The Role of the RN/APRN in Policy-Making

PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:

1). ZERO (0) PLAGIARISM

2). ATLEAST 5 REFERENCES, NO MORE THAN 5 YEARS

3). PLEASE SEE THE FOLLOWING ATTACHED RUBRIC DETAILS. 

Thank you.    

Word cloud generators have become popular tools for meetings and team-building events. Groups or teams are asked to use these applications to input words they feel best describe their team or their role. A “word cloud” is generated by the application that makes prominent the most-used terms, offering an image of the common thinking among participants of that role.

What types of words would you use to build a nursing word cloud? Empathetic, organized, hard-working, or advocate would all certainly apply. Would you add policy-maker to your list? Do you think it would be a very prominent component of the word cloud?

Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence the politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation.

  

To Prepare:

  • Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making.
  • Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process.

Write an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples.

Caps Discussion W4

Prepare for your ethical and cultural inquiry. Consider how culture can impact healthcare decisions and outcomes. Read the following article from the Western Journal of Medicine

Galanti G. A. (2000). An introduction to cultural differences. The Western Journal of Medicine, 172(5), 335–336. doi:10.1136/ewjm.172.5.335

Discuss the following:

1. Do you agree with the writer’s premise that treating patients with respect is not enough, and it is necessary to learn about the specific customs of other cultures in order to provide quality health care? Explain your reasoning and provide examples.

2. Do you think there is a danger in stereotyping when discussing cultural norms? Explain and provide examples.

3. Which cultures and customs are you most familiar with?

4. Does culture play a significant role in the healthcare issue that you are researching? Explain.

Reply to my peers

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.


TASK

Post your initial response to one of the two topics below.

Topic 1

Age related changes can affect the lifestyle/quality of life of the elderly.

  • What do you think are the two most prevalent age-related changes that affect the lifestyle of the elderly?
  • How would you help an elderly patient adjust to the two changes you identified?

Peer 1

  Working on the med/surg unit as a Registered Nurse has given me many opportunities to interact with the elderly patient. A common change that I’ve noticed was loss of balance cause by muscle weakness. “The major age-related physiological change in older people frequently encountered skeletal muscle mass loss, known as sarcopenia” (McGinley, 2017). Second change in the elderly was loss of appetite which causes poor nutrition. Poor nutrition can be caused by loss of taste buds.

 An elderly patient can be adjusted to these changes by recommending increased activity which is the best intervention for muscle weakness.  A short walk outside or even gardening in yard are examples of increased activities.  A membership at the local gym can also help increase with strengthen exercises. Elderly patient can be given brochures with exercises that are easy to follow and read. “All this type of activity, together with protein rich die, helps prevent further losses and functional decline” (McGinley, 2017). Interventions that can be done with an elderly person’s appetite loss are teaching them about eating small serving sizes and consuming meals when awake and energized. When making the selection of food, pick foods that are soft in consistency and even having a meal with family and friends might encourage the elderly to eat.

References

Mayo Clinic. (2014). Physical Medicine and Rehabilitation: Slowing or Reversing

                Muscle Weakness. Retrieved from https://www.mayoclinic.org/medical-

                professionals/physical-medicine-rehabilitation/news/slowing-or-reversing-

                muscle-loss/mac-20431104

McGinley, E. (2017). Supporting older patients with nutrition and hydration.

                Journal of Community Nursing, 31(4), 54-57. Retrieved from https://search-

                ebscohost-com.su.idm.oclc.org/login.aspx?direct=true&db=rzh&AN=12466

                7326&site=ehost-live&scope=site

Peer 2

Age related changes are inevitable as we get older. Two prevalent changes in the elderly are decreased bone density leading to frail bones, and decreased hearing and vision (Mayo Clinic, 2020). Decreased hearing and vision which happens with aging contributes to the loss of independence because it removes the ability to drive. Losing the ability to drive many elderly people have to rely on family or friends to help them get to what they need. Although these changes are common, there are vitamins and supplements that can help improve overall health; additionally, patients can be educated on different exercises that can be done to increase strength and decrease the risk of falls. Helping our patients and  providing them with resources that help them maintain their health is essential for providing a good quality of life in the elderly. 

Reference:

Mayo Clinic. (2020). Aging: What to Expect. Retrieved from https://www.mayoclinic.org/healthy-lifestyle/healthy-aging/in-depth/aging/art-20046070

Tomorrow 9 (Trends 1)

Discuss the correlation between nursing education and positive patient outcomes. Include current research that links patient safety outcomes to advanced degrees in nursing. Based on some real-life experiences, explain whether you agree or disagree with this research.

Wednesday 9

Discussion 1 and 2 ,250 words each one and assessment question by 12/9/2020 at 6 :00 pm,please add references and citations

 The theoretical foundations of qualitative and quantitative methods are very different, but many researchers believe both methods should be used in the research study to increase validity and reliability. What advantages or disadvantages do you see in using both types of methods in a nursing study? Support your answer with current evidence-based literature 

Discussion 2

 According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interactions with clients. How do you see this being applied in your workplace 

Term Paper Outline Template

TOPIC TO BE WRITTEN ON IS IN THE UPLOADED DOUMENT

Outline

You will want to delete ALL the blue text in this outline and replace it with information specific to your topic. Please use in-text APA citations throughout your outline. Show me what sources you’re using in your paper and whereyou’re using them. Your outline should be detailed; writing your rough draft from your outline should be easy. 

I.  Introduction– 

a.  Point 1: Introduce the topic with background information and define terminology. Go from broad to specific. Think of your introduction as an upside-down triangle. 

b.  Point 2: Get more specific here. 

c.  Point 3: Get even MORE specific here.

d.  Thesis statement: Your final sentence should mention that the paper will discuss ethical arguments surrounding your topic.

II.  Body Paragraph 1 – Technical aspects of your topic—

a.  Topic Sentence: Your topic sentence goes here. In this paragraph, you will talk about what we need to know in order to understand your topic.  Your audience needs to know the “what” before you talk about ethical arguments. For example, I can’t properly argue that we need more PPE masks to fight COVID-19 if I don’t first tell my audience what PPE is and what COVID-19 is.

b.  Additional detail 1: ________________________________________

c.  Additional detail 2:________________________________________

d.  Additional detail 3:________________________________________

III.  Body Paragraph 2 – Description of public policy debates surrounding your topic—

a.  Topic Sentence: Your topic sentence goes here. In this paragraph, you’ll give additional background/history of the topic—what laws exist? Are there monumental cases? You want to set up the debate. If I want to argue that additional money needs to be allocated for PPE, I need to let my audience know why there isn’t enough PPE in the first place. What laws or policy decisions led to the place we’re currently in? What are some monumental cases (for example, Brittany Maynard for PAS or Roe v. Wade for abortion).

b.  Additional detail 1:________________________________________

c.  Additional detail 2:________________________________________

d.  Additional detail 3:________________________________________

IV.  Body Paragraph 3 – Why is ___ Ethical? 

a.  Topic Sentence: What is one “side” of the debate? Make sure that you’re making ethical arguments here. Instead of “reporting” what one side believes, I want you to make the argument. You’ll be saying something like “PAS is considered ethical because of A, B, and C.”  

b.  Supporting detail: Here you’ll explain your first reasons why your issue is ethical. For every supporting detail, you’ll want to have a fact taken from a source. For example, if I am arguing that PAS is ethical because it supports the principle of autonomy, I want to bring in a source that talks about autonomy. I want to cite that source here (author, date).

c.  Explanation of supporting detail #1: After that, you will have a sentence or two that explains the connects the “source” or “fact” back to your topic sentence. Let’s say that your first supporting detail was that X% of people file for bankruptcy each year. You have to tell me how that connects to your argument that health care access should be expanded. Is it unethical that X% of people go bankrupt for something out of their control? If so, you want to state that. 

d.  Supporting detail 2: Repeat the above supporting detail #2. 

e.  Explanation of supporting detail #2: Repeat the above supporting detail #2.

f.  Supporting detail 3: Repeat the above supporting detail #3.

g.  Explanation of supporting detail #3: Repeat the above supporting detail #3.

V.  Body Paragraph 4 – The Other Side

a.  Topic Sentence: Write your topic sentence here. In this paragraph, you will outline the points made by the “other side” and tell me why their thinking is wrong. 

b.  Supporting detail 1: What is one reason why people think about ___ differently? For example, maybe their religious views tell them that PAS is unethical. Explain that point and cite your source. 

c.  Refute supporting detail #1: After that, tell me what YOUR side would say about that. Why is this thinking incorrect, incomplete, or flat out wrong? For example, you might talk about how religious views should be respected, but s unethical to based laws on one groups religious beliefs. You might use a citation here as well. 

d.  Supporting detail 2: Give me another premise used by the other side. Citation, please! 

e.  Refute of supporting detail #2: Refute it. 

f.  Supporting detail 3: Give me another premise used by the other side.

g.  Refute supporting detail #3: Refute it.

VI.  Opinion and Conclusion 

a.  Restate your thesis: Give me a one sentence recap. What was this paper about? 

b.  Statement of Opinion (don’t use “I”/first person). Here you will reiterate what the most ethical position is. 

c.  Give me a brief summary of why this is the case 2-3 sentences here. You might want to consider rephrasing the reasons why ___ is ethical and the reasons why the other side is wrong. 

d.  Concluding sentence/statement Give me a one sentence, final take away. 

References

Author’s Last Name, First initial. Middle initial. (Year). Title of article. Journal Title, Volume Number(Issue number), Page numbers. 

WCU. (2020). Week #: Scenario Title. In PHIL 434: Medical Ethics and Issues: Spring 2020 [Video]. Retrieved from learn.westcoastuniversity.edu

Concepts and theories in nursing

 Parse’s Human Becoming Theory

Write a 1250-1500 word APA paper addressing each of the following points. Be sure to completely answer all the questions for each bullet point. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources and your textbook using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Case Study

The hospice nurse sat with Ann’s husband, Ben. Ann was resting quietly as the increased dosage of IV pain medication gradually reached its therapeutic level. Ben turned his head and slowly turned, looking out the room’s only window. As he glanced up, a small flicker of light caught his breath. It was a shooting star. A tear fell from the corner of his eye and he turned to Ann. The nurse sensed that something significant to Ann and Ben was unfolding. Shuffling to Ann’s bedside, he took her small fragile hand in his. These hands had rocked cradles, burped babies, and groomed the horses she loved to ride. Gently holding her hand, he turned to the nurse. “She would ride like the wind was chasing her.” Looking back to Ann his voice broke; choking back tears “Ann, Ann I saw Jessie…Jessie is calling.” Ben turned “Jessie was our daughter. She died having a baby that was too big. When she died it was a pitch-black night. Cold, so cold, the baby died too, a little boy, named him Abe, Jr. after Jessie’s husband. I took Ann outside so she could cry to God above and there in this dark sky we saw two falling stars…together…just falling. We knew it had to be Jessie and Abe…two angels to light up the night.” Ben turned back as a deep sigh escaped from Ann’s lips. A soft smile remained as she joined Jessie and Abe.

  • Based on this case study how would the nurse actualize Parse’s theory of Human Becoming?
  • What are characteristics of a human becoming nurse?  What are strengths and weaknesses to this theory of nursing?
  • What challenges exist for healthcare institutions to switch to this nursing approach?
  • How might Parse’s understanding of transcendence guide the nurse, as Ann’s death became a reality to Ben?
  • From the nursing theories we have discussed, what additional theory would you apply to this case study? Develop a plan of care to include both nursing theories (be specific and provide reasons)

Assignment Expectations:

Length: 1250 – 1500 words

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) outside scholarly sources and the textbook are required for this assignment.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft Word document (.doc or .docx) or PDF document (.pdf)