I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100-120 WORDS

Choose one legislator on the state or federal level who is also a nurse, and discuss the importance of their role as advocate for improving health care delivery. What specific bill(s) have they sponsored or supported that has/have influenced health care?

Congressman Diana Black, representing Tennessee’s 6th Congressional district. She practiced as a nurse for 40 years.

It is important to have a nurse represented in the house, where laws and policies are passed, because an insider who knows the needs of nurses and healthcare system would be passionate to vote and advocate for the healthcare. There are millions of topics been discussed in the house on state and federal levels, but healthcare issues are very important, because health is universal, everyone use the healthcare system. It is very crucial for a nurse to be part of lawmaking process, not only to speak out for the nurses and make a positive impact on nursing profession, but also as a role model to other nurses, aspiring nurses to go for legislative positions where they can be part of change-making process in the society; which could be beneficial to the patients.

Black supported the passing of Increased   Telehealth Access to Medicare Act, this bill increases access to telehealth services for Medicare Advantage users, in this age of technology, health care access is made easier and affordable using technology. Telehealth focuses on the use of innovative technology for the convenience of patients and caregivers to enhance the quality of care while saving money for both Medicare program and the patients (Black, 2017). This service enhances access to healthcare and reduces the number of in-patient visit to healthcare providers, covered by traditional Medicare plans under the current law (Black, 2017)

                                                                                      Reference

Black. D (2017) Committee Votes to Increase Telehealth Access for Medicare Enrollees. Health. Retrieved September 25th. From https://black.house.gov/media/press-releases/committee-votes-increase-telehealth-access-medicare-enrollees

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The Health Belief Model (HBM) is a psychological model developed in the 1950’s to try to explain and predict a patient’s response to health issues (Edelman, 2013). This model was developed to explain why some people fail to adopt preventative health measures even when the treatment is free. This model suggests that a message will have the maximum effect and behavior change if targets perceived barriers, benefits, self-efficacy, and threat (Jones et al., 2016).

The following components are edited for the text book Health Care Promotion Throughout the Life Span.

• Individual perceptions or readiness for change
• The value of health to the individual compared with other aspects of living
• Perceived susceptibility to a health problem, disease, or complications
• Perceived seriousness of the disease level threatening the achievement of certain goals or aims
• Risk factors to a disease attributed to heredity, race or culture, medical history, or other causes
• Perceived benefits of health action
• Perceived barriers to promotion action

Lifestyle changes can be the toughest to integrate into daily activities because they require the patient to consciously practice new behaviors. One way for the nurse to help make these changes permanent is to evaluate the readiness to change. The nurse should use questions to elicit responses that indicate the patient is ready to change behavior. Without a willing participant all other information may not lead to the desired changes.

The framework of the HBM allows the nurse to choose the appropriate intervention that is achievable and permanent. Each component guides the nurse by identifying barriers and identifying ways for the patient to adhere to the new behaviors

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I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100-120 WORDS

Choose one legislator on the state or federal level who is also a nurse, and discuss the importance of their role as advocate for improving health care delivery. What specific bill(s) have they sponsored or supported that has/have influenced health care?

Nurses that have gone on to become legislators “approach the job from the perspective of a nurse, nurse legislators can represent the interests of their colleagues in a way that no one else can” (Larson, 2016, para. 5).

Lois Capps, RN, served as a U.S. Representative for California’s 24th congressional district from 1998 to 2017. She has been a passionate advocate for nurses and has raised awareness about the ways nurses improve health care for all (McCutcheon, 2015). She has made many contributions on behalf of nurses and to the improvements in health care. Her retirement from Congress will surely produce a void in her absence. Through several sessions of congress, Capps was very active in and sponsored a bill that was backed by the ANA that would “improve the health, safety, and outcomes for patients by ensuring sufficient nurse staffing in hospitals” (McCutcheon, 2015, para. 3). Capps sponsored The Registered Nurse Safe Staffing Act requiring hospitals to establish a panel to develop unit-by-unit flexible nurse staffing plans based on several determining factors and this panel was to be made up with a majority of RNs. She also was instrumental in the enactment of the Nurse Reinvestment Act in 2002 to fund nursing education and development of workforce (McCutcheon, 2015).  

Above all, Lois Capps, performed her work in Congress, with a smile and much kindness, which is not a common thing seen in a divided Congress as we have now.

References:

Larson, J. (2016). Nurse Legislators: Representing Health Care in State Government. Retrieved September 26, 2017, from https://www.americanmobile.com/mobile/NZArticle/?articeld=2193

McCutcheon, S. (2015, April 17). ANA praises retiring U.S. Rep. Capps for advocacy for RNs, public health. Retrieved September 26, 2017, from http://www.theamericannurse.org/2015/04/17/ana-praises-retiring-u-s-rep-capps-for-advocacy-for-rns-public-health

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I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100-120 WORDS

The healthcare organizations are moving to have more bachelor prepared nurses so; they can help make patient care decisions. The Institute of Medicine (IOM) recommends nurses to have a BSN or higher to help with the overall changing healthcare system. By 2020, they want 80% of nurses to have a BSN or higher. Why? Nurses need to have an expanded more knowledge of different areas of nursing and evidence-based practice. As hospital care has become more complex, nurses must make critical decisions associated with care for sicker, frailer patients and work with sophisticated, life-saving technology (Garner, 2011). Evidence-based practice is vital to provide the most effective patient care to improve patient outcomes because patients are becoming more complex.

Two ways that the author will continue to integrate EBP into their practice is continued education on the subject at hand to keep up to date on changes in patient care to help with improvement in patient care. Also, another way is to Engage colleagues and educate them on new EBP practices, studies, or interventions that may benefit their work environment or patients (Chrisman, Jordan, Davis, & Williams, 2014)

Obstacles to the plan for the author would be nurses resisting change and management not helping with the implementation of the plan. Education to the nurses will be the first of why this is helpful for our patient’s outcomes versus the old way of doing things. Showing articles and statistics will help bring the point across. Getting management on board to help with implementation as well. Management will be made aware that providing the evidence-based care will improve patient outcomes and decrease healthcare costs.

References

Chrisman, J., Jordan, R., Davis, C., & Williams, W. (2014). Exploring evidence-based practice research. Retrieved from https://www.nursingcenter.com/evidencebasedpracticenetwork/home/journalarticle.aspx?Article_ID=2492783

Garner, C. (2011, January 11). IOM Advocates for Higher Levels of Nursing Education [Blog post]. Retrieved from https://www.americansentinel.edu/blog/2011/01/10/iom-advocates-higher-nursing-education/

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I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100-120 WORDS

Stakeholder support is necessary for a successful change proposal project implementation. Consider your internal stakeholders, such as the facility, unit or health care setting where the change process is situated, and your external stakeholders, like an individual or group outside the health care setting. Why is their support necessary to the success of your project, and how you will go about securing that support?

            Getting support is a very important part of making any changes but when it comes to stakeholders their support is so important. Without their support the necessary funding and the OK to get it done won’t happen. If we get their support we will have the funds needed and if we get can them on our side the project is a lot more likely to succeed. Like any business the stakeholders want to make money. So, the key to getting them on your side is telling them how they can profit from this change. Let’s take falls for an example. If you show them that the change can cut down on falls wouldn’t be enough. The person purposing the change would have to explain how cutting down on falls would save the hospital a lot of money which in turn would make them more money. If you can show them the statistics and show them how much money the hospital could save from cutting down on falls. Once they see the profits they can make then they will be more likely to except the change and vote for it to happen.

Reference:

Ganter, C. (Jan. 26, 2017). Stakeholder involvement in systematic reviews: a protocol for a systematic review of methods, outcomes and effects. https://researchinvolvement.biomedcentral.com/articles/10.1186/s40900-017-0060-4

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