It is unfortunate that here in The United States, we fall so short concerning our health care system. With advancements in technology and high-tech devices for care, it may seem to some that we, as a country, are providing impeccable health care to our citizens. Providing the best innovations to patients is one thing, but not having access to them is our downfall. Despite the healthcare systems best efforts to ensure everyone has access but enacting programs like what the Affordable Care Act offers, there still were “26% of U.S. adults 19 to 64 years of age had a gap in their insurance in 2011; in 69% of those, the gap lasted longer than a year.” (Carter, 2012)
People lose their access to healthcare for many reasons. In some cases, citizens lose their employment which had previously provided their healthcare their benefits. A study published in 2017 by Nicholas A. Jolly and Brian J. Phelan, reported that an individual without children who lost their job was highly unlikely to seek alternative health insurance coverage that is no longer supplied by their previous employer. (Jolly, N. and Phelan, B., 2017). The reason being they stated is because individuals with children were more likely to be married and could seek alternative insurance through their spouse. (2017) According to the most recently available information provided by kkf.org, even here in Massachusetts, 55% of people were on employer-provided health insurance in 2018. (“Health Insurance Coverage of the Total Population”, 2020)
Another group often experiencing gaps in insurance coverage are young adults. It is said that this particular group sees the most changes in insurance eligibility or changes than anyone else. (Tilley, L. L. et al ,2018). Tilley reports the reasoning behind this instability is “due to transitions in employment, income, college status, or family structure”. (Tilley, L. L. et al ,2018) In a study done in California, many young adults would only realize they did not have health care coverage when they were denied payment coverage for a service they were seeking. (2018)
While the gaps in coverage can be explained by employment changes or the lack of health insurance literacy amongst young adults, it is young children in Florida that are found to be without insurance coverage at all. In 2018, Florida reported a 6.2% rate of children uninsured in its state. (Alker, J. and Wagnerman, K, 2018). While it was stated that this is an all-time low due to the Affordable Care Act, any number of uninsured children should be considered significant. (2018) Alker said, “research shows that expanding Medicaid under the ACA 15 for adults leads to a “welcome mat effect” for children; children were less likely to be uninsured as their parents enrolled in Medicaid through the expansion.” (2018) Increasing the parent’s health insurance literacy could improve the lack of coverage in children.

There is no doubt The United States health care system needs improvement. Understanding the trends of why citizens have gaps in covered and why children are being left uninsured will hopefully have a positive outcome in future decisions regarding the system.

Respond to above article in 200-250 : Give an analysis of the impact on quality of care generated by these coverage gaps and the non-financial barriers to access .

Two APA references

Instructions

Personalities and Communication

Myers-Briggs is a well-known personality typing test that identifies  strong areas of personality. Personality tests can be taken as part of  an interview process or in training to determine your best methods of  communication and how you also communicate with others. Click here (http://www.humanmetrics.com/personality)to take a 72-question personality test. You need to select the Jung Typology TestTM given on the website.

Once completed, click Submit and it provides the four letters that are your strengths in key areas. You may click Results  and the page describes your strengths and areas of need. After knowing  your personality type, answer the following questions by providing  examples to support your thoughts:

• What is your four-letter typing result (ISJT) and what conclusions did you  come to in terms of agreeing if it accurately describes your overall  personality?
• Knowing this information, how will it help you communicate with  someone who has the “opposite” personality type as you? How will you  adjust your personality to better communicate with another individual?
• If you are a manager, how will this information about your staff  members help you improve communication when providing instructions,  directions, or presentations?
• What leadership traits are your strengths and what areas will you need to develop to be an effective leader?
• How will you motivate your staff if there is a mix of various  personalities and each member may be motivated by different measures?
• How will you take the results and work to improve communication methods in the workplace?

Submission Details:

• Support your responses with examples.
• Cite any sources in APA format.

Research one of the three theories (presented in Chapter 18) for planned change and how that process could be applied to a real nursing change situation.

Be sure to apply concepts from the readings and research. You must cite (with reference) at least one source: your textbook, scholarly resources, or ATI textbook (no blogs, Wiki, or other school of nursing website) in current APA Style.

Based on the required topic study materials, write a reflection about worldview and respond to following:

1. In 250-300 words, explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care.
2. In 250-300 words, explain what scientism is and describe two of the main arguments against it.
3. In 750-1,000 words, answer each of the worldview questions according to your own personal perspective and worldview:
   1. What is ultimate reality?
   2. What is the nature of the universe?
   3. What is a human being?
   4. What is knowledge?
   5. What is your basis of ethics?
   6. What is the purpose of your existence?

Remember to support your reflection with the topic study materials.

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.

“Professional Roles and Responsibilities”

Family nurse practitioners (FNPs) are graduate-educated, nationally-certified and state licensed advanced practice registered nurses (APRNs) who care for medically stable patients across the lifespan, from infants to geriatric patients.

Share your thoughts

1. What are the educational requirements to practice as a FNP?
2. According to the American Association of Colleges of Nursing (AACN), what is the recommended terminal degree to prepare nurse practitioners.
3. Who determines the scope of practice for FNPs?
4. Who defines it? Who Credentials and what is the role of a Professional and Political Organization in defining the role?

Discussion Grading Criteria:Agreeing and disagreeing do not mean just voicing one’s opinion. The focus of the discussions should remain on the ideas posed in the readings. Agreeing and disagreeing mean making scholarly arguments from the literature that may support your own ideas. Faculty expects you to support your ideas from the readings or similar scholarly writing about the topic in nursing literature. Always cite your source(s).