Discussion 8 A 49-year-old female is discussing age-related changes with the nurse practitioner. She states that she is having irregular periods and “hot flashes.”
2. Reflect on a policy that you as an APN want to ensure passes as a law to improve health. Detail the policy and members of the committee that will help pass this Bill.
3. Describe the role of the Senator, Representative, and Governor and their influence towards passing this Bill and the political process. Discuss this policy and its impact on nursing practice.
5. Discuss strategies to foster political action by advanced practice nurses (APN). Why is it important for APNs to get involved in the political process?
You are a staff nurse in the intensive care unit (ICU) at one of your city’s two hospitals.
You are a staff nurse in the intensive care unit (ICU) at one of your city’s two hospitals. You have worked at this hospital for 5 years and transferred to the ICU 2 years ago. You love nursing but are sometimes frustrated in your job due to a short supply of nurses, excessive overtime demands, and the stress of working with critically ill patients.
The hospital has a closed shop, so union dues are deducted from your pay even though you are not actively involved in the union. The present union contract is up for renegotiation, and the union and management have been unable to agree on numerous issues. When the management made its last offer, the new contract was rejected by the nurses. Now that the old contract has expired, nurses are free to strike if they vote to do so.
You had voted for accepting the management offer; you have two children to support, and it would be devastating to be without work for a long time. Last night, the nurses voted on whether to return to the bargaining table and try to renegotiate with management or to go out on strike. Again, you voted for no strike. You have just heard from your friend that the strike vote won. Now, you must decide if you are going to support your striking colleagues or cross the picket line and return to work tomorrow. Your friends are pressuring you to support their cause. You know that the union will provide some financial compensation during the strike but believe that it will not be adequate to support yourself and your children. You agree with union assertions that the organization has overworked and underpaid you and that it has been generally unresponsive to nursing needs. On the other hand, you believe that your first obligation is to your children.
DQ: List all of the reasons for and against striking. Decide what you will do. Use appropriate rationale from outside readings to support your final decision.
Discussion Protocol. Please observe the following 3 x 3 rule: when writing your weekly discussions: – A minimum of three paragraphs per DQ. Each paragraph should have a minimum of three sentences.
All answers or discussions comments submitted must be in APA
This week you reflected upon the difference between a “manager” and a “leader” and discussed this concept with your classmates and professor in the discussion board. In a written essay please answer the following questions:
What are the differences between leaders and managers? What characteristics are similar and what are different?
Provide a total of three examples. First, of someone who has great managerial skills. Second, another individual with great leadership skills. Third, another person with poor managerial skills. These can be made up individuals or examples you have seen without any identifying information. Discuss how the staff of each individual would be affected by the skills of the leader/manager.
Complete the Emotional Intelligence Test Discuss your scores and what they mean. What did you learn about yourself as a leader? (Note that a 10 on the EI test means strong. On the score page, click on the blue “here” under “interpreting your GEIT scores, click here” for more information on each section and what it means.
Assignment Expectations:
Length: 1500 to 2000 words total (at least 500 words per question prompt)
Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) scholarly sources are required for this assignment.
Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.
Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf)
Requirements: Length: 1500 to 2000 words total (at least 500 words per question prompt)
Weiss, S. A. & Tappen, R. M. (2015).Essentials of nursing leadership and management (6th ed.). F.A. Davis Company. Read chapters 1 and 2.
Research an economic opportunity that might be available within your health care setting that will provide ethical and culturally equitable improvements to the quality of care. Then, write a 2-4 page proposal for an initiative to take advantage of that opportunity, supported with economic data and an analysis of the prospective benefits. Please follow scoring guide to ensure a pass grade.
– APA format
– References must be within the past 5 years
INTRODUCTION
Note: Each assessment in this course builds upon the work you have completed in previous assessments. Therefore, you must complete the assessments in the order in which they are presented.
Master’s-level health care practitioners are charged with the responsibility of constantly scanning the external environment for shifts in the supply of, and demand for, services. Concurrently, leaders must examine their organization’s strategic direction and determine whether adjustments must be made to current service offerings, whether equipment updates are needed, whether staffing models should be changed, and whether other decisions must be made. Each decision that is proposed must be evaluated in terms of the organization as a system, alignment with the organization’s mission and strategy, available internal resources, potential contract and payer source implications, and the short- and long-term economic effects at both the micro and macro levels.
PREPARATION
Research an economic opportunity that might be available within your health care setting—at both micro (departmental, neighborhood) and macro (organizational, community) levels—that you believe will provide ethical and culturally equitable improvements to the quality of care. Then, propose an initiative to take advantage of that opportunity. Support your proposal with economic data (sector growth, supply versus demand, cost versus reimbursement, et cetera) and an analysis of the prospective benefits for your department and for the organization overall.
Such economic opportunities might include offering a new service line, working to improve a service line already offered, retiring an outdated or unprofitable service line, or any other initiative you believe will be of benefit to your organization in the short and long term. One example is a recently launched partnership with a local bicycle-sharing company. Your organization partners with them to host healthy community events that offer free screenings for early detection of various health issues. Free screenings help fulfill some of your organization’s preventive and healthy lifestyle initiatives, while also potentially driving referrals to other services provided by your organization.
Note: Your proposal will serve as the basis for subsequent assessments in this course.
Note: Remember that you can submit all, or a portion of, your draft proposal to Smarthinking for feedback before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
INSTRUCTIONS
The requirements for your proposal, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document forma, length, and supporting evidence.
Explain how your proposed initiative will provide ethical and culturally equitable improvements to the quality of care.
Analyze the economic factors of supply and demand associated with your proposed initiative, within a context relevant to your organization or care setting.
What do economic and demographic data suggest is the supply and demand?
What additional information would improve your analysis?
Explain how relevant economic and environmental data support your proposed initiative.
How does the data illustrate a potential opportunity and the economic viability of your proposal?
Write concisely and directly, using active voice.
Proofread your proposal before you submit it to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your proposal.
Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
Your assessment should also meet the following requirements:
Format: Format your proposal using current APA style. Use the APA Style Paper Tutorial [DOCX] to help you in writing and formatting your proposal. Be sure to include:
A title page and references page. An abstract is not required.
A running head on all pages.
Appropriate section headings.
Length: Your proposal should be 2–4 pages in length, not including the title page and references page.
Supporting evidence: Cite 3–5 authoritative and scholarly resources to support your proposal. Be sure that your sources include specific economic data.
Portfolio Prompt: You may choose to save your proposal to your ePortfolio.
COMPETENCIES MEASURED
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment scoring guide criteria:
Competency 1: Analyze the effects of financial and economic factors (such as cost-benefit, supply and demand, return on investment, and risks) in a health care system on patient care, services offered, and organizational structures and operation.
Analyze the economic factors of supply and demand associated with a proposed initiative, within a context relevant to a particular organization or care setting.
Competency 2: Develop ethical and culturally equitable solutions to economic problems within a health care organization in an effort to improve the quality of care and services offered.
Explain why a proposed initiative presents a viable and beneficial economic opportunity for an organization.
Competency 3: Justify the qualitative and quantitative information used to guide economic decision making to stakeholders and colleagues.
Explain how relevant economic and environmental data support a proposed initiative.
Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella writing standards.
Write concisely and directly using active voice.
Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.
