America Needs Nurse Practitioners to Advocate.docx

Module 1 Discussion Health Policies Lillian Wald and Mary Brewster took cogent leaps in the progression of nursing influence, with the development of The Henry Street Settlement in 1893 (Mason, Gardner, Outlaw, O’Grady 2016). This action paved the way for the evolution of better health care policy, centered around community needs. Now, health policy is influenced by research, media, politics, lobbyists, and much more; based on community values. The Structure of health care policy is yet complicated, with the basis of core determinants of health that influences policy. Said determinants are comprised of factors such as gender, education and literacy, physical environment, culture, and not to say the least, social status. (Policies and Politics, page 3). Social status stands out, as it is a headline issue with health care coverage. Oppressed communities are at stake, as they have exhausted even the thought of better health access due to low literacy, no access to good jobs, and poor nutritional standards. The process of health care policy has substantial dependency on nurse leadership. Meaning, nurses who understand how policy drives coverage and care should advocate for the community. Not many nurses want to approach the frontlines to tackle the many challenges in this specific side of the industry. However, one must understand the sources of health care policies and their effect on society to generate change. According to an article written by Susan Taft and Kevin Nanna of Kent State University, public sources are the core influence of governmental bodies constructing policies. Meaning a vast existence of public education should be available to communities that do not quite understand the process. Together, Taft and Nanna broke down the Ways to Influencing Public Policy. This included significant points such as media impact by writing letters and getting headlines. The same tactic is seen by many politicians during the elections; designed to stir the emotions of voters. Another is to join an organization that believes in and is driven by advocacy. Consistent research is necessary to be in-tuned with public issues, which can help in every aspect of said suggestion to create power in numbers. With the focus on public health, the Affordable Care Act and its purpose contributed greatly to the influencing of certain health policies; so that more people could afford care. Such policies included safe health practices by health institutions, which lead to care improvement by placing penalties on readmission less than thirty days. But, at the same time, provided funding for improved outcomes driven by the implementation of new policies. However, coverage impacted by zip code is certainly a topic where more nurse leaders are needed to address. We are talking about a level of nursing leadership that could shift the issues affecting upstream factors. Kohnke's philosophy of functional advocacy speaks volumes, in.

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America Needs Practitioners to Advocate for Social Justice
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America Needs Practitioners to Advocate for Social Justice
Racial disparities have been a major problem in the health care system. People of color
have no voice, for not everyone is focused on ensuring equal treatment in all sectors, more so the
healths care system. Covid-19 being a deadly virus, came out strongly and did not discriminate
against any person; this disease gave out a statement to everyone by showing no one is special in
any way. The death of George Floyd captured the world's attention on how blacks are treated,
and because of this, finally, the calls for reforms to change and be better were implemented.
According to their code of ethics, nurses have an ethical commitment to promoting health
and human rights while also reducing inequities. As much as the government may advocate that
black lives matter, there are still so many people who feel that they are so different from the
black people, including nurse practitioners. Nurse practitioners as professionals should behave in
a manner different from others by focusing on what is important, which is the health of all their
patients equally.
When a group of DNP students was asked how nurse practitioners should address
systemic racism, they stated that patients do not want caregivers to be politically involved. It is
not bad to be politically active, but it is better done on the best grounds that do not involve a
person's life. The group also supported that professional organizations should make clear
statements of decrying racism and asking for an end to inequalities.
The nurse practitioners may feel powerless to lead in addressing issues of racial injustice
when compared to physicians because of the power they possess (Russell,2020). Nonetheless,
they represent one of the largest groups of health professionals in the country, and whatever

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actions they take will have a significant impact. The nurses should come together and address the
barriers that racism has caused in our society to ensure there is a change in the health sector and
all sectors.
The need to have open discussions is also a very thoughtful idea; when a burning issue
such as this one regarding real people's opinions tends to rise to bring change. Many people can
reason according to the circumstances presented to them and come up with different solutions.
Earlier it has been a norm to issue statements of how people should conduct themselves, but now
actions should speak louder than words. Ways of how people violate the rules should be stated
clearly and adhered to accordingly to ensure that people will embrace the change.
Nurse practitioners should take the lead in dismantling racism-supporting measures, and
the greatest thing is that they have advice on how to do so. With the assistance of the code of
ethics, which encourages nurses to take the lead on public issues and collaborate to reform
inequitable systems, they can commence what all people, white or black, deserve.
In conclusion, nurse practitioners are very important individuals who can ensure that the
health system is racism-free. They should ensure that they push necessary reforms to ensure that
all individuals receive equal treatment, even though the employer may be against it to ensure that
we live in a healthy nation that respects everyone's rights.

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Reference
Russell Naila, (2020). America Needs Practitioners to Advocate for Social Justice. The Journal
for Nurse Practitioners

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CHAPTER 7 The policy process Eileen T. O’Grady “There are three critical ingredients to democratic renewal and progressive change in America: good public policy, grassroots organizing and electoral politics.” Paul Wellstone Nurses can more strategically and effectively influence policy if they have a clear understanding of the policymaking process. Conceptual models can help to organize and interpret information by depicting complex ideas in a simplified form; to this end, political scientists have developed a number of conceptual models to explain the highly dynamic process of policymaking. This chapter reviews two of these conceptual models. Health policy and politics Health policy encompasses the political, economic, social, cultural, and social determinants of individuals and populations and attempts to address the broader issues in health and health care (see Box 7.1 for policy definitions). A clear understanding of the points of influence to shape policy is essential and includes framing the problem itself. For example, if nurses working in a nurse-managed clinic are troubled by staff shortages or long patient waits, they may be inclined to see themselves as the solution by working longer hours and seeing more patients. Defining and framing the problem is the first step in the policy process and involves assessing its history, patterns of impact, resource allocation, and community needs. Broadening and framing the problem to influence or educate stakeholders at the local, state, or federal level could include advocating for better access or funding for nursing workforce development (see Box 7.1). BOX 7.1 Policy Definitions Policy is authoritative decision making related to choices about goals and priorities of the policymaking body. In general, policies are constructed as a set of regulations (public policy), practice standards (workplace), governance mandates (organizations), ethical behavior (research), and ordinances (communities) that direct individuals, groups, organizations, and systems toward the desired behaviors and goals. Health policy is the authoritative decisions made in the legislative, judicial, and executive branches of government that are intended to direct or influence the actions, behaviors, and decisions of others (Longest, 2016). Policy analysis is the investigation of an issue including the background, purpose, content, and effects of various options within a policy context and their relevant social, economic, and political factors (Dye, 2016). The next step is to bring the problem to the attention of those who have the power to implement a solution. Other key factors to consider include generating public interest, the availability of viable policy solutions, the likelihood that the policy will serve most of the people at risk in a fair and equitable fashion, and consideration of the organizational, community, societal, and political viability of the policy solution. Public interest is a fascinating dynamic ...

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Running Head: SOCIOLOGY IN NURSING 1 SOCIOLOGY IN NURSING 2 Sociology in nursing: A look from different perspectives Name Institution Introduction Health literacy is the acquisition and application of knowledge to daily practices for the improvement of the general health of an individual as well as the community. This influences the response to symptoms of illness, approach to treatment and preventive measures. While it may seem like common knowledge, the difference in the cultural and social background comes into play during the stated health literacy skills. Nurses are tasked with the provision of elementary care to culturally diverse communities and thus necessitating cultural competency. Different concepts exist with regard to cultural composition and diversity in the community under evaluation. Singleton & Krause (2009) identify these to include: Magico-religious, biomedical and deterministic concepts. These concepts are always evolving with arising situations. Regular training on cultural competence is recommended as it is considered a threat to patients (Kaihlanen, Hietapakka & Heponiemi, 2019). This paper will look at nursing from different sociology perspectives to demonstrate the need for training. Health literacy from sociological perspectives Functionalist perspective Health concepts are shared among a group of people sharing in other aspects of life as well. This is a source of continuity in identity recognized from doing things in a certain way. This is well demonstrated in Mayhew (2018), where an initial visit to a health facility, the nurse provides treatment options, which is met by indecisiveness, which turns around on the second visit following consultation with family members on the best course of action (Mayhew, 2018) for the ailing family member. The consultation gives the young mother confidence and a sense of unity in the family due to their collectivist approach. The institution of marriage is revered as well as nursing, as the mother takes time to understand all that pertains to the provided options. Conflict perspective Cultural diversity presents different approaches to decision making on health issues. Despite expert knowledge, a nurse must operate under ethical codes by respecting the patient's autonomy. This means that the decision reached, and failure thereof, must be upheld. For instance, a magico- religious culture may bar ailing members from procuring blood transfusions, even though their condition may only be helped by one. A nurse, while offering this option to them, can only do so much but respect this culture. Conflict may also arise when actions taken in an emergency situation, maybe in opposition to patient beliefs, such as first aid to the opposite sex. Symbolic interactionism perspective This perspective demonstrates the difference in dialects and jargon used by different societies. Nursing uses professional language and jargon, which patients may not decipher. Equally, nurses are fac.

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1 day ago Jessica Dunne RE: Discussion - Week 10 COLLAPSE Top of Form NURS 6050C: Policy and Advocacy for Improving Population Health INITIAL POST Resource Allocation for an Aging Population Technological advances in medicine and preventative care means that Americans are living longer lives than ever before. Hayutin, Deitz, and Mitchell (2010) assert that by the year 2030 Americans over the age of 65 will account for 20% of the population. There will soon be more elderly Americans than children, and the number of working adults is expected to decrease concurrently. This shift in the population will yield significant economic, political and social challenges. Healthcare needs are also changing. Death and disability rates are declining, yet the incidence of chronic illness within the elderly population continues to rise (Hayutin, Deitz, & Mitchell, 2010). Crippen and Barnato (2011) contend that 20% of the population assume 80% of all healthcare-related costs. As much as 75% of these costs are attributable to chronic diseases (Crippen & Barnato, 2011). Revenues for healthcare are projected to decrease while expenditures are expected to increase. Healthcare providers, policymakers, and industry experts need to work towards solutions that will optimize healthcare dollars and create sustainability for future generations. Ethical Considerations The dynamics of healthcare are complicated; financial resources seem insignificant when making life and death decisions. Nonetheless, resources are finite, and therefore, distribution and allocation of funds must be ethical. According to Craig (2010), the theory of distributive justice requires that people with the same health needs have equitable access to all available resources. However, distributive justice also requires that the associated costs also be shared equitably. Fairness is another ethical principle that should be applied in the allocation of healthcare resources. Policies that are fair must be transparent, understandable, and there must be regulatory process to address complaints and resolve conflicts. The idea that healthcare is a human right is outlined in the declaration of independence which guarantees citizens the right to life, liberty, and the pursuit of happiness. The need of the patient should also be considered. A burn patient needs plastic surgery more than a patient that wants rhinoplasty (Craig, 2010). Nurses provide the best possible care to every single patient regardless of gender, ethnicity, sexual orientation, ability to pay, or age. The American Nurses Association (2012) provides ethical guidelines for nurses to employ in their practice. Provisions one, two, and three promote the principle of beneficence, and the obligation nurses have to advocate for the best interests of their patients. Provisions seven, eight, and nine focus on providing social justice for clients through practice and policy (American Nurses Association, 2012). Nurses should also promote aut.

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Module 4 Discussion Population and community health are extremely important for the well being of our population. Healthcare providers play important roles in improving population health and are also the health educators for their community. Population health is the outcomes of a group of individuals, including the distribution of such outcomes within the group. Community health is a branch of public health which focuses on people and their role as determinants of their own and other people’s health in contrast to environmental health, which focuses on the physical environment and its impact on people’s health. All healthcare professionals can take many actions to promote population and community health. There are many ideas about actions that need to be taken to improve the health among the population in Miami and the communities within the city. I went to Broward College for my BSN and the last class we had to take before graduate from the program was community health. The purpose of this class was to integrate us as healthcare provider in the community which allowed us to help the less fortunate people or the vulnerable population. A group of us chose to complete the class with the homeless population in Broward county. We went to the homeless shelters to provide primary care to the homeless individuals by taking their blood pressure, blood sugar, and so on. We literally had an open clinic at each of the homeless shelters. We had doctors and nurse practitioners that volunteer to provide care to them. It is extremely important for healthcare professionals to promote community health to the homeless population because it can help decrease illnesses and many diseases among them. According to Tsai, Jenkins, & Lawton (2017), individuals who are homeless represent the most vulnerable, indigent group in the United States and thus may have great medical needs that must be addressed to prevent sicknesses and illness. A few studies have shown access to healthcare can improve the health and lives of various patient populations (Tsai et al, 2017). Lack of access to healthcare or lack of health insurance is one of the major issues in the United States. The homeless population is among the vulnerable populations that suffer more due to their lack of healthcare coverage. By volunteering to help, healthcare providers can improve their quality of life. These individuals are not able to purchase or pay for the most basic health insurance and will not be able to get any treatment without us (healthcare providers) volunteering to help at their shelters. According to Bernstein, Meurer, Plumb, & Jackson (2015), reported rates of diabetes and hypertension in the homeless population range from 2% to 18% for diabetes and 18% to 41% for hypertension. The percentages of homeless individuals being diagnosed with diabetes and hypertension will continue to increase because they do not have access to healthcare. there is also a growing consensus that the adult home.

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