Select one of the AACN BSN Essentials, and elaborate on its meaning and importance in your own future professional nursing practice.

In your post (intended to provide a clear and thorough answer), be sure to

• identify the AACN BSN Essential that you have selected by name and number;
• explain why you selected this Essential; and
• explain how this Essential will be used to improve quality in your future professional nursing career.

Essential II: Basic Organizational and Systems Leadership for Quality Care and Patient Safety 

 

Introduction

Inequality is a central concept in sociology. Every society has a stratification system—an arrangement of society into groups that are unequal with regard to things valued in that society. In the United States, for example, we stratify people based on social class (or how much income and wealth they have). Our location within the stratification system impacts much of our lives. How would your life be different if you came from a family with billions of dollars? Would you have gone to the same school? Played with the same toys? Gone on the same vacations?

While inequality exists in every society, it tends to be different as to how it is structured according to time period or location. In earlier times, inequality was based on who owned the land. Today, it is shaped by a variety of factors including income, wealth, gender, race/ethnicity, age, and ability status. For example, women and some racial/ethnic groups make less for the same work as males. Despite this, we have a tendency in the United States to believe that neither social class nor class conflict exist. Unfortunately, research and data suggest otherwise. We still have a division of people based on their income and wealth, with some at the top and others at the bottom. While we belong to a wealthy, industrially developed country, poverty still exists.

Sociologists examine these issues of poverty and inequality in a society and try to better understand why structures of inequality exist in society. Do you think inequality is always going to exist? Focus on this as you delve into the resources and prepare for the assessment.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Competency 3: Explain the significance of social inequality for the individual and society.
  • Explain whether or not economic inequality is inevitable.
  • Propose strategies to reduce inequality.
• Competency 5: Analyze the impact of social change on society and social institutions.
  • Examine potential changes to increase equality of opportunity.
  • Analyze factors that contribute to the growth of economic inequality.
• Competency 6: Compose text that articulates meaning relevant to its purpose and audience.
  • Develop text using organization, structure, and transitions that demonstrate understanding of cohesion between main and subtopics.

American culture emphasizes self-sufficiency and working hard to get where you want. It is assumed that everyone has the ability to succeed if they work hard enough. For this assessment, write a paper applying key concepts regarding social stratification to argue for or against the inevitability of economic inequality. While there are many forms of inequality in the United States, for this assessment we will be focusing solely on economic inequality.

Deliverable

Write an essay in which you complete all of the following:

• Part 1: Explain whether or not you think economic inequality is inevitable.
  • Respond to the question: Is economic inequality inevitable? Why or why not?
• Part 2: Analyze factors that contribute to growing economic inequality.
  • Analyze what factors have contributed to the growth of economic inequality in the past few decades. What factors cause economic inequality?
  • Propose strategies to reduce economic inequality.
• Part 3: Examine ways to increase equality of opportunity.
  • Reflect on ideas of equal opportunity and analyze why or why not you think American society provides everyone with an equal opportunity for success.
  • Examine what kinds of changes would help establish greater equality of opportunity for everyone in American society.​​​​

Additional Requirements

• Written communication: Develop text using organization, structure, and transitions that demonstrate understanding of cohesion between main and subtopics. Written communication is free of errors that detract from the overall message.
• Sources: Cite at least three scholarly sources.
• Length: 3–4 pages, not including title and reference pages.
• Format: Include a title page and reference page. Use in-text citations to cite your sources. [Example: Writing becomes better as the child matures (Britton, Thomas, & Miller, 1996).]
• Font and size: Times New Roman, 12-point.

3 postsRe: Topic 4 DQ 1

The method of delivery of health care along with regulatory control over the system differ from country to country. Cost-sharing required at point-of-service and range of benefits also vary globally. What is common is the incorporation of private insurance, but the importance varies considerably across nations (The Commonwealth Fund, 2019). According to the Commonwealth Fund’s new 11-country report, the “level of income defines the health care you receive far more in the United States than in other wealthy nations” (The Commonwealth Fund, 2019, para. 1). The study found that U.S. ranked last in providing equally accessible and high-quality health care, regardless of a person’s income. There have been great advances with access and coverage of health care in the U.S. due to the Affordable Care Act, but there are far too many Americans that continue to struggle with access to health care (The Commonwealth Fund, 2019).

The delivery of health care in the U.S. is comprised of a variety of public and private entities (Green, 2018). Government entities and in collaboration with community nonprofit organizations and faith-based organizations comprised the public health system. The private health settings include inpatient, outpatient, ambulatory, long-term care, mental health, home care, wellness center, and alternative care, which are regulated by the overarching governmental agencies (Green, 2018). Payment for medical services can by paid individually but the costs for services may not be feasible for most. Therefore, people rely on health care insurance, an arrangement with the government or private company, that will provide guarantee payment for health care services (Green, 2018). Whether private or public, the person must be eligible for these services. Either or, a person may accrue out-of-pocket costs. Although the percentage of uninsured people have decreased since the passage of the Affordable Care Act, there continues the existence of 28 million people who are uninsured in the U.S. as of 2017 (Berchick, 2018).

Studies have shown that physician-patient relationship that focused on quality and personalized preventive care resulted in positive health care expenditure outcomes and improved health management over a three-year time period (Musich, Wang, Hawkings, & Klemes, 2016). According to the Centers for Medicare & Medicaid Services, the U.S. health care spending increased by 3.9 percent in 2017. This equates to $3.5 trillion or $10,739 per person. Much of the expenditures can be reduced when the focus of health is on prevention and not disease management.

 

This week you reflected upon the difference between a “manager” and a “leader” and discussed this concept with your classmates and professor in the discussion board. In a written essay please answer the following questions:

• What are the differences between leaders and managers? What characteristics are similar and what are different?
• Provide a total of three examples. First, of someone who has great managerial skills. Second, another individual with great leadership skills. Third, another person with poor managerial skills. These can be made up individuals or examples you have seen without any identifying information. Discuss how the staff of each individual would be affected by the skills of the leader/manager.