Feb 23, 2024 NR 506 Assignments: The Four Spheres of Political Action in Nursing
NR 506 Assignments: The Four Spheres of Political Action in Nursing
NR 506 Assignments: The Four Spheres of Political Action in Nursing
Thank you for doing such a great job with the definition and examples for the four spheres of influence or political action in nursing. All of these sphere while they each have a different role have to play a part to complete the whole in the nursing profession. We might not think we are using each one during our nursing practice until we really look back and think about it. Something you said in your post about not having much involvement in the community influence of nursing I think is incorrect. By being able to teach and be involved with new nurses, you are helping to form the kind of nurse they want to be, which becomes reflective of the care that patients receive at the hospital spreading this to the community around the hospital. Also when nurses have a good and positive starting point in their nursing career it helps to show them the many sides of nursing and what they might be capable in other settings beside inpatient. I have experience starting as an inpatient nurse and moving to community practice within the same hospital system, but my job is so different and the patient interactions I have influence patients to make changes in their lives. I feel that my time as an inpatient nurse has given me a lot of knowledge and confidence that has helped many of the community patients I work with as well.
I would agree that ethics is such a large part of our profession, hopefully most people’s profession. I think as nurses though we tend to face more ethical dilemmas more often than most people in their work lives. Something that I think people either forget or really do not know is: “that Nursing has its own body of scientific and technical knowledge, built and reproduced by a set of social, ethical and political practices carried out through teaching, research and care.(Nunes da Silva, Moreira Freire, Ferreira de Vasconcelos, Vital da Silva Junior, de Carvalho Silva, da Silva Araujo, & Assis Eloy, 2018, p.4) As nurses we have to remember this as well and understand impact we make with patients can lead to impacting our workplace, organizations and even government. We have the ability to make changes on a bigger scale, and should work to pursue that more. Daily as nurses we are making changes in the lives of our patients by showing them kindness, compassion, empathy, and sharing knowledge. These skill can translate into making more global changes. I think what you said about the nursing ratio is really interesting and how people have left where you work due to the fact that the census has changed. I think that there needs to be more regulations on ratios for nurses, because there is a lot expected of us, but when you make us take more patients mistakes can happen and do more often. Also we do not get the time to spend with a patient as what nursing is recognized for as caregivers. I am not sure if you have a staffing grid at your hospital, but we do and obviously depending on census we will have less nurses with our census down, so we get use to having about the same number a patients on every shift we work. I think having that consistency helps nurses have perspective on their current place of employment. I think a lot of the time we think the grass is greener on the other side, but when we get there it usually is worse, maybe not related to staffing ratios, but other things that we did not think about. Ethically I think it is important to have safe ratios everywhere and I believe that would help with the turn- over of staffing more.
Reference:
Nunes da Silva, T., Moreira Freire, M. E., Ferreira de Vasconcelos, M., Vital da Silva Junior, S., de Carvalho Silva, W. J., da Silva Araújo, P., & Assis Eloy, A. V. (2018). Deontological aspects of the nursing profession: understanding the code of ethics. Revista Brasileira De Enfermagem, 71(1), 3-10. doi:10.1590/0034-7167-2016-0565
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The four spheres of political actions in nursing are the workplace, government, community and professional organizations (Mason et al, 2012). Each one of the spheres has it’s own separate functions such as: the workplace focuses on issue, which affect jobs and patient care. Government addresses rules, laws, and manages regulations in nursing practice. Community involves issues that affect community well-being and lastly organizations which address concerns related to shaping nursing practice (Mason et al, 2012). Together the spheres can create change. Nurses are able to change policy making and improve issues in the community health systems (Mason et al, 2012).
When you start out in your new nursing career, it is vital to review the political policies and nursing policies in your organizations. Nurses don’t realize that we are already political our nursing practice is molded around governing bodies, ethical, professional, governmental standards, and healthcare itself (Bjornsdottir, 2009).
I believe in centered family care in our organization. Especially when a trauma has occurred and the outcome doesn’t look good. It is important for family to see that you have done everything you can to help their loved one. Nursing has the greatest power in this situation (Parker, 2013). We are responsible for being the patient’s advocate. In the workplace it is vital for the patient’s family to be at their child’s bedside when something critical is taking place. If not then the family is wondering what is being done on their child (Parker, 2013) when a family member becomes involved they know you have done your best even if the outcome is not good. We have an ethical responsibility to do everything we can to save someone’s life. Nurses have to remind surgeons and other physicians that families have a right to be with their loved ones (Parker, 2013). Physicians see families as a distraction and that they will be in the way, instead of seeing them as a positive and realizing the family needs to believe that we tried everything to save their child’s life. If not allowed in the room they decide what they think or don’t think you did for their loved one (Parker, 2013).
Some ethical problems one may face with not allowing patient centered care in your organization can be wait times in the emergency room. These extended wait times puts a patient and their families at risk for harm (CDC, 2014). The main reason for this is boarding of patient’s for lack of nurses to take care of patient’s inpatient. When boarded patient’s take up Ed resources which makes waiting times in the Ed waiting room increase to unsafe levels (CDC, 2014).
Bjornsdottir, K. (2009). The ethics and politics of home care. International journal of nursing studies, 46, 732-736. Retrieved from
http://nursingandpolitics.blogspot.com/2012/12/asyou-are-learning-this-week-about.html (Links to an external site.)
Centers for Disease Control. (2014). Emergency department visits. Retrieved from http://www.cdc.gov/nchs/fastats/emergency-department.html (Links to an external site.)
Mason, D.J., Leavitt, J.K., & Chaffee, M.W. (2012). Policy and politics in nursing and health care. Retrieved from http://nursingandpolitics.blogspot.com/2012/12/asyou-are-learning-this-week-about.html (Links to an external site.)
McClelland, M., (March 6, 2015) “Ethics: Harm in the Emergency Department – Ethical Drivers for Change”: The Online Journal of Issues in Nursing 20, (2).
doi: 10.3912/OJIN.Vol20No02EthCol0
Parler, L. (2013). Family centered care: Aiming fro excellence exploring the past, present, and future. Vancouver general hospital. Retrieved from
www.caccn.ca/en/files/Dyn14 9B Family Centered
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NR506 Assignments: The Four Spheres of Political Action in Nursing
nr506 week 1 discussion: The Four Spheres of Political Action in Nursing (graded)
Please discuss the four spheres of political action in nursing. In addition, please develop a brief argument sharing how these spheres are interconnected and overlapping by applying an example from your practice. What are some ethical considerations here?
nr506 week 2 discussion: Policy-Priority Selection (graded)
Identify your selected healthcare policy priority and discuss the rationale for your selection. Describe the model of policy making that you feel would be best applied to your policy issue and the rationale for selecting this modePolicy-Priority Selection (graded)
Discuss an ineffective healthcare policy that you personally experienced in your practice and describe the issues that you feel made it unsuccessful. Using incrementalism as the policy making model, describe how you would work to make it a more effective policy.
nr506 week 3 discussion: Effective Coalition Leadership (graded)
Describe the various elements necessary for effective leadership within a coalition. How does this apply to your professional practice or life?Consider your chosen policy priority. How can you use evidence-based research to demonstrate the relationship of nursing practice to outcomes in your policy priority?
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nr506 week 4 discussion: Challenges in Lobbying Strategies (graded)
Discuss the best approach for communicating with your local legislator or policymaker in your policy-priority issue. What is your rationale for this approach?It is vital to communicate effectively in policy and politics. Analyze two communication skills that are critical to implementing your policy-priority issue.
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nr506 week 5 discussion: Drivers of High Performance Healthcare Systems (graded)
Select two drivers (for example quality, cost, and access) of high performance healthcare systems and apply it to your current work situation. The application could demonstrate the presence of the driver in a positive manner or it could acknowledge the presence of a concern.Levels of Government Involved in Healthcare Policy Making (graded)
Review the assigned article for this week, Buerhaus, P. I. (2010). Healthcare payment reform: Implications for nurses. Nursing Economics, 28(1), 49–54.
An emerging political issue is to change the way healthcare providers are compensated to control healthcare spending. Nurses are the largest group of healthcare providers and can make the greatest impact on the healthcare system. Compare and contrast two advantages versus the disadvantages of the policy to disentangle nursing costs from the patient room charges and/or organization charges. How can this policy affect your policy priority? Is there evidence?
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nr506 week 6 discussion: Using the Media (graded)
Given the power of the media, discuss how you would use an opinion editorial, a personal interview, websites, texting, Facebook, Twitter, and/or blogs to influence public opinion relative to your policy priority. What issues about media and electronic social networking do you need to consider? Why?
Given the power of the media, discuss how you would use an opinion editorial, a personal interview, websites, texting, Facebook, Twitter, and/or blogs to influence public opinion relative to your policy priority. What issues about media and electronic social networking do you need to consider? Why?
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nr506 week 7 discussion: RN as Healthcare Policy Leader (graded)
As a health policy professional leader, communicating with lay audiences is an important skill in promoting the health of the community for master prepared registered nurses. Develop a concise position statement reflecting the research findings and recommendations by experts as they relate to workplace support for breast feeding mothers, medical marijuana services in the community, genetic testing or applications of stem cell research, transgender care, abortion, end-of-life care, or a community service administered by Family Nurse Practitioners (if you pick this one be specific about the type of community service the FNP would work in or manage).
NR506 Assignments: The Four Spheres of Political Action in Nursing: Population Based Care (graded)
Find an article that describes holistic care of a client with a chronic illness. As a leader in healthcare policy, what additional healthcare policy changes would you advocate for to improve the health of this population?
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nr506 week 8 discussion: Global Policy Reform (graded)
Reflect on the concepts and practices you have learned in NR 506 on healthcare systems, politics, and health policy. Read the article that is linked below and share insights as how to make informed decisions on nursing practice and patient outcomes on a global basis. In addition, state how you will apply what you have learned in this course to your upcoming practicum experience. Note: it is welcome but not necessary to post your own references this week in your discussion responses. Enjoy the reading and simply reflect with us.
Read the.proquest.com.proxy.chamberlain.edu/docview/1029876233?accountid=147674″>articleby Kohl, H.W., Craig, C. L., Lambert, E.V., Inoue, S., Alkandari, J.R., Leetonngin, G., Kahlmeier, K. (2012), a systems approach to dealing with the global issue of physical inactivity is discussed.
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NR506 week 3 Your Policy Priority Issue: Your Policy Priority Issue Guidelines and Grading Rubric
PurposeThe purpose of this assignment is to: a) identify and reflect upon key concepts related to your planning a policymaker call b) provide empirical evidence to support new insights gained regarding your healthcare policy issue and the policymaking process, and c) present ideas in a clear, succinct, and scholarly manner.
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Course Outcomes: NR506 Assignments: The Four Spheres of Political Action in Nursing
This assignment enables the student to meet the following course outcomes:(CO#1) Analyze application of theories to the development of policies that affect nursing and health care. (PO 9, 10)(CO#3) Communicate with policymakers to advocate for effective policies that affect nurses and nursing, consumers, or the health care system. (PO 2, 3, 10)(CO#4) Analyze the historical, ethical, and political contexts of healthcare policy and the consequences of policy implementation. (PO 6, 10)(CO#6) Investigate the interrelationship between policy decisions and evidence-based practice. (PO4, 7, 10)
NR506 Assignments: The Four Spheres of Political Action in Nursing Requirements
Assignment Criteria for Presentation:1. Provide an introduction to your healthcare policy-priorityissue and the title or name of your legislator.2. Articulate key points under each of the Formulating a Healthcare Policy Ungraded Worksheet #1 sections.3. Provide a critique of empirical evidence that supports your chosen healthcare policy-priority issue and analysis.4. Demonstrate the importance and impact of the chosen healthcare policy-priority issue to nursing.5. Provide concluding statements summarizingthe content.6. The paper will be a minimum of 4 pages and a maximum offive pages in length,in APA format 6th edition,excluding the title and reference page.
Preparing the NR506 Assignments: The Four Spheres of Political Action in Nursing Paper
After completing Formulating a Healthcare Policy Ungraded Worksheet #1, address all areas on the worksheet in the body of a scholarly paper. Include a minimum of five (5) classic or current references published within the past 5 years.Category Points % DescriptionIntroduction and Conclusion 35 20 Introduction clearly introduces your healthcare policy- priority issue and the title or name of your designated legislator.Concluding statements summarizing content.
Key Points 40 23 Identification of all key points of your healthcare policy-priority issue (review sections of Healthcare Policy Ungraded Worksheet) are clearly analyzed and fully articulated.
Empirical Evidence 40 23 Provide a critique of empirical evidence thatsupports your chosen healthcare policy issue and analysis.
Impact and Importance to Nursing 35 20 Demonstrate the importance and impact of the chosen healthcare policy issue to nursing.
APA Format 10 6 Text, title page, and references are consistent with APA format.
Writing Quality 15 8 Rules of grammar, word usage, sentence, and paragraph format and punctuation.
Total 175 100 A quality assignment will meet or exceed all of the above requirements.
Grading Rubric for NR506 Assignments: The Four Spheres of Political Action in Nursing
Assignment Criteria Exceptional(100%)Outstanding or highest level of performance Exceeds(88%)Very good or high level of performance Meets(80%)Competent or satisfactory level of performance Needs Improvement(38%)Poor or failing level of performance Developing(0)Unsatisfactory level of performanceContentPossible Points = 150 Points
NR506 Assignments: The Four Spheres of Political Action in Nursing
Introduction clearly introduces your healthcare policy-priority issue. Concluding statements summarizing content are present.35 Points 31 Points 28 Points 13 Points 0 PointsIntroduction clearly introduces your healthcare policy-priority issue and the title or name of your designated legislator. Concluding statements summarizing content are present, clear, and well written.Introduction introduces your healthcare policy-priority issue and the name or title of your designated legislator. Concluding statements summarizing content are present. Minor clarity or detail issues.Introduction and conclusion are included; could include more details such as a specific healthcare policy-priority issue that a legislator could act upon or the name or title of the legislator; clarity or improvement of format.Lacking introduction or conclusion.No attempt made at introduction or conclusion.
Identification of all key points of your healthcare policy-priority issue are clearly analyzed and fully articulated.40 Points 35 Points 32 Points 15 Points 0 PointsKey points are well described, and analysis is fully articulated.Key points are described with some lack of clarity, and/or analysis is lacking detail or clarity.Key points are not well described, and/or analysis is lacking detail or clarity.Key points or analysis is missing.Key points and analysis is missing.
Empirical evidence supporting your healthcare policy-priority issue is clearly critiqued.40 Points 35 Points 32 Points 15 Points 0 PointsEmpirical evidence supporting your healthcare policy- priority issue is clearly critiqued in a comprehensive and accurate manner.Empirical evidence supporting your healthcare policy- priority issue is critiqued but lacking clarity or not substantive.Empirical evidence supporting your healthcare policy- priority issue is noted but not critiqued.Empirical evidence supporting your healthcare policy priority issue is lacking.No attempt made at providing empirical evidence.
Your healthcare policy- priority issue clearly demonstrates the impact and or importance of your issue to nursing or the intended impact to patient outcomes.35 Points 31 Points 28 Points 13 Points 0 PointsImpact to patient outcomes or nursing practice is thoroughly discussed.Impact to patient outcomes or nursing practice has rare inaccuracy.Impact to patient outcomes or nursing practice lacks occasional important elements or specificity.Impact to patient outcomes or nursing practice has multiple instances of inaccuracies.Impact to patient outcomes or nursing practice has multiple instances of inaccuracies and is vague.
NR506 Assignments: The Four Spheres of Political Action in Nursing
Content Subtotal_____of 150 pointsFormat Possible Points = 25 PointsAPA Format: Text, title page, and reference page(s) are completely consistent with APA format 6thedition.10 Points 9 Points 8 Points 4 Points 0 PointsPaper is free from APA errors throughout.There are 1-2 APA format errors in the text, title page, and/or reference page(s) There are 3-4 APA format errors in the text, title page, and/or reference page(s) There are 5 APA format errors in the text, title page, and/or reference page(s) There are 6 or more APA format errors in the text, title page, and/or reference page(s)Writing Quality: Paper is appropriate in length. References include a minimum of 5 scholarly references excluding the course text. Rules of grammar, spelling, word usage, and punctuation are consistent with formal written work.15 Points 13 Points 12 Points 6 Points 0 PointsPaper is appropriate in length. References include more than the minimum number of scholarly references, excluding the course text. Rules of grammar, spelling, word usage, and punctuation are consistent with formal written work.Paper is short/long in length and/or contains a minimum of scholarly references excluding course text, or references utilized are not scholarly. Rules of grammar, spelling, word usage, and punctuation are consistent with formal written work with1-2 exceptions.Paper is short/long in length and contains only 1 scholarly reference. Additional references are not scholarly. Rules of grammar, spelling, word usage, and punctuation are consistent with formal written work with 3-4 exceptions.Paper is short/long two or more pages in length and does not contain scholarly references. References utilized are not scholarly. Rules of grammar, spelling, word usage, and punctuation are not followed with 5 errors.Paper is short/long two or more pages in length and does not contain scholarly references. References utilized are not scholarly. Rules of grammar, spelling, word usage, and punctuation are not followed with 6 or more errors.
NR506 Assignments: The Four Spheres of Political Action in Nursing
Format Subtotal_____of 25 pointsTotal Points_____of 175 point
NR506 week 5 Planning Your Visit(Part A): Planning Your Visit(Part A)
Guidelines and Grading RubricPurposeThe purpose of this assignment is to: (a) identify communication strategies that support an effective policy making-presentation/visit(CO #2);(b) deliver a message andmake recommendations (CO #2,3), and (c) communicate ideas in a clear, succinct, and scholarly manner. (CO#3)Course OutcomesThis assignment enables the student to meet the following course outcomes:(CO #2) Employ strategies to affect the development, implementation, and consequences of policies at the institutional, local, national, and international levels. (PO 4, 8, 10)(CO #3) Communicate with policymakers to advocate for effective policies that affect nurses and nursing, consumers, or the health care system. (PO 2,3,10)(CO #4) Analyze the historical, ethical, and political contexts of health care policy and the consequences of policy implementation. (PO 6, 10)(CO #5) Advocate for institutional, local, national, and international policies that influence health care and its consumers and nurses and their nursing practice. (PO2,10)Due Date: Sunday 11:59 p.m. MT at the end of Week 5Total Points: 100pointsRequirementsAssignment Criteria for Presentation1. Introduce your chosen policy issue, the current status, and an overview of your plan for a legislative visit.2. Articulate key communication strategies involved in your approach to the legislator including plan, message, and recommendations; see Worksheet 2 and again, the focus is on evidence-based communication techniques for effective healthcare policy visit to the legislator.3. Provide an analysis of empirical evidence of effective communication strategies and techniques to support an effective visit and follow-up to the legislator.4. Provide specific examples of the impact and/or importance of a successful visit/presentation to nursing.5. Provide concluding statements summarizingthe content.6. Paper will be 2-3 pages, excluding title and reference pages, and in APA format 6thedition.7. Five non-text book references are required as minimum.
Preparing the Paper: NR506 Assignments: The Four Spheres of Political Action in Nursing
Following completion of Planning Your Visit Ungraded Worksheet 2, target communication strategies that support an effective policymaking visit. Include a minimum of five (5) classic references or current references (published within the past 5 years) that support your policy plan, the message, recommendations, and follow-up.Category Points % DescriptionIntroduction and Conclusion 10 10 Introductionbriefly identifies your healthcare policy-priority issue, the policy itself and legislator with a plan for the policymaker visit/presentation. Concluding statements summarize content.
Empirical Evidence 50 50 Empirical evidence identifies effective communication strategies and techniqueswith follow-up supporting your visit to the legislator.
Specific Examples 20 20 Provide specific examples of the impact and/or importance of a successful visit/presentation to nursing.
APA Format 10 10 Text, title page, and references are consistent with APA format 6thedition.
Writing Quality 10 10 Rules of grammar, word usage, sentence and paragraph format, and punctuation are followed. Paper length appropriate.
Total 100 100 A quality assignment will meet or exceed all of the above requirements.
Grading Rubric for NR506 Assignments: The Four Spheres of Political Action in Nursing
Assignment Criteria Exceptional(100%)Outstanding or highest level of performance Exceeds(88%)Very good or high level of performance Meets(80%)Competent or satisfactory level of performance Needs Improvement(38%)Poor or failing level of performance Developing(0)Unsatisfactory level of performanceContentPossible Points = 100 PointsIntroduction and Conclusion 10 Points 9 Points 8 Points 4 Points 0 PointsIntroduction briefly identifiesyour healthcare/policy-priority issue, policy itself, and legislator with a plan for the policymaker visit/presentation.Concluding statements summarizing content have no inaccuracy.Introduction of your healthcare/policy-priority issue, policy itself, and legislatorwith a plan for policymaker visit/presentation has rare inaccuracy.Concluding statements lack occasional important element or sp
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