Advocacy Through Legislation 

            

Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.

For this assignment, identify a problem or concern in your state, community, or organization that has the capacity for advocacy through legislation. Research the issue and use the “Advocacy Through Legislation” template to complete this assignment.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. 

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 LopesWrite Technical Support articles for assistance. 

 I

Complete SWOT analysis paper on Capstone practicum agency. APA format including headings and references are required. See grading rubric for specifics of assignments. it is required to use info from the power point presentation attached below.

SWOT Analysis Paper outline:

1) An introduction to the agency (Cleveland clinic in WEston, FL) is needed.

2) SWOT content: SWOT (strength, weakness, opportunities, threats) analysis has more than 4 points for each quadrant, a sentence is provided for each point explaining their inclusion. Two of the four points are data linked and are referenced.

3) There are 3 recommendations required for the assignment, based on SWOT analysis.

 

Instructions

Overview/Description of Final Paper: The final written assignment will synthesize what you have discovered about the different advanced practice roles and scope of practice found in the master of nursing curriculum: APRNs, nurse educator, nurse informaticist, and nurse administrator/executive. You will review all roles and then examine the specialty for which you were admitted, focusing on the scope of practice, core competencies, certification requirements, and legal aspects of practice for that specific role. You will also identify the practice environment and population you will be working with, as well as peers and colleagues. In addition, you will discuss your future leadership role and participation in professional organizations.

Your paper is to be based on current literature, standards of practice, core competencies, and certification bodies for your chosen role. The paper should be 8-10 pages excluding the title and reference pages, and APA format is required.

Criteria:  

• Advanced Practice Roles in Nursing:
  • Briefly define advance nursing practice and the roles in advanced practice nursing pertaining to clinical practice, primary care, education, administration, and health information. Distinguish between ANP and the APN.
  • Describe the advance nursing practice role you aspire and briefly share the experiences and/or qualities you have that have influenced your decision. Include your personal philosophy.
• Selected Advanced Practice Role:
  • Identify the AP you interviewed and summarize the interview, which should/may include (if not in the interview, please address):
  • Examine regulatory and legal requirements for the state in which you plan to practice/work.
  • Describe the professional organizations available for membership based on your selected role.
  • Identify required competencies (domains), including certification requirements for your selected role.
  • Describe the organization and setting, population, and colleagues with whom you plan to work.
• Leadership Attributes of the Advanced Practice Role:
  • Determine your leadership style
  • Define Transformational Leadership and as it relates to your identified leadership attributes that you possess or need to develop
  • Apply the leadership style you will embrace in AP to one of the domains
• Health Policy and the Advanced Practice Role

Based on your program of study, review the literature and address the following:

• FNP/AGNP:Medicare reimbursement for NPs is 85%for the same health care that MDs receive at 100% reimbursement? Please address questions below and state your position on this mandate.
• FNP/AGNP:What states have NP Full Practice Authority and which states have limitations or restrictions? How does this apply to your state? Please address questions below and state your position on this regulation.

For the above category chosen, address the following:

• Describe the current policy or trends and determine if it needs to change; if opposed to change state why
• Provide the process required to make the change with key players and parties of interest; support opposition
• Explain how you could lead the effort to make or influence the change in policy or keep the policy the same and the impact in healthcare quality.
• Conclusion-Summarize your role paper by highlighting key points made in your paper.

 Due: Nov 24 at 11:59pmCalendarPublic SpeakingDetailsAssignment 2.1: Everyone’s a Critic

This assignment supports the following lesson objectives:

• 2.2 Demonstrate knowledge of methods used in evaluating speeches
• 2.3 Apply common techniques for accepting and managing listener feedback

Assignment Overview
This writing assignment explores providing objective and valuable suggestions for improving a speech, as well as the thought process related to learning from feedback received through a critique.

Deliverables

• A one- to three-page paper (12-point font, 300 to 900 words) written in a word processor, such as MS Word

Assignment Details

In this activity, you will watch a video clip of a speech.

You will apply effective methods of critiquing a speech to prepare written feedback that you would provide to the person who delivered the speech. You will also evaluate your feedback in terms of how the person receiving it could best respond to it to improve his or her next speech.

Perform the following tasks:

Step 1: Review the information presented in the lesson about the elements of a speech that are commonly evaluated. These include:
Speaker Commitment to the Subject
Suitable to the Occasion and Audience
Clear Purpose
Fresh Point of View
EthicsStep 2: Select one of the following informative speeches to view and critique. These speeches are also available in the Multimedia Library for Chapter 3 on the Course Compass website.
Van Gogh’s Incredible Life (Links to an external site.)
Getting to Know the Elderly (Links to an external site.)Step 3: As a starting point for writing your critique of the speech, copy the table of evaluation criteria below and paste it into your word processing document.
You will use this table to determine and organize your feedback.

Speech Title:CriteriaQuestion to Ask YourselfCommentsSpeaker Commitment to the SubjectHow important is the subject to the speaker? Appropriateness for Audience and OccasionIs the topic and delivery relevant and useful to the audience? Clear PurposeCan you identify the goal(s) the speaker has for delivering the speech? Fresh Point of ViewDoes the speech challenge the audience to think about something in a new way? EthicsDoes the speaker tell the truth and have the best interest of the audience at heart? SubstanceDoes the speech content provide new information supported by facts, statistics, and so on? StructureIs the flow of information given in the speech well organized so the speech flows from one topic to the next?
Step 4: Enter the title of the speech you selected in the Speech Title row at the top of the table.

Step 5: Watch the speech, pausing as necessary, and enter any initial thoughts that may be useful in writing your critique of the speech.

Step 6: Review the information in the lesson that covers strategies for giving effective feedback.
The recommendations given in the lesson include:Begin the critique by making a positive statement.
Focus on select areas for improvement.
Make your comments in an organized fashion.
Provide specific feedback about what needs to be improved.
Be honest but respectful and tactful in your comments.
Personalize comments by indicating how you were influenced by the content or behavior, using “I” instead of “you.”
Stress the positive aspects of the speech.
Offer specific suggestions on how to correct a problem.
Provide a plan of action for how to improve the next speech with examples.
End the critique with a positive statement.Step 7: Use your speech evaluation table and guidelines for giving effective speech feedback to write a critique of the speech you selected.
Strive to include feedback on as many aspects of the speech as possible and to structure the feedback in a way that would make it valuable and understandable to the person delivering the speech.

Step 8: Review the information in the lesson that provides guidelines for handling feedback you receive from others.
These guidelines include:Be sure to focus on what is being said about your speech and your presentation, not how it is being conveyed to you.
Avoid taking the feedback personally or emotionally.
When feedback is general or vague, seek out specific problems and suggestions from the feedback source.
Evaluate the feedback provided using your critical thinking abilities.
Prepare a plan of action for improving your speech and presentation skills prior to delivering the next speech.Step 9: Put yourself in the shoes of the presenter whose speech you watched and critiqued.
Imagine that you are the speaker who received the critique that you wrote. For each guideline you reviewed in Step 8, write a sentence or more that documents your thoughts about the critique comments and observations. How would you use the information, observations, and suggestions in the critique to deliver your speech more effectively?

Step 10: Save and submit your document.
When you have completed the assignment, save a copy for yourself in an easily accessible place and submit a copy to your instructor using the drop box.

  

Assignment

What type of drug should you prescribe based on your patient’s diagnosis? How much of the drug should the patient receive? How often should the drug be administered? When should the drug not be prescribed? Are there individual patient factors that could create complications when taking the drug? Should you be prescribing drugs to this patient? How might different state regulations affect the prescribing of this drug to this patient?

These are some of the questions you might consider when selecting a treatment plan for a patient.  

                     

As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives every day. Patients and their families will often place trust in you because of your position. With this trust comes power and responsibility, as well as an ethical and legal obligation to “do no harm.” It is important that you are aware of current professional, legal, and ethical standards for advanced practice nurses with prescriptive authority. Additionally, it is important to ensure that the treatment plans and administration/prescribing of drugs is in accordance with the regulations of the state in which you practice. Understanding how these regulations may affect the prescribing of certain drugs in different states may have a significant impact on your patient’s treatment plan. In this Assignment, you explore ethical and legal implications of scenarios and consider how to appropriately respond.

To Prepare

· Review the Resources for this module and consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure.

· Review the scenario assigned by your Instructor for this Assignment.

· Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, and reflect on these as you review the scenario assigned by your Instructor.

· Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.

· Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.

Write a 2- to 3-page paper that addresses the following:

· Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.

· Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state ( use CA).

· Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation. 

· Explain the process of writing prescriptions, including strategies to minimize medication errors.

Scenerio is: “As a nurse practitioner, you prescribe medications for your patients. You make an error when prescribing medication to a 5-year-old patient. Rather than dosing him appropriately, you prescribe a dose suitable for an adult.”

Resources for references

Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.

• Chapter 1, “Prescriptive      Authority” (pp. 1–3)
• Chapter 2, “Rational Drug      Selection and Prescription Writing” (pp. 5–9)
• Chapter 3, “Promoting      Positive Outcomes of Drug Therapy” (pp. 11–16)
• Chapter 4,      “Pharmacokinetics, Pharmacodynamics, and Drug Interactions” (pp. 17–40)
• Chapter 5, “Adverse Drug      Reactions and Medical Errors” (pp. 41–49)
• Chapter 6, “Individual Variation in Drug      Response” (pp. 51–56)

American Geriatrics Society 2019 Beers Criteria Update Expert Panel. (2019). American Geriatrics Society 2019 updated AGS Beers criteria for potentially inappropriate medication use in older adults. Journal of the American Geriatrics Society, 67(4), 674–694. doi:10.1111/jgs.15767

American Geriatrics Society 2019 updated AGS Beers criteria for potentially inappropriate medication use in older adults by American Geriatrics Society, in Journal of the American Geriatrics Society, Vol. 67/Issue 4. Copyright 2019 by Blackwell Publishing. Reprinted by permission of Blackwell Publishing via the Copyright Clearance Center.

This article is an update to the Beers Criteria, which includes lists of potentially inappropriate medications to be avoided in older adults as well as newly added criteria that lists select drugs that should be avoided or have their dose adjusted based on the individual’s kidney function and select drug-drug interactions documented to be associated with harms in older adults.

Drug Enforcement Administration. (n.d.-a). Code of federal regulations. Retrieved February 1, 2019, from https://www.deadiversion.usdoj.gov/21cfr/cfr/1300/1300_01.htm

This website outlines the code of federal regulations for prescription drugs.

Drug Enforcement Administration. (n.d.-b). Mid-level practitioners authorization by state. Retrieved May 13, 2019 from http://www.deadiversion.usdoj.gov/drugreg/practioners/index.html

This website outlines the schedules for controlled substances, including prescriptive authority for each schedule.

Drug Enforcement Administration. (2006). Practitioner’s manual. Retrieved from http://www.deadiversion.usdoj.gov/pubs/manuals/pract/index.html

This manual is a resource for practitioners who prescribe, dispense, and administer controlled substances. It provides information on general requirements, security issues, recordkeeping, prescription requirements, and addiction treatment programs.

Drug Enforcement Administration. (n.d.-c). Registration. Retrieved February 1, 2019, from https://www.deadiversion.usdoj.gov/drugreg/index.html

This website details key aspects of drug registration.

Fowler, M. D. (2015). Guide to the code of ethics for nurses with interpretive statements: Development, interpretation, and application. Silver Spring, Maryland: American Nurses Association, 2015. 

This resource introduces the code of ethics for nurses and highlights critical aspects for ethical guideline development, interpretation, and application in practice.

Institute for Safe Medication Practices. (2017). List of error-prone abbreviations, symbols, and dose designations. Retrieved from https://www.ismp.org/recommendations/error-prone-abbreviations-list

This website provides a list of prescription-writing abbreviations that might lead to misinterpretation, as well as suggestions for preventing resulting errors.

Ladd, E., & Hoyt, A. (2016). Shedding light on nurse practitioner prescribing. The Journal for Nurse Practitioners, 12(3), 166–173. doi:10.1016/j.nurpra.2015.09.17

This article provides NPs with information regarding state-based laws for NP prescribing.

Sabatino, J. A., Pruchnicki, M. C., Sevin, A. M., Barker, E., Green, C. G., & Porter, K. (2017). Improving prescribing practices: A pharmacist‐led educational intervention for nurse practitioner students. Journal of the American Association of Nurse Practitioners, 29(5), 248–254. doi:10.1002/2327-6924.12446

The authors of this article assess the impact of a pharmacist‐led educational intervention on family nurse practitioner (FNP) students’ prescribing skills, perception of preparedness to prescribe, and perception of pharmacist as collaborator.