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Reflection Paper – Counseling

Reflection Paper – Counseling

Self-Reflection: You have been practicing counseling skills either on a volunteer or on yourself throughout this course. This paper is an opportunity to reflect on everything you learned. It is also an opportunity to examine yourself as a potential counselor. You may write in the first-person perspective in this assignment. Write a 500-750-word paper addressing the following: 1. What is the most significant information you learned about the skills required to be an effective counselor? Were there any skills that surprised you as you worked through the course? 2. What are your strengths as a potential counselor? These could be attending or communication skills, attitudes or behaviors that will be an asset in the counseling role. 3. What skills do you think will be most difficult for you? What might be your handicaps as a counselor? 4. What are some specific actions you will take to prepare yourself for your future practicum experience? 5. Explain the role of consultant-counselor. Do you see yourself acting in this role? Why or why not? Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 

SAMPLE ANSWER

Reflection Paper – Counseling

            As a professional counselor, my main role is to provide assessment, diagnosis and counseling services to people struggling with stress and other psychological problems. In line with this objective, there are several skills that I require to perform my job effectively. As an effective counselor, I need to have excellent communication skills to listen better and clearly explain interventions to patients and other professional counselors. The ability to show empathy when helping people who are going through difficult times is crucial in the counseling profession. Problem solving skills help counselors identify necessary changes to negative thought patterns in their clients. The fact that I have to display multicultural competency and acquire a multicultural worldview surprised me during the course. All these skills have taught me one significant lesson; counseling is not rigid; it is highly anchored on the ability to form relationships with clients and enjoying the process of helping others.

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As a potential counselor, I have identified several key strengths that I possess that I believe will help me in my future practice. I am very flexible. I am able to adapt and change several aspects of my life to respond well to challenges. I believe that this strength will help me respond well to my client’s needs. I am also very resilient and patient in intense and demanding environments. Being able to have emotional robustness and self-reflexivity will help me better take care of my patient’s needs.

The ability to develop a non-judgmental approach is a skill that I struggle with as an individual and might affect my duties as a counselor. My major role as a therapist is to help clients analyze their situations clearly and from an optimistic viewpoint. As such, I need to manage my reactions to situations in a professional manner to help my clients feel free to talk about their feelings without the fear of criticism and rejection.

Reflection Paper – Counseling

To prepare for my future practicum experience, I will work on my micro skills. The influential skills that I will focus more on include; my negotiation skills, paraphrasing skills, questioning, self-disclosure and client observation skills. In addition to working on my micro skills, I will get a supervisor to help increase my professional effectiveness. To better understand the many theories and approaches in counseling, I will consistently study these approaches and techniques. Networking is a great way to acquire new industry contacts. I will affiliate myself with industry associations to access my industry-standard codes of ethics and my professional development.

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A consulting therapist applies therapeutic principles to an organizational setting. A consulting counselor specializes in one specific are of psychology such as clinical psychology or industrial psychology. Additionally, a consulting counselor offers consultative services in an advisory capacity only. They purpose to rectify problems that affect organizations to facilitate their smooth running and ensure employee satisfaction. Consulting therapists also work closely with managers to help them improve their managerial skills. I do see myself working as a consulting therapist in future. This is because I enjoy working with both small and large groups of people. As a consulting therapist, I will be called to analyze problems in organizations and suggest potential solutions. Some of the tasks might include conducting interviews with employees and managers to help improve relations in the facility. I also enjoy conducting research and designing interventions. These are also part of the duties of a consulting counselor.

 

 

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Precede-Proceed Model

Precede-Proceed Model

PRECEDE-PROCEED Model Based on the review of global health epidemiological applications (methods), apply and analyze data to international public health programs to determine stability/instability of health and wellness of these countries. Select any one of your three countries used in an earlier assignment and determine a serious health issue that country struggles with. Using the PRECEDE-PROCEED model, design a model to promote health promotion for this public health issue. Country: S. Africa or Ghana

 

SAMPLE ANSWER

Precede-Proceed Model

Introduction

While HIV/AIDS is the highest disease killer in South Africa, tuberculosis (TB) takes the highest distinction. Over 80 percent of South Africans are thought to have latent TB. Additionally, individuals who have HIV/AIDS are more likely to get infected with TB (Nieburg, 2015). When people with HIV/AIDS get infected with active TB, they experience accelerated progression of their HIV/AIDS disease. While the South African Department of Health is creating policies and programs to control TB infections, it still faces several challenges. The country has slow GDP growth and high rates of unemployment that limit resources to address health challenges (Nieburg, 2015). A structure to assess and analyze the health needs of a population and to guarantee health promotion like the Precede-proceed model will improve health programs proposed by the South African Department of Health to control TB infections.

Precede-Proceed Model to Promote Health Promotion in South Africa

Precede

            Social Assessment: with over 450,000 people developing TB every year, TB has become a public health issue in South Africa. The country has made significant strides towards the eradication of the disease especially in people with HIV/AIDS. However, more needs to be done.

            Epidemiological Assessment: poverty is a key determinant of TB in South Africa. Therefore, alleviating poverty reduces the risk of TB transmission (“Addressing the Social Determinants of TB”, 2019). An effective model should; design effective poverty reduction strategies, reduce food insecurity, improve living standards, control environmental pollutants, and address lifestyles conditions including reduction of drug use and smoking.

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            Ecological Assessment:  minority races in the country are at a higher risk of contracting TB. Additionally, low income and lack of education are strong risk factors for transmission of tuberculosis. Congestion and pollution accelerate the spread of TB in public areas and in slums (Alvaro-Meca et al. 2016).

Administrative and Policy factors: some of the policy factors include; training for TB infection control for all healthcare workers, improved TB infection and spread control policy guidelines, creation of awareness and education of TB infection control measures, improved hygiene practices and destigmatisation (Zinatsa, Engelbrecht, Rensburg & Kigozi, 2018). Administrative strategies to control the spread of TB in South Africa include; the National Strategic Plan on HIV, TB and STIs 2017-2022, Global Plan to End TB 2016-2020 and the Treatment Action Campaign (Kanabus, 2018).

Proceed

            Implementation: At the individual level, isoniazid preventive therapy (IPT) has been seen to reduce TB infections by 60%. Additionally, rapid molecular techniques should be developed to facilitate rapid treatment (Dowdy et al. 2017). Decongestion is also critical since TB is airborne. To implement the proposed strategies, efforts should be intensified in the geographical areas hard hit by TB. Resources should be provided by the national government in collaboration with other relevant health promotion bodies.

            Process Evaluation: healthcare workers and the South African Health Department should carry out regular program checks to determine if the programs implemented are reaching the targeted population and that program goals are met.

            Impact Evaluation: changes in the rate of new TB infections in the country will be used to determine success of the programs.

            Outcome Evaluation: A decrease or increase in the prevalence of TB in the country will be analyzed. Decreasing rate of TB infections will indicate success of interventions while increasing rates of TB infections will indicate failure of interventions.  

 

References

Alvaro-Meca, A., Diaz, A., Diez, J.M., Resino, R. & Resion, S. (2016). Environmental Factors Related to Pulmonary Tuberculosis in HIV-Infected Patients in the Combined Antiretroviral Therapy (cART) Era. Public Library of Science, 11(11). Doi: 10.1371/journal.pone.0165944

“Addressing the Social Determinants of TB”. (2019). World Health Organization. Retrieved from https://www.who.int/tb/areas-of-work/treatment/social-determinants/en/

Dowdy, D.W., Grant. A.D., Dheda, K., Nardell, E., Fielding, K. & Moore, D.A. (2017). Designing and Evaluating Interventions to Halt the Transmission of Tuberculosis. The Journal of Infectious Diseases, 216(6), 654-661. https://doi.org/10.1093/infdis/jix320

Kanabus, A. (2018). Information About Tuberculosis. TBFACTS.ORG. Retrieved from www.tbfacts.org

Nieburg, P. (2015). South Africa’s Health Challenges: An Elephant in the Room. Center for Strategic & International Studies. Retrieved from https://www.csis.org/

Zinatsa, F., Engelbrecht, M., Rensburg, A.J. & Kigozi, G. (2018). Voices from the Frontline: Barriers and Strategies to Improve Tuberculosis Infection Control in Primary Health Care Facilities in South Africa. BMC Health Services Research, 18, 269. Doi: 10.1186/s12913-018-3083-0

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Nursing Regulations

Nursing Regulations

  • Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.
  • Consider how key regulations may impact nursing practice.
  • Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion..

Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.

 

SAMPLE ANSWER

A Comparison of two APRN Boards of Nursing Regulations in Illinois with those of California

The nursing profession is highly regulated and there are very regulations that are implemented by the boards of nursing and the nursing associations. The role of these bodies is to regulate inform as well as promote the nursing practice.  Although Boards of nursing (BONs) and associations have differences, they are both essential to the nursing profession. The Advanced Practice Registered Nurse (APRN) practice has its definition and scope provided by the Nurse Practice Act and implemented by the board of nursing alongside other boards. Different states may have different regulations being regulated by various boards.

For advanced practice in Illinois, the nurse must be licensed. The license to practice is provided by the Illinois Department of Financial and Professional Regulation (IDPR). According to the association ANA, APRNs that are acknowledged include the Certified Nurse Practitioners (NPs), Certified Registered Nurse Anesthetists (CRNAs), Clinical Nurse Specialists (CNS), and Certified Nurse-Midwives (CNMs). In Illinois, the above-mentioned nurse categories are also recognized by the state and it is required that the nurse holds RN as well as APN licensing. According to the National Council for State Boards of Nursing, Illinois has been listed as a state that has pending nurse compact legislature.  It is however required that the nurse holds the primary RN licensure.

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The APRNs in Illinois need to have collaborative agreements as long as they are working in the state unless in some cases where there is an exemption that is provided. In the state, there is a collaborative agreement that is provided by the Illinois Prescriptive authority. It is a licensing agency that establishes a distinction between the drugs that have been established to be legal and the other drug substances that are under control. However, in Illinois, there are no separate applications for the different categories of drugs. The collaborative agreement is expected to be signed by the physician. In the year 2017, the governor of the Illinois state signed into law a change in APRN licensure regarding collaboration. Therefore, in this state, APRNs who work outside the hospital and the affiliated settings will provide advanced practice nursing care without the career-long written collaborative agreement. Also, concerning the medication, drugs such as Benzodiazepines and some other scheduled agents will be used under an existing relationship between the nurse practitioner and the physician as a condition of prescribing authority.

A similarity exists between the regulation and that of California and in both states, it is required that a license and collaboration be provided. California’s advanced practice nurses are overseen by the California Board of Registered Nursing (BRN). Also, it is required that the nurse be licensed and registered. However, differences exist in the requirements for collaboration. A nurse practitioner in California must be able to practice under standardized procedures that are established through collaboration. The law of the state, however, does not have any specifications regarding the required level of supervision among its nurses with regards to the provision of drugs and devices

In both states, the Health Care Quality Improvement Act applies and this is an act that encourages hospitals, state licensing boards, and professional societies to identify and take corrective action for health care workers who may be found by peer review to be engaged in negligent or unprofessional conduct.it encourages the peers to work in accordance with the specified rules of conduct and provide quality care.

 

How the regulations apply to Advanced Practice Registered Nurses (APRNs) who have the legal authority to practice within the full scope of their education and experience

The action by the Illinois government to have the APRNs have a pathway to provide advanced practice nursing care without the career-long written collaborative agreement goes a long way in removing the barriers of practice for these APRNs. Consequently, nurses can practice efficiently and under Full practice authority. This means that they can utilize the knowledge that they have as well as skills and judgment that is useful to practice to a full extent. This is in line with the national call to remove barriers to full practice authority from various organizations, something that has been in progress with the ANA as well as the State Nurses Associations.

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Example of how APRNs may adhere to the Regulations

To adhere to the regulations provided, nurses will have to ensure that they are licensed before they engage in practice in Illinois. One action that they can get involved in is to ensure that they engage in professional conduct and ensure that they are not negligent in their activities. This means that they will adhere to the nursing scope of practice as stipulated by the nursing associations at different levels and specifically in the state. This is because, according to the health Care Quality Improvement Act, the hospital, or the licensing broads as well as the professional societies to take corrective or disciplinary actions on the APRN nurses that may be found to engage in negligent or unprofessional conduct. Therefore, they should try at all times to abide by the rules and regulations provide. For licensing, they should ensure that they are licensed and that the license is updated whenever it is required. In conclusion, the Nursing profession is a very highly regulated profession as evidenced by the existence of numerous boards of nursing and nursing associations across the United States of America. Regulations are carried out by the BONs and the nursing Associations. Their existence helps regulate, inform, and promote the nursing profession. Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice and there are different regulations in different states.

References

American Nurses Association. (2019). Nurses advancing our profession to improve health for

all. Retrieved from: https://www.nursingworld.org/

Arifkhanova, A. (2017). The Impact of Nurse Practitioner Scope-of-Practice Regulations in

Primary Care. The Pardee RAND Graduate School

O’Herrin, J. K., Fost, N., & Kudsk, K. A. (2004). Health Insurance Portability Accountability

Act (HIPAA) regulations: effect on medical record research. Annals of surgery, 239(6), 772.

National Council of State Boards of Nursing (NCSBN).  (2019). Illinois Illinois Board of

Nursing. Retrieved from: https://www.ncsbn.org/search.htm?q=illinois&filetype=&metafilter=&sitefilter=&btnG=

 

 

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Liberals Hold the Moral High Ground

Liberals Hold the Moral High Ground

Topic link:

 

Please review the debate on the topic and review the supplemental materials found on your debate webpage: Main Points, From the Briefing Room, or any of the other resources on your debate page. You should use these to help develop your arguments.

This essay will ask you to take a position on the topic you have been assigned. You also, have the choice to write your essay in the classical or rogerian format. When you type up your rough draft and your final draft please include “classical” or “rogerian” with the rest of your title, so we know what kind of argument you are writing (example: Classical: The Threat of Social Media to Democracy).

This essay must be 4-6 pages (your work cited page does not count as a page of content). You must include a work-cited page. You must include at least three sources–I suggest you begin by using the sources located in the “From the Briefing Room” section of your debate page. If you choose to use other sources, be sure they are reputable news sources.

 

FYI: I will need a rough draft by 9/25 and Final draft by 9/29.

please don’t forget to include in the essay title the type of essay , if Classical or Rogerian. Thanks, Ninfa!

 

ok. thanks. Also, wanted to comment for the writer to please focus more in the article when analyzing- even thou I do need three sources. from essay one professor’s comments and received an 80% on it

 

he stated, that we all needed to pay attention to his feedback and apply it to essay number two, which is this one.

 

SAMPLE ANSWER

Classical: Liberals Hold the Moral High Ground

The social and political opinions of individuals are pegged on the moral concerns that they have regarding what is either wrong or right (Day et al. 2014). Also, individuals want similar things from life and they include the desire for freedom, the chance for prosperity, good health, security, and crime-free society as well as the desire to have minimal suffering. The argument about the higher moral ground is mainly based on how to achieve these desires. The liberal and conservative philosophies lead to more than just outcomes and they influence the policy goals and national identities hence their role in enabling people to achieve the desires above. Liberals are concerned with aspects such as showing love and concern for the disadvantaged in the society as well as the poor and marginalized. They also advocate for fairness and hence seek to address the historical injustices that may have brought about inequality among the people living in the present day. Furthermore, liberals identify with generosity that expands beyond the culture of individuals as well as their backgrounds. On the other hand, the conservatives believe in ideals that are expected of individuals and they include patriotism as well as the respect of the people that have been placed in leadership or authority. In addition, they advocate for fairness and liberty. Consequently, with conservative thinking, individuals experience consequences or rewards for the actions that they choose to engage in. Also, conservatisms hold a deep respect for moral tradition as well as the state or quality of being holy of the religious institution, which is viewed as exhibiting ultimate importance and inviolability. In today’s political arena, which is characterized by being divisive and a society whose social and political opinions are pegged on moral concerns, the liberal side embodies the most cherished virtues by the nation and they hold the moral high ground.

This means that in accordance with the political parlance and ethical grounds, they uphold the status of remaining morally upright and remaining focused on attaining a universally accepted standard of goodness and justice (Yilmaz, & Saribay, 2017). It also means that the liberals have ideals and opinions that are not only sound but aim at ensuring that ethical concerns and morality is addressed in every possible way. Morality may be different in different places, or according to different cultures, but it is universally accepted as focusing on the wellbeing of the majority of people in a society. The belief systems that the liberals hold are ideal and support the goodness for all. Researchers of moral philosophy have established that morality is pegged on crucial issues, which include the idea of less or no harm, rights, and justice (Haidt and Graham, 2007). One important aspect that supports their moral ground is the education in terms of vouchers and charter schools. Children from different groups should all enjoy the right to education, which should be legally guaranteed to all members of a society without discrimination. Furthermore, various states are tasked with the obligation to protect respect and fulfill the right to education and be accountable for violations or deprivations.

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Liberals hold that the students would best be educated in public schools and therefore the government should focus all their efforts on providing additional funds to improve the infrastructure of the schools and reducing the size of classes as well as salaries of the teachers. This means that the quality of education will be improved and many people will be able to get the chance to access it. In doing so, there will be a general conformation to the universal idea of morality, which entails justice and goodness for all. Although the conservatives also advocate for the right to education, there may be differences in how they view how quality education should be presented.

Conservatives advocate for School vouchers, which seeks to establish competition in the education system while still advocating for the use of private schools, which will be funded by the government in the school of choice of parents or students.  What the conservatives choose not to see is that this will bring about a divide of good schools and those that offer lower quality. The implication is that the more affluent people in society will be able to afford the competitive schools, which will be offering better quality of education, while the poor people’s children are left with the low quality ones. Going the liberal way means that the public schools, which are accessible to all people and especially the low income earners will be well equipped to benefit everyone.

Secondly, liberals hold a high moral ground in terms of healthcare, which should be available and accessible to all. It is said that health is better than wealth and therefore all Americans should be able to access universal healthcare irrespective of their background and financial ability. Liberals support this course by arguing for a free or low-cost government-controlled health care. This means that millions of Americans who are financially limited will still be able to access affordable healthcare. This belief supports the general good for many as compared to the conservative idea that advocates for a competitive healthcare system because it supports privatization. This means that only the people who can afford can access the best quality of healthcare leaving out the poor and marginalized people. This is another example of how the liberals hold higher moral ground by endorsing individual focused moral concerns that strive to offer fairness and compassion (Graham, Nosek, and Haidt, 2012).

Another issue is Homeland Security, which mainly involves airport security and especially passenger profiling. According to the conservative ideals, surveillance efforts should focus on 18-38-year-old Islamic or Muslim men and they should undergo extra security searches. The liberalists hold that this is offensive to these groups and that anyone can be a terrorist because it is not a religious issue but a moral issue. Therefore, they suggest that it is not right to use ethnicity as a discriminatory ground, but instead, passenger profiling should be random. This is because according to Sikorski, et al. (2017), the idea that all Muslims are terrorists is a misconception and it has been brought about by the state coverage by the media on the issue.

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Conservatives bring up arguments that attempt to attain a moral high ground and consequently seek to prove that their policies as well as actions are morally superior to that of the liberals. In terms of education, the conserve polices recommend the voucher system, which allows all parents to choose good private schools for their children, a move that is aimed at improving the competition and consequently the quality. However, the idea of voucher programs takes away money from the public schools system, which is more accessible to everyone. At the same time, families that want to take their children to private schools should be able to fund the costs so that they do not use up money that would instead be used by low income area public schools.

In many of the conservative policies, they seek to improve individuality, which tends to bring about selfish interests because of the rewards and consequences that are explained as being individual in nature. However, it is important to recognize that they care about the well-being of individuals. The difference is that they seek a competitive environment that is expected to improve the quality of various aspects of life such as education and healthcare. However, it is important to have the government take care of its citizens and prevent them from exploitation while at the same time ensuring that each of its members is able to access vital services such as healthcare and education, which is a policy supported by the liberals.

In conclusion, moral high ground is concerned with upholding the status of being morally upright and acting in accordance with universally recognized standards of justice and goodness. The liberal idea supports the good of a larger group of people through the arguments that it holds. For instance, in health, as well as in education, liberals support actions that will not only support the elite of the society but also incorporates other groups of people including the poor and the marginalized. This is because the liberals tend to have policies that seek to ensure that the government takes care of all its citizens and improve the public domain. A large number of people utilize the public services and especially individuals from low income earning situations. This means that when there is competition and they have to choose an option, they will remain with the public services, which will be underfunded as a result of the conservative policies that seek to fund them even in private facilities such as schools and hospitals. The conservatisms fail to hold the moral high ground mainly because their ideas are based on offering competition among the people. Competition may be beneficial in some case because it leads to development and improvement in infrastructure of some of the key facilities such as schools and hospitals. However, it does not allow for all people to benefit, and the implication is that those that may not be able to afford will be forced to use the lower quality services.

 

References

Day, M. V., Fiske, S. T., Downing, E. L., & Trail, T. E. (2014). Shifting liberal and conservative

Attitudes using moral foundations theory. Personality and Social Psychology Bulletin, 40(12), 1559-1573. doi.org/10.1177/0146167214551152

Graham, J., Nosek, B. A., & Haidt, J. (2012). The moral stereotypes of liberals and

Conservatives: Exaggeration of differences across the political spectrum. PloS one, 7(12), e50092. doi.org/10.1371/journal.pone.0050092

Haidt, J., & Graham, J. (2007). When morality opposes justice: Conservatives have moral

Intuitions that liberals may not recognize. Social Justice Research, 20(1), 98-116.

Von Sikorski, C., Schmuck, D., Matthews, J., & Binder, A. (2017). “Muslims are not Terrorists”:

Islamic State coverage, journalistic differentiation between terrorism and Islam, fear reactions, and attitudes toward Muslims. Mass Communication and Society20(6), 825-848. doi.org/10.1080/15205436.2017.1342131

Yilmaz, O., & Saribay, S. A. (2017). Activating analytic thinking enhances the value given to

Individualizing moral foundations. Cognition165, 88-96. doi.org/10.1016/j.cognition.2017.05.009

 

 

 

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Coalition Advocating for Healthcare Policies

Coalition Advocating for Healthcare Policies

three hundred word essay response to following questions, need 1 source cited in work.

Lcate a state(Florida) or national(USA) coalition advocating for your approved healthcare policy concern. Who are the coalition partners and is there an identified leader? Can you identify successes indicating strong leadership? What can you add to the content for your upcoming interview from the work of this coalition?

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***My approved healthcare policy concern is the increasing rate of diabetes and obesity in school aged children and ways to educate about diet/nutrition,

 

SAMPLE ANSWER

Coalition Advocating for Healthcare Policies

Based in Maitland, Florida, the American Diabetes Association educates the public on diabetes prevention measures and offers support to families and children living with diabetes. Florida is struggling to control the effects of diabetes among its residents {“American Diabetes Association”, 2019). Thousands of people are currently living with diabetes in Florida. One in every three children born in the United States is directly affected by diabetes. With this in mind, the American Diabetes Association works closely with over 565,000 volunteers who manage more than 540,000 individuals living with diabetes. Additionally, the association has a team of over 20,000 healthcare workers and over 400 staff members (“American Diabetes Association”, 2019). The board of directors forms the ultimate governing authority of the association. Led by the chair David Herrick, the board governs the organization’s legal, financial and ethical affairs ensuring stability and viability as per its mission. The organization has a staff leadership team led by the chief executive officer Tracey D. Brown, who oversees all employees and volunteers.

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The American Diabetes Association enjoys corporate support from several companies both locally and internationally. The Banting Circle Elite recognizes the work done by the American Diabetes Association in developing medicines and devices designed to help children and adults living with diabetes. From its national strategic partners, the organization receives at least 400,000 USD to facilitate advertisements and run promotional materials (“American Diabetes Association”, 2019). The organization has also set up an information center that offers valid information about the organization’s programs and events. Additionally, the information center offers pamphlets on several diabetes topics; it also refers individuals to association-recognized providers in the region and assists individuals to connect with appropriate local resources to help fight diabetes. The American Diabetes Association also provides dietary advice to guide people with diabetes on what to eat and what to avoid. Likewise, the association runs a blog that handles topics ranging from insulin use to activities that children can engage in to reduce childhood obesity (“American Diabetes Association”, 2019). With the vision of living free of diabetes and a mission to prevent and cure diabetes and to improve overall life of all people living with diabetes, the American Diabetes Association strives to be resourceful to be able to help children and adults fight obesity and manage diabetes.

 

References

“American Diabetes Association”. (2019). Retrieved from https://www.diabetes.org

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Client Progress and Privileged Notes

Client Progress and Privileged Notes

Create progress notes

  • Create privileged notes
  • Justify the inclusion or exclusion of information in progress and privileged notes
  • Evaluate preceptor notes

To prepare:

  • Reflect on the client family you selected for the Week 3 Practicum Assignment. verbiage from week three pt uploaded

The Assignment

Part 1: Progress Note

Using the client family from your Week 3 Practicum Assignment, address in a progress note (without violating HIPAA regulations) the following:

  • Treatment modality used and efficacy of approach
  • Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the treatment plan for progress toward goals)
  • Modification(s) of the treatment plan that were made based on progress/lack of progress
  • Clinical impressions regarding diagnosis and or symptoms
  • Relevant psychosocial information or changes from original assessment (e.g., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job)
  • Safety issues
  • Clinical emergencies/actions taken
  • Medications used by the patient, even if the nurse psychotherapist was not the one prescribing them
  • Treatment compliance/lack of compliance
  • Clinical consultations
  • Collaboration with other professionals (e.g., phone consultations with physicians, psychiatrists, marriage/family therapists)
  • The therapist’s recommendations, including whether the client agreed to the recommendations
  • Referrals made/reasons for making referrals
  • Termination/issues that are relevant to the termination process (e.g., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)
  • Issues related to consent and/or informed consent for treatment
  • Information concerning child abuse and/or elder or dependent adult abuse, including documentation as to where the abuse was reported
  • Information reflecting the therapist’s exercise of clinical judgment

Note: Be sure to exclude any information that should not be found in a discoverable progress note.

Part 2: Privileged Note

Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client family from the Week 3 Practicum Assignment.

In your progress note, address the following:

  • Include items that you would not typically include in a note as part of the clinical record.
  • Explain why the items you included in the privileged note would not be included in the client family’s progress note.
  • Explain whether your preceptor uses privileged notes. If so, describe the type of information he or she might include. If not, explain why.

 

SAMPLE ANSWER

Client Progress and Privileged Notes

Part 1: Progress Note

Treatment Modality:   Matthew was involved in counseling sessions to understand that failure is normal. The approach applied Self-efficacy theory (Cohn, 2014).

Progress towards Client Goals: The client has been keen on engaging in the counseling sessions. He relates well with his mother and wife who are usually present during the family therapy session (Freedman, 2014).

Clinical Impressions: Physical assessment of Matthew reveals that his racing heart is slowing down. This shows that his condition is reducing progressively.

Psychosocial Changes: Matthew’s family has relocated to a suburban area. Moreover, their children have been admitted to boarding schools. Jennifer reveals that these actions are to ensure that she has more attention and support for her husband (Er, 2015).

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Safety issues: Matthew does not present any safety problems. He is friendly and social to people around him.

Clinical Emergencies Taken: No clinical emergencies have been taken as the client’s condition has not worsened.

Treatment compliance: The patient is compliant to the treatment procedure and follows the development rules.

Therapist’s Recommendations: It was recommended that the patient should increase the number of sessions in a week to enhance proper evaluation of the therapy’s effectiveness. The client showed willingness to follow the recommendation.

Referrals made/reasons for making referrals: The patient was referred to a cardiologist to have CT Scans for his heart to have an accurate understanding of its racing.

Termination Issues:The client does not have any termination-related issues. The counseling sessions continue without hindrances.

Informed Consent for Treatment: The patient was provided with suitable information to enable him make an informed consent. This act was in line with the ethical concerns of the facility.

Information concerning Abuse:Matthew does not present any form of child or dependent adult abuseat any place.

 

Part 2: Privileged Note

Data  
Client’s Name Matthew, A.
Record Number A2406D
DOB 7/6/1989
Organization’s Name Winther Hospital
Modality Family Therapy
Persons Present Provider and the Client
Progress of Report towards Goals The client shows a great improvement throughout the sessions.
Issues Presented 1.     Clinical Consultations: The practitioner has consulted the psychotherapist to get a clear picture of whether Matthew’s anxiety issues are gene-related or are caused by environmental conditioning. The practitioner found out that the problem emanates from environmental conditioning (Silva, Siegmund, &Bredemeier, 2015).

2.     Collaboration with other Professionals: The practitioner collaborated with the preceptor in analyzing the racing of the patient’s heart.

3.     Medications used: In private session, the patient admits to using Sertraline to control anxiety-related issues.

4.     Modification(s) of the Treatment Plan: Basing on the client’s confidential information, he was advised to stop using Setraline to enhance improvement of the therapy.

5.     Clinical Judgment Reflection: Reflection on the therapy shows that Matthew is at  low risk of persisting with anxiety problems. Observation of his physical body shows that he is normal. His cognition is also normal, indicating that he is progressing well.

 

 

Client Progress and Privileged Notes

Reasons for Exclusion of the Information from Progress Note

In healthcare law, privilege gives the patient the right to prohibit the therapist from disclosing the information. Therefore, the therapist has to create a protection of the patient’s confidential issues. In Matthew’s case, privileged information may refer to what he says in a private session. Since the family therapy also involves his mother and wife, the information he provides during a private session are not to be shared with anyone (Simon &Willick, 2016).

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Preceptor’s Perspective on Privilege Note Inclusion

The preceptor uses privilege notes. According to her, information that she would include in the notes are information that is based on her observation.  She also reveals that hypotheses are supposed to be kept confidential. Moreover, she also reveals that the questions that she is asked about the client or session need to be provided in the privilege note.  In addition, she advises that any thoughts that may be generated from the therapy should also be included in a privileged note.

 

References

Cohn, A. S. (2014). Romeo and Julius: A narrative therapy intervention for sexual-minority

couples. Journal of Family Psychotherapy, 25(1), 73–77.

Er, I. (2015). Diagnosis and management of generalized anxiety disorder and panic

disorder in adults. Am Fam Physician91(9), 617-624.

Freedman, J. (2014). Witnessing and positioning: Structuring narrative therapy with families and

couples. Australian & New Zealand Journal of Family Therapy, 35(1), 20–30.

Silva, J. A. M. D., Siegmund, G., & Bredemeier, J. (2015). Crisis interventions in online

psychological counseling. Trends in Psychiatry and Psychotherapy37(4), 171-182.

Simon, R. A., & Willick, D. H. (2016). Therapeutic privilege and custody evaluations: Discovery

of treatment records. Family Court Review54(1), 51-60.

 

 

 

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Nursing Informatics Project Proposal

Nursing Informatics Project Proposal

The Assignment: (4-5 pages)

 

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency.

 

Your project proposal should include the following:

 

• Describe the project you propose.

• Identify the stakeholders impacted by this project.

• Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.

• Identify the technologies required to implement this project and explain why.

• Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

 

Be specific, what kind of project are we proposing?

For example

1. How to improve upon medical alarms system such as

2. IV pumps alarms

3. Ventilator alarms

4. Patient initiated call bells

5. Staff initiated code-alarms

 

SAMPLE ANSWER

Nursing Informatics Project Proposal

Electronic Health Records

Technological development has seen most health care institutions aligning themselves to the use of new technologies. Many hospitals have implemented Electronic Medical Records (EMR) Systems to harness technological innovation in keeping patient’s information. EMR allows for easy retrieval of patient information including their diagnosis of chronic condition, health history, and medication (Ben-Assuli, 2015). This paper aims to propose the use of EMR in health care institutions to help store and keep patient’s treatment history of reducing the use of traditional systems of recording patient information during discharge, admissions, and transfer decisions.

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The Stakeholders who will be Impacted by the Project

Health care institutions are made of different entities and stakeholders who work together to facilitate the provision of health care. This means that when developing the EMR system, various stakeholders must be consulted to deliberate on the use of EMR in the facility (Ben-Assuli, 2015). Therefore, the significant stakeholders will include the public, the management in the health care institution, patients, the technology team, health caregivers, and the organization involved.

The organization will be involved in providing financial support for the development and implementation of the EMR system. The organization will also be involved in developing a legal framework for using the EMR system. The health caregivers will be included in the implementation of EMR system through updating the medical history in the digital system instead of using paper charts to analyze patient data. The nurse’s output will help determine the challenges in the implementation of the system. The technology team will help to design the EMR system and install it in the organization. The hospital management will be tasked with overseeing the project and running the system to ensure it is functional. The patients will be involved in the project as end-users of the EMR systems, which will be critical in the decision-making process. However, it is essential to realize that patient privacy is vital and must stay confidential between the nurse and the patient.

Patient Outcome

The EMR system software can be integrated into a health care system as an innovation aimed to ensure effectiveness and efficiency in delivery of health care services. The main aim of the EMR system is to store and track patient data used during diagnosis, screening and check-up sessions. This will help to reduce the tedious paperwork of using health care charts, which is tedious and time-consuming (Lavin, Harper, & Barr, 2015).  Therefore, EMR will ease and enhance storage of patient data to improve quality and effectiveness during discharge, admissions and in making transfer decisions in patients.

The management of bed capacity is also considered a problem for health care institutions, which leads to inefficient discharge and admission of patients, and increased costs in health care delivery.  The challenges in bed capacity management system have caused issues with patient admission, transfers, medical errors, and delay discharges (Ben-Assuli, 2015). The project team will use the EMR to develop new techniques of patient admission, discharge, transfers, and to prevent medical errors. The implementation of the project will lead to management of inefficiencies linked to discharges, admission, and patient transfers. Thus, the use of EMR system software will help provide more quality care to patients and reduce medical costs by about 40% (Rojas & Seckman, 2014).

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The Technologies Needed to Implement the Project

The EMR system as a Health Information Technology system is used in most health care institutions. The EMR helps to manage patient’s information, including medical history and treatment.  Therefore, the EMR system will replace the use of charts and old-fashioned paper works with digital representation to help track patient conditions and health outcomes (Wang t.al. 2018).   The primary technologies that will be used in the EMR system software include:

  1. Configuration of software: The technology team will work to configure the EMR software to ensure all security measures are achieved. The security measures are based on the HIPPA rules that require patient information to remain confidential to ensure patient privacy (Lavin, Harper, & Barr, 2015). Besides, the software will include medication management systems, demographics, computerized order entry, default patient history, and discharge, which are updated using new codes and patient consent.
  2. Internet and Server: The server and the internet will be critical in the signaling process to ensure the technology works perfectly. This will ensure that the patent data is stored and passed effectively to ensure the discharge, admissions, and in making transfer decisions in patients (Rojas & Seckman, 2014).
  • Transfer data: The technology team will be able to prepare a checklist of information to help transfer the information in the EMR system. This will help to upload all patient information including demographics, discharge information, and patient history in the new HER system (Rojas & Seckman, 2014).

Members of the project team and their Roles

The project team will involve the nurse informatics, the super lead user, project manager, lead physician, and the clinical members. The team members will be required to be discipline and access the information to ensure quality health care delivery. The team members will also be required to follow all regulations and policies to help conduct the project.

The clinical members of the project will be tasked with the responsibility of teaching the nurses and their colleagues during the implementation of the EMR System (Daly, 2015). The lead physician will help in guiding the hospital during the project implementation process by acting as the connection between the frontline users, the technical team, and the administrative staff. The project manager will work with the stakeholders involved in the project, including the HER vendor to ensure the project is implemented based on the timeline and it is evaluated to ensure its success. The super lead user is considered the EMR system expert and his primary responsibility is to configure the EMR software, order sets and develop templates and standard operating processes to address issues and challenges of the project. Nursing informaticists will be involved in managing, defining, designing, implementation, evaluation, development, and selection of data needed to guarantee the success of the project (Rojas & Seckman, 2014). The nursing informaticists will also maintain and optimize the HER system and educate physicians and nurses on the critical skills needed for successful implementation of EMR in the hospital.

Nursing Informatics Project Proposal

Conclusion

Electronic Health Records are critical in maximizing efficiency, measuring the needs of health care practitioners, enhancing patient safety, and evaluating the quality of care. The project aims to use the EMR to help store and keep patient’s treatment history by reducing the use of traditional systems of recording patient information and data. EMR software will ease and enhance storage of patient data to improve quality and effectiveness during discharge, admissions and in making transfer decisions in patients. Thus, the project will increase patient outcome through the implementation of medical health records, which will improve the quality of care in patients.

References

Ben-Assuli, O. (2015). Electronic health records, adoption, quality of care, legal and privacy

issues, and their implementation in emergency departments. Health Policy, 119(3), 287-297. Doi: 10.1016/j.healthpol.2014.11.014.

Daly, P. (2015). Clinical nurses lead the charge with EHR. Nursing 2019, 45(10), 25-26. Doi:

10.1097/01.NURSE.0000471426. 47075.d2

Lavin, M. A., Harper, E., & Barr, N. (2015). Health information technology, patient safety, and

professional nursing care documentation in acute care settings. Online J Issues Nurse, 20(2). Doi: 10.3912/OJIN.Vol20No02PPT04

Rojas, C. L., & Seckman, C. A. (2014). The informatics nurse specialist role in electronic health

record usability evaluation. CIN: Computers, Informatics, Nursing, 32(5), 214-220. Doi:10.1097/CIN.0000000000000042

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Big Data in a Clinical System

Big Data in a Clinical System

This is APA Format paper. One page discussion. Reference page. Intext citation.  No running head. Please use at least three references from the resourses provided.

Please make sure you address all the questions being ask.

  • Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs.
  • Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.

Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples.

 

SAMPLE ANSWER

Big Data in a Clinical System

The use of big data analytics tools has the potential to improve the healthcare system. A major benefit of employing this concept is the improvement of high-risk patient care. In many cases, there are various healthcare costs and complication in emergency care. Patients in these scenarios do not experience better outcomes. With the employment of big data, records are digitized. This feature allows practitioners to identify patient patterns in a quicker and more effective way. Therefore, practitioners can customize their treatment approach to meet the needs of the patients and improve efficiency (Topaz, 2013).

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Despite its benefits, big data is also viewed to have some drawbacks. One challenge facing this concept is the security of data. Like in other industries, data in healthcare faces security threats such as phishing, hackings, and high profile breaches (McGonigle & Mastrian, 2017).While there are a suitable number of technical safeguards, some practitioners still engage in activities that make the data vulnerable.  Data insecurity makes it hard to have reliable data as some information may be taken down.  This makes it hard for healthcare organizations to make customized treatments, thereby affecting healthcare outcomes (Wang, Kung, & Byrd, 2018).

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A suitable strategy to control security problem in big data analytics is the use of strict security policies. The facility management needs to develop suitable security protocols to ensure that the employees understand. The workers need to be reminded of the critical nature of the given protocols. In addition, the management needs to review the people who have access to highly-sensitive data to limit the number of people who can cause problems to the data. These authorized individuals need to understand the standard security procedures to minimize making security errors (McGonigle & Mastrian, 2017).

 

References

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge

(4th ed.). Burlington, MA: Jones & Bartlett Learning.

Topaz, M. (2013). The hitchhiker’s guide to nursing theory: Using the Data-Knowledge-

Information-Wisdom framework to guide informatics research. Online Journal of Nursing Informatics, 17(3).

Wang, Y. Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and

potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. doi:10.1016/j.techfore.2015.12.019.

 

 

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Vargas Family Solution-Focused Brief Therapy

Vargas Family Solution-Focused Brief Therapy

Read Solution-Focused Brief Therapy: A Review of the Outcome Research located in the topical materials. Identify a specific presenting concern that one of the Vargas family members has identified this week. Create a “transcript” of a session as a solution-focused counselor, using solution-oriented terms and concepts, to work with the client in identifying a solution to the problem. The transcript should be 500-750 words in length.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the directions in the Student Success Center.

 

SAMPLE ANSWER

Vargas Family Case Study: Solution-Focused Brief Therapy

(Throughout the interview, the responses provided by the therapy will be assigned the initial “T” while the responses provided by the client will be assigned the initial “C”)

T:        (Therapist stands up as Elizabeth Vargas enters the room) Good morning and welcome to today’s session (they shake hands and both of them sit down). Won’t you have a chair?

C:        Thank you very much; it is nice to see you again. I like the new painting on the wall, it very relaxing.

T:        I am glad you like it. I got it from a local artist. You have a very good eye I see! (both C and T laugh) Now then, we have forty five minutes together and I don’t know how much we will accomplish but I hope we can make something of it. What brings you here today Mrs. Vargas? (T sitting forward and C sitting back with her legs crossed)

C:        well, like I mentioned over the phone, our family is in a crisis! And I don’t know what to do about it. My nephew Geoff had a near overdose a few weeks ago. We suspect that he turned to drugs to try and cope with the grief of losing his father. Not only was this traumatizing for his mother Katie, but it shattered our hearts as an entire family.

T:        In your opinion, how did this near overdose affect your family? (T takes a pen and notepad)

C:        Uh, where do I even begin! (C places right hand on forehead) Linda, my mother- in law, took it upon herself to talk to Geoff’s school therapist and try to get his medical records and history (T mhm mhm). That didn’t work out well as the therapist refused to provide information about Geoff citing matters of confidentiality. If you ask me, Linda should not have done that seeing that she is not Geoff’s mother. Her interference is making matters worse! (C stands up and heads to the window) the family is now divided

T:        I see, I see (T pauses to allow C to return to her seat) according to you, what is the best foreseeable outcome in relation to Geoff’s drug problem?

C:        I want to see Geoff getting grief counseling to better handle his loss. I would also love to see him probably going to rehab for his drug use problem.

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T:        If Geoff seeks grief counseling and goes to rehab, how will this reduce conflict in your family?

C:        (C leans back T is taking notes on his writing pad) well, there will finally be a plan of action guiding the family towards better results instead of everybody offering their opinions about the best course of action.

T:        (in a low and soothing voice) imagine you woke up tomorrow morning and by some miracle, Geoff was happier, had better grades and stopped using drugs completely. What’s the first thing you would notice that would be different in your family?

C:        (sits up and places hands on her lap) Linda and I would stop arguing, Katie would stop being depressed and we would have better interactions during family meetings.

T:        on a scale of 1-10, how confident are you that Geoff will seek grief counseling and go to rehab?

C:        at the moment I think 6

T:        well, I am glad you have made the first step towards achieving better results for yourself and your family. I am hopeful that Geoff will seek the best care possible and I am looking forward seeing you and your family in the next session (T stands up and shakes C’s hand)

C:        I feel so much better after our session! I am looking forward to the next session with the entire family

 

 

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Legislation Comparison Grid and Testimony Statement

Legislation Comparison Grid and Testimony Statement

The Assignment: (1- to 2-page Comparison Grid; 1- to 2-page Legislation Testimony/Advocacy Statement)

Please use the grid for part one.

Question: Please read carefully.

Federal OR State Legislation

Part 1: Legislation Comparison Grid Based on the health-related bill you selected, complete the Legislation

Comparison Grid Template. Be sure to address the following: • Determine the legislative intent of the bill you have reviewed. • Identify the proponents/opponents of the bill. • Identify the target populations addressed by the bill. • Where in the process is the bill currently? Is it in hearings or committees? • Is it receiving press coverage

Advocating for Legislation

Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1- to 2-page Legislation Testimony/Advocacy Statement that addresses the following: • Advocate a position for the bill you selected and write testimony in support of your position. • Describe how you would address the opponent to your position. Be specific and provide examples. • Recommend at least one amendment to the bill in support of your position

Legislation Comparison Grid and Testimony Statement

Please take note:

Tittle page

Ø  Introduction with a purpose statement

Ø  Part one, which is the template with the chosen Bill.

Ø  Part two which is essay form (1-2) pages of the Legislation Testimony/ Advocacy Statement.

Ø  Then conclusion

Ø  Reference page Please make sure is APA format.

In text citation. 100% originality.

No running heads. Masters level paper.

Please use at least 3-4 of the reading resources provided very important. Is part of the instructions. Exp: The congressional websites provided in the Learning Resources to select the bill. And the text book.

 

SAMPLE ANSWER

H.R. 728. Title VIII Nursing Workforce Reauthorization Act of 2019

Introduction

Continued development of the nursing workforce is important to ensure quality healthcare. Training and education of nurses is important in the provision of quality patient care as well as nurses’ career satisfaction. Lifelong learning for nurses helps in the maintenance of competency, provision of quality patient care as well as enhancing career opportunities for the nurses. The bill “Title VIII Nursing Workforce Reauthorization Act of 2019” aims to develop programs that would ensure continued development of nurses. This paper analysis the proposed bill and why it is important to the nursing workforce and the patients as well as gives recommendation on amendments that should be done to the bill.

Part 1: Legislation Comparison Grid

Health-related Bill Name  

Title VIII Nursing Workforce Reauthorization Act of 2019

Bill Number H.R. 728.
Description H.R. 728. VIII Nursing Workforce Reauthorization Act of 2019 main aim is to develop programs for the nursing workforce such as federal funding, support, and nursing education especially for nurses from rural and under deserved communities (Congress.gov, 2019).
Federal or State? Federal
Legislative Intent The bill will help meet the demands of recruitment, retention, and education of nurses. There are over five million licensed Advanced Practice Registered Nurses (APRNs), Registered Nurses (RNs), and nursing students involved in the nursing profession across the country (The American Association of Colleges of Nursing, 2019). This support would safeguard the health of the community by ensuring nurses federal investments for nursing research, education, healthcare, and workforce is maintained. The Nursing Community Coalition is committed for the bill to pass to guarantee the community health through nursing lens (Congress.gov, 2019). Thus, funding Title VIII Nursing Workforce Reauthorization Act will ensure Americans both in the rural and urban areas receive high-quality nursing care.

 

Proponents/ Opponents Proponents:

The proponents of the bill include the House Nursing Caucus Co-Chairs, Tulsi Gabbard, and David Joyce; representatives, Lauren Underwood, David McKinley, Kathy Castor, and Suzanne Bonamici and House Nursing Caucus Vice Co-Chairs, Rodney Davis. Besides, the Ranking Member Michael Burgess (R-TX) and the House Energy and Commerce Subcommittee on Health, have improved their efforts to ensure Title VIII Reauthorization program is passed (Congress.gov, 2019). They are also dedicated to ensuring high-quality nursing care is achieved in the country. Thus, Title VIII Reauthorization program is supported by 62 members of the Nursing Community Coalition (NCC) and remains the main priority for the members of the Congress.

Opponents:

The ANA has many concerns regarding the bill by concluding that it does not align with the healthcare reform principles such as addressing the working conditions for nursing (Capitol Beat, 2019).

Target Population Health programs administration and funding, Education programs funding, Health personnel, Medical education, Nursing students and Colleges, Health facilities and institutions.
Status of the bill (Is it in hearings or committees? Is it receiving press coverage?) The legislation is still in the hearing stage since it was introduced to help curb shortage of nurses in the country through developing training and education of nurses (Congress.gov, 2019). The Nursing Community Coalition looks to ensure the Title VIII Reauthorization program pass in floor and remains as the leading active partner that would ensure it is passed in the 116th Congress (The American Association of Colleges of Nursing, 2019). Thus, the bill will be critical in providing education opportunities for nurses and facilitate the delivery of quality health care in the country.

The Bill has received press coverage since its inception on January 23, 2019. Notably, it has received press coverage within the nursing community with the help of the Nursing Community Coalition, which represents nurse faculty, advanced practice registered nurses, registered nurses, students, nurse executives, and researchers.  Thus, the Nursing Community Coalition continues to create awareness and support the bill with the hope that it will generate funding for nurses in the future.

General Notes/Comments

 

 

H.R. 728. VIII Nursing Workforce Reauthorization Act of 2019 is still in the hearing stage since it was introduced to help curb shortage of nurses in the country through developing training and education of nurses. The Nursing Community Coalition looks to ensure the Title VIII Reauthorization program pass in floor and remains as the leading active partner that would ensure it is passed in the 116th Congress (The American Association of Colleges of Nursing, 2019). Thus, the bill will be critical in providing education opportunities for nurses and facilitate the delivery of quality health care in the country. Therefore, the Title VIII Nursing Workforce needs to be passed by the full house to guarantee nurse training and education.

Part 2: Legislation Testimony/Advocacy Statement

Title VIII Nursing Workforce Reauthorization Act of 2019 ensures nurses are supported, educated, and trained to ensure they provide quality healthcare to the American population. The subcommittee adopted the amendment to ensure nurses get funding to further their education and increase their skills and knowledge in caring for patients (National League for Nursing, 2019). The funding guarantees the flexibility of the country in meeting the health care needs. It is common for nurses to be overlooked despite their dedication and service to the population. Researchers consider that the US is facing issues with increase in chronic and cardiovascular diseases, an aging population, and opioid epidemic, which means the country needs more and well-equipped nurses to care for these populations (Taylor et al., 2017). A bill is also a form of a long-term investment that would help the country to meet challenges within the nursing profession. The nursing schools that the legislation would serve will help to attract more individuals looking to study nursing and increase nursing workforce (Milstead & Short, 2019).  Thus, the Nursing Community Coalition needs to work with CEO of AACN Deborah Trautman to ensure the bill passes in the house.

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The opponents of the Title VIII Nursing Workforce Reauthorization Act of 2019 should understand that nursing workforce development and the development of evidence-based research is critical in ensuring American health needs are realized. Nurses are the backbone of the health care system in America, and the challenges they undergo is directed to the provision of health care to the American population (National League for Nursing, 2019).  Besides, needs to realize that with the verge of nursing shortage it is essential that all training and recruitment programs are supported to ensure more people enter the nursing profession. For example, the House Energy and Commerce Committee did an excellent job by passing the bill, and it will be essential to see if the legislation is passed through a vote in the House floor (The American Association of Colleges of Nursing, 2019). Besides, the bill is critical to sustaining and bolstering the country’s nursing profession through addressing issues within the nursing workforce such as retention, recruitment, practice, and education of nurses. The opponents of the bill should also understand the legislation is also aimed to serve both underserved and rural areas. Title VIII Nursing Workforce Reauthorization will propel the nursing profession forward and improve the impact of nursing in ensuring the health of Americans is secured (National League for Nursing, 2019). Thus, funding is essential in advancing health care of communities, families, and individuals in the United States by reducing burdensome chronic illness, promoting patient-centered and improving end of life care

Legislation Comparison Grid and Testimony Statement

One amendment of the bill, which should be included in the Title VIII Nursing Workforce Reauthorization is to ensure nursing workforce are well equipped to facilitate clinical care and ensure they work in a more conducive environment to help promote patient dignity. Besides, nurses should be encouraged to take responsibility of their personal growth and education through taking advantage of such training programs to increase their knowledge and skills and boost their nursing profession.

Conclusion

As it has been noted, nursing development program would ensure quality patient care as well as career satisfaction for the nurses. The bill proposed would help in nursing career development and consequently ensure quality healthcare provision. Therefore, when the bill is passed it will have tremendous impact to the nursing profession as well as communities, families, and individuals in the United States. The bill will help in advancing healthcare by promoting patient-centered care and help in reducing burden of healthcare to the Americans.

 

References

Capitol Beat (21 August 2019). ANA Capitol Beat. Nurses are speaking and Congress is listening as August recess wraps up. Retrieved from https://anacapitolbeat.org/

Congress.gov. (2019).  H.R.728 – Title VIII Nursing Workforce Reauthorization Act of 2019.

Retrieved from https://www.congress.gov/bill/116th-congress/house-bill/728/text?format=txt

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.).

Burlington, MA: Jones & Bartlett Learning.

National League for Nursing (NLN). (2019). Workforce. Retrieved from

http://www.nln.org/advocacy-public-policy/legislative-issues/workforce

Taylor, D., Olshansky, E., Fugate-Woods, N., Johnson-Mallard, V., Safriet, B. J., & Hagan, T.

(2017). Corrigendum to position statement: Political interference in sexual and reproductive health research and health professional education. Nursing Outlook, 65(2), 346–350. Doi: 10.1016/j.outlook.2017.05.003

The American Association of Colleges of Nursing (January 23, 2019) AACN Applauds

Bipartisan Commitment to Support Investments in Nursing Education and Practice. Retrieved from https://www.aacnnursing.org/News-Information/Press-Releases/View/ArticleId/23047/title-viii-2019-commitment

 

 

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