Then, aggregately analyze and explain the articles for the way in which internal and external factors cause change in workplace behavior. This section should comprise 2 paragraphs using multiple course readings and research to support how different work environments such as teams, virtual work environments, and people influence the workplace and/or how the structure and workplace culture can influence management practices.
Make a follow-up of a student's weekly discussion and respond with your opinion regarding to her post
——You don't have to post this in APA format necessarily, it's just giving feedback to the student .
Identify and describe practice barriers for all four APNs' roles in your state and discuss these barriers on a state and national level. The four roles include the nurse midwife, nurse anesthetist, nurse practitioner, and clinical nurse specialist.
Nurse midwives often struggle with scope of practice limitations and the necessity for collaborative agreements, which can sometimes disrupt their ability to provide comprehensive care. Nurse anesthetists may face restrictions, such as supervision requirements and inconsistent reimbursement policies, limiting their autonomy in anesthesia care. Nurse practitioners and clinical nurse specialists confront barriers like collaborative agreements and scope of practice restrictions, which can affect their capacity to deliver primary and specialized care independently. These state-level obstacles are further complicated by variations in laws and regulations across the country. At the national level, lack of consistency and autonomy make it challenging for APNs to provide consistent, high-quality healthcare (Peterson, 2018).
Identify forms of competition on the state and national level that interfere with APNs' ability to practice independently.
At the state level, one form of competition arises from established healthcare hierarchies and interests. Physicians' groups and medical associations often lobby for laws and regulations that restrict APN autonomy to protect their traditional roles in healthcare. With a limited scope of practice, APNs are sometimes forced to adhere to physician regulations. On the national level, Medicare reimbursement rates and federal funding allocations can be influenced by powerful stakeholders, including pharmaceutical companies, insurance providers, and large healthcare systems. These sources may advocate for regulations that favor their interests instead of that of others (Galvani et al., 2020).
Identify the specific lawmakers by name at the state level (i.e., key members of the state's legislative branch and executive branch of government)
In Florida, the governor Ron DeSantis, is the head of the executive branch. Jeanette Nunez is the lieutenant governor, Ashley Moody is the attorney general, Jimmy Patronis is the chief financial officer, and Wilton Simpson is the agricultural commissioner. On the legislative side, the senate president is Kathleen Passidomo, the house speaker is Paul Renner, the majority leader for the senate is Ben Albritton and for the house is Michael Grant. Lastly, the minority leader for the senate is Lauren Book and for the house is Fentrice Driskell (BallotPedia, 2022).
Discuss interest groups that exist at the state and national levels that influence APN policy.
At the state level, physician groups often advocate for policies that maintain their traditional roles and may oppose measures that grant APNs greater autonomy. Oppositely, nursing associations like the American Association of Nurse Practitioners (AANP) and American Association of Nurse Anesthetists (AANA) work to advance APN practice, pushing for full scope of practice and reimbursement policy changes to enhance access to care. On the national level, there are also national nursing organizations like the National Council of State Boards of Nursing (NCSBN) and the National Council of Nurse Practitioners (NCNP) that actively advocate for APN policy changes that can promote independent practice (Brom et al., 2018).
Discuss methods used to influence change in policy in forms of competition, state legislative and executive branches of government, and interest groups.
Some methods used to influence change in policy include political campaigns and quality and safety initiatives. Supporting candidates who are sympathetic to APN issues and policy changes through campaign contributions and grassroots mobilization can influence election outcomes, ultimately affecting the composition of legislative and executive branches. APNs can also participate in quality and safety initiatives to demonstrate a commitment to high-quality care and patient well-being can enhance their credibility and influence (Cullerton et al., 2018).
BallotPedia. (2022).
Florida's State Legislature. ballotpedia.
https://ballotpedia.org/Links to an external site.
Brom, H. M., Salsberry, P. J., & Graham, M. C. (2018). Leveraging health care reform to accelerate nurse practitioner full practice authority.
Journal of the American Association of Nurse Practitioners,
30(3), 120–130.
https://doi.org/10.1097/JXX.0000000000000023Links to an external site.
Cullerton, K., Donnet, T., Lee, A., & Gallegos, D. (2018). Effective advocacy strategies for influencing government nutrition policy: a conceptual model.
The international journal of behavioral nutrition and physical activity,
15(1), 83. https://doi.org/10.1186/s12966-018-0716-y
Galvani, A. P., Parpia, A. S., Foster, E. M., Singer, B. H., & Fitzpatrick, M. C. (2020). Improving the prognosis of health care in the USA.
Lancet (London, England),
395(10223), 524–533. https://doi.org/10.1016/S0140-6736(19)33019-3
Peterson M. E. (2018). Barriers to Practice and the Impact on Health Care: A Nurse Practitioner Focus.
Journal of the advanced practitioner in oncology,
8(1), 74–81.
BLOG: INTRA- AND INTERDISCIPLINARY COLLABORATION IN PRACTICE
What steps do you take to locate primary and peer-reviewed research articles when performing a literature search?
What resources are available to you to engage in a meaningful and successful literature search?
As you have explored throughout this course, Walden University provides vast resources for student support to ensure success in their academic program of study. When it comes to research and using Library resources, several support mechanisms are available to you as well.
Taking the first step to think about a research topic or area of interest and filtering that topic using a series of keywords and operations will be a fundamental component for performing a literature search in Walden Library’s databases. While the ultimate goal is to produce a set or results that match your search criteria, you must keep in mind that that the quality of the research articles obtained will likely vary. Thus, you must critically examine and analyze the aims of the research produced and how it aligns, confirms, or negates your topic or area of research. As you develop proficiency in this area, you will discover that you can extract content themes and frameworks to enhance future research and the need to identify additional research support.
For this Assignment, consult the Walden Library webinars and resources provided. These resources serve as a general good first step for performing literature searches and engaging with the databases of research available to you. Think about a research topic or area of interest to focus on for this Assignment. Then, search the Walden Library to locate and retrieve peer-reviewed research articles that pertain to your topic or area of interest.
6-paragraph assignment in which you do the following:
What were the most important concepts you learned in week 1? Why are these concepts important? How will they prepare you for your future role as a nurse practitioner? In what ways do you feel prepared for your new role? In what ways do you feel unprepared?
Social determinants of health (SDOH).
Name the 5 domains of Healthy People 2030. What is the objective of Healthy People?
Select 1-2 overarching goals and describe the impact on health, well-being and quality of life.
Describe the current status of the overarching goals you selected.
See attachment for instructions
A little about myself
I am behavioral health nurse for 6 years, I am currently doing my masters in psychiatric nursing.
Q1: Describe a program that was implemented successfully in your region/country. Explain how the program was successful in addressing the selected global health problem. Program components should be described in detail. (50 points)
Sample program: The WASH program – UN is an example of a successful global public health program aimed at providing access to clean water, sanitation, and hand-washing facilities focused on promoting health among underprivileged residents living in impoverished communities.
Please click on this link for detail (
https://www.unicef.org/wash/)
Q2: Create 1 goal and at least 3 SMART objectives. A SMART objective is one that is Specific, Measurable, Achievable, Relevant and Time-Bound. Use the SMART guide to create objectives for your program. (50 points)
See formula for SMART objective
[Measure – includes who and what] by [when].
Sample SMART Objective:
50% increase antenatal clinics by SEVA organization in urban slums of Delhi by December, 2024.
50%: Measure
SEVA org:
Who
antenatal clinics: What
December, 2024:
When
Given the critical role of fluid, electrolyte, and acid-base balance in maintaining overall health, how can nurse practitioners effectively assess and identify subtle imbalances in their patients? What are the key factors to consider when developing individualized treatment plans?
What is an example of some advantages of Telehealth?
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