In this assignment, you will assess the impact of health legislation on nursing practice and communicate your analysis to your peers. GovTrack.us provides a list of federal health bills that are currently in process in Congressional Committees.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

• CO 4: Integrates clinical nursing judgment using effective communication strategies with patients, colleagues, and other healthcare providers. (PO 4)
• CO 7: Integrates the professional role of leader, teacher, communicator, and manager of care to plan cost-effective, quality healthcare to consumers in structured and unstructured settings. (PO 7)

Points

The assignment is worth 175 points.

Due Date

Submit your completed assignment by Sunday of Week 3 by 11:59 p.m. MT.

Directions

1. Please review the infographic as way to guide you in getting started with your assignment: Developing an Assignment with Integrity (Links to an external site.)
2. View a short tutorial with tips for completing this assignment: Healthcare Policy Assignment Tutorial (Links to an external site.) 

https://lms.courselearn.net/lms/video/player.html?video=1_l6662529

1.  (Links to an external site.)This assignment will be in the format of a PowerPoint presentation (Bullet points may be used).
2. You are educating your peers through this presentation regarding a federal bill you believe may be of interest to nurses.
3. Go to https://www.govtrack.us/congress/bills/subjects/health/6130 (Links to an external site.)
4. Choose a health-related federal bill of interest. Read through the bill and develop a summary in your own words. Include the bill number and name.
5. Here is a link to our U.S. legislative process (bill to law) for review, if needed: https://www.congress.gov/legislative-process (Links to an external site.)
6. For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft Office 365 Training (Links to an external site.) may be helpful.
7. Include the following information in your presentation
   • Title slide (Your name, NR451, session, Healthcare Policy assignment)
   • Bill name and number (indicate either H.B. or S.B.)
   • Bill summary (in your own words)
   • Address how this bill might impact professional nursing practice standards if passed? If not passed?
   • How might the bill impact your own nursing practice?
   • How might you communicate your concerns about or support for this bill based on nursing practice, standards, or patient outcomes?
   • How might this bill impact your community?
   • References slide to include the Bill source in APA format.
   • No more than 12 slides

Template

There is no required form or template for this assignment. Please use PowerPoint best practices throughout your presentation.

Best Practices

The following are best practices in preparing this presentation.

• Review directions and rubric thoroughly prior to beginning assignment.
• Watch the short video tutorials on tips for completing the assignment and on developing a PowerPoint. Incorporate graphics, clip art, or photographs to increase interest.
• Make slides easy to read with short bullet points and large font.
• Please see the grading criteria and rubrics on this page.
• Please use your browser’s File setting to save or print this page.

Scholarly Sources and Citations

• Cite all sources on the appropriate slides with (author, year) as well as on the Reference slide.
• Spell check for spelling and grammar errors prior to final submission.

Topic 1

To access the South University Online Library, go to Course Home > Academic Resources > Library > Launch Library. Search the database to identify a nursing research study that could make a difference in patient care. Present the study and discuss the potential impact on nursing practice and/or patient care.

Topic 2

Identify the three phases of the nurse-patient relationship and discuss how the phases can be helpful in communicating effectively to patients, patients’ families, and other healthcare professionals. Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below.

By the end of the week, comment on at least two of your peers’ responses. You can ask questions or respond generally to the overall experience. Be objective, clear, and concise. Always use constructive language, even in criticism, to work toward the goal of positive progress. All comments should be posted to the Discussion Area.

Advocating for Public Health Policy

Imagine that you have been chosen to represent a public health advocacy group as they begin a campaign to get legislation related to a health issue passed in your state legislature. You have been tasked with the role of presenting a proposed policy to the legislature and advocating that the legislature vote for the policy. You have been told that you will have 10 minutes to present to the legislature. Your presentation should be informative, but also persuasive. The legislature will need to make a decision about whether or not to vote for the policy based on your presentation. Your presentation should be structured exactly as if you were “live” in front of the legislature advocating for them to adopt the policy you are proposing. 

For your assignment, you will need to select a public health topic of interest to you (you are encouraged to choose one related to your academic major or intended field of work) and a public health policy related to addressing the topic. You may select an actual proposed policy or create one that you think would effectively address the topic. Your presentation should provide enough information about the topic and the proposed policy that a reasonably educated legislator should be able to make an informed decision. Be sure to consider the various questions that a legislator might have about the issue and proposed policy, such as long-term costs and benefits, potential effects on business and industry (especially those that support politicians’ campaigns), and how the policy will support the health and productivity of state residents.

For this assignment, you should create an approximately 10 minute presentation* that addresses each of the following points:

• Discuss the public health issue that your proposed policy is intended to address. Questions to consider:
  • Who does this health issue affect?
  • What is the impact of this health issue on the community?
  • Why does this health issue need to be addressed?
• Explain the proposed public health policy. Questions to consider:
  • Who will be affected by this policy?
  • How will this policy address the health issue?
  • What will change by enacting this policy?
• Evaluate the impacts of the proposed policy. Questions to consider:
  • What are the costs and benefits of the policy?
  • What are the risks of enacting or not enacting the policy?
  • How will the lives of people who are affected by the health issue change if this policy is enacted?
• Create an influential presentation that affects voting behaviors of legislators. Questions to consider:
  • What information about this policy would potentially affect the voting behavior of legislators from across the political spectrum (eg. conservative, moderate, liberal, progressive; particularly those who might not support the policy based on political orientation)?
  • What are the most important messages that legislators need to hear about this policy?
  • How would the constituents of the legislators voting for this policy feel about this policy and a legislator who votes for it?
  • What information would a legislator need to “sell” the policy to consitutents who were perhaps not in favor of adopting the policy?

*Note: Your presentation can be created using screencast software on your computer, the camera and microphone on your computer or handheld device, or the voice recording functions within a presentation program (like PowerPoint). Please see the announcement posted in Week 2 for more information on how to create effective presentations using one of these methods.

The Advocating for Public Health Policy assignment

• Must be an approximately 10 minute long formal presentation recorded as a video, screencast, or using the voice recording functions in a presentation program.
• Must include a separate title page with the following:
  • Title of paper
  • Student’s name
  • Course name and number
  • Instructor’s name
  • Date submitted
• Must use at least three scholarly sources in addition to the course text.
• Must document all sources in APA style as outlined in the Ashford Writing Center.
• Must include a separate reference page that is formatted according to APA style as outlined in the Ashford Writing Center.
• If the assignment is submitted as a video or screencast, your submission (via Waypoint) should be a document with the title page, a page that lists the URL of the presentation, and a page with your references. If the assignment is submitted as a voice recording within a presentation program, you should upload the slides from your presentation, and ensure that the first slide includes the information with the title page (as listed above) and a last slide that includes the references.

Case Studies, Chapter 21, Nursing Management of Labor and Birth at Risk

1. Laura is a 26-year-old G2P1 who had a cesarean delivery for fetal distress with her first pregnancy. Laura is now struggling with deciding between a repeat cesarean delivery or attempting a VBAC. (Learning Objective 9)

a. In order to ensure that Laura has the facts to assist her in her decision, explain the risks of a repeat cesarean deliver

b. Laura can’t understand why more women don’t want to try a VBAC delivery. Discuss the possible reasons for this.

c. Describe the management of care for a woman attempting a VBAC delivery.

Antepartum Case Studies 

As you provide answers to the questions in the following case studies below please refer to your Essentials of Maternity, Newborn, and Women’s Health Nursing textbook’s Chapter 19 and 20 to provide you with pertinent information in reference to these cases.

Each of the objectives listed in the following case studies are in reference to those found in the textbook chapters listed alongside the case studies heading.

Please use this document as your template and insert your responses after each question in a different color or font. 

Case Studies, Chapter 19, Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications

1. Teresa is a 36-year-old primigravida who is expecting twins. She is 26 weeks pregnant. She stays after your “What to Expect with Twins” class to talk to you. Although Teresa is a nurse, she has many questions and concerns. Her twins are a result of years of trying to get pregnant and in vitro fertilization. She is nervous about whether she will have a vaginal delivery or a cesarean section. She is worried about having the babies prematurely. She wants you to tell her everything that could go wrong so she can be prepared. (Learning Objectives 1, 2, 4, and 5)

a. Why is Teresa’s pregnancy considered a high-risk pregnancy?

b. Discuss potential pregnancy-related complications for Teresa.

c. Discuss the potential risks to the babies.

(1) 150 words citation references

Nola Pender’s health promotion model is used to promote health behaviors by observing the family dynamics and promoting interventions that affect the family unit. The model has three main concepts. The first is that people are basically a sum of their parts, their individual biological makeup and their past experiences. Second, they have developed beliefs and characteristics based upon their interpersonal environment. The final concept is the goal, which is health promotion. The nurse is a part of the interpersonal experience, as well as the family. The individual’s perception of self-efficacy can be based on emotions related to past success or failures, the presence or absence of positive role models, and the presence of health disparities that can compete with the behavior change (Nursing Theories, 2011).

Pender’s model can help in teaching behavioral change, because it considers the multitude of dynamic forces at work in an individual’s life.  According to the theorist, when a person’s interpersonal environment becomes supportive and positive, there is a greater chance of patient compliance. For incidence, if the person is a new onset diabetic and their family is not supportive with diet changes and do not modify the family meals, the patient is less likely to be compliant with their new diet. 

Disparities such as age, socioeconomic status, educational level, disability, race, culture, or religious beliefs can affect a patient’ ability to learn. These factors can compete with the patient’s ability to participate in health promoting behaviors or limit access to health promotion resources. For instance, a person with limited English speaking ability may not have health promotion resources available in their native language (Whitney, 2018). 

According to the transtheoretical model, change is based upon a person working through six stages. Change occurs when a person has had time to contemplate and make up their mind to take action (Whitney, 2018). People can be unwilling to change for many reasons. They might not be cognitively capable, physically ready, or psychologically ready (Ashton & Oermann, 2014). For example, newly diagnosed patients are often in denial or have not accepted the diagnosis, so they may not be willing to intitally learn about their condition or their care. Another example, is when a parent of a child with a TBI is still grieving and may leave the room when their child needs to be cathed, toileted, or connected to a feeding pump. In this case, patient teaching that includes the parent’s active participation in their child’s care is not the focus. 

Ashton, K., & Oermann, M.(2014). Patient education in home care: strategies for success. Home Healthcare Now,32(5),288-294. Retrieved from https://www.nursingcenter.com/journalarticle?Article_ID=2460148&Journal_ID=2695880&Issue_ID=2460020

Nursing Theories. (2011). Health promotion model. Retrieved from http://currentnursing.com/nursing_theory/health_promotion_model.html

Whitney, S. (2018) Teaching and learning styles. In Grand Canyon University (Eds.), Health promotion: health & wellness across the continuum. Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/1

(2) citation references 150 words

Bandura’s Self efficiency theory of behavior change is a health promotion model that was made the model by Albert Bandura. This model focused on the feelings of self-efficacy can lead to competency (Whitney, 2018). Bandura believed that patients/individuals have the power to bring their own outcomes to fruition. Its stated that there are three factors influence self-efficacy which are behaviors, environment, and personal/cognitive factors. The theory focuses on “…how learning is influenced by repetition, reinforcement, and symbolic modeling.” (Whitney, 2018). This model helps by giving power to the patient in changing their outcomes and behaviors.

Some barriers that effect a patient’s ability to earn and language, environment, socioeconomic status, illness and the patient’s readiness to learn. Language is an obvious barrier to learning, if a patients first language isn’t English and the nurse who is caring for said patient only speaks English there is going to be an inability to teach/learn. In this situation the use of translators and informational and educational packets/ videos in the patients preferred language are helpful and overcoming this barrier. The environment in which learning or teaching is done is also very important. If the environmental is full of distraction, loud noises, family members and nurses in and out or even a roommate it can cause the patient to ot focused on the teaching that is taking place. Nurse must ensure that before teaching is done that the environment is prepared. This involves elimination of all distractions, turning of the tv, having family members and staff exit the room and so on.

If a patient isn’t ready to learn or change the teaching is useless. Attitude and behaviors are one of the biggest factors in not just healing but learning as well. When patients aren’t ready or willing, the information they receive won’t be absorbed or it will be ignored which will lead to possible worsening of the patient’s illness and negative outcome. A Nurse has to ensure the patient is in the right mindset to learn, receive information and change. This can be done be a simple readiness to learn assessment by the nurse.

References

Whitney, S. (2018) Health Promotion: Health & Wellness Across the Continuum. Grand Canyon University. https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/1