WEEK 6ASS

 

Nurses can advocate for healthcare policies to promote justice, fairness, and health equity at facility, local, state, national, and global levels. Writing a letter of concern for or support towards a particular policy or legislation is an effective way to hold leaders accountable in their positions.  

Assignment Instructions: 

In the Week 2 Policy Letter Checkpoint, you began this assignment by completing the following:  

  • Identifying a pending healthcare bill that needs improvement or proposing a new bill recommendation relevant to your current practice, community health needs, or personal interests.
  • Explaining why that bill or recommendation is important.
  • Identifying the leader or change agent (local, state, and national leader/legislator) who is appropriate to advocate for this policy change or adoption.  
  • Identifying the official mailing or email address of this leader. Note: Your elected officials’ email and physical addresses are available on their websites. You can find out who represents you on the HouseLinks to an external site. and SenateLinks to an external site. websites.
  • Identified and discussed your advocacy efforts with community members. 

For this assignment you will use the bill and leader identified in Week 2 to compose a letter or email to the leader or change agent using the following sections. Use proper letter or email format including address lines, greeting, subject line, date, salutation, and professional closing. Use this sample letterLinks to an external site.Open this document with ReadSpeaker docReader as a guide. Use complete sentences with professional language and accurate grammar/sentence structure. The letter or email should be concise, with a maximum of 2 pages. Use APA-recommended font. 

Paragraph 1 Introduction: 

  • Introduce yourself, your current role, and your relationship to the leader or change agent.   
  • Summarize why this issue is important to your role.   
  • Explain your perspective on this issue.   
  • State your position/request/reason for writing.   
  • Note: If your letter pertains to a specific piece of legislation, identify it accordingly as federal or state, e.g., H.R. 1234 (for a House resolution) or S.B. 234 (for a Senate bill).

Paragraph 2 Summary & History: 

  • Summarize the pending healthcare bill or the lack there of if you chose to recommend a new bill. (Attach existing bill or link to piece of legislation to this letter.)  
  • Outline the history or evolution of this piece of pending legislation.
  • Outline the policy development process at this level.  
  • Explain your rationale for recommending a new or changed healthcare bill.   

Paragraphs 3 & 4 Recommendations: 

  • If you are supporting the recommended changes proposed by the bill, describe its impact on patient care and your nursing role at bedside, higher organizational levels, local, state, national, and global levels.
  • If you are recommending a new piece of legislation, describe the need for it and the impact(s) of the lack of policy on patient care and your nursing role at bedside, higher organizational levels, local, state, national, and global levels (as applicable). Draft a proposal for the new bill.  
  • If you are recommending an improvement or additions to an existing piece of legislation, propose specific areas within the existing bill that need improvement. Refer to specifics in the existing bill or legislation and draft changes.  Describe the areas that you would want to change and how they could benefit patient care, community or population health, or nursing practice at the bedside, higher organizational levels, local, state, national, and global levels (as applicable).  
  • Provide justification and at least 2 pieces of factual evidence to support your recommendations with proper APA in-text citations.
  • Describe the conversation you had with your identified community member. You should have met with this person (face to face, over the phone, or online) to discuss the policy you are advocating for during week 2. In your letter to your representative, explain:
    • The community member’s positive feedback towards your efforts.
    • The community member’s concerns or additions they think you should include. 

Paragraph 5 Closing:

  • Explain what you want the leader to do or steps you want them to take and request a response from them on the issue.
  • Explain how you can help facilitate this change or be involved in the policy development process.
  • Provide additional resources or recommendations as applicable.   

Appendix:

  • On a separate page, include a 2-4 paragraph reflection on this assignment addressing the following prompts:   
    • State if you mailed or emailed the letter and include the date it was sent.  
    • Describe your experience, feelings, and perceptions throughout this assignment.   
    • Do you think this is an effective way to advocate for your changes? Why or why not?  
    • Describe the conversation with your community member(s). State their name, date, and location the conversation took place. How did including stakeholder validation tool help your advocacy efforts?
    • What is your expected response from your legislator or representative?   
    • How will you follow up or what are your next steps or other actions you can take?  
    • What are your views about the nurse’s role in healthcare policy advocacy after completing this assignment?   

Assignment Submission Requirement: 

  • Submit the assignment (letter and appendix) to dropbox as a Word document.    
  • Send the letter or email to the leader after completing the assignment.  

Nursing assignment

Select a Middle range theory · Identify the major concepts, model, and philosophical underpinning · Evaluated the heuristic value of the theory

On a word document, using APA 7 format, scholarly references no older than  5 yhears old.

Select a Middle range theory

·         Identify the major concepts, model, and philosophical underpinning

·         Evaluated the heuristic value of the theory

relate it with the investigation projectt: determine the effectiveness of antineuropathic such as pregabalin and gabapentin as first line treatment on lumbar radiculopathy instead opioids.

PLEASE READ and FOLLOW THE RUBRIC AND THE GUIDELINES UPLOADED

remember to add the DNP essential related to the investigation

Health Assessment Discussioin 4

Discussion post

  1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
    • Describe a current safety concern in your practice environment. (Pediatric Emergency Department; Concern ) 
    • Explain one HIT that could be applied to address the concern.
    • Explain how it could be applied to enhance safety.
    • Identify at least one possible unintended consequence of adopting the HIT.
    • Discuss at least one strategy for mitigating the unintended consequence.

Must include reference (scholarly, published within the last 5 years, peer reviewed articles APA 7th edition format.) :

  • Cite a scholarly source in the initial post.

    AI + Plagiarism report 

week 6

 

Advocacy is considered a role that all healthcare practitioners can fill. Advocacy is important to healthcare and improving health outcomes by acting as “the voice” for clients and vulnerable populations.

  • Identify a vulnerable population and describe ways a nurse can advocate for a change to promote positive health outcomes for this group.
  • What government organizations and policies help to support advocacy in healthcare?
  • What guidelines can healthcare systems implement to strengthen advocacy efforts?
  • Consider the role of microsystems, macrosystems, and mesosytems. Describe how advocacy at each of these levels (microsystem, mesosystem, and macrosystem) could enhance support for the vulnerable population you identified. How might advocacy actions differ at each level?
  • Discuss  the link between healthcare advocacy and the financial outcomes of an organization. How can effective advocacy at each system level impact an organization’s financial health?

Quality Management and Control

Zanderville Healthcare Systems, a regional acute care facility in the foothills of the Appalachians, is committed to delivering quality healthcare to its local and neighboring communities. The population it serves is diverse by gender and ethnicity. The primary payer for healthcare services is CMS. Over the past six months, the acute care facility has experienced a 25 % increase in readmissions from this payer group within the first 30 days of discharge. The economic impact on the health system has been negative, and patients’ satisfaction with their hospital experience has declined. Senior leadership has charged you, the nurse executive, to convene an ad-hoc task force to perform an outcomes audit and propose an intervention. Currently, patients receive a follow-up telephone call about 7 days following discharge. You decide to use an evidence-based practice approach and have the following information for the “working” PICOT:

P: CMS patients readmitted within 30 days of discharge

I: What will we do differently to impact the improved outcome

(State what this is)

C: Follow-up phone call 7 days after discharge

O: Reduce readmission rate of CMS patients from ____ to ____…..

T: Over next six months

If this were happening in your organization, discuss:

Whom will you include in your task force?

What outcomes measures will you audit?

Where will you obtain the data to determine your baseline and goal regarding the percentage of readmissions within 30 days of discharge?

What specific outcome do you want to achieve?

What standard or benchmark will you use for the outcome? What does your organization use as a benchmark for readmissions within 30 days of discharge?

Describe the intervention you will use to achieve your goal.

Then, restate the completed PICOT using the information you have collected related to the intervention and outcomes.  

o Demonstrate application of scholarly resources. 

§ Provide relevant evidence of two scholarly resources in the initial post, clearly stating how the evidence informed or changed professional or academic decisions.

§ One scholarly resource must be from a nursing peer-reviewed journal.

o Demonstrate application of course knowledge. 

§ Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life, professional situations.

Evidence-Based Project, Part 3 and 3A: Critical Appraisal Research

Remember you have changed my first project to Dementia and Alzheimer’s disease Management.

Hypnosis for labor pains

PICOT help

 1500 words