Nurses as Change Agents in the Community

The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered.

For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.

To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.

In the chapter, “How Community-Based Organizations Are Addressing Nursing’s Role in Transforming Health Care,” the authors describe the community as the focus of advocacy action for change. They list a series of questions that help community teams develop organizing principles to guide their interventions, and the aim is to attack social determinants of health to make community change.

Suppose a community team identifies lack of access to exercise modalities as a public health issue. If the team were to determine that pedestrian walkways need to be constructed, discuss at least two factors that would facilitate the development of the walkways and two that would hinder the development. For the hindrances, discuss ways that the team might work to overcome those hindrances.

Continue to read daily from one of the policy briefs that are included in your weekly readings list. POLITICO Pulse is a daily briefing from POLITICO, and the Kaiser Health News Morning Briefing is a daily briefing from the Kaiser Family Foundation. Both focus on health care. Either one will keep you abreast of what is happening in health care policies and politics.

In addition, subscribe to the “HealthCetera” podcast and listen to the podcast weekly. This is a production of WBAI, free speech radio of Pacifica Foundation Radio in New York City. Diana Mason and Barbara Glickstein are founders and codirectors of the Center for Health Media Policy (CHMP). Both are recognized as experts in media, nursing, health, and health policy. They have a longstanding relationship as producers and moderators of HealthCetera, a live, award-winning radio program on public radio and iTunes. They are bloggers for Disruptive Women in Health Care and for the American Journal of Nursing (AJN). The CHMP is an interdisciplinary initiative for advancing the health of the public and healthy public policies through media, research, education, and public forums. Listen to the podcast throughout the course and think on the topics that are discussed, especially as they relate to how we advocate for issues of importance in this contemporary political environment.

 

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1. In the last century, what historical, social, political, and economic trends and issues have influenced today’s health-care system?

2. What is the purpose and process of evaluating the three aspects of health care: structure, process, and outcome?

3. How does technology improve patient outcomes and the health-care system?

4. How can you intervene to improve quality of care and safety within the health-care system and at the bedside?

2. Select one nonprofit organization or one government agencies that influences and advocates for quality improvement in the health-care system. Explore the Web site for your selected organization/agency and answer the following questions: •

What does the organization/agency do that supports the hallmarks of quality? •

What have been the results of their efforts for patients, facilities, the health-care delivery system, or the nursing profession? •

How has the organization/agency affected facilities where you are practicing and your own professional practice?

 

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The Nurse as Advocate

Whether nurses are advocating for their patients, health care, and/or policies that improve people’s lives, the advocacy processes have commonalities that transcend the subject of their advocacy. There are also differences, although these differences may be more nuanced than obvious.

Tasks:

Write a 5-page brief to answer the following questions. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources.

Read the following chapters from your course textbook:

• Taking Action: Nurse, Educator, and Legislator: My Journey to the Delaware Senate
• Taking Action: A Nurse in the Board Room

Answer the below questions:

• Describe what you believe to be the drivers for each of the individuals? What factors led them to become advocates?
• Discuss the challenges that each of them identified in their writings.
• Analyze these drivers and challenges and compare them with your own experience to date as an advocate. In what ways do you believe that you can expand your advocacy skills within the next five years?

Submission Details:

• Submit your response in a 5-page Microsoft Word document.
• Name your document SU_NSG4068_W5_Project_LastName_FirstInitial.doc.
• Submit your document to the Submissions area by the due date assigned.
• Cite sources in the APA format on a separate page.

 

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• Examine Case 2: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical, as well as mental factors that might impact the client’s diagnosis and treatment.
• At each Decision Point stop to complete the following:
• Decision #1: Differential Diagnosis
• Which Decision did you select?
• Why did you select this Decision?  Support your response with evidence and references to the Learning  Resources.
• What were you hoping to achieve by       making this Decision? Support your response with evidence and references       to the Learning Resources.
• Explain any difference between what       you expected to achieve with Decision #1 and the results of the Decision.       Why were they different?
• Decision #2: Treatment Plan for      Psychotherapy
• Why did you select this Decision?       Support your response with evidence and references to the Learning       Resources.
• What were you hoping to achieve by       making this Decision? Support your response with evidence and references       to the Learning Resources.
• Explain any difference between what  you expected to achieve with Decision #2 and the results of the Decision.       Why were they different?
• Decision #3: Treatment Plan for  Psychopharmacology
• Why did you select this Decision?   Support your response with evidence and references to the Learning       Resources.
• What were you hoping to achieve by  making this Decision? Support your response with evidence and references       to the Learning Resources.
• Explain any difference between what you   expected to achieve with Decision #3 and the results of the decision. Why  were they different?
• Also include how ethical considerations might impact your treatment plan and communication with clients and their family.

 

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