696 and provide a summary of your thoughts about the proposed legislation. Do you support this initiative?  If you do – why?  If you do not – why?

    What actions you can take as a DNP practice scholar to promote and support this legislation in your community, through your professional network, and with your local elected officials

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    Culturally aware nurses recognize that states of health are revealed differently across cultures and ethnicities.

    Practicum Discussion: Culturally aware nurses recognize that states of health are revealed differently across cultures and ethnicities. Culture and ethnic background will affect the way each individual responds to health, illness, and death (Stanhope & Lancaster, 2016). These nurses are also aware of their own biases, which may affect the care they provide to others (Stanhope & Lancaster, 2016). Because most nurses work in institutions with individual patients, they are accustomed to delivering culturally competent care on a one-on-one basis. When a public health nurse deals with a population, he or she must consider how the population culture affects the ways in which the community nurse may interact. This can be with regard to the provision of education or mass health care needs such as those required in a foodborne illness, if mass vaccinations are needed for a communicable disease outbreak, or if education is required to prevent heart disease. In addition to understanding the nuances of the culture of a population, community health nurses must understand the role genetics play in health. Some disorders, such as glaucoma and diabetes, have a genetic link, as do some cancers, such as breast and ovarian.

    Please discuss the following questions in your Practicum Discussion:

    • Provide a few examples of community resources that should be put in place to assist your population in resolving their health care needs. What gaps in service do you see that affect your population?
    • Are there any cultural considerations that might inform your approach to caring for this population?
    • Does your population have a genetic predisposition to the health care problem you have identified?
    • Identify at least one evidence-based, culturally competent behavior change that would promote health for your selected population and for the specific health care problem you are addressing?

    Read two or more of your colleagues’ postings from the Discussion question. As a community of practice, help each other refine and clarify the health problem remembering that this project focuses on primary prevention strategies at the community and system level of care

    Respond to at least two colleagues. Your responses should be substantial and should contribute ideas, tools, alternate points of view, resources, and information related to identified health problems.

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    Culturally aware nurses recognize that states of health are revealed differently across cultures and ethnicities

    Practicum Discussion: Culturally aware nurses recognize that states of health are revealed differently across cultures and ethnicities. Culture and ethnic background will affect the way each individual responds to health, illness, and death (Stanhope & Lancaster, 2016). These nurses are also aware of their own biases, which may affect the care they provide to others (Stanhope & Lancaster, 2016). Because most nurses work in institutions with individual patients, they are accustomed to delivering culturally competent care on a one-on-one basis. When a public health nurse deals with a population, he or she must consider how the population culture affects the ways in which the community nurse may interact. This can be with regard to the provision of education or mass health care needs such as those required in a foodborne illness, if mass vaccinations are needed for a communicable disease outbreak, or if education is required to prevent heart disease. In addition to understanding the nuances of the culture of a population, community health nurses must understand the role genetics play in health. Some disorders, such as glaucoma and diabetes, have a genetic link, as do some cancers, such as breast and ovarian.

    Please discuss the following questions in your Practicum Discussion:

    • Provide a few examples of community resources that should be put in place to assist your population in resolving their health care needs. What gaps in service do you see that affect your population?
    • Are there any cultural considerations that might inform your approach to caring for this population?
    • Does your population have a genetic predisposition to the health care problem you have identified?
    • Identify at least one evidence-based, culturally competent behavior change that would promote health for your selected population and for the specific health care problem you are addressing?

    Read two or more of your colleagues’ postings from the Discussion question. As a community of practice, help each other refine and clarify the health problem remembering that this project focuses on primary prevention strategies at the community and system level of care

    Respond to at least two colleagues. Your responses should be substantial and should contribute ideas, tools, alternate points of view, resources, and information related to identified health problems.

    ***attached is a peer response to the above discussion that I need to give feedback on their response

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    Culturally aware nurses recognize that states of health are revealed differently across cultures and ethnicities

    Practicum Discussion: Culturally aware nurses recognize that states of health are revealed differently across cultures and ethnicities. Culture and ethnic background will affect the way each individual responds to health, illness, and death (Stanhope & Lancaster, 2016). These nurses are also aware of their own biases, which may affect the care they provide to others (Stanhope & Lancaster, 2016). Because most nurses work in institutions with individual patients, they are accustomed to delivering culturally competent care on a one-on-one basis. When a public health nurse deals with a population, he or she must consider how the population culture affects the ways in which the community nurse may interact. This can be with regard to the provision of education or mass health care needs such as those required in a foodborne illness, if mass vaccinations are needed for a communicable disease outbreak, or if education is required to prevent heart disease. In addition to understanding the nuances of the culture of a population, community health nurses must understand the role genetics play in health. Some disorders, such as glaucoma and diabetes, have a genetic link, as do some cancers, such as breast and ovarian.

    Please discuss the following questions in your Practicum Discussion:

    • Provide a few examples of community resources that should be put in place to assist your population in resolving their health care needs. What gaps in service do you see that affect your population?
    • Are there any cultural considerations that might inform your approach to caring for this population?
    • Does your population have a genetic predisposition to the health care problem you have identified?
    • Identify at least one evidence-based, culturally competent behavior change that would promote health for your selected population and for the specific health care problem you are addressing?

    Read two or more of your colleagues’ postings from the Discussion question. As a community of practice, help each other refine and clarify the health problem remembering that this project focuses on primary prevention strategies at the community and system level of care

    Respond to at least two colleagues. Your responses should be substantial and should contribute ideas, tools, alternate points of view, resources, and information related to identified health problems.

    ***attached is a peer response to the above discussion that I need to give feedback on their response

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    American Nurses Association

    APA Scholarly Paper on the American Nurses Association

    TopicCommentsPoints AssignedPoints Awarded
    Document the name and website of the professional organization (ANA) American Nurses Association15
    What is the mission and vision of the organization? Document the membership fee and how to become a member. Document if the organization accepts students?20
    Document the benefits of the organization? What resources does it provide?15
    What legislative involvement does the organization have?15
    Proper APA format, must be peer reviewed articles within 5 years, citations, references, spelling, grammar.15

    *APA references must be PEER REVIEWED ARTICLES within 5 years*

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