Describe a health policy problem that impacts your practice. Identify an association or coalition working to resolve and/or oppose the problem
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N705 Health Policy
Week 1 Discussion
DQ1 Describe a health policy problem that impacts your practice. Identify an association or coalition working to resolve and/or oppose the problem (Examples in box 3-1, p.48, in our text). What strategies is the association or coalition using? Are you involved? Respond to the posts of at least two other learners.
DQ2 Define federalism. How can a federalist government structure lead to fragmentation in health care? Respond to the posts of at least two other learners.
N705PE / N705
N705 Health Policy
Week 2 Discussion
DQ1 The American Nurses Association monitors and engages in policy and politics to support nursing practice and a safe work environment.
DQ2
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N705 Health Policy
Week 3 Discussion
DQ1 Describe the strengths and weaknesses of pressure injuries as a nurse-sensitive quality indicator. Which organization(s) monitor the measure? Is the data collected manually or by e-measure? How do financial incentives or penalties drive nursing practice? Respond to the posts of at least two other learners.
DQ2 Articulate your position on state vs. federal control of nursing licensure and scope of practice. Should employers be able to expand the scope of practice beyond state regulations? Respond to the posts of at least two other learners.
N705PE / N705
N705 Health Policy
Week 4 Discussion
DQ1 Select a federal health policy bill that has been introduced in the US House or Senate during the last year. Write a one-page policy brief about the bill for your elected representative or senators Include your analysis of pros and cons, and your recommendation for the elected representative. Respond to at least two of your classmates to help strengthen their policy brief.
DQ2 Health disparities refer to differences in the incidence, prevalence, mortality and burden of diseases and other adverse health conditions that may exist among certain populations. Examine the CDC 2020 data and resources for a maternal, infant and child health issue. How can publicly available databases be used to drive policy? Do you find any surprises in your local health data?
N705PE / N705
N705 Health Policy
Week 5 Discussion
DQ1 Discuss three forces related to the increase in health care costs over the past 30 years. What new nursing roles are evolving in an effort to control costs and increase quality? Respond to the posts of at least two other learners.
DQ2 Refer to the California Healthcare Foundation infographic on who pays for healthcare in the US. Discuss three pros and three cons of single payor (government) run healthcare. Respond to the posts of at least two other learners.
N705PE / N705
N705 Health Policy
Week 6 Discussion
DQ1 Refer to the case study: “Tackling the Opioid Crisis- Upstream and Downstream Policy Approaches: An Intervention Downstream to Prevent Overdose Death”, p.363-370 in our text. Compare and contrast the differences in upstream, midstream, and downstream policy approaches. Provide an example of upstream, midstream and downstream policy approaches related to a health care issue impacting your practice. Respond to the posts of at least two other learners.
DQ2 How can nurse leaders engage stakeholders in nurse to patient staffing decisions? Describe three pros and three cons to mandated staffing through a legislative process. Respond to the posts of at least two other learners.
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N705 Health Policy
Week 7 Discussion
DQ1 Refer to the case study: Workplace Violence: Safety of Patients and Staff in Acute Care Psychiatry, p.128-133 in our text. Within a nurse-patient relationship does the patient’s right to protection from harm supersede that of the nurse’s right to remain free from harm? What is the policy of your organization? Respond to the posts of at least two other learners.
DQ2 Describe the community level health policy issue you are studying for Assignment 3. What strategies will help you speak truth to power? Respond to at least two other posts with strategies to influence change in health policy.
N705PE / N705
N705 Health Policy
Week 8 Discussion
DQ1 Refer to the case study: Making a Difference Through Grassroots Activism, p. 441-444 in our text. Discuss three strategies that nurses can use to influence health policy at the local or state level. Reflect on this question: If not you, who? Respond to the posts of at least two other learners.
DQ2 All boards benefit from the unique perspective of nurses. Identify a board that you serve on or would like to serve on. What is your agenda? How can you use strategies learned in this class to influence change? Respond to the posts of at least two other learners.
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N705 Health Policy
Assignment 1
Instructions:
Nurse licensure and scope of practice are historically controlled at the state level in the United States and at the country level elsewhere. Read the Case Study “Mending the Patchwork of NP Regulations” (Nickitas, Middagh, Feeg, p. 335-338). Write a 5-7 page paper, using evidence from the literature to address the following questions for your state or country:
What are pros and cons of the current Advanced Nurse Practice regulations in your state (or country)?
How are the three branches of government involved in the scope of Advanced Nurse Practice (executive for regulation, legislative for law, judicial for interpretation of the law)?
Identify three strategies that nursing or medical groups are using to influence change. How would you appraise the effectiveness of these strategies? What strategies do you think would be effective?
Do you think licensure and scope of practice should be regulated at the state or federal level? Justify your answer.
N705PE / N705
N705 Health Policy
Assignment 2
Instructions:
Select a federal bill or resolution that is of interest to your practice (www.congress.gov). Prepare a position paper that incorporates analysis of the policy of interest. Provide a persuasive, evidence-based argument for your position on that policy, including all elements listed below. Include a one-page policy brief suitable for an elected official, including all elements listed below. An 8 to10-page paper is due to the professor for grading by the end of Week 5. This assignment is worth 30% of your overall course grade.
Students who live and work in the United States (US) should use www.congress.gov as a primary source of information on the bill. Students who live outside the US are encouraged to apply the assignment to the legislative process in the country where you live and/or practice.
All elements of a position paper must be included:
A summary of the issue
Background information on the topic
Background information on the bill
Who is the sponsor? Does the bill have bi-partisan co-sponsors?
Where is the bill in the legislative process? Has the Congressional Budget Office provided economic information to Congress?
What still needs to happen for the bill to be passed by both Houses and advanced for signature of the President? What is the likelihood of passage?
Alternatives, with pros and cons (Support, Support with Changes, or Reject)
Your specific recommendation for action
Your contact information
All elements of a 1-page policy brief addressed to your Representative or Senators must be included in an Appendix.
Executive summary of the issue, including bill or regulation number
Key background information
Alternatives, with pros and cons (Support, Support with Changes, Reject)
Your specific recommendation for action
Your contact information
N705PE / N705
N705 Health Policy
Final Project
Community Level Health Policy
Instructions:
Nurses practice within many types of communities, including, but not limited to a) the workplace, b) a city, county or region, c) a population of patients, d) associations, clubs or unions. Select one community level health policy issue impacting your practice. Develop a plan to change the policy. The concisely written plan should include each of the following elements, in no more than 12 pages.
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