The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the NUR3178 course.

Reflect on the NUR3178 course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to:

1. “Apply leadership concepts, skills, and decision making in the provision of high-
quality nursing care, healthcare team coordination, and the oversight and accountability for care delivery in a variety of settings.

2. Demonstrate leadership and communication skills to effectively implement patient safety and quality improvement initiatives within the context of the interprofessional team.

3.Demonstrate an awareness of complex organizational systems.

4 Demonstrate a basic understanding of organizational structure, mission, vision, philosophy, and values.

5. Participate in quality and patient safety initiatives, recognizing that these are complex system issues,
which involve individuals, families, groups, communities, populations, and other members of
the healthcare team.

1. Apply concepts of quality and safety using structure, process, and outcome measures to identify clinical
   questions and describe the process of changing current practice.
2. Promote factors that create a culture of safety and caring.
3. Promote achievement of safe and quality outcomes of care for diverse populations.
4. Apply quality improvement processes to effectively implement patient safety initiatives and monitor
   performance measures, including nurse-sensitive indicators in the microsystem of care.
5. Use improvement methods, based on data from the outcomes of care processes, to design and test
   changes to continuously improve the quality and safety of health care.
6. Employ principles of quality improvement, healthcare policy, and cost-effectiveness to assist in
   the development and initiation of effective plans for the microsystem and/or systemwide practice
   improvements that will improve the quality of healthcare delivery.
7. Participate in the development and implementation of imaginative and creative strategies to
   enable systems to change.
8. Compare/contrast the roles and perspectives of the nursing profession with other care professionals on
   the healthcare team (i.e., scope of discipline, education and licensure requirements).
9. Use inter and intraprofessional communication and collaborative skills to deliver evidence-based, patient
   centered care.
10. Incorporate effective communication techniques, including negotiation and conflict resolution to produce
    positive professional working relationships.
11. Contribute the unique nursing perspective to interprofessional teams to optimize patient outcomes.
12. Demonstrate appropriate teambuilding and collaborative strategies when working with interprofessional
    teams.
13. Advocate for high quality and safe patient care as a member of the interprofessional team.” (AACN, 2008,
    pp.14,22).

Research and select an emerging health care issue. This can include but is not limited to the following:

• Opioid crisis
• Escalating drug prices
• Cybersecurity issues
• Behavioral health care
• Aging population
• Health care employee burnout
• Health care information transparency Using the information you’ve learned in the course, discuss how you would design a policy for the health care issue you selected. Remember to take into consideration the various aspects of the policy development cycle and level of implementation (federal, state, or local).

  Respond using 525 to 700 words to the following prompts:

• What is the issue, what is the problem associated with the issue that you want to work toward solving, and who are the main stakeholders who can influence the success of the policy?
• Why is this issue important and what is the target population?
• How would you suggest implementing the policy and at what level (federal or state government)?
• How would you propose the policy be evaluated and when would the evaluation occur?
• What possible courses of action (revisions) would likely be needed if the evaluation of the policy suggests that the proposed policy is not fulfilling its intended purpose?
• Cite at least 2 reputable references. Reputable references include trade or industry publications, government or agency websites, scholarly works, a textbook, or other sources of similar quality.