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State your reasons based on your knowledge of the health care system, observations in the clinical area, and personal experience. Justify your responses with appropriate resources.

NUR4837 Healthcare Policy, Advocacy, and the Political Process
Unit 1 Discussion
1. Sphere of Influence: The Workforce & Workplace: (developing a policy that impacts the workforce or the workplace)
Instructions
Select a current problem, for example, the inability of the profession to establish the BSN as a minimum requirement for entry into practice, or the shortage of nurses in the United States. Using the “Steps of a Political Analysis” found in Box 8-1 as a guide:
1. Identifying and analyzing the problem
2. Outlining and analyzing proposed solutions
3. Understanding the background of the issue: its history and previous attempts to address the problem
4. Locating the political setting and structures involved
5. Evaluating the stakeholders
6. Conducting a values assessment
7. Recognizing the resources (both financial and human) needed to reach the intended goals
8. Analyzing the power bases
2. Sphere of Influence: The Government (practice influencing policy by communicating with a legislator about a current health problem)
Instructions
1. Identify a current health problem that is being debated at the national and/or state level (e.g., the proliferation of “pill mills” and pain clinics), and state why it is of interest.
2. Identify a legislator (state or federal) and state why that person is the appropriate one to contact.
3. Draft a letter to the legislator including the proper salutation.
4. Introduce yourself and your reason for writing.
5. State concisely what you understand to be the current socioeconomic, political, and ethical issues surrounding the problem.
6. Discuss the implications of the problem for nursing or nursing practice.
7. Make a clear request for action.
8. Request a response.
3. Sphere of Influence: Associations and Interest Groups (provides the opportunity to become familiar with different nursing associations.) PLEASE, NO DUPLICATION! There are enough Associations & Interest groups to go around!
Instructions
1. Choose a nursing association.
2. List the mission and purpose of the association
3. How is it governed?
4. What is the legislative agenda of the association?
5. How is that agenda developed? Is the membership involved?
6. How is the agenda communicated to the membership?
7. Does it partner with any coalitions?
8. Does the partnership influence policy on a national or state level? If yes, how?
9. When you graduate will you join the association? If yes, why? If no, why not?

NUR4837 Healthcare Policy, Advocacy, and the Political Process
Unit 2 Discussion
Topic 1. “It was once said that the moral test of government is how that government treats those who are in the dawn of life, the children; those who are in the twilight of life, the elderly; and those who are in the shadows of life, the sick, the needy, and the handicapped.”
United States politician (1911-1978)
1. Do you agree or disagree with this statement? Why or why not?
2. State your reasons based on your knowledge of the health care system, observations in the clinical area, and personal experience. Justify your responses with appropriate resources.
2. There are many issues currently in the political spotlight that can impact you as a nurse, you as a citizen, and your patients. Some of the current topics include: Healthcare reform, safe staffing, nursing workforce development, home health, and gun violence to name a few ~ (hint: You may find some good information on the ANA homepage under “issues” Link (Links to an external site.)Links to an external site.)
Topic 2. CHOOSE ONE of these topics and answer the following questions:
1. What is the current legislative or regulatory issue, and why is it being debated?
2. Who is most affected by the legislation?
3. What are the current socioeconomic, political, cultural, and ethical issues surrounding this topic?
4. Who are the stakeholders?
5. What are the positions of professional health care organizations (ANA, AHA, AMA), consumers, and the major political parties on the issue?
6. What are the implications of the policy issue for nursing?
topic 3: Step 1: CHOOSE ONE of the following chapters and answer the corresponding questions:
Chapter 34: Taking Action: Setting Health Care in Its Social Context
Chapter 35: Taking Action: Reimbursement Issues for Nurse Anesthetists: A Continuing Challenge
Step 2: Answer the following questions:
1. Why did you select the chapter?
2. What did you learn about the role of the nurse as an activist?
3. What problems were encountered?
4. Would you have approached the problem differently? If so, how? If not, why not?
5. What did you learn from the chapter about health care delivery and financing?
6. Would you suggest another policy as an outcome? If yes, what would it be? If not, why not? (expand on this using scholarly sources)

NUR4837 Healthcare Policy, Advocacy, and the Political Process
Unit 3 Discussion
Topic 1:
Purpose: To provide students with the opportunity to explore the interface of political influence and a major health issue using tobacco use as a paradigm.
Instructions: Students are to complete the following steps including answering questions:
1. Trace the history of smoking and its effect on health (locate an article from a nursing journal on the hazards of smoking).
2. Who were the stakeholders in opposition to smoking?
3. Who were the lobbyists in favor of a hands-off approach?
4. What is the current use of tobacco products (e.g., smokeless tobacco)?
5. What is the current research on the use of these products?
6. What are the policy implications?
Topic 2:
Purpose: To provide the opportunity for students to compare and contrast the roles, scope of practice and perspectives of nurse practitioners and physicians and suggest a policy intervention
Instructions: Students are to complete the following steps including answering questions:
1. Select a specialty (e.g., family practice, pediatrics). Define the roles you will be addressing: physician and nurse practitioner.
2. Determine who regulates the scope of practice for the physician and the NP.
3. Summarize the scope of practice including the level of autonomy for each.
4. What are the barriers to practice?
5. What policy change would you suggest?
Topic 3:
Purpose: To provide the opportunity for you to select an area of personal interest in policy and politics in research and nursing science
Instructions: Re-read the following Chapter 49 & 50: Taking Action: Truth or Dare: One Nurse’s Political Campaign; Ch 50: Political Appointments
1. Why would a nurse want to seek an appointed position in government?
2. How would one prepare for consideration to an appointed position?
3. What problems are generally/can be encountered?
4. What topic are you passionate enough about to stand up for and identify a need for policy change? Expand on this.
5. Give an example through a library/internet search of how a nurse has affected public policy through an appointed position. (identify & expand on the policy)
Topic 4:
Purpose: To provide the opportunity for you to select an area of personal interest in policy and politics in research and nursing science
Instructions: Re-read Chapter 54: Nursing Licensure & Regulation ~ Exploring the role of the Board of Nursing
We know that the board of Nursing investigates complaints/charges of gross negligence and unsafe practice, but did you know that failure to repay student loans, failure to pay child support, DUI, or failure to file or pay taxes are also considered professional misconduct and can result in disciplinary action?
1. Review the issue of professional discipline related to the charges of substance abuse.
2. What is an “Alternative-to-discipline (ATD) program” (Hint: see https://www.ncsbn.org/672.htm (Links to an external site.)Links to an external site. website) Have these been found to be effective?
3. Identify the ATD available in the state of Florida.
4. What policy(ies) do you believe should be put into place related to substance abuse & nurses to protect patient safety?
5. Do you believe, based on your readings, that the BON is effective in improving nursing practice? Why or why not?

NUR4837 Healthcare Policy, Advocacy, and the Political Process
Unit 4 Discussion
For this assignment and based on your readings, we have LOTS of topic options ~ find ONE that you are passionate about, and RESPOND to TWO different topics. REMEMBER: Keep your sources scholarly, your opinion statements civil & professional, BUT PLEASE: DISCUSS!!
Option 1: IF you are a debater, this option is for you!
Choose ONE of the following topics and conduct the research & topic development, and present one position of the topic up for debate ~ some of these are state-specific. If so, please identify the State of choice (the default is Florida). Peers can respond to address the OTHER side with their won research and development).
Topic 1: Should multiple access points to the profession be allowed for entry into practice?
Topic 2: Do reduced nurse-patient ratios improve patient care?
Topic 3: Should nurses unionize?
Option 2: If you want to explore global nursing ~ Option 2 or 3 may be for you!
Interview a nurse/ nurse recruiter from a clinical site where foreign-born nurses were either recruited in the past (within the last 10 years) or are currently being recruited:
1. What is the institution’s policy on the recruitment of foreign-trained nurses?
2. If the institution does not currently engage in foreign recruitment of nurses, why not?
3. From what countries are/were the nurses recruited and why?
4. How are/were credentials verified?
5. What programs are/were in place to facilitate transition of these nurses into the United States workplace?
6. Are/were programs on cultural competence incorporated into the orientation phase? Describe the audience for the programs.
7. What impact did the recruitment of nurses have on the nurse-to-patient staff ratio?
What is YOUR position on recruiting foreign-trained nurses to address the nursing shortage?
Option 3:
Research one of the countries from which the nurses were/are recruited.
Is it a developing or industrialized nation?
What is the health care system like in that country?
What are the major health problems?
What is the educational system for nurses?
Is the country experiencing a nursing shortage?
What is YOUR position on recruiting foreign-trained nurses to address the nursing shortage?
Option 4: If you’ve been working for some time and want to address the nursing culture in the workplace, this one may be for you!
This is an option that actually is evolving in the workplace and deserves some attention. Sexism, work place bullying, and sexual harassment were once something as nurses, we were expected to tolerate ~ It was “part of the job”. Trust me, I can speak to this ~ However, times have changed. So let’s brainstorm!
Based on your personal experiences, respond to these questions, then look at the literature and see what is being done, what is being said on a national and international level! (I recognize these questions are broad ~ speak to them from your perspective. There is no “right” perspective ~ when you read to question, what comes to mind? I would challenge you to start this discussion with co-workers ~ it’s time to start talking about it!)
1. What constitutes a workplace culture of safety?
2. How do you recognize workplace abuse?
3. What policies, based on your opinion AND your research, what should be done to prevent workplace abuse? Where do we start?

NUR4837 Healthcare Policy, Advocacy, and the Political Process
Unit 5 Discussion
Choose ONE profession organization to expand on. Use the internet as your primary source as most of these organizations will have up-to-date websites. No additional scholarly resources are required this week, but as always, they are welcome!
Some ideas, but certainly not a comprehensive list: AACN, CCNE, ANA, WOCN, American Psychiatric Nurses Association, Emergency Nurses, Assoc., Academy of Medical-Surgical Nurses, AORN, etc.
focus on the theme “Which organization would I join and why”? and then complete the following:
Select a nursing organization & explore its history
Mission of the organization
Who is eligible to join?
Benefits of membership
Continuing education opportunities
Advocacy efforts
What is the organizational structure?
What is the organization’s purpose, mission statement, bylaws, and policies?
What are the committees/task forces and ways to be involved (volunteer)?
Do they match your professional and personal needs?
Are there opportunities for members to be heard?
Can you attend a local or national meeting to explore potential membership?
Are you able to speak with current members?
What are the products and services?
Would you join the organization? If yes, why? If no, why not?

NUR4837 Healthcare Policy, Advocacy, and the Political Process
Professional Experiential Learning Experience Summary Discussion
As a professional and one training to be a leader, you will have the opportunity to participate in an professional experiential learning event. This experience involves attending a professional nursing organization meeting ~ either in person or digitally. This would include something like a meeting hosted by one of the following organizations: AACN, CCRN, TNCC, Florida Board of Nursing ~ That type of thing. This meeting can be attended in person or on-line (If you choose to go to a virtual meeting ~ please make sure it is no older than 90 days, and please make sure to include a working URL).
You’ll have the opportunity to share your experience with your peers. Please include your observations of the meeting, decisions from the meeting, & implications it could have within the scope of application. Address whether or not you feel this organization is impacting the target population.

NUR4837 Healthcare Policy, Advocacy, and the Political Process
Civic Experiential Learning Experience Summary Discussion – Group 2
Currently, many health initiatives are being implemented at the community level. Because of this, the civic experiential learning activity allows you the opportunity to attend a governmental based meeting that affects health of that community from the perspective of a local, state, regional or national agency ~ of course I would love it to be nursing based, but your area of interest is what is important here, not mine. (Again, this can be done online!)
Examples of this would be something like a city council meeting, or a state/national legislature meeting. Submit a formal report on the proceedings to include the observations of the meeting and possible impacts on the health of the associated community.
As with the professional experiential learning, you can attend the meeting virtually. Just access your community’s online archives to see if they have a recorded meeting that interests you ~ Just make sure that it is no older than 90 days. A corresponding working URL must be included in the post.


 


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State your reasons based on your knowledge of the health care system, observations in the clinical area, and personal experience. Justify your responses with appropriate resources. was first posted on October 19, 2019 at 11:21 am.
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