Category: Nursing

NURS 6050 Discussion 1: Evidence Base in Design

Discussion 1: Evidence Base in Design

When politics and medical science intersect, there can be much debate. Sometimes anecdotes or hearsay are misused as evidence to support a particular point. Despite these and other challenges, however, evidence-based approaches are increasingly used to inform health policy decision-making regarding causes of disease, intervention strategies, and issues impacting society. One example is the introduction of childhood vaccinations and the use of evidence-based arguments surrounding their safety.

In this Discussion, you will identify a recently proposed health policy and share your analysis of the evidence in support of this policy NURS 6050 Discussion 1: Evidence Base in Design.

To Prepare:

Review the Congress website provided in the Resources and identify one recent (within the past 5 years) proposed health policy.

Review the health policy you identified and reflect on the background and development of this health policy.

By Day 3 of Week 7

Post
 a description of the health policy you selected and a brief background for the problem or issue being addressed. Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples.

The proposed health policy I have chosen is the Suicide Training and Awareness Nationally Delivered for Universal Prevention Act of 2021 (STANDUP Act of 2021). The STANDUP Act of 2021 would require state and local agencies to implement evidence-based suicide awareness and prevention training strategies (Congress.gov, n.d.). Suicide ranks tenth in leading causes of death in the United States (National Institute of Mental Health, n.d.). Many of these deaths could be prevented if more Americans had access to appropriate mental health care and varying treatment modalities.

There is an evidence base to support the proposed policy. A study was conducted in Denmark where, following an episode of self-harm, individuals attended various therapy, including cognitive, problem-solving, crisis, dialectical behavior, and integrated care (Page et al., 2018). Following these therapies, there was a lower risk of suicide for these individuals after ten years. It was concluded that 20% of suicide could be prevented after implementing these strategies (Page et al., 2018) NURS 6050 Discussion 1: Evidence Base in Design.

After working in behavioral health for five years, I’ve heard the struggles patients encounter when accessing mental health care. There are not enough resources, and stigmas remain surrounding mental health issues. Nationally recognized awareness and prevention programs would shed more light on this issue and help more individuals come forward to seek help.

References

Congress.gov. (n.d.). H.R. 586- STANDUP Act of 2021. https://www.congress.gov/bill/117th-congress/house-bill/586?q=%7B%22search%22%3A%5B%22health+policy%22%5D%7D&s=10&r=4

National Institute of Mental Health. (n.d.). Suicide. https://www.nimh.nih.gov/health/statistics/suicide.shtml

Page, A., Atkinson, J., Heffernan, M., McDonnell, G., Prodan, A., Osgood, N., & Hickie, I. (2018). Static metrics of impact for a dynamic problem: The need for smarter tools to guide suicide prevention planning and investment. Australian & New Zealand Journal of Psychiatry, 52(7), 660-667. https://doi.org/10.1177/0004867417752866

By Day 6 of Week 7

Respond
 to at least 
two
 of your colleagues
* on two different days
by either supporting or respectfully challenging their explanation on whether there is an evidence base to support the proposed health policy they described NURS 6050 Discussion 1: Evidence Base in Design.

The health care policy H.R. 586 – STANDUP Act of 2021 is very intriguing. If this Act is passed through legislation where would it be implemented? Schools? Hospitals? Community based programs? All of which would provide a tremendous resource for community members that are struggling with suicidal ideations or struggling with the loss of someone. As someone who has lost a close family member to suicide, I would stand behind this Act especially as a health care worker living in an area with minimal mental health assistance. In my area we have some community-based suicide awareness groups that hosts walks, memorials, and time to share your story or show support for people combating mental health issues. As I previously stated, living in a rural area, our community members rely heavily on the internet and its recourses. One of the recourses I refer people to is the Suicide Prevention Lifeline (National Suicide Prevention Hotline, n.d.), because we have a couple of areas in my state that have direct lines, so you are able to talk to someone local, someone that can relate to your issues causing suicidal ideations.

As you have stated, there is a stigma surrounding mental health, especially suicide. It has been a topic for years that ‘should not be talked about’, which is unhealthy. This act would supply education and training strategies to people suffering, even if it only saves one life. It is better than no lives saved. My instructor for mental health during my undergrad required my class to complete the ‘Mental Health First Aid USA’ from the National Council of Behavioral Health because she felt, as I do as well, that mental health first aid should be as common as CPR (Mental Health First Aid, n.d.). If this Act can provide courses such as this to more people, we can grow a healthier community and eventually a healthy country to live in NURS 6050 Discussion 1: Evidence Base in Design.

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References

Mental Health First Aid. (n.d.). 
Identify. Understand. Respond.
 Retrieved April 12, 2021, from https://www.mentalhealthfirstaid.org/

National Suicide Prevention Hotline. (n.d.). 
National suicide prevention lifeline
. Retrieved April 12, 2021, from https://suicidepreventionlifeline.org/

 

response 2

Very informative post! I chose to discuss a similar policy which was the CARES act. However, vaccination issues are the latest topic that everyone is talking about, as far as COVID-19 prevention is concerned. There are myths about the vaccine because people feel it is not genuine, safe, or effective. I have heard some people in my community say that the vaccine might turn them into zombies! The hesitation to get vaccinated is an issue of concern, mainly because people want to get back to ‘the normal’ before the pandemic happened.

I think education regarding the COVID-19 vaccine needs to be done mainly for racial minorities. Most African Americans are hesitant to get the vaccine (Bogart et al., 2021) for several reasons, some of which do not hold water. The democrat who created this act should be reason enough for racial minorities to start having confidence in the vaccine. Furthermore, there is no way for a person to know whether the vaccine is truly safe or effective unless they try it. I think social media can be both a blessing and a curse as far as community education is concerned. My suggestion is to choose social media advocates to spread positive messages and debunk the myths floating on social media. Celebrities can play social media advocates very well because they have millions of followers who value their opinions. As nurses, we can also use our platforms to spread accurate information verbally and on social media NURS 6050 Discussion 1: Evidence Base in Design.

Reference

Bogart, L. M., Dong, L., Gandhi, P., Ryan, S., Smith, T. L., Klein, D. J., … & Bisola, O. O. (2021). What contributes to COVID-19 vaccine hesitancy in black communities, and how can it be addressed?

 

sample response 3

I enjoyed reading your post on the need for more mental health access. I work in the emergency room, and we often have to hold patients awaiting inpatient psychiatric care. The emergency room is often a noisy and chaotic environment that does not help those already struggling with psychiatric care.

The struggle with suicide is not just a local issue but a global one as well. Close to 800,000 people die globally, which is the second leading cause of death for 15-29-year-olds (WHO, 2018). The fact that suicide is such a problem requires that countries create a national strategy to prevent suicide. In 2001 the United States created the National Strategy for Suicide Prevention and the Substance Abuse and Mental Health Services Administration (WHO, 2018). The strategies in place nationally may not work for everyone, and sometimes, the individual plan must be put in place. According to Large (2018), the number one predictor to commit suicide is male, and number two is recent hospitalization for psychiatric treatment. People that have been diagnosed with mental disease are also more likely to commit suicide. There needs to be a better strategy to prevent suicide. According to Large (2018), some low-cost prevention efforts could reduce the amount of pain medicine prescriptions, substitute barbituates with benzodiazepines, place safety barriers in areas that could serve as jump sites, and reduce the amount of media attention on suicides. I am glad that Congress is attempting to pass a bill that will increase mental health access.

Large, M.M. (2018). The role of prediction in suicide prevention. Dialogues in Clinical Neuroscience, 20(3), 197-205. 
https://doi-org.ezp.waldenulibrary.org/10.31887/dcns.2018.20.3/mlarge

World Health Organization (WHO) (2018). National suicide prevention strategies: Progress, examples and indicators. https://apps.who.int/iris/bitstream/handle/10665/279765/9789241515016-eng.pdf NURS 6050 Discussion 1: Evidence Base in Design

Discussion Board 1: Evidence Base in Design

The health policy that I chose for this week’s discussion is H.R. 586 Suicide Training and Awareness Nationally Delivered for Universal Prevention Act of 2021, also called the STANDUP Act of 2021. This bill would require state and local education entities that receive grant funding for mental health needs (such as funding through Project AWARE) to form and implement evidence-based suicide awareness and prevention training within their organizations (Peters, 2021). This bill is a largely Democrat-led initiative with bipartisan support. This bill hopes to increase training to assist in identifying students at risk for suicide. CDC data states that there were 5,954 deaths of individuals ages 15-24 years of age from 1999 to 2019 (
CDC WONDER
, 2020). The top three manners of suicide were firearm-related (total of 2,800 deaths), hanging (2,153 deaths), and poisoning (226 deaths) (
CDC WONDER
, 2020) Discussion 1: Evidence Base in Design.

Adolescent deaths via suicide have climbed from 10.1 deaths (per 100,000 population) in 1999 to 14.5 in 2018 and then down to 13.9 in 2019 (“QuickStats: Death rates* for motor-vehicle–traffic injuries, suicide, and homicide among adolescents and young adults aged 15–24 years — united states, 1999–2019,” 2021). Some factors that correlate with increased suicide risk in teens include failure in relationships/friendships, family involvement/disruption, mental illness, and poor coping skills (Hamed & Mohammad-Rafi, 2020). There is evidence to support a need for this legislation as there is the stigma surrounding mental health and suicide that often causes suffering individuals not to seek help Discussion 1: Evidence Base in Design.

This legislation would require schools to implement training for their faculty and students that would be evidence-based, culturally appropriate, and used to train students in grades six through twelve (Peters, 2021). Students and faculty would be trained to identify self-harm or suicidal ideation signs, resources for students who feel they need help, and yearly training for the students (Peters, 2021). This legislation would also require the agency to report the number of training, the number of students who attended the training, and the number of reports of students seeking help after sitting for these training (Peters, 2021). This is an excellent method for beginning to break through the stigma surrounding mental illness overall by educating our youth. Children and teens need to recognize signs that their friends or even they are at risk for suicide and know where they can turn for help Discussion 1: Evidence Base in Design.

References

CDC WONDER
. (2020). Cdc.gov; CDC.gov. https://wonder.cdc.gov/

Hamed Delam, & Mohammad-Rafi Bazrafshan. (2020). Attempting suicide by adolescents: A qualitative study. 
Payesh
, 
19
(2), 159–166.

Peters, S. H. (2021, February 2). 
H.R.586 – 117th Congress (2021-2022): STANDUP Act of 2021
. Www.congress.gov. 
https://www.congress.gov/bill/117th-congress/house-bill/586?q=%7B%22search%22%3A%5B%22health+policy%22%5D%7D&r=6&s=4

QuickStats: Death rates* for motor-vehicle–traffic injuries, suicide, and homicide among adolescents and young adults aged 15–24 years — united states, 1999–2019. (2021). 
MMWR. Morbidity and Mortality Weekly Report
, 
70
(5), 184. https://doi.org/10.15585/mmwr.mm7005a6

 

response

Your discussion this week is interesting. School-aged children are developing coping skills that will serve as a foundation for their coping skills for the rest of their lives. Stigmas surrounding mental health can serve as barriers to seeking help for adolescents and can even worsen their mental health (Ferrie, Miller, & Hunter, 2020). It is estimated that one in five children have a mental health problem at any given point (Ferrie et al., 2020). Suicide is the second leading cause of death among adolescents (Szlyk et al., 2020). It seems that this legislation would prove to be beneficial for both faculty and students. Adolescents need to recognize self-harming and suicidal ideation in themselves and their peers and know how to respond appropriately to these situations Discussion 1: Evidence Base in Design.

References

Ferrie, J., Miller, H., & Hunter, S. C. (2020). Psychosocial outcomes of mental illness stigma in children and adolescents: A mixed-methods systematic review. Children and Youth Services Review, 113. 
https://doi-org.ezp.waldenulibrary.org/10.1016/j.childyouth.2020.104961

Szlyk, H. S., Berk, M., Peralta, A. O., & Miranda, R. (2020). COVID-19 takes adolescent suicide prevention to less charted territory. Journal of Adolescent Health, 67(2), 161–163. https://doi-org.ezp.waldenulibrary.org/10.1016/j.jadohealth.2020.05.046

response 2

Hello xxx, your discussion post is educative. For example, I have to admit that I have learned a lot concerning health policies. I have reviewed the H.R. 586 Suicide Training and Awareness Nationally Delivered for Universal Prevention Act of 2021 proposed policy. In my opinion, the proposed health policy can be a game-changer if implemented. Suicide is increasingly becoming one of the common causes of death in the United States (Stone et al., 2018). Therefore, the intervention provided by the H.R. 586 is needed to prevent suicide cases that are becoming common in American households. Subsequently, I believe that the STANDUP Act of 2021 can help mitigate this problem because the Bill recommends state and federal training programs regarding factors that influenced suicide cases in different households (Congress.Gov, 2021). I agree with you that cases of suicide are soaring up among adolescents, and this proposed policy can provide recommendations regarding stopping this worrying trend if it is enacted.

References

Stone, D. M., Simon, T. R., Fowler, K. A., Kegler, S. R., Yuan, K., Holland, K. M., … & Crosby, A. E. (2018). Vital signs: trends in state suicide rates—United States, 1999–2016 and circumstances contributing to suicide—27 states, 2015. 
Morbidity and Mortality Weekly Report
, 
67
(22), 617.

Congess.Gov,(2021,February02).H.R.586-117thCONGRESS(2021-2022):Standup act of 2021. Retrieved April 15, 2021, from 
https://www.congress.gov/bill/117th-congress/housebill/586?q=%7B%22search%22%3A%5B%22Suicide%2Band%2BThreat%2BAssessment%2BNationally%2BDedicated%2Bto%2BUniversal%2BPrevention%2BAct%22%5D%7D&r=3&s=3

Discussion 1: Evidence Base in Design

When politics and medical science intersect, there can be much debate. Sometimes anecdotes or hearsay are misused as evidence to support a particular point. Despite these and other challenges, however, evidence-based approaches are increasingly used to inform health policy decision-making regarding causes of disease, intervention strategies, and issues impacting society. One example is the introduction of childhood vaccinations and the use of evidence-based arguments surrounding their safety.

In this Discussion, you will identify a recently proposed health policy and share your analysis of the evidence in support of this policy Discussion 1: Evidence Base in Design.

To Prepare:

Review the Congress website provided in the Resources and identify one recent (within the past 5 years) proposed health policy.

Review the health policy you identified and reflect on the background and development of this health policy.

By Day 3 of Week 7

Post
 a description of the health policy you selected and a brief background for the problem or issue being addressed. Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples.

By Day 6 of Week 7

Respond
 to at least 
two
 of your colleagues
* on two different days
by either supporting or respectfully challenging their explanation on whether there is an evidence base to support the proposed health policy they described.

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Initial Post: Evidence Base in Design

According to the CDC, health-related policies are formal or informal written statements that are designed to protect or promote employee health (n.d). The health policy I selected is a policy requiring healthy foods to be served at company meetings and events. ANA believes that advocacy is a pillar of nursing (n.d). This policy is one that is in place to try and advocate for healthier living, starting at the workplace. Decreasing the amount of obesity in communities starts with small adjustments as the policy listed above. The issue of obesity is very prominent in Americans and there have been many changes that have helped improve the percentage of Americans suffering from obesity. To reverse the obesity epidemic, community efforts should focus on supporting healthy eating and active living in a variety of settings such as in early childhood care, hospitals, schools, and food service venues (CDC, n.d). I do believe there is an evidence base design to support the policy. For example, eating and lifestyle habits can be learned behaviors. An interactive healthy lifestyle intervention focused on low‐SES families significantly improved parental knowledge of the pediatric healthy lifestyle. Changes in parental knowledge are a key preliminary step in behavior change to ultimately affect behavior. Informing and encouraging parents of toddlers to guide healthy lifestyle development early remains a promising point of intervention for prevention, rather than remediation, of childhood obesity (LoRE et al, 2019). With that being said, I believe obesity can be prevented in most American people if interventions and healthy lifestyle choices are started at a young age. To fight against obesity, it is important to have policies such as requiring healthy foods to be served at company meetings and events. Policies such as this one can be a start to decreasing the rate of obesity in Americans.

 

References

American Nurses Association. (n.d). 
Advocacy
. Retrieved April 12, 2021, from https://www.nursingworld.org/practice-policy/advocacy/

Centers of Disease Control (CDC). (n.d). 
Health-related policies.
 Retrieved April 12, 2021, from https://www.cdc.gov/workplacehealthpromotion/model/implementation/policies.html

Centers of Disease Control (CDC). (n.d). 
Strategies to prevent and manage obesity.
 Retrieved April 12, 2021, from https://www.cdc.gov/obesity/strategies/index.html

LoRe, D., Leung, C. Y. Y., Brenner, L., & Suskind, D. L. (2019). Parent‐directed intervention in promoting knowledge of pediatric nutrition and healthy lifestyle among low‐SES families with toddlers: A randomized controlled trial. 
Child: Care, Health & Development, 45(
4), 518–522. https://doi-org.ezp.waldenulibrary.org/10.1111/cch.1268 Discussion 1: Evidence Base in Design

response

Great post! It is definitely paramount to safeguard the health of employees or Americans in general.  Advocating for improvements in population health is a role that nurses should take up more often. Furthermore, if nurses and other healthcare workers are not healthy, then the whole healthcare system is bound to crumble and fail. Obesity is becoming an epidemic, particularly among people of color. I think that you have done well addressing it because there is a need to develop more interventions to reverse the disorder. I also believe there is a need for social media campaigns to educate Americans on the importance of healthy lifestyles (Kite, 2018). I believe in social media’s power to bring social change, mainly because it is the “viral” era. Nurses and members of the medical community need to be each other’s keepers to practice what they preach. Policies that encourage healthy eating at the workplace are definitely an excellent spectrum to start as far as the fight for obesity is concerned.

Reference

Kite, J. D. (2018). Using mass media and social media for the prevention of non-communicable diseases Discussion 1: Evidence Base in Design.

NURS 6051 Big Data Risks and Rewards Essay

Within our day we interact with multiple data-collecting devices.  Every time we swipe our debit card data is sent to that company.  They use this to track your spending habits, frequency, likes, and dislikes.  They use this data to target your spending behavior and thereby send you information on credit card applications and incentives to entice you to continue to make their companies more money.  Health care is similar, but we often think about the information we are collecting.  Our electronic health records capture thousands of data points about our patients.  In my field, we capture wound size, width, depth.  We capture admission information and discharge outcomes that eventually lead to benchmarking standards.  When I think of big data collection and health care I think of a company 23and me and other genetic big data collection companies.  This company collects DNA samples for people across the world NURS 6051 Big Data Risks and Rewards Essay.

 “23andMe offers a direct-to-consumer (DTC) genetic testing service based on the use of single-nucleotide polymorphisms (SNPs) to determine ancestry and to identify genetic markers associated with specific diseases and conditions and a few specific causal variants that the company claimed could provide information about their clients’ health and how to improve it(Stoeklé et al., 2016, p. 2).”

This collection of information has connected families and provided insight into your origins and ancestry.  This valuable information collected by millions of willing participants is used in many great ways.  “This collection of information has connected families and provided insight into your origins and ancestry(Khan & Mittelman, 2018, p. 2).”   The use of this information could also one day be used to come up with cures for diseases or find trends in genetic patterns that unlock targeted gene therapy to cure specific disease types. However, with the ability to capture this amount of data comes a price.  The data collected from these companies are often sold to other companies looking for this valuable information.  Most of that information is used to aid in advancements in health care but some can manipulate it and could use the data in ways we are not aware of now.  For example, what if your insurance company was able to retrieve your data and then preclude you from health care due to underlying conditions.  This could severely limit coverage and your health care choices.  There is also the unintended used some good and some bad we are not aware of.  The data of these companies are now being used to solve cold cases and current crimes as the government.  A genetic testing company was subpoenaed for access to their records which were used to solve the Golden State killer case NURS 6051 Big Data Risks and Rewards Essay.  Many of us would have no problem with that but those who submitted their DNA did not sign away their rights to have their data used in that way. “The Fourth Amendment prohibits the government from conducting unreasonable searches of people or their property(Brown, 2019, p. 11).” Whether you agree or disagree about the outcomes of the data search leads to many ethical questions as to what our data is used for.  In health care, we are protected and this data appropriation is mitigated by many layers of protection and consents that specifically state what, where, and how our data can be used but those who wish to exploit us, and our patients know the value in this big data and leave us vulnerable to Ransom were attacks and breaches in our information NURS 6051 Big Data Risks and Rewards Essay.

                                                                                                                           References

Brown, T. R. (2019). WHY WE FEAR GENETIC INFORMANTS: USING GENETIC GENEALOGY TO CATCH SERIAL KILLERS. 
Columbia Sci Technol Law Rev.
, 
21
(1), 114–181. 
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7946161/

Khan, R., & Mittelman, D. (2018). Consumer genomics will change your life, whether you get tested or not. 
Genome Biology
, 
19
(1). 
https://doi.org/10.1186/s13059-018-1506-1

Stoeklé, H.-C., Mamzer-Bruneel, M.-F., Vogt, G., & Hervé, C. (2016). 23andme: A new two-sided data-banking market model. 
BMC Medical Ethics
, 
17
(1). 
https://doi.org/10.1186/s12910-016-0101-9

Discussion: Big Data Risks and Rewards

When you wake in the morning, you may reach for your cell phone to reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee.

From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth NURS 6051 Big Data Risks and Rewards Essay.

As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards.

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To Prepare:

Review the Resources and reflect on the web article 
Big Data Means Big Potential, Challenges for Nurse Execs
.

Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.

By Day 3 of Week 5

Post
 a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples NURS 6051 Big Data Risks and Rewards Essay.

By Day 6 of Week 5

Respond
 to at least 
two
 of your colleagues
* on two different days
, by offering one or more additional mitigation strategies or further insight into your colleagues’ assessment of big data opportunities and risks.

you bring an excellent example of big data’s pros and cons with the 23 and me and other like-minded companies. This information can bring families together and give people insight into risks for diseases they may not have known about (Kubick, 2013).  There is great concern about how that data is used.  Interestingly, an exciting thing is happening; however, the first genetic link to depression may have been found because of data from 23 and me (Abbasi, 2017). I believe that these genetic background companies can use their data to help people and help find cures for diseases, but I think there must be a way to protect this data not to get into the wrong hands.

References

Abbasi, J. (2017). 23 and me, big data, and the genetics of depression. JAMA,
 The Journal of the

American Medical Association
, 317(1), 14.

Kubick, W. R. (2013). Personalized Medicine, Data, and Me. 
Applied Clinical Trials
, 22(10), 24–25.

response 2

What an exciting topic you picked regarding direct-to-consumer genetic testing. I
 

personally have felt torn on getting my DNA tested for the exact reasons you mentioned, the

unintended consequences. I have always had a fascination with murder mysteries, which is part of the reason I would like to focus my PMHNP on forensic psychology, so using DNA through organizations such as 23andMe or ancestry to catch murderers like the Golden State Killer in California is fascinating NURS 6051 Big Data Risks and Rewards Essay.
 

 
DNA testing in this regard is vastly unknown, and police investigation has become a hot topic. Two companies ancestry.com and 23andMe, do not voluntarily cooperate with law enforcement (Chrisos, 2020), while GEDmatch now has clients opt if they want to participate in police searches or not (Payne, 2020).
 

 
Direct-to-consumer genetic testing can be significant for many reasons, finding long-lost family, tracing lineage, finding common illness within your family tree, but there also comes the risks. According to Raven (2018), there is a lack of appropriate counseling before and after patients get their results. Many factors analyze a patient’s risks regarding genetic diseases and conditions that these at-home kits do not address. Her sound advice is to consult your physician or genetic counselor to analyze your genetic history, risk factors, and concerns NURS 6051 Big Data Risks and Rewards Essay.
 

 
I feel people are quick to jump on these at-home kits without thinking about the consequences. Putting your information out there is never safe, and a breach of confidentially is always eminent. Becoming more educated on what you are doing, where that information is going, and how it is handled can help inform the person in making a decision they are most comfortable with. 
 

Payne, K. (2020, August 28).
 
Police used a genealogy website to crack an iowa cold case. The tool is raising concerns elsewhere.
 
Iowa Public Radio. https://www.iowapublicradio.org/courts/2020-03-07/police-used-a-genealogy-website-to-crack-an-iowa-cold-case-the-tool-is-raising-concerns-elsewhere.

Chrisos, J. (2020, November 17).
 
Thinking about testing your ancestry? Here’s how police, researchers are using the results
. WGME. https://wgme.com/news/i-team/thinking-about-testing-your-ancestry-heres-how-police-researchers-are-using-the-results.

Raven, K. (2018, November 18).
 
Is an at-home DNA test an ideal gift, really?
 
Yale Medicine. https://www.yalemedicine.org/news/at-home-genetic-test-kit-holiday-gift NURS 6051 Big Data Risks and Rewards Essay.

NURS 6051 week 1 Discussion: The Application of Data to Problem-Solving

Scenario: The fall of 2020 saw the rise of corona throughout the globe, impacting regular lifestyle, millions of people where admitted to hospital for treatment. Many of these patient have pre-existing condition that need to be taken into account while treating them for the virus infection.

Resolution: Pertaining to this scenario data played a very important role in not only managing such vast population of patient, but also ensuring that all patient where formally addressed based on their pre-existing condition. The data acquisition process showcases detailed information being collected for patient earlier medical records from the data base of hospital using EHR – Electronic health record of the patient, for those who are regular in-house patient for the hospitals. In case outpatient admitted to the hospital details are collected using social security number of the patient logged with patient medical insurance, which provided detailed information about patient medical history allowing the right approach to be made for each patient while handling their COVID infection NURS 6051 week 1 Discussion: The Application of Data to Problem-Solving.

These information thus gathered about each patient allowed the nursing staff to recognize the previous history of the patient based on which treatment approaches are implemented by the doctors. This allowed the nursing staff to gain knowledge on treating COVID patient based on their pre-existing condition and how based on different pre-existing condition, different approaches has been put into place for treatment. Further these accesses to the information also brought in easier resolution process considering the knowledge gained on patient history from the data making the process of treatment easier.

References

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

 

response

It is certainly true that patients with pre-existing conditions were more affected by the covid virus. Heart disease, diabetes, and those that are immunocompromised were more at risk to develop complications from disease (ADPH, 2021). Using an EHR to track these populations and their risks, treatments, and long-term effects is crucial to understanding and treating future patients (Eddy, 2020). Additionally, clinics that cater to these populations can track numbers affected, fatalities, and long-term complications. In a hospital setting, an EHR can track lab values, daily trends, or even unit success/failures while still being HIPPA compliant NURS 6051 week 1 Discussion: The Application of Data to Problem-Solving.

ADPH. (2021). Frequently Asked Questions | Alabama Department of Public Health (ADPH). Alabamapublichealth.gov. Retrieved 2 June 2021, from 
https://www.alabamapublichealth.gov/covid19/faq.html
.

 
Eddy, N. (2020). Using EHRs to track patients in real time. Healthcare IT News. Retrieved 2 June 2021, from https://www.healthcareitnews.com/news/using-ehrs-track-patients-real-time.

Discussion: The Application of Data to Problem-Solving

In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.

Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.

In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

To Prepare:

Reflect on the concepts of informatics and knowledge work as presented in the Resources.

Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap NURS 6051 week 1 Discussion: The Application of Data to Problem-Solving.

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By Day 3 of Week 1

Post
 a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?

By Day 6 of Week 1

Respond
 to at least 
two
 of your colleagues
* on two different days
, asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.

*Note:
 Throughout this program, your fellow students are referred to as colleagues.

Nursing Informatics is a developing science that merges nursing science and technology to allow data to be collected, analyzed, and interpreted in order to gain all the necessary knowledge to diagnose and treat patients promptly and efficiently (McGonigle & Mastrian, 2017). This collected data must be both accessible and accurate in order to be reliable. When used correctly nursing informatics can be used to help nurses track both acute issues and patient’s long-term health concerns. Some examples of informatics being integrated into healthcare currently are electronic health records, patient care portals, off-site dictation, data collection, and patient condition/medication surveillance.

        One way that informatics can be used to save lives is by assisting with patient monitoring and alerting to changes outside of a normal reference range or set of values (Quinn,2017 ). This allows nurses to stay engaged with patient care while still ensuring that acute patient conditions are noticed and treated in an appropriate manner. For a moment envision yourself as patient Anna Smith, a 45-year-old female, in the emergency room for abdominal pain. In this acute situation a nurse takes a temperature and then applies a pulse ox, EKG leads, and a blood pressure cuff. Vitals are monitored continuously and entered into the patient’s electronic health record at 15-minute intervals. An algorithm monitors this information along with lab values and medications administered. If appropriate, alerts are triggered to initiate additional nursing care acts. One of these alerts that are triggered by gathering, analyzing, and interpreting multiple data inputs is a sepsis alert. Once triggered, a nurse begins a sepsis protocol that includes additional interventions and order sets to help reduce the time until treatment once sepsis is identified (Westphal et al., 2018) NURS 6051 week 1 Discussion: The Application of Data to Problem-Solving.

        It is important to remember that even though data is collected and analyzed with the help of technology, nurses must still ensure that data is accurate and relevant (McGonigle & Mastrian, 2017). For example, nurses should make sure that the blood pressure cuff being used is the appropriate size and that lab specimens are not contaminated in order to ensure data is accurate and relevant.

 

 

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

 

Westphal, G. A., Pereira, A. B., Fachin, S. M., Sperotto, G., Gonçalves, M., Albino, L., Bittencourt, R., Franzini, V. R., & Koenig, Á. (2018). An electronic warning system helps reduce the time to diagnosis of sepsis. Um sistema eletrônico de alerta ajuda a reduzir o tempo para diagnóstico de sepse. Revista Brasileira de terapia intensiva, 30(4), 414–422. https://doi.org/10.5935/0103-507X.20180059

Quinn, J. (2017). Five Ways Healthcare Informatics Help Nurses: Health-Notes. Retrieved May 31, 2021, from  https://www.ebsco.com/blogs/health-notes/five-ways-healthcare-informatics NURS 6051 week 1 Discussion: The Application of Data to Problem-Solving

Big Data Risks and Rewards Discussion

When you wake in the morning, you may reach for your cell phone to reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee.

From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth Big Data Risks and Rewards Discussion .

As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards.

To Prepare:

Review the Resources and reflect on the web article 
Big Data Means Big Potential, Challenges for Nurse Execs
.

Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.

By Day 3 of Week 5

Post
a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples Big Data Risks and Rewards Discussion .

Main Post

In this environment of access to technology at virtually everyone’s fingertips, how do health care professionals make use of big data? In the United States, more than 9 out of 10 people own a cell phone, and globally over 9 out of 10 of the world’s population has access to mobile wireless service (Ng, & Frith, 2018). With so many people on the internet and cell phones, big data is aptly named. The biggest challenge of using big data is how to apply it (Thew, 2016). Once the big data is shorted, big data can make a big difference for many different industries and can potentially be lifesaving in health care. When the correct data is given, disease predictions can occur for healthcare centers (Vijayalakshmi, 2021). This, of course, can be shared with the public due to HIPAA. However, with infectious disease, some of the essential information is reportable and therefore lifesaving.

References

Ng, Y. C., Alexander, S. & Frith, K. H. (2018). Integration of Mobile Health Applications in Health

Information Technology Initiatives. CIN: Computers, Informatics, Nursing, 36 (5), 209-213. doi:

10.1097/CIN.0000000000000445.

Thew, J. (2016). 
Big data means big potential, challenges for nurse execs. 
Retrieved from

https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

Vijayalakshmi, S., Saini, A., Srinivasan, A., & Singh, N. K. (2021). Disease prediction over big data from

healthcare institutions. 2021 International Conference on Advance Computing and Innovative

Technologies in Engineering (ICACITE), Advance Computing and Innovative Technologies in

Engineering (ICACITE), 2021 International Conference On, 914–919.

https://doi-org.ezp.waldenulibrary.org/10.1109/ICACITE51222.2021.9404567

 

By Day 6 of Week 5

Respond
 to at least 
two
 of your colleagues
* on two different days
, by offering one or more additional mitigation strategies or further insight into your colleagues’ assessment of big data opportunities and risks Big Data Risks and Rewards Discussion .

You bring up some interesting facts about society’s connectivity with their devices. It really shouldn’t come as a surprise, until you stop and actually digest all of the statistics. According to McGonigle and Mastrian (2018),  the American healthcare system spends 1.4 trillion dollars on our conventional system. In developing a solution for a new mode, telehealth is an option. The major benefit includes healthcare services without an in-person contact. There are three types of tele health that nurses need to become familiar with. The first is store-and-forward, which deals mainly with video, audio, and images. The second is real time, which is interactive communication. And the last is mHealth, which uses mobile or wireless apps for a patient’s health needs Big Data Risks and Rewards Discussion .

 

One of your points was about HIPPA in reference to big data. This becoming an ever touchy topic as technology continues to evolve. It should come as little surprise that there are rules for the privacy with regards to big data. “Researchers can use PHI if they receive authorizations from the subjects of PHI. Without such authorization, also called informed consent, researchers must apply to the institutional review board for a waiver of authorization. The minimum necessary PHI can be released to researchers without prior authorization from the individual upon the approval of a waiver of authorization by an IRB or a privacy board” (Kayaalp, 2018). However, there are exceptions as the article goes on to point out that researchers can access big data if the person of the PHI is deceased or if research is being done at an institute and the PHI does not leave the premises (Kayaalp, 2018). I take issue with second point. What institution can provide quality research if the data they are accessing is tangible instead of electronic form? So we can deduct that in 2021, most if not all PHI accessed for research is done so electronically. By that standard, what safeguards are in effect for the electronic PHI or what PHI are they using, which is not to leave the institution’s research facility?

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References
 

Kayaalp M. (2018). Patient Privacy in the Era of Big Data. Balkan medical journal, 35(1), 8–17. 
https://doi.org/10.4274/balkanmedj.2017.0966

 
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning, 366-368 Big Data Risks and Rewards Discussion .

response 2

Great read! it is interesting to know statistics and what is affecting our older population as far as technology. 
 “Roughly 27 percent of Americans over 65 are not online and understanding why is key to changing that. If companies designed devices and software with value for seniors, not as many older people would find themselves on the other side of the digital divide. During a pandemic, that could save lives” (Renstrom, J., 2020).

I am also interested to know whether the use of big data will affect the speed and availability of the internet. How many times do we lose service when attempting to access our systems? Is the use of big data from larger corporations going to slow down the worldwide web?

Our world is fast-moving, and we need to solidify resources that will improve our health and assist us with identifying risk factors that affect our health. Science and technology are the evolving aspects that we must keep up with to maintain our health and well-being. Technology is key and providing education on the necessity of utilizing big data is imperative to everyone’s future.

 

References

Pastorino, R., De Vito, C., Migliara, G., Glocker, K., Binenbaum, I., Ricciardi, W., & Boccia, S. (2019, October 1). 
Benefits and challenges of Big Data in healthcare: an overview of the European initiatives
. European journal of public health. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6859509/Big Data Risks and Rewards Discussion .

 

Renstrom, J. (2020, July 13). 
Why Older People Really Eschew Technology. (It’s Not Because They Don’t Understand It.)
. Slate Magazine. https://slate.com/technology/2020/07/seniors-technology-illiteracy-misconception-pandemic.html.

 

response 3

Based on the discussion submitted by Kelly, she highlights how majority of people across the globe has access to mobile and internet, which can easily be used by hospitals as a beneficiary structure. This includes sorting of big data and passing it down to the users through their mobile and internet services to make them aware of information related to any disease. This allows hospitals to make patient aware of the present disease based scenario along with objective that patient’s should follow in order to keep them safe. This information highlighted by Kelly clearly helps identify the correct use of big data reflecting the reward in form of safety. However Kelly failed to recognize the challenges the introduction of this process can bring on the organization or the people. It is because of this reason even though I agree with her first finding of the discussion but believe the submission is incomplete.

References

Vijayalakshmi, S., Saini, A., Srinivasan, A., & Singh, N. K. (2021). Disease prediction over big data from healthcare institutions. 2021 International Conference on Advance Computing and Innovative Technologies in Engineering (ICACITE), Advance Computing and Innovative Technologies in Engineering (ICACITE), 2021 International Conference On, 914–919. 
https://doi-org.ezp.waldenulibrary.org/10.1109/ICACITE51222.2021.9404567

Ng, Y. C., Alexander, S. & Frith, K. H. (2018). Integration of Mobile Health Applications in Health Information Technology Initiatives. CIN: Computers, Informatics, Nursing, 36 (5), 209-213. doi:10.1097/CIN.0000000000000445 Big Data Risks and Rewards Discussion .

NURS 6050 Policy and Advocacy for Improving Population Health

Student Support and Calendar Information

So you have all key information available to you off-line, it is highly recommended that you print the following items for your reference:

This Syllabus, including the Course Schedule that is linked on this page as a PDF

Course Calendar

Support, Guidelines, and Policies

Photo Credit: Sam Edwards / Caiaimage / Getty Images

Credit Hours

5 credits in 11 weeks

Walden University assigns credit hours based on the number and type of assignments that enable students to achieve the course learning objectives NURS 6050 Policy and Advocacy for Improving Population Health. In general, each semester credit equals about 42 hours of total student work and each quarter credit equals about 28 hours of total student work. This time requirement represents an approximate average for undergraduate work and the minimum expectations for graduate work. The number and kind of activities estimated to fulfill time requirements will vary by degree level and student learning style, and by student familiarity with the delivery method and course content.

Course Description

In today’s rapidly changing healthcare delivery system, decisions made within the political arena impact the future of health delivery systems, healthcare professionals, and the populations they serve. In this course, students examine the policy process and its impact on healthcare delivery, cost, quality, and access NURS 6050 Policy and Advocacy for Improving Population Health. Students examine the importance of getting healthcare issues on federal and state agenda, investigate governmental response through legislation and regulation, and identify where they can advocate for positive outcomes in program/policy design, implementation, and evaluation. Global health issues are examined for their relevance and impact on the development of the nurse advocate. Through discussions, reflection, case studies, and the application of professional communications techniques as political tactics to influence policy outcomes, students demonstrate integration of policy decision-making into professional nurse practice for the benefit of individuals and populations NURS 6050 Policy and Advocacy for Improving Population Health.

Course Learning Outcomes

By the conclusion of this course, you should be able to:

Evaluate factors that affect nursing practice (such as socioeconomic, political, legal/regulatory, ethical, and global factors).

Evaluate factors that affect healthcare delivery systems (such as socioeconomic, political, legal/regulatory, ethical, and global factors).

Evaluate factors that affect population health (such as socioeconomic, political, legal/regulatory, ethical, and global factors).

Analyze the influence of policy and politics on the cost, quality, and access to healthcare delivery systems.

Apply policy processes including political advocacy skills into professional nursing practice.

Assess tradeoffs between cost, quality, and access inherent in a complex healthcare delivery system.

Analyze global policies for health and healthcare issues NURS 6050 Policy and Advocacy for Improving Population Health.

College of Nursing Alignment of Learner Outcomes

Click on the following link to access the College of Nursing Alignment of Learner Outcomes:

Document:
NURS 6050 College of Nursing Alignment of Learner Outcomes (PDF)

Course Materials

Please visit the university bookstore via your Walden student portal to ensure you are obtaining the correct version of any course texts and/or materials noted in the following section. When you receive your materials, make sure that all required items are included.

Course Text

Milstead, J.A., & Short, N.M. (2019).
Health policy and politics: A nurse’s guide
(6th ed.). Burlington, MA: Jones & Bartlett Learning.

Note:
If the print edition of these books are referenced here, electronic versions also may be available and may be acceptable for use in this course. If an electronic version is listed, no print version is available NURS 6050 Policy and Advocacy for Improving Population Health.

Other readings (journal articles, websites, book excerpts, etc.) are assigned throughout the course and may be found within each Module.

Note:
 The following text is required for use throughout your MSN program and should have been purchased in NURS 6002/NURS 6003:

American Psychological Association. (2020).
Publication manual of the American Psychological Association
(7th ed.). https://doi.org/10.1037/0000165-000

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Media

Assigned course media elements may be found in one or more modules of the course and are available via a streaming media player or a hyperlink to the individual item.

Course Readings List

The Course Readings List contains all the required Walden Library resources for this course. Please click on the following link to access the list:

NURS 6050 Course Readings List

Primary and Secondary Sources

Review the following information prior to selecting resources for assignments.

Primary:
 A primary source is an original document that is the first account of what happened. A research report is primary, and you can tell because it includes materials and methods demonstrating how the research was done. Some creative work is also primary, such as poetry, novels, and interviews of people who experienced something firsthand. In nursing, which is an evidence-based discipline, we strive to use primary research that is published in scholarly, peer-reviewed journals.

Scholarly, peer-reviewed journal:
Scholarly journals publish papers by professional authors and experts in the field using a peer-review process to review the work and assure quality before publishing. The focus of a scholarly journal is to provide accurate information for scholars and other researchers. The focus is on content rather than advertising, a direct contrast to popular media. Scholarly journals publish both primary and secondary papers, the former usually noted as original research and the latter as reviews and commentaries. Letters to the editor may also be published but should be recognized as opinion pieces NURS 6050 Policy and Advocacy for Improving Population Health.

Note:
 When selecting articles for course assignments, you are advised (unless you are referencing seminal information) to focus on work published within the past five years.

Secondary:
 A secondary source is one step removed from the original source. This work interprets and often compiles other work, and it includes review articles, textbooks, fact sheets, and commentaries about a topic. It also includes news reports of original research. Secondary work is more prone to error and bias than primary work because it is being filtered through an additional person or persons. Review papers can be useful to glean information about a topic and to find other sources from the reference list, but it is the original, primary research that should be relied on most heavily in demonstrating scholarship, depth, and validation of factual information.

Course Assignments

Participation in weekly Discussions:
The exchange of ideas among colleagues engaged in scholarly inquiry is a key aspect of learning and is a requisite activity in this course. You are expected to participate each week by posting a response to a prompt or question in the weekly Discussion area. In addition, you are expected to respond to your fellow students’ postings. Within the course, your fellow students are referred to as colleagues. To count as participation, responses need to be thoughtful; that is, they must refer to the week’s readings, relevant issues in the news, information obtained from other sources, and/or ideas expressed in the postings of other class members. You may ask questions or offer further information or links about the subject NURS 6050 Policy and Advocacy for Improving Population Health. Please pay attention to grammar and spelling, as consistently poorly written posts will receive grade penalties. In grading the required Discussion postings, your Instructor will be using the Discussion Posting and Response Rubric, located in the 
Course Information
 area.
Note:
 Unless otherwise noted, initial postings to Discussions are due on or before Day 3, and response postings are due on or before Day 6. You are required to participate in the Discussion on at least three different days (a different day for main post and each response). It is important to adhere to the weekly time frame to allow others ample time to respond to your posting. In addition, you are expected to respond to questions directed toward your own initial posting in a timely manner.

Assignments:
 The Assignments provide you with the opportunity to apply the skills and knowledge gained through the Learning Resources and the practicum experience. See the Assignment area of specific weeks for detailed descriptions of the assignments. In grading the required Assignments, your Instructor will be using rubrics located in the Course Information area.
Note:
The course Assignments will require that you completely and accurately demonstrate critical thinking via assimilation and synthesis of ideas when using credible, outside and course specific resources (i.e. video, required readings, textbook), when comparing different points of view, highlighting similarities, differences, and connections, and/or when lending support to your Assignment responses NURS 6050 Policy and Advocacy for Improving Population Health.

Portfolio Assignment:
 Each course in the Master of Science in Nursing (MSN) program for the following specializations includes a Portfolio Assignment: Nursing Education, Nurse Executive, Nursing Informatics, and Public Health Nursing. The Portfolio Assignment is designed to measure specific professional knowledge and skills as outlined in the American Association of Colleges of Nursing (AACN) Master’s Essentials. Students submit the Portfolio Assignment in the online classroom and a criterion-based scoring rubric is used to grade the assignment. The rubric is aligned with American Association of Colleges of Nursing (AACN) Master’s Essentials and provides specific and informative feedback on your performance. The Portfolio Assignment is evaluated by the course Instructor.

Grading Criteria and Total Components of a Grade

Course grades will be based on participation (postings) and completion of assignments listed below NURS 6050 Policy and Advocacy for Improving Population Health.

Letter grades will be assigned as follows:

90%–100% = A

80%–89% = B

70%–79% = C

< 70% = F Please see below for the policy on Incomplete (I) grades.   Assignment Total Points Percentage (Weighted) Discussions Participation in Discussions* (6 @ 100 pts. each) 600 35% Assignments Module 1 Assignment (100 pts.) Module 2 Assignment (100 pts.) Module 3 Assignment (100 pts.) Module 4 Assignment (100 pts.) Module 5 Assignment (100 pts.) Module 6 Assignment (100 pts.)** 600 65% Total 1200 100%   * Each Discussion requires that you make one initial posting and at least two response postings to colleagues. See the Discussion Posting and Response Rubric for posting details. **This is the Portfolio Assignment for this course NURS 6050 Policy and Advocacy for Improving Population Health. Incomplete Grade Policy Per University policy, Incomplete grades can be granted only to students who have already met the minimum criteria for active weekly participation in a course (including weekly postings in online courses) and have completed at least 80% of other coursework. Incompletes can be awarded when, because of extenuating circumstances, a student has not met additional course requirements, including but not limited to written assignments, group projects, and research papers, as applicable. All Incomplete grades are awarded at the discretion of the course faculty. (Reproduced from Student Catalog) Students who are eligible for an Incomplete must contact the Course Faculty to request the grade as soon as possible. Students who do not meet the criteria listed above will not be allowed to earn an Incomplete. If the Incomplete is approved, the Faculty Member will work with the student to outline the due date(s) for remaining work. Under no circumstances will the new due dates extend beyond 50 days from the last day of the term. Faculty will then have 10 days to assess the work and post the permanent grade before the University-allotted Incomplete time limit of 60 days expires. All Incomplete grades not resolved within the time allotted will convert to permanent grades of F NURS 6050 Policy and Advocacy for Improving Population Health. Instructor Feedback Schedule The Instructor will log in to the course during the week to monitor the weekly Discussion area. Feedback will be provided via the My Grades area, the Discussion area, and/or the Announcements page. Instructor feedback and explanation is provided whenever full credit is not achieved. Depending on the nature of the feedback, Instructor responses may be posted to the Discussion area or included in the My Grades area. The goal of your Instructor is to act as a discussion and learning facilitator rather than a lecturer. The Instructor will not respond to every posting by every individual, so please feel free to ask your Instructor if you would like some personal feedback on a particular assignment posting or any time you have any questions regarding your assignments or your grade. For most assignments, you can expect your grades and/or feedback to be posted within five calendar days after the due date. Some assignments may require more than five days for your instructor to provide you with quality feedback NURS 6050 Policy and Advocacy for Improving Population Health. Course Procedures All class Discussions take place in the weekly Discussion areas. You are encouraged to post course-related questions to the Contact the Instructor area as they may be of interest to all; however, if your question is urgent, it is often best to e-mail the Instructor. If your e-mailed question is thought to be of benefit to all, it may be responded to by the Instructor via e-mail to all or posted as an announcement. Instructor feedback on content and writing issues that is thought to be of benefit to the entire class may be posted to the Contact the Instructor area; however, most personal critique will be done privately in the Grade Center. Be sure to check the Grade Center for comments every week even if you received full credit. Please feel free to use the Class Café to initiate and participate in conversations not directly related to the course. This is an excellent opportunity to get to know other students better. The Instructor will browse the Class Café occasionally but generally will not respond to conversations posted there unless students have specific questions for him or her. Check the e-mail account you use for official Walden University business on a regular basis. The expectation is that you are checking this e-mail account daily during the week. If you experience difficulty sending or receiving Walden e-mail, please contact the Student Support Team right away. Contact information for the Student Support Team is located in the Student Support area. Review all materials in the Course Information area, as well as the materials contained under each of the weekly buttons. Note:  There are Optional Readings located within the Learning Resources section of each week in the course. You are encouraged to explore these readings, as needed, in order to enhance your understanding of the course content. Preferred Methods for Delivering Assignments Be sure that you post to the correct Discussion area each week. Do not e-mail postings to the Instructor. For all initial Discussion postings, make sure that the first sentence of your posting reads Main Question Post. For your responses to others’ response postings, make sure that the first sentence of your response reads Response. These actions will ensure easily identifiable subject lines for your postings and responses. Application Assignments are submitted to the SafeAssign link and named according to the week in which the Assignment is submitted. Directions for naming each Application Assignment are included in each week’s Assignment area. Please be sure that all written Application Assignments are saved and submitted as a “.doc” file. All e-mail correspondence must contain in the subject line “NURS 6050-XX-NAME” (XX is the section number) followed by a brief description of the subject. This subject line convention ensures that your e-mail will be easily identified and responded to in a timely manner. It is required that the e-mail contain a signature that matches the official name used in the course. Late Assignment Policy Students are expected to submit assignments by the due dates noted in the course. In extenuating circumstances, such as illness, the student must contact the Instructor as soon as possible to discuss the situation. In those circumstances, faculty will determine the appropriate course of action for the student. Depending on the situation, these actions may include recommendations to drop the course (if within the University drop/withdrawal period), acceptance of some or all of the overdue assignments with or without penalties, or failure to accept assignments. Assignments submitted late without prior agreement of the Instructor, outside of an emergency absence, or in violation of agreements for late submission, will receive a grade reduction for the assignment amounting up to 20%. After 5 days, the assignment will not be graded. Students should be aware that late assignments may not receive the same level of written feedback as do assignments submitted on time NURS 6050 Policy and Advocacy for Improving Population Health. Keeping Your Coursework You will have access to the course and your coursework from the course start date until 60 days after the course ends. After this time, you will no longer be able to access the course or related materials. For this reason, we strongly recommend that you retain copies of your completed assignments and any documents you wish to keep. The University is not responsible for lost or missing coursework. Course Evaluation At or near the end of the course, you will receive an e-mail inviting you to submit an online evaluation of the course and instruction. All submitted course evaluations are confidential, and only aggregate data and comments will be shared with the Instructor and Program Director. Your feedback is vitally important to Walden University in its efforts to continuously improve programs. Students With Disabilities Students in this course who have a disability that might prevent them from fully demonstrating their abilities should contact the director of Student Wellness & Disability Services at  disability@mail.waldenu.edu  or at 1-800-925-3368, ext. 312-1205 and +1-612-925-3368 or  https://www.waldenu.edu/contact-us  for international toll-free numbers as soon as possible to initiate disability verification and discuss accommodations that may be necessary to ensure full participation in the successful completion of course requirements. Classroom Participation In accordance with U.S. Department of Education guidance regarding class participation, Walden University requires that all students submit at least one of their required Week 1 assignments (which includes posting to the Discussion Board) within each course(s) during the first 7 calendar days of class. For courses with two-week units, posting to the Discussion Board by Day 7 meets this requirement. The first calendar day of class is the official start date of the course as posted on your myWalden academic page. Assignments submitted prior to the official start date  will not  count toward your participation.  Financial Aid cannot be released without class participation as defined above.  Students who  are taking their first class with Walden and do not submit at least one of their required Week 1 assignments (or at least one Discussion post) by the end of the 7th day will be administratively withdrawn from the university NURS 6050 Policy and Advocacy for Improving Population Health. Students who have already taken and successfully completed  at least one  or more class(es) with Walden, and who  do not participate  within the first 7 days, will be dropped from that class. If you have any questions about your assignments, or you are unable to complete your assignments, please contact your Faculty Member.   The module course checklist below outlines the assignments due for the course.   For full assignment details and directions, refer to each module of the course. All assignments are due by  11:59 p.m. Mountain Time (MT)  on the day assigned (which is 1:59 a.m. Eastern Time (ET) the next day). The time stamp in the classroom will reflect Eastern Time (ET), regardless of your time zone. As long as your submission time stamp is no later than 1:59 a.m. Eastern Time (ET), you have submitted on time. To View the Calendar To view the Course Calendar: Course Calendar To View a Printable Course Schedule For full assignment details and directions, refer to each Module of the course. Click on the  NURS 6050 Course Schedule (PDF)  link to access the Course Schedule. Document: NURS 6050 Course Schedule (PDF) Checklist   Module Assignment Title Weeks 1-2 (Module 1) Agenda Setting Learning Resources Required Readings Required Media Discussion Presidential Agendas Assignment Agenda Comparison Grid and Fact Sheets/Talking Points Brief Weeks 3-4 (Module 2) Legislation Learning Resources Required Readings Required Media Discussion Politics and the Patient Protection and Affordable Care Act Assignment Legislation Grid and Testimony/Advocacy Statement NURS 6050 Policy and Advocacy for Improving Population Health. Weeks 5-6 (Module 3) Regulation Learning Resources Required Readings Required Media Discussion Professional Nursing and State-level Regulations Assignment Regulation for Nursing Practice Staff Development Meeting Weeks 7-8 (Module 4) Healthcare Program Design and Implementation Learning Resources Required Readings Required Media Discussion 1 Evidence Base in Design Discussion 2 The Role of the RN/APRN in Policymaking Weeks 9-10 (Module 5) Program/Policy Evaluation Learning Resources Required Readings Required Media Discussion The Role of the RN/APRN in Policy Evaluation Portfolio Assignment Assessing a Healthcare Program/Policy Evaluation Week 11 (Module 6) Global Healthcare Issues Learning Resources Required Readings Required Media Assignment Global Healthcare Comparison Matrix and Narrative Statement   Bibliography The bibliography contains the references for all learning materials in the course. For your convenience, a link has been provided to download and save the bibliography NURS 6050 Policy and Advocacy for Improving Population Health. To access the Bibliography: Document: NURS 6050 Bibliography (PDF) Module 1: Agenda Setting (Weeks 1-2) Laureate Education (Producer). (2018).  Meet the Experts: Pioneers in Policy  [Video file]. Baltimore, MD: Author. Accessible player   –Downloads– Download Video w/CC Download Audio Download Transcript Laureate Education (Producer). (2018).  The Policy Process  [Video file]. Baltimore, MD: Author. Accessible player   –Downloads– Download Video w/CC Download Audio Download Transcript Learning Objectives Students will: Compare U.S. presidential agenda priorities Evaluate ways that administrative agencies help address healthcare issues Analyze how healthcare issues get on administrative agendas Identify champions or sponsors of healthcare issues Create fact sheets for communicating with policymakers or legislators Justify the role of the nurse in agenda setting for healthcare issues   Due By Assignment Week 1, Days 1–2 Read/Watch/Listen to the Learning Resources. Compose your initial Discussion post NURS 6050 Policy and Advocacy for Improving Population Health. Week 1, Day 3 Post your initial discussion post. Week 1, Days 4-5 Review peer Discussion posts. Compose your peer Discussion responses. Begin to compose your Assignment. Week 1, Day 6 Post at least two peer Discussion responses on two different days (and not the same day as the initial post). Continue to compose your final draft of your Assignment. Week 1, Day 7 Wrap up Discussion. Week 2, Day 1–6 Continue to compose your Assignment. Week 2, Day 7 Deadline to submit your Assignment.   Learning Resources Required Readings Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning. Chapter 1, “Informing Public Policy: An Important Role for Registered Nurses” (pp. 11–13 only) Chapter 2, “Agenda Setting: What Rises to a Policymaker’s Attention?” (pp. 17–36) Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 171–180) Chapter 12, “An Insider’s Guide to Engaging in Policy Activities” “Creating a Fact Sheet” (pp. 217-221) DeMarco, R., & Tufts, K. A. (2014). The mechanics of writing a policy brief. Nursing Outlook, 62 (3), 219–224. doi:10.1016/j.outlook.2014.04.002 Kingdon, J.W. (2001). A model of agenda-setting with applications. Law Review M.S.U.-D.C.L., 2 (331) Lamb, G., Newhouse, R., Beverly, C., Toney, D. A., Cropley, S., Weaver, C. A., Kurtzman, E., … Peterson, C. (2015). Policy agenda for nurse-led care coordination. Nursing Outlook, 63 (4), 521–530. doi:10.1016/j.outlook.2015.06.003. O’Rourke, N. C., Crawford, S. L., Morris, N. S., & Pulcini, J. (2017). Political efficacy and participation of nurse practitioners. Policy, Politics, and Nursing Practice, 18 (3), 135–148. Institute of Medicine (US) Committee on Enhancing Environmental Health Content in Nursing Practice, Pope, A. M., Snyder, M. A., & Mood, L. H. (Eds.). (n.d.). Nursing health, & environment : Strengthening the relationship to improve the public’s health. USA.gov. (n.d.).  A-Z index of U.S. government departments and agencies . Retrieved September 20, 2018, from https://www.usa.gov/federal-agencies/a USA.gov. (n.d.).  Executive departments . Retrieved September 20, 2018, from https://www.usa.gov/executive-departments The White House. (n.d.).  The cabinet . Retrieved September 20, 2018, from https://www.whitehouse.gov/the-trump-administration/the-cabinet/ Document:  Agenda Comparison Grid Template (Word document) Required Media Laureate Education (Producer). (2018). Setting the Agenda [Video file]. Baltimore, MD: Author NURS 6050 Policy and Advocacy for Improving Population Health. Accessible player   –Downloads– Download Video w/CC Download Audio Download Transcript Discussion: Presidential Agendas Regardless of political affiliation, every citizen has a stake in healthcare policy decisions. Hence, it is little wonder why healthcare items become such high-profile components of presidential agendas. It is also little wonder why they become such hotly debated agenda items. Consider a topic that rises to the presidential level. How did each of the presidents (Trump, Obama, and Bush) handle the problem? What would you do differently? To Prepare: Review the Resources and reflect on the importance of agenda setting. Consider how federal agendas promote healthcare issues and how these healthcare issues become agenda priorities. By Day 3 of Week 1 Post  your response to the discussion question: Consider a topic that rises to the presidential level. How did each of the presidents (Trump, Obama, and Bush) handle the problem? What would you do differently? By Day 6 of Week 1 Respond  to at least  two  of your colleagues * on two different days  by expanding on their response and providing an example that supports their explanation or respectfully challenging their explanation and providing an example. *Note:  Throughout this program, your fellow students are referred to as colleagues. Submission and Grading Information Grading Criteria To access your rubric: Week 1 Discussion Rubric Post by Day 3 and Respond by Day 6 of Week 1 To participate in this Discussion: Week 1 Discussion Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember NURS 6050 Policy and Advocacy for Improving Population Health. Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since. As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news. In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy. To Prepare: Review the agenda priorities of the  current/sitting U.S. president and the two previous presidential administrations. Select an issue related to healthcare that was addressed by each of the last three U.S. presidential administrations. Reflect on the focus of their respective agendas, including the allocation of financial resources for addressing the healthcare issue you selected. Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda. The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page narrative) with a title page, an introduction, purpose statement, and a conclusion. This is an APA paper. Part 1: Agenda Comparison Grid Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the two previous presidential administrations and their agendas related to the public health concern you selected. Be sure to address the following: Identify and provide a brief description of the population health concern you selected and the factors that contribute to it NURS 6050 Policy and Advocacy for Improving Population Health. Describe the administrative agenda focus related to the issue you selected. Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue. Explain how each of the presidential administrations approached the issue. At least 3 resources must be used Part 2: Agenda Comparison Grid Analysis Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following: Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected? How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there? Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents? Part 3: Narrative Using the information recorded on the template in Parts 1 and 2, develop a 1-page narrative that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. Be sure to address the following: Summarize why this healthcare issue is important and should be included in the agenda for legislation. Justify the role of the nurse in agenda setting for healthcare issues. The response fully integrates at least 2 outside resources and 2-3 course specific resources that fully supports the summary provided. By Day 7 of Week 2 Submit  your final version of Part 1: Agenda Comparison Grid, Part 2: Agenda Comparison Grid Analysis, and Part 3: Narrative. Submission and Grading Information To submit your completed Assignment for review and grading, do the following: Please save your Assignment using the naming convention “WK2Assgn+last name+first initial.(extension)” as the name. Click the  Week 2 Assignment Rubric  to review the Grading Criteria for the Assignment. Click the  Week 2 Assignment  link. You will also be able to “View Rubric” for grading criteria from this area. Next, from the Attach File area, click on the  Browse My Computer  button. Find the document you saved as “WK2Assgn+last name+first initial.(extension)” and click  Open . If applicable: From the Plagiarism Tools area, click the checkbox for  I agree to submit my paper(s) to the Global Reference Database . Click on the  Submit button to complete your submission NURS 6050 Policy and Advocacy for Improving Population Health. Grading Criteria To access your rubric: Week 2 Assignment Rubric Check Your Assignment Draft for Authenticity To check your Assignment draft for authenticity: Submit your Week 2 Assignment draft and review the originality report. Submit Your Assignment by Day 7 of Week 2 To submit your Assignment: Week 2 Assignment Next Module To go to the next module: Module 2 Module 2: Legislation (Weeks 3-4) Laureate Education (Producer). (2018).  Legislation  [Video file]. Baltimore, MD: Author. Accessible playe –Downloads– Download Video w/CC Download Audio Download Transcript Learning Objectives Students will: Analyze how cost-benefit analysis affects legislative efforts Analyze legislative intent of bills Identify proponents and opponents of bills Analyze legislative process of bills Advocate policy position for bills   Due By Assignment Week 3, Days 1-2 Read/Watch/Listen to the Learning Resources. Compose your initial Discussion post. Week 3, Day 3 Post your initial Discussion post. Begin to compose your Assignment. Week 3, Days 4-5 Review peer Discussion posts. Compose your peer Discussion responses. Continue to compose your Assignment. Week 3, Day 6 Post at least two peer Discussion responses on two different days (and not the same day as the initial post). Week 3, Day 7 Wrap up Discussion. Week 4, Days 1-6 Continue to compose your Assignment. Week 4, Day 7 Deadline to submit your Assignment.   Learning Resources Required Readings Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning. Chapter 3, “Government Response: Legislation” (pp. 37–56) Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 180–183 only) Congress.gov. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/ Taylor, D., Olshansky, E., Fugate-Woods, N., Johnson-Mallard, V., Safriet, B. J., & Hagan, T. (2017). Corrigendum to position statement: Political interference in sexual and reproductive health research and health professional education. Nursing Outlook, 65 (2), 346–350. United States House of Representatives. (n.d.). Retrieved September 20, 2018, from https://www.house.gov/ United States Senate. (n.d.). Retrieved September 20, 2018, from https://www.senate.gov/ United States Senate. (n.d.).  Senate organization chart for the 115th Congress . Retrieved September 20, 2018, from https://www.senate.gov/reference/org_chart.htm Document:  Legislation Grid Template (Word document) NURS 6050 Policy and Advocacy for Improving Population Health Required Media Laureate Education (Producer). (2018). Working with Legislators [Video file]. Baltimore, MD: Author. Accessible player   –Downloads– Download Video w/CC Download Audio Download Transcript Laureate Education (Producer). (2018). Introduction to Health Policy and Law with Joel Teitelbaum [Video file]. Baltimore, MD: Author. Accessible player   –Downloads– Download Video w/CC Download Audio Download Transcript Credit: Provided courtesy of the Laureate International Network of Universities. Laureate Education (Producer). (2018). Contemporary Issues in Public Health Policy with Joel Teitelbaum [Video file]. Baltimore, MD: Author. Accessible player   –Downloads– Download Video w/CC Download Audio Download Transcript Laureate Education (Producer). (2018). Peter Beilenson: Population Health [Video file]. Baltimore, MD: Author. Accessible player   –Downloads– Download Video w/CC Download Audio Download Transcript Discussion: Politics and the Patient Protection and Affordable Care Act Regardless of political affiliation, individuals often grow concerned when considering perceived competing interests of government and their impact on topics of interest to them. The realm of healthcare is no different. Some people feel that local, state, and federal policies and legislation can be either helped or hindered by interests other than the benefit to society. Consider for example that the number one job of a legislator is to be reelected. Cost can be measured in votes as well as dollars. Thus, it is important to consider the legislator’s perspective on either promoting or not promoting a certain initiative in the political landscape NURS 6050 Policy and Advocacy for Improving Population Health. To Prepare: Review the Resources and reflect on efforts to repeal/replace the Affordable Care Act (ACA). Consider who benefits the most when policy is developed and in the context of policy implementation. By Day 3 of Week 3 Post  an explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA. Then, explain how analyses of the voters views may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid). Remember, the number one job of a legislator is to be re-elected. Please check your discussion grading rubric to ensure your responses meet the criteria. By Day 6 of Week 3 Respond  to at least  two  of your colleagues * on two different days  by expanding on their explanation and providing an example that supports their explanation or respectfully challenging their explanation and providing an example. *Note: Throughout this program, your fellow students are referred to as colleagues NURS 6050 Policy and Advocacy for Improving Population Health. Submission and Grading Information Grading Criteria To access your rubric: Week 3 Discussion Rubric Post by Day 3 and Respond by Day 6 of Week 3 To participate in this Discussion: Week 3 Discussion Assignment: Legislation Grid and Testimony/Advocacy Statement As a nurse, how often have you thought to yourself,  If I had anything to do about it, things would work a little differently?  Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice. Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy. To Prepare: Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources. The Assignment: (1- to 2-page Legislation Grid; 1-page Legislation Testimony/Advocacy Statement) Be sure to add a title page, an introduction, purpose statement, and a conclusion. This is an APA paper. Part 1: Legislation Grid Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Grid Template. Be sure to address the following: Determine the legislative intent of the bill you have reviewed. Identify the proponents/opponents of the bill. Identify the target populations addressed by the bill. Where in the process is the bill currently? Is it in hearings or committees? Part 2: Legislation Testimony/Advocacy Statement Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following: Advocate a position for the bill you selected and write testimony in support of your position. Describe how you would address the opponent to your position. Be specific and provide examples. At least 2 outside resources and 2-3 course specific resources are used. By Day 7 of Week 4 Submit  your completed legislation grid and testimony/advocacy statement. Submission and Grading Information To submit your completed Assignment for review and grading, do the following: Please save your Assignment using the naming convention “WK4Assgn+last name+first initial.(extension)” as the name. Click the  Week 4 Assignment Rubric  to review the Grading Criteria for the Assignment. Click the  Week 4 Assignment  link. You will also be able to “View Rubric” for grading criteria from this area. Next, from the Attach File area, click on the  Browse My Computer  button. Find the document you saved as “WK4Assgn+last name+first initial.(extension)” and click  Open . If applicable: From the Plagiarism Tools area, click the checkbox for  I agree to submit my paper(s) to the Global Reference Database . Click on the  Submit  button to complete your submission. Grading Criteria To access your rubric: Week 4 Assignment Rubric Check Your Assignment Draft for Authenticity To check your Assignment draft for authenticity: Submit your Week 4 Assignment draft and review the originality report. Submit Your Assignment by Day 7 of Week 4 To submit your Assignment: Week 4 Assignment Next Module To go to the next module: Module 3   Module 3: Regulation (Weeks 5-6) Laureate Education (Producer). (2018).  Regulation  [Video file]. Baltimore, MD: Author. Accessible player   –Downloads– Download Video w/CC Download Audio Download Transcript Learning Objectives Students will: Compare state/regional board of nursing regulations Compare boards of nursing and professional nurse associations Analyze members of boards of nursing Analyze state regulations for healthcare NURS 6050 Policy and Advocacy for Improving Population Health.   Due By Assignment Week 5, Days 1–2 Read/Watch/Listen to the Learning Resources. Compose your initial Discussion post. Week 5, Day 3 Post your initial Discussion post. Begin to compose your Assignment. Week 5, Days 4-5 Review peer Discussion posts. Compose your peer Discussion responses. Continue to compose your Assignment. Week 5, Day 6 Post at least two peer Discussion responses on two different days (and not the same day as the initial post). Week 5, Day 7 Wrap up Discussion. Week 6, Days 1-6 Continue to compose your Assignment. Week 6, Day 7 Deadline to submit your Assignment.   Learning Resources Required Readings Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning. Chapter 4, “Government Response: Regulation” (pp. 57–84) American Nurses Association. (n.d.).  ANA enterprise . Retrieved September 20, 2018, from http://www.nursingworld.org Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary care. Nursing Outlook, 65 (6), 761–765. Halm, M. A. (2018). Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing.  Worldviews on Evidence-Based Nursing, 15 (4), 272–280. doi:10.1111/wvn.12291 National Council of State Boards of Nursing (NCSBN). (n.d.). Retrieved September 20, 2018, from https://www.ncsbn.org/index.htm Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, D., & Harman J. S. (2018). The impact of nurse practitioner regulations on population access to care. Nursing Outlook, 66 (4), 379–385. doi:10.1016/j.outlook.2018.03.001 Peterson, C., Adams, S. A., & DeMuro, P. R. (2015). mHealth: Don’t forget all the stakeholders in the business case. Medicine 2.0, 4 (2), e4 NURS 6050 Policy and Advocacy for Improving Population Health. Required Media Laureate Education (Producer). (2018). The Regulatory Process [Video file]. Baltimore, MD: Author. Accessible player   –Downloads– Download Video w/CC Download Audio Download Transcript Laureate Education (Producer). (2018). Healthcare economics and financing [Video file]. Baltimore, MD: Author. Accessible player   –Downloads– Download Video w/CC Download Audio Download Transcript Laureate Education (Producer). (2018). Quality improvement and safety [Video file]. Baltimore, MD: Author. Accessible player   –Downloads– Download Video w/CC Download Audio Download Transcript Discussion: Professional Nursing and State-Level Regulations Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region. It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions. To Prepare: Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice. Consider how key regulations may impact nursing practice. Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion.. By Day 3 of Week 5 Post  a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected. By Day 6 of Week 5 Respond  to at least  two  of your colleagues * on two different days  and explain how the regulatory environment and the regulations selected by your colleague differ from your state/region. Be specific and provide examples. *Note:  Throughout this program, your fellow students are referred to as colleagues. Submission and Grading Information Grading Criteria To access your rubric: Week 5 Discussion Rubric Post by Day 3 and Respond by Day 6 of Week 5 To participate in this Discussion: Week 5 Discussion Assignment: Regulation for Nursing Practice Staff Development Meeting Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each. Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing. To Prepare: Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency. Review the NCSBN and ANA websites to prepare for your presentation. The Assignment: (8- to 9-slide PowerPoint presentation) Develop a 8- to 9-slide PowerPoint Presentation that addresses the following: Describe the differences between a board of nursing and a professional nurse association. Describe the board for your specific region/area. Who is on the board? How does one become a member of the board? Describe at least one state regulation related to general nurse scope of practice. How does this regulation influence the nurse’s role? How does this regulation influence delivery, cost, and access to healthcare? Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs). How does this regulation influence the nurse’s role? How does this regulation influence delivery, cost, and access to healthcare? Include Speaker Notes on Each Slide (except on the title page and reference page) By Day 7 of Week 6 Submit your Regulation for Nursing Practice Staff Development Meeting Presentation NURS 6050 Policy and Advocacy for Improving Population Health. Submission and Grading Information To submit your completed Assignment for review and grading, do the following: Please save your Assignment using the naming convention “WK6Assgn+last name+first initial.(extension)” as the name. Click the  Week 6 Assignment Rubric  to review the Grading Criteria for the Assignment. Click the  Week 6 Assignment  link. You will also be able to “View Rubric” for grading criteria from this area. Next, from the Attach File area, click on the  Browse My Computer  button. Find the document you saved as “WK6Assgn+last name+first initial.(extension)” and click  Open . If applicable: From the Plagiarism Tools area, click the checkbox for  I agree to submit my paper(s) to the Global Reference Database . Click on the  Submit  button to complete your submission. Due to the nature of this assignment, your instructor may require more than 5 days to provide you with quality feedback. Grading Criteria To access your rubric: Week 6 Assignment Rubric Check Your Assignment Draft for Authenticity To check your Assignment draft for authenticity: Submit your Week 6 Assignment draft and review the originality report. Submit Your Assignment by Day 7 of Week 6 To submit your Assignment: Week 6 Assignment Next Module To go to the next module: Module 4 Module 4: Healthcare Program Design and Implementation (Weeks 7-8) Laureate Education (Producer). (2018).  Design and Implementation  [Video file]. Baltimore, MD: Author. Accessible player   –Downloads– Download Video w/CC Download Audio Download Transcript Learning Objectives Students will: Analyze health policies Analyze opportunities for RNs and APRNs to participate in policy-making Analyze strategies for overcoming challenges for participating in policy-making Recommend strategies to improve the advocacy and communication of policy-making opportunities Analyze healthcare programs Analyze the role of the nurse in healthcare program design Analyze the role of the nurse as advocates for target populations of healthcare programs Analyze the role of the nurse in healthcare program implementation Analyze healthcare teams necessary for implementing healthcare programs   Due By Assignment Week 7, Days 1–2 Read/Watch/Listen to the Learning Resources. Compose your initial Discussion 1 post. Week 7, Day 3 Post your initial Discussion 1 post. Begin to compose your Assignment. Week 7, Days 4-5 Review peer Discussion 1 posts. Compose your peer Discussion 1 responses. Continue to compose your Assignment. Week 7, Day 6 Post at least two peer Discussion 1 responses on two different days (and not the same day as the initial post) NURS 6050 Policy and Advocacy for Improving Population Health. Week 7, Day 7 Wrap up Discussion 1. Week 8, Days 1–2 Compose your initial Discussion 2 post. Continue to compose your Assignment. Week 8, Day 3 Post your initial Discussion 2 post. Continue to compose your Assignment. Week 8, Days 4-5 Review peer Discussion 2 post.Compose your peer Discussion 2 post. Continue to compose your Assignment. Week 8, Day 6 Post at least two peer Discussion 2 responses on two different days (and not the same day as the initial post). Week 8, Day 7 Wrap up Discussion 2. Deadline to submit your Assignment. Learning Resources Required Readings Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning. Chapter 5, “Public Policy Design” (pp. 87–95 only) Chapter 8, “The Impact of EHRs, Big Data, and Evidence-Informed Practice” (pp. 137–146) Chapter 9, “Interprofessional Practice” (pp. 152–160 only) Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 183–191 only) American Nurses Association (ANA). (n.d.).  Advocacy . Retrieved September 20, 2018, from https://www.nursingworld.org/practice-policy/advocacy/ Centers for Disease Control and Prevention (CDC). (n.d.).  Step by step: Evaluating violence and injury prevention policies: Brief 4: Evaluating policy implementation . Retrieved from https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf Congress.gov. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/ Klein, K. J., & Sorra, J. S. (1996). The challenge of innovation implementation. Academy of Management Review, 21 (4), 1055–1080. Sacristán, J., & Dilla, T. D. (2015). No big data without small data: Learning health care systems begin and end with the individual patient. Journal of Evaluation in Clinical Practice, 21 (6), 1014–1017. Tummers, L., & Bekkers, V. (2014). Policy implementation, street level bureaucracy, and the importance of discretion. Public Management Review, 16 (4), 527–547 NURS 6050 Policy and Advocacy for Improving Population Health. Required Media Laureate Education (Producer). (2018). Getting your Program Designed and Implemented [Video file]. Baltimore, MD: Author. Accessible player   –Downloads– Download Video w/CC Download Audio Download Transcript Laureate Education (Producer). (2018). Health policy and politics [Video file]. Baltimore, MD: Author. Accessible player   –Downloads– Download Video w/CC Download Audio Download Transcript Discussion 1: Evidence Base in Design When politics and medical science intersect, there can be much debate. Sometimes anecdotes or hearsay are misused as evidence to support a particular point. Despite these and other challenges, however, evidence-based approaches are increasingly used to inform health policy decision-making regarding causes of disease, intervention strategies, and issues impacting society. One example is the introduction of childhood vaccinations and the use of evidence-based arguments surrounding their safety. In this Discussion, you will identify a recently proposed health policy and share your analysis of the evidence in support of this policy. To Prepare: Review the Congress website provided in the Resources and identify one recent (within the past 5 years) proposed health policy. Review the health policy you identified and reflect on the background and development of this health policy NURS 6050 Policy and Advocacy for Improving Population Health. By Day 3 of Week 7 Post  a description of the health policy you selected and a brief background for the problem or issue being addressed. Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples. By Day 6 of Week 7 Respond  to at least  two  of your colleagues * on two different days  by either supporting or respectfully challenging their explanation on whether there is an evidence base to support the proposed health policy they described. *Note:  Throughout this program, your fellow students are referred to as colleagues. Submission and Grading Information Grading Criteria To access your rubric: Week 7 Discussion Rubric Post by Day 3 and Respond by Day 6 of Week 7 To participate in this Discussion: Week 7 Discussion Discussion 2: The Role of the RN/APRN in Policy-Making 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 NURS 6050 Policy and Advocacy for Improving Population Health. 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. By Day 3 of Week 8 Post  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. By Day 6 of Week 8 Respond  to at least two of your colleagues’ *  posts by suggesting additional opportunities or recommendations for overcoming the challenges described by your colleagues. *Note:  Throughout this program, your fellow students are referred to as colleagues. Submission and Grading Information Grading Criteria To access your rubric: Week 8 Discussion Rubric Post by Day 3 and Respond by Day 6 of Week 8 To participate in this Discussion: Week 8 Discussion Assignment: Advocating for the Nursing Role in Program Design and Implementation As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey. Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives NURS 6050 Policy and Advocacy for Improving Population Health. In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs. To Prepare: Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs. Select a healthcare program within your practice and consider the design and implementation of this program. Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation. The Assignment: (2–4 pages) In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions: Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program? Who is your target population? What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples? What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design? What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples? Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why? By Day 7 of Week 8 Submit  your interview transcript. Submission and Grading Information To submit your completed Assignment for review and grading, do the following: Please save your Assignment using the naming convention “WK8Assgn+last name+first initial.(extension)” as the name. Click the  Week 8 Assignment Rubric  to review the Grading Criteria for the Assignment. Click the  Week 8 Assignment  link. You will also be able to “View Rubric” for grading criteria from this area. Next, from the Attach File area, click on the  Browse My Computer  button. Find the document you saved as “WK8Assgn+last name+first initial.(extension)” and click  Open . If applicable: From the Plagiarism Tools area, click the checkbox for  I agree to submit my paper(s) to the Global Reference Database . Click on the  Submit  button to complete your submission. Grading Criteria To access your rubric: Week 8 Assignment Rubric Check Your Assignment Draft for Authenticity To check your Assignment draft for authenticity: Submit your Week 8 Assignment draft and review the originality report NURS 6050 Policy and Advocacy for Improving Population Health. Submit Your Assignment by Day 7 of Week 8 To submit your Assignment: Week 8 Assignment Next Module To go to the next module: Module 5   Module 5: Program/Policy Evaluation (Weeks 9-10) Laureate Education (Producer). (2018).  Program Policy and Evaluation  [Video file]. Baltimore, MD: Author. Accessible player   –Downloads– Download Video w/CC Download Audio Download Transcript Learning Objectives Students will: Analyze opportunities for RNs and APRNs to participate in program/policy evaluations Analyze strategies for overcoming challenges for participating in program/policy evaluations Recommend strategies to improve the advocacy and communication of program/policy evaluations Describe healthcare program/policy outcomes Analyze healthcare program/policy evaluations Analyze the role of the nurse advocate in program/policy evaluation   Due By Assignment Week 9, Days 1–2 Read/Watch/Listen to the Learning Resources. Compose your initial Discussion post. Week 9, Day 3 Post your initial Discussion post. Begin to compose your Assignment. Week 9, Days 4-5 Review peer Discussion posts. Compose your peer Discussion responses. Continue to compose your Assignment. Week 9, Day 6 Post at least two peer Discussion responses on two different days (and not the same day as the initial post). Week 9, Day 7 Wrap up Discussion. Week 10, Days 1-6 Continue to compose your Assignment. Week 10, Day 7 Deadline to submit your Assignment NURS 6050 Policy and Advocacy for Improving Population Health. Learning Resources Required Readings Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning. Chapter 7, “Health Policy and Social Program Evaluation” (pp. 116–124 only) Glasgow, R. E., Lichtenstein, E., & Marcus, A. C. (2003). Why don’t we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. American Journal of Public Health, 93 (8), 1261–1267. Shiramizu, B., Shambaugh, V., Petrovich, H., Seto, T. B., Ho, T., Mokuau, N., & Hedges, J. R. (2016). Leading by success: Impact of a clinical and translational research infrastructure program to address health inequities. Journal of Racial and Ethnic Health Disparities, 4 (5), 983–991. Williams, J. K., & Anderson, C. M. (2018). Omics research ethics considerations. Nursing Outlook, 66 (4), 386–393. Document:  Healthcare Program/Policy Evaluation Template (Word document) Required Media Laureate Education (Producer). (2018). The Importance of Program Evaluation [Video file]. Baltimore, MD: Author. Accessible player   –Downloads– Download Video w/CC Download Audio Download Transcript Laureate Education (Producer). (2018). Peter Beilenson: Ethics and advocacy [Video file]. Baltimore, MD: Author. Accessible player   –Downloads– Download Video w/CC Download Audio Download Transcript Discussion: The Role of the RN/APRN in Policy Evaluation In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making. A critical component of any policy design is evaluation of the results. How comfortable are you with the thought of becoming involved with such matters? Some nurses may be hesitant to get involved with policy evaluation. The preference may be to focus on the care and well-being of their patients; some nurses may feel ill-equipped to enter the realm of policy and political activities. However, as you have examined previously, who better to advocate for patients and effective programs and polices than nurses? Already patient advocates in interactions with doctors and leadership, why not with government and regulatory agencies? In this Discussion, you will reflect on the role of professional nurses in policy evaluation NURS 6050 Policy and Advocacy for Improving Population Health. To Prepare: In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making. Review the Resources and reflect on the role of professional nurses in policy evaluation. By Day 3 of Week 9 Post  an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in  policy review .  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. Be specific and provide examples. By Day 6 of Week 9 Respond  to at least  two  of your colleagues * on two different days  by suggesting additional opportunities or recommendations for overcoming the challenges described by your colleagues. *Note:  Throughout this program, your fellow students are referred to as colleagues. Submission and Grading Information Grading Criteria To access your rubric: Week 9 Discussion Rubric Post by Day 3 and Respond by Day 6 of Week 9 To participate in this Discussion: Week 9 Discussion Assignment: Assessing a Healthcare Program/Policy Evaluation Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives. Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy. ORDER NOW To Prepare: Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources. Select an existing healthcare program or policy evaluation or choose one of interest to you. Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described NURS 6050 Policy and Advocacy for Improving Population Health. The Assignment: (2–3 pages) Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following: Describe the healthcare program or policy outcomes. How was the success of the program or policy measured? How many people were reached by the program or policy selected? How much of an impact was realized with the program or policy selected? At what point in program implementation was the program or policy evaluation conducted? What data was used to conduct the program or policy evaluation? What specific information on unintended consequences was identified? What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples. Did the program or policy meet the original intent and objectives? Why or why not? Would you recommend implementing this program or policy in your place of work? Why or why not? Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation. By Day 7 of Week 10 Submit  your completed healthcare program/policy evaluation analysis. Submission and Grading Information To submit your completed Assignment for review and grading, do the following: Please save your Assignment using the naming convention “WK10Assgn+last name+first initial.(extension)” as the name. Click the  Week 10 Assignment Rubric  to review the Grading Criteria for the Assignment. Click the  Week 10 Assignment  link. You will also be able to “View Rubric” for grading criteria from this area. Next, from the Attach File area, click on the  Browse My Computer  button. Find the document you saved as “WK10Assgn+last name+first initial.(extension)” and click  Open . If applicable: From the Plagiarism Tools area, click the checkbox for  I agree to submit my paper(s) to the Global Reference Database . Click on the  Submit  button to complete your submission. Due to the nature of this assignment, your instructor may require more than 5 days to provide you with quality feedback NURS 6050 Policy and Advocacy for Improving Population Health. Grading Criteria To access your rubric: Week 10 Assignment Rubric Check Your Assignment Draft for Authenticity To check your Assignment draft for authenticity: Submit your Week 10 Assignment draft and review the originality report. Submit Your Assignment by Day 7 of Week 10 To submit your Assignment: Week 10 Assignment Module 5: Looking Ahead Please Note:  The Module 6, Week 11 Assignment, Global Healthcare Comparison Matrix and Narrative Statement, is due on  Day 5  of Week 11. Next Module To go to the next module: Module 6 Photo Credit: Getty Images/Science Photo Libra Module 6: Global Healthcare Issues (Week 11) Laureate Education (Producer). (2018).  Global Healthcare Issues  [Video file]. Baltimore, MD: Author. Accessible player   –Downloads– Download Video w/CC Download Audio Download Transcript Learning Objectives Students will: Compare healthcare policies related to global healthcare issues in the U.S. and abroad Analyze the impact of the social determinants of health on global healthcare issues Analyze how policy impacts the health of the global population Analyze how policy impacts the role of the nurse Compare how global health issues impact local healthcare organizations and policies in the U.S and abroad Recommend advocacy for the incorporation of a global perspective into local practice and the role of the nurse leader Analyze impacts of the incorporation of a global perspective into local practice and the role of the nurse leader Analyze how a global perspective represents and contributes to social change NURS 6050 Policy and Advocacy for Improving Population Health   Due By Assignment Week 11, Days 1–2 Read/Watch/Listen to the Learning Resources. Week 11, Day 3-4 Begin to compose your Assignment. Week 11, Day 5 Deadline to submit your Assignment.   Learning Resources Required Readings Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning. Chapter 11, “The Impact of Globalization: Nurses Influencing Global Health Policy” (pp. 194–208) Corless, I. B., Nardi, D., Milstead, J. A., Larson, E., Nokes, K. M., Orsega, S., Kurth, A. E., … Woith, W. (2018). Expanding nursing’s role in responding to global pandemics. Nursing Outlook, 66 (4), 412–415. Donkin, A., Goldblatt, P., Allen, J., Nathanson, V., & Marmot, M. (2017). Global action on the social determinants of health. BMJ Global Health, 3 (1). Sandoval-Almazana, R., & Gil-Garcia, J. R. (2011). Are government internet portals evolving towards more interaction, participation, and collaboration? Revisiting the rhetoric of e-government among municipalities. Government Information Quarterly, 29 (Suppl. 1), S72–S81. World Health Organization (WHO). (n.d.).  Global health agenda . Retrieved September 20, 2018, from http://www.who.int/about/vision/global_health_agenda/en/ Document:  Global Health Comparison Matrix (Word document) Required Media Laureate Education (Producer). (2018). Global Healthcare Issues [Video file]. Baltimore, MD: Author. Accessible player   –Downloads– Download Video w/CC Download Audio Download Transcript Laureate Education (Producer). (2018). Final Thoughts [Video file]. Baltimore, MD: Author. Accessible player   –Downloads– Download Video w/CC Download Audio Download Transcript Assignment: Global Healthcare Comparison Matrix and Narrative Statement Note: This Assignment is due on Day 5 of Week 11. If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided? You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures. Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve NURS 6050 Policy and Advocacy for Improving Population Health. In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country. To Prepare: Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment. Select at least one additional country to compare to the U.S. for this Assignment. Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected. Review and download the Global Health Comparison Matrix provided in the Resources. The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change) Part 1: Global Health Comparison Matrix Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following: Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study. Explain the strengths and weaknesses of each policy. Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples. Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected. Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples. Explain how the health policy you selected might impact the role of the nurse in each country. Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples. Part 2: A Plan for Social Change Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader. In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader. Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader. Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader. Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples By Day 5 of Week 11 Submit  Part 1 and Part 2 of your Assignment. Submission and Grading Information To submit your completed Assignment for review and grading, do the following: Please save your Assignment using the naming convention “WK11Assgn+last name+first initial.(extension)” as the name. Click the  Week 11 Assignment Rubric  to review the Grading Criteria for the Assignment. Click the  Week 11 Assignment  link. You will also be able to “View Rubric” for grading criteria from this area. Next, from the Attach File area, click on the  Browse My Computer  button. Find the document you saved as “WK11Assgn+last name+first initial.(extension)” and click  Open . If applicable: From the Plagiarism Tools area, click the checkbox for  I agree to submit my paper(s) to the Global Reference Database . Click on the  Submit button to complete your submission NURS 6050 Policy and Advocacy for Improving Population Health. Grading Criteria To access your rubric: Week 11 Assignment Rubric Check Your Assignment Draft for Authenticity To check your Assignment draft for authenticity: Submit your Week 11 Assignment draft and review the originality report. Submit Your Assignment by Day 5 of Week 11 To submit your Assignment: Week 11 Assignment Congratulations! After you have finished all of the assignments for this Module, you have completed the course.  Please submit your Course Evaluation by Day 7 NURS 6050 Policy and Advocacy for Improving Population Health.

Interaction Between Nurse Informaticists and other Specialists
 

  
 As a long-term nurse that has worked in different hospital systems, I was introduced to many different electronic charting systems like Meditech, Cerner millennium, and Epic. From my experience, the new systems are much more efficient and have easy navigation. Their software assists in EMR and CPOE, which integrates the patient’s history, lab data, radiological tests, biological data, and any other notes made of them. It uses these to fire alerts such as SIRS or critical lab values.

Though informatics is an essential technology, many challenges exist around it. Methods of instruction or training become an issue when it is implemented through quick crash courses or self-training, especially for those who do not have much experience in computer technology. Most of the time, educators stress charting one’s routine and creating procedures when it comes to rare occurrences. There is also the scenario of the resource pension not being available, such as in the one that I worked at having only one clinical specialist available Interaction Between Nurse Informaticists and other Specialists

Older nurses and physicians may have a limited skill set when it comes to computers and could fail to change their work habits. Nursing is always inter-dependable with other departments. The experience that other professionals have is important when it comes to obtaining the optimal result. Physicians with limited knowledge or low accountability lead to higher workloads and delays treatment. Another issue comes up during downtime and when it is not expected, the patient care is on pause. For example, there would be no way to look up the patient’s medication or treatment plans, which could lead to errors in accumulated activities.

Nurses are not prepared or technologically acute since they spend as much as fifty percent of their time in documentation. Limited time dedicated to patient care is another issue and it becomes elevated when using mobile computers. Nurses often face difficulties in their organizational roles, interactions, data descriptions along with software and hardware issues. Technological problems are prevalent as well, including unreadable barcodes, upload failures, and inaccurate printing. Most of the time, MAR (Medication Administration Record) is linked with medicine dispensing systems like Omnicell. When it is not coordinated, access to even life-saving medicine is denied Interaction Between Nurse Informaticists and other Specialists
.

Strategies for Improvement

Detailed training is one of the many key strategies that can be utilized, incorporating continuous support along with it. There is 24/7 online technical support in my workplace while the nurse informatics works for only a portion of the week.

CPOE is another important strategy that can be used by the physician. It needs to be improved by providing additional training and accessibility to records. It is a job that comes to nurses on the side when they need to enter the orders without the presence of an emergency.

Computers that are built into the patient’s room improve the synergy between the nurse and patient and create productivity. For example, the nurse can be in the patient’s company when recording the daily assessment and required documents and can increase the ensured accuracy. Most of the time, wheels on computers stop working when you move to the rooms, waiting for the system to respond. This decreases productivity and wastes time, causing nurses to lose sight of the patient amid everything happening around them Interaction Between Nurse Informaticists and other Specialists
.

Impact of Nursing Information as a specialty.

“The overwhelming presence of technology at the clinical bedside has the power to become the strongest reference point that nurses use to inform, direct, interpret, evaluate, and understand nursing care ” (O’ Keefe. McCarthy, P. 787). New technologies such as smart pumps, barcode medication administration systems, electronic health records (EHRS), wearables, and smartphones are being introduced into practice environments, increasing efficiency, promoting safety, and streamlining the nursing work. For example, vital signs are being sent to the EHRS from the vitals machine, reducing the burden of entering data manually. Similarly, doctors and nurse notes, as well as lab and procedure reports are available in the EHR. Allergy warnings can save a patient’s life. Abnormal lab values are flagged. Changes in biometrics fires warning like SIRS or prompt for covid tests are benefits of NI. Scanning the patient and the medication ensures safety and also reduces errors. Using electronic pumps assists in calculating the rate of the drip, saving time and making the process more efficient. Telemedicine is the current trend in nurse informatics which provides immediate and efficient care in supporting patients. Considering the scope of their benefits, the NI field is going to grow continuously and become an integral part of the nursing field. The application of NI in nursing is what makes me believe that, when you blend science with caring, you become an expert (unknown author) Interaction Between Nurse Informaticists and other Specialists
.
                                                                                                REFERENCES

Bickford, Carol J. Ph.D., RN-BC, CPHIMS, FAAN The The specialty of Nursing Informatics, CIN: Computers, Informatics, Nursing: April 2015 – Volume 33 – Issue 4 – p 129-131 DOI: 10.1097/CIN.0000000000000150

Ng, Yeow Chye Ph.D., CRNP, CPC, AAHIVE; Alexander, Susan DNP, CRNP, ADM-BC; Frith, Karen H. Ph.D., RN, NEA-BC, CNE Integration of Mobile Health Applications in Health Information Technology Initiatives, CIN: Computers, Informatics, Nursing: May 2018 – Volume 36 – Issue 5 – p 209-213 DOI: 10.1097/CIN.0000000000000445Sipes, C. (2016).

Project Management: Essential Skill of Nurse Informaticists. Studies in Health Technology and Informatics, 225, 252–256.

https://www.slideshare.net/sanilmlore/nursing-informatics-29439480

McGonigle, D.,& Mastrian,K.G.(2017).
Nursing informatics and the foundation of knowledge
(4
th
 ed.).Burlington, MA: Jones& Barlett Learning.

O’Keefe-McCarthy, S.Technologically-mediated nursing care: The impact on moral agency
.Nursing Ethics,16(6),786-796

Initial post sample 2

They interact when the informatics sends and relieves information from health professionals based on how to conduct patients care.

The interactions can be improved via improving communication practices between the professionals.

Continued evolution of nursing informatics will enhance the professional interaction more due to increased mutual respect and trust.

How nurse informatics and/or data or technology specialists interact with other professionals within your healthcare organization

The nurses receive information from other health professionals based on the care they should accord a patient. This includes physicians’ information on the diagnosis to give the patient, therapist on the advice and treatments to offer, and the pharmacists on the drugs to prescribe them. Informatics has enabled fast relaying of information, which has, in turn, improved the patients’ outcomes Interaction Between Nurse Informaticists and other Specialists
.

ORDER A PLAGIARISM-FREE PAPER NOW

One strategy on how these interactions might be improved

The best strategy that should be put in place should be improving the communications practices between the professionals. The best way to improve communication is by, for example, reducing the number of hand-offs between nurses. This could involve working with a 12-hour shift other than an 8-hour shift. Errors that could come about due to misunderstanding and accuracy are minimized, that interaction is improved.

Impact of the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions

The professional interactions will be enhanced as there will be an increase in mutual respect and trust between health workers. With this nursing informatics and the emergence of new technologies, nurses can provide information based on present research based on evidence-based practice to provide physicians’ accurate inputs. The physicians will gain trust in the nurses’ information, which will respect their views on patients’ care (How Nurses Are Using Health Informatics to Improve Patient Care, 2016) Interaction Between Nurse Informaticists and other Specialists
.

Reference

How Nurses Are Using Health Informatics to Improve Patient Care
. (2016, November 14). Retrieved from ELECTRONIC HEALTH REPORTER: https://electronichealthreporter.com/nurses-using-health-informatics-improve-patient-care/

 

initial post sample 3

Nurse informaticists play an important role in analyzing data to enhance patient care while helping the healthcare organization implement present patient-care technology. As specialists in applying, accessing, and collecting data, nurse informaticists work together with other specialists on a daily basis to confirm that appropriate data is accessible (Riemann, 2020, p. 25). The nurse informaticist in my present healthcare facility helps other healthcare professionals to make effective decisions while taking actions that support the general welfare of patients. Just presently, a patient was released from the organization with medicines that were not up-to-date and needed to be discontinued. To address this error issue of the medication, the nurse informaticist enlightened the staff about the establishment of a new tab while reconciling the medication error Interaction Between Nurse Informaticists and other Specialists
.

Medication errors related to hospital discharges can become a problem and lead to increased readmissions. A strategy of minimizing medication errors includes implementing and involving pharmacists using MUMMS software, especially, during post-discharge transitions. The present pharmacist in my facility utilizes Enclara Pharmacia software and is not connected to the software of MUMMS. According to Martin, “a pharmacist driven interference should concentrate on patient education and medication reconciliation after discharge to enhance medication utilization and decrease health care cost” (Martin, 2019, p. 67). Therefore, employing MUMMS software would empower care providers with a secure and comprehensive program that is flexible to use.

The effect of technological advancements in both hardware and software focus on providing accurate and updated information to healthcare providers. According to Whiteley, “Critical information can definitely prevent medication errors and mistakes from occurring such as administering discontinued medications beforehand” (Whiteley, 2017, p. 11). For this reason, professional interaction will benefit superbly from new technology by minimizing healthcare costs, reducing preventable deaths, improving efficiency, while upholding life quality.

References

Martin, C. (2019). Understanding Clinical Interference. 
The Pharmacist
, 
34
(10), 66-43. https://doi.org/10.4140/tn.2019.636.

Riemann, L. (2020). Nurse Informaticists. 
Nursing
, 
24
(3), 24-27. https://doi.org/10.18/20.cjon.324-327

Whiteley, B. (2017). Healthcare Technology. 
Technology
, 
49
(s1), 6-12. https://doi.org/10.230899-8205-49.s1.6 Interaction Between Nurse Informaticists and other Specialists

Interaction Between Nurse Informaticists and Other Specialists Essay

Discussion: Interaction Between Nurse Informaticists and Other Specialists

Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.

Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved Interaction Between Nurse Informaticists and Other Specialists Essay.

To Prepare:

Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.

Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

By Day 3 of Week 3

Post
 a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.

Currently, in the Cath lab, our most important metric is door-to-balloon time. We now have an informatics nurse looking at all our charting and data to prove or disprove we are making our 60 min door to balloon time “gold standard “metrics. We want to ensure our patients get immediate quality care in as little time as possible; time is heart tissue. The data she collects can affect the productivity, efficiency, performance, effectiveness, cost, and value of care we provide daily (Mosier et al., 2019).
 

 
Since our hospital serves other bordering counties, we run into the problem of a STEMI being paged and patients showing up to the Cath lab an hour later. These delayed transports not only are increasing our door to balloon time, but this can dramatically affect patient outcomes. Shortening the door to balloon time is significantly associated with increased survival benefits (Park et al., 2019) Interaction Between Nurse Informaticists and Other Specialists Essay.
 

 
Currently, our hospital has a contract with a local ambulance company to transport from our sister hospital STEMI patients from their ER to our Cath lab, a typical 12-minute drive without lights and sirens. We have been struggling with patients now showing up for upwards of 45 – 60 minutes post-STEMI call. Keeping metrics on time between when the STEMI page is called, ambulance called, and arrival to Cath lab is essential in determining if this service is worthy of transporting our critical patients.
 

 
The federal government implemented that the United States move from paper charting and records to electric health records by 2014. By doing this, through the evolution of new technologies, this network will allow providers access to healthcare information and clinical decision-making, despite their physical location (Fuller, n.d.). For example, this has permitted nursing to contact a physician and have them remotely or not assess the patient via their chart, checking on labs, diagnostics, trending vital signs, etc., to make further clinical decisions on their care Interaction Between Nurse Informaticists and Other Specialists Essay.

Park, J., Choi, K. H., Lee, J. M., Kim, H. K., Hwang, D., Rhee, T. M., Kim, J., Park, T. K., Yang, J. H., Song, Y. B., Choi, J. H., Hahn, J. Y., Choi, S. H., Koo, B. K., Chae, S. C., Cho, M. C., Kim, C. J., Kim, J. H., Jeong, M. H., … Kim, H. S. (2019). Prognostic implications of door‐to‐balloon time and onset‐to‐door time on mortality in patients with ST‐segment–elevation myocardial infarction treated with primary percutaneous coronary intervention.
 
Journal of the American Heart Association
,
 
8
(9). https://doi.org/10.1161/jaha.119.012188
 

 

Mosier, S., Roberts, W.D., Englebright, J. (2019). A system-level method for developing nursing informatics solutions: the role of executive leadership.
 
JONA: The Journal of Nursing Administration,
 
49(11), 543-548.

Fuller, C. D. (n.d.).
 
Challenges in nursing informatics
. Journal of Nursing. https://rn-journal.com/journal-of-nursing/challenges-in-nursing-informatics.
 

By Day 6 of Week 3

Respond
 to at least 
two
 of your colleagues
* on two different days
, offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions Interaction Between Nurse Informaticists and Other Specialists Essay.

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response 1

this is an excellent example of how your specialty utilizes nurse informatics specialists and the factors determining cardiac catheter times. Working in the cardiac catheter lab while being on the edge of multiple counties makes the ST-elevation myocardial infarction 60 minutes to cardiac catheter standard very challenging. It is such an asset to have your information technology nurses tracking the numbers. Have there been process improvements made by the data gathered? For example, has your hospital started doing overhead codes to streamline getting the patient to the cardiac catheter lab once your ST-elevation myocardial infarction arrives? Has your hospital system worked with the local emergency medical systems providers to make better transport times? How has the data acquired by your hospital’s nurse informaticist made the change for your department? As the mother of nurses Florence Nightingale, looking at data to make changes and improve patient outcomes (Brixey, Salyer, & Simmons, 2020). As time goes on, staff nurses may have to take on more of the responsibilities currently in place for the informatics nurse. In addition, the future may have informatics courses mandatory education for our hospitals (Lee, 2017). As we continue our career paths, it will be interesting to see how nursing evolves Interaction Between Nurse Informaticists and Other Specialists Essay.

References

Brixey, J., Salyer, P., & Simmons, D. (2020). Nightingale power: The advent of nursing informatics.

Nursing Management (Springhouse), 51(7), 51–53.

https://doi-org.ezp.waldenulibrary.org/10.1097/01.NUMA.0000669104.92938.0a

Lee, T. Y. (2017). The Roles and Functions of Informatics Nurse Specialists in Taiwan. Studies in Health

Technology and Informatics, 232, 97–100.

 

response 2

Working in the cath lab seems like an interesting choice. There are so many metrics to meet, and steps for a patient to have a positive outcome. In 2017, Penn Medicine released an article that stated only 39% of hospitals have the ability to properly treat a STEMI patient (Penn Medicine, 2017). In fact, our hospital does not have a cath lab, and any patients that are identified as having a STEMI are transferred to a sister hospital. We are about 20 minutes from that hospital and many of the patients identified do not meet the door to balloon goal. One way that technology has helped change this for our organization is having emergency personnel complete EKG’s and transfer them electronically for an ER physician to view. This allows patients coming in by ambulance to be sent directly to our sister hospital. It also allows for a heart alert to be called to reduce the waiting time once the patient arrives. Informatics has also allowed us to track the outcomes of patients to see where we can improve. A recent policy for our hospital has included completing an EKG on all adult patients during their initial triage that don’t qualify for a “fast track” diagnosis, even if “chest pain” is not their primary complaint. This has helped identify patients who may otherwise have been missed, while not wasting resources on screening patients who are being seen for minor injuries. This rapid identification gives patients the best chance at a positive outcome (Yiadom, Baugh, McWade and Lui, 2017).  Hopefully, we will continue to make improvements with these goals so that more patients are able to receive the benefit of evidence-based care Interaction Between Nurse Informaticists and Other Specialists Essay.

Penn Medicine, 2017. What is Door-to-Balloon Time. [online] Penn Medicine. Available at: [Accessed 15 June 2021].

 

Yiadom, M., Baugh, C., McWade, C. and Lui, X., 2017. Performance of Emergency Department Screening Criteria for an Early ECG to Identify ST‐Segment Elevation Myocardial Infarction. [online] Journal of the American Heart Association. Available at: [Accessed 15 June 2021] Interaction Between Nurse Informaticists and Other Specialists Essay.

Nurse Informaticst Interaction Sample Essay

Post
 a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.

 

An informaticist interacts with my own professional practice when they add important components to the electronic health records, EHR. For example, adding a sepsis detection bundle to our charting in order to help alert providers and nurses to a risk for sepsis and prevent septic shock.  This information is relevant because we all know that early detection and intervention can help save people’s lives in a sepsis situation Nurse Informaticst Interaction Sample Essay. Being competent in informatics is vital during this technology-rich era in nursing(Borycki, Cummings, Kushniruk,  & Saranto,2017). It is a safety feature we now have available to use. Since the inception of  EHR and Medication, safety stops medication errors have been significantly reduced. With information specialists adding sepsis detection tools or a new one we started at work was a deterioration index that a nurse must acknowledge during the shift. This index was trialed before rolling out, but it incorporated aspects the nurse needs to know when a decline starts with their patient. Countless studies have been conducted, and early detection of sepsis saves lives. The push has gone towards how informatics can integrate a  detection tool and guide. Nurses towards interventions that will save lives and prevent negative outcomes. This study found almost a 10% reduction in sepsis deaths once the detection tool and intervention protocols were formulated ( Jones, Ashton, Kiehne, Gigliotti, Bell- Gordon, Disbot, Masud, Shirkey, & Wray, 2015). These tools are usually effective because the nurse is watching for changes and aware of what steps to initiate next. In another study, they actually found that there, on occasion, is a provider alert fatigue.(Manaktala & Claypool, 2016) This means that even though it tells you to alert a provider or is another area, you must chart in that nurses are not alerting to it, which can also cause negative outcomes. I think that is why I like the deterioration index in my charting system because I can look back at the previous score see what components may have changed, and it helps me think ahead Nurse Informaticst Interaction Sample Essay. It is like a little zap to say, hey, this is changing; keep an eye on it. I think that at times there are attempts to add so many components to charting to hit benchmarks and prevent things like falls or alert to changes in conditions. However, there is not enough removal of the unnecessary parts that do not contribute to positive outcomes.

 

References:

Borycki, E. M., Cummings, E., Kushniruk, A. W., & Saranto, K. (2017). Integrating health information technology safety into nursing informatics competencies. 
Forecasting informatics competencies for nurses in the future of connected health
, 
232
, 222-228.

Jones, S. L., Ashton, C. M., Kiehne, L., Gigliotti, E., Bell-Gordon, C., Disbot, M., … & Wray, N. P. (2015). Reductions in sepsis mortality and costs after design and implementation of a nurse-based early recognition and response program. 
The Joint Commission Journal on Quality and Patient Safety
, 
41
(11), 483-AP3.

Manaktala, S., & Claypool, S. R. (2017). Evaluating the impact of a computerized surveillance algorithm and decision support system on sepsis mortality. 
Journal of the American medical informatics association
, 
24
(1), 88-95 Nurse Informaticst Interaction Sample Essay.

By Day 6 of Week 3

Respond
 to at least 
two
 of your colleagues
* on two different days
, offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.

response

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As nurses, we know sepsis is a leading cause of death in patients. Having swift identification of sepsis and prompt intervention can significantly decrease mortality and provide positive patient outcomes. I have had the opportunity to work in many ER’s as a travel nurse, and everyone does sepsis differently. I have found using alerts in the EMAR to be extremely helpful. In one study completed by Zimmermann et al. (2020), successful smartphone alerts improved early responses to identifying and treating sepsis. Continually being reminded as a nurse to watch for clinical signs of sepsis is incredibly helpful in keeping our patients safe and adequately treated. These alerts would require me to acknowledge the sepsis alert and what I did in reaction to the alert. Did I notify the physician? Were orders placed? Within 12 hours of a sepsis alert, there should be a physician assessment, antibiotics, IV fluids, oxygen therapy and vasopressors as needed, and diagnostic testing (Sawyer et al., 2011). Nursing informatics plays a massive role in monitoring these interventions and calculating how quickly these interventions are completed. The faster the intervention is applied, the quicker the patient can be treated. EMAR charting assists in time-stamping alerts to staff and when interventions are completed Nurse Informaticst Interaction Sample Essay.

Sawyer, A. M., Deal, E. N., Labelle, A. J., Witt, C., Thiel, S. W., Heard, K., Reichley, R. M., Micek, S. T., & Kollef, M. H. (2011). Implementation of a real-time computerized sepsis alert in nonintensive care unit patients.
 
Critical Care Medicine
,
 
39
(3), 469–473. https://doi.org/10.1097/ccm.0b013e318205df85
 

Zimmermann, M., Chung, Y. “J., Fleming, C., Garcia, J., Tayban, Y., Alvarez, H. D., & Connor, M. A. (2020). Implementing real-time sepsis alerts using middleware and smartphone technology.
 
Nursing Critical Care
,
 
15
(2), 41–48. https://doi.org/10.1097/01.ccn.0000654832.34404.99
Nurse Informaticst Interaction Sample Essay

response 2

Good post Kymberly. You are right, sepsis is something that needs to be detected early on. The facility I work at has the EPIC documentation system. Last year, they rolled out this big new sepsis tool due to the rise in patients triggering for sepsis and not being treated promptly. Each patient has a sepsis score under their name and if their score starts to ride into yellow or red zones, the nurse will start to get pop-ups to acknowledge it and select an intervention. The very first thing the nurse does, as always, is reassess. The sepsis screening tool allows you to open it, obtain a new set of vitals, check lab work to make sure everything is correct that is causing the patient to trigger for sepsis. There has been issues with physicians not listening to the nurses, so after so much documentation and steps in the sepsis flowsheet, the nurse can start ordering labs such as a lactic and Complete blood count (CBC), call a code sepsis, which sends an alert out to a back up team that calls or comes to the patient’s room. Sepsis needs to be taken very seriously given how quickly it can go the wrong way. Proper education needs taught regarding a recognition in vital signs and finding the source of infection to ensure the patient receives the proper treatment (Mayo Clinic, 1998-2021) Nurse Informaticst Interaction Sample Essay.

I agree about extra documentation flowsheets and components for documentation flowsheets and components for documentation can be a bit messy. One way to fix this is to be a voice in a nurse practice council for your facility. By taking issues like this to a house-wide committee, it will be addressed, and they will attempt to find a solution. Their purpose is to actively listen, collaborate with other health care professionals and find a solution (McGonigle & Mastrian, 2017).

References

Mayo Clinic. (1998-2021). Sepsis. https://www.mayoclinic.org/diseases-conditions/sepsis/

symptoms-causes/syc-20351214

McGonigle, D., & Mastrian, K.G. (2017). Nursing informatics and the foundation of knowledge

(4
th
 ed.). Chapter 26, “Nursing Informatics and the Foundation of Knowledge” (pp.537-

551). Burlington, MA: Jones & Bartlett Learning Nurse Informaticst Interaction Sample Essay.

Nurse Informatics Essay Example

Week 3 Discussion Post

I work in an outpatient primary care/ specialty care (geriatrics) practice that is part of a large accountable care organization within a large hospital system. The practice operates based on value-based repayment that is achieved through care coordination efforts, wellness initiatives, and preventative care. According to Donatelli and Meyers (2014), “value-based care, informed by data, interpreted and applied by expert nurses, is best care for our patients” (p. 35). Improvement specialists are nurse informaticists within the organization that help the individual practices track, manage, and predict care utilization, health maintenance activities, and goal progress Nurse Informatics Essay Example.

Typically, interactions with improvement specialists occur via pre-scheduled virtual meetings in which data is analyzed and reviewed. In addition to data review, the improvement specialists also provide suggestions for how to incorporate new initiatives into daily workflows and how new or existing functions within the EHR can be utilized to improve patient interactions. Elsayed et al. (2016) recognize the topics covered during these interactions as critical functions for nursing informaticists that lead to improved nursing care. While these interactions provide a lot of useful information, the meetings are not specific to individual practices which can lead to unnecessary information overload. Some of the strategies I would suggest to improve the interactions with the improvement specialists are meeting with practices individually rather than presenting to groups of practices and providing data information to practices ahead of time for review Nurse Informatics Essay Example.

Nursing informaticists proved to be invaluable during the COVID-19 pandemic due to the rapid changes needed in healthcare to continue to provide patient care safely. The evolution of nursing informatics as a specialty is expected to continue to improve quality of patient care through improved clinical decision-making tools and integration of evidence-based practice in EHRs (McGonigle & Mastrian, 2017). Additional roles that can be taken on as the specialization continues to expand include policymakers, educators, and operational owners, as these nurses are well prepared to find, analyze, and integrate data to improve healthcare and operations (Schoenbaum & Carroll, 2021). As new technologies continue to be developed, I would expect to see more team-based care and improved continuity of care through virtual communications.

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References

Donatelli, D. & Meyers, E. (2014). Nursing analytics: Using cost and quality information to improve patient care. 
Patient Safety & Quality Healthcare, 11
(2), 32-37.

Elsayed, I. A., El-Nagger, N., & Mohamed, H. A. A. (2016). Evolution of nursing informatics: A key to improving nursing practice. 
Research Journal of Medicine and Medical Sciences, 11
, X-X7.

McGonigle, D. & Mastrian, K. (2017). 
Nursing informatics and the foundation of knowledge
. (4
th
 ed). Jones & Bartlett Learning.

Schoenbaum, A. E. & Carroll, W. M. (2021). Nursing informatics key role in defining clinical workflow, increasing efficiency, and improving quality. 
Healthcare Information Management and Systems Society
. 
https://www.himss.org/resources/nursing-informatics-key-role-defining-clinical-workflow-increasing-efficiency-and

Discussion: Interaction Between Nurse Informaticists and Other Specialists

Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.

Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved Nurse Informatics Essay Example.

To Prepare:

Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.

Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

By Day 3 of Week 3

Post
 a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.

By Day 6 of Week 3

Respond
 to at least 
two
 of your colleagues
* on two different days
, offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.

 This is an interesting topic to dive into; sometimes, we do not realize that the shift in reimbursement has gone from a fee-for-service matrix to one that is service-based and value-driven. There is rapid change occurring in the U.S. healthcare system. Under the changes instituted in 2015, the switch to a performance-based fee system was begun( Squitieri, Bozic, & Pusic, 2017). I believe that is what you are referring to in your post. Do the information specialists track visits and satisfaction within your clinic? I know I work in an outpatient wound care clinic Once a week, and there are times where corporate team members come and analyze our process for the clinic from check-in time to discharge.  In your workplace, do providers get reimbursed at a higher rate if their scores go up? I know that this, at one point, led to providers overprescribing pain medication to get a good patient score. I know that informatics is implementing change and improving flows within nursing and the medical field. I assume that the informatics team members in your facility are implementing  EBP and screening tools into your workflow (McGonigle & Mastrian 2017)to determine the amount of time each patient could require or flag certain patients who may need their annual bloodwork, be missing diagnostic testing. That is good that you guys at least interact with your Data department; I am not sure how I would contact mine; however, I am sure this is cause I  work the night shift, and if there was a need, I could track down the appropriate person Nurse Informatics Essay Example. Good Post, thank you!

References:

McGonigle, D. & Mastrian, K. (2017). 
Nursing informatics and the foundation of knowledge
. (4
th
 ed). Jones & Bartlett Learning.

Squitieri, L., Bozic, K. J., & Pusic, A. L. (2017). The role of patient-reported outcome measures in value-based payment reform. 
Value in Health
, 
20
(6), 834-836 Nurse Informatics Essay Example.