Policy and State Boards of Nursing

Within the far-reaching and multi-layered realm of policy and reform, government at the state level plays an essential role. Consider the federally enacted PPACA’s individual mandate which sought to increase the number of consumers who receive insurance coverage and, therefore, greater access to care. In a system that is already stretched beyond capacity and confronting a nursing shortage, how can the health care system meet this increased demand? Since state boards of nursing determine scope of practice, it is important to stay up to date and current with the policies and regulations that are created by the state board of nursing.

To prepare:

• Review      the Thomas, Benbow, and Ayars article and the Watson and Hillman article      focusing on how states regulate advanced nursing practice and how      legislative changes are impacting scope of practice.
• Visit      your state board of nursing website and/or contact the board to determine      how the state board controls advanced practice through regulations (google mbon.org for my state board      of nursing)
• Determine      if your state board has created any new policies or regulations that      address changes to scope of practice in response to legislative changes.

By tomorrow 04/25/2018 10am, write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Include the level one headings as numbered below”

Post a cohesive response that addresses the following:

1) What are the most recent regulations promulgated through your state board of nursing for advanced practice?

2) How are the state regulations supported within your place of employment? (google mbon.org for my state board of nursing)

3) How do the states differ in terms of scope of practice? What impact does this have on professional nurses across the United States?

Required Readings

Chen, A. S., & Weir, M. (2009). The long shadow of the past: Risk pooling and the political development of health care reform in the States. Journal of Health Politics, Policy & Law, 34(5), 679–716. 

The authors provide an analysis of varying state health care policies, with a basic premise that health care risk is either “pooled”—shared, or “actuarial”—segmented by risk level. Most states have taken a segmented approach to health care, and therefore, have not solved health care issues such as rising costs and access to care. The authors maintain that federal action is needed to create a uniformed approach to health care.

Junghee, L. (2009). Cultural, social, and political influences on state-level indigent health care policy formation. Journal of Policy Practice, 8(2), 129–146.

This article provides details on a 50-state study of Medicaid spending. The authors concluded that political and economic factors can positively predict individual state Medicaid spending, and that actual need has a negative impact on spending. In conclusion, a uniform, federal structure may be the only method to ensure equal access to Medicaid.

Mills, A., Engelhard, C. L., & Tereskerz, P. M. (2010). Truth and consequences—Insurance-premium rate regulation and the ACA. New England Journal of Medicine 363(10), 899–901.

O’Connor, J. C., MacNeil, A., Chriqui, J. F., Tynan, M., Bates, H., & Eidson, S. K. (2008). Preemption of local smoke-free air ordinances: The implications of judicial opinions for meeting national health objectives. Journal of Law, Medicine & Ethics, 36(2), 403– 412.

Sommers, B. (2010). Enrolling eligible children in Medicaid and CHIP: A research update. Health Affairs, 29(7), 1350.

The enrollment and retention of eligible children in Medicaid and Children’s Health Insurance Program (CHIP) is a health care concern. The article concludes that some state processes have mitigated this issue but other requirements, such as providing citizenship documentation, may have a detrimental effect. Therefore, these concerns should be incorporated into the implementation on PPACA of 2010.

Thomas, M. B., Benbow, D. A., & Ayars, V. D. (2010). Continued competency and board regulation: One state expands options. Journal of Continuing Education in Nursing, 41(11), 524-528. 

The authors use the changes instituted by the state of Texas in regard to the licensing of nurses to illustrate the need to adapt state licensing requirements to the changing diversity and scopes of practice among nurses.

Watson, E., & Hillman, H. (2010). Advanced practice registered nursing: Licensure, education, scope of practice, and liability issues. Journal of Legal Nurse Consulting, 21(3), 25–29.

The expanded role of the advanced practice nurse has led to changes in licensure, education, certification, and scope of practice definitions. The author points out that this expanded role has led to increased liability and accountability concerns as well.

Yue, L., Harrington, C., Spector, W. D., & Mukamel, D. B. (2010). State regulatory enforcement and nursing home termination from the Medicare and Medicaid programs. Health Services Research, 45(6p1), 1796-1814. doi:10.1111/j.1475-6773.2010.01164.x

Those nursing homes receiving Medicare and Medicaid funding are subject to strict quality and safety regulations. This article examines the consequences of enforcing those federal quality standards.

  

Optional Resources

Wieck, K. L., Oehler, T., Green, A., & Jordan, C. (2004). Safe nurse staffing: A win-win collaboration model for influencing health policy. Nursing Education Perspectives, 31(3), 160-166.

People of French Canadian Heritage.

People of German Heritage.

Read chapter 14 and 29 of the class textbook and review the attached Power Point presentations.  Read content chapter 29 in Davis Plus Online Website.  Once done present a minimum of 600 words essay (excluding the first and reference page) explaining the evolution of health care beliefs of this these two heritage and explain if there is any similarity with the delivery of health care here in United States. Essay must have a minimum of three evidence based references excluding the class textbook and must be presented in an APA format, word document, Arial 12 font attached to the forum in the discussion tab of the blackboard title “Week 7 essay”.  

You must post at least two replies to any of your peers essay sustained with the proper references.  Essay will not be accepted via email.  

Choose a health care treatment option that is controversial and maybe costly.

In this assignment the controversial treatment is ” Bariatric Surgery”

Describe the positive and negative benefits from the treatment, evidence of effectiveness, and the potential harm of a different treatment option.  

1.Introduction:   Choose a controversial health care treatment option. 

Describe the treatment.

 2. Describe the social and legal controversy associated with your controversial treatment.

 3. Describe the evidence that supports the effectiveness of the controversial treatment.

 4. Describe the evidence that does not support the effectiveness of the controversial treatment.

 5. Compare and contrast the positive and negative benefits or harm of the controversial treatment.

This assignment follows APA Style, Times New, Romans, font 12, Original Please, No Pleagerism, with references  (2012-2017) and in text citations.  Check with turnitin.  Thank you

Nurse Leader Only 🙂

 

 

for 1-2 page Essay,  

 

Must Have: Evidenced Based Source Citation

 

Subject: MSN Essential V: Nursing Informatics

 

Three Questions:

Nursing Leadership & Management  RN-MSN—APA

Please review the Masters Essential V: Informatics and Healthcare Technologies: Recognizes that the master’s-prepared nurse uses patient-care technologies to deliver and enhance care and uses communication technologies to integrate and coordinate care.

1)   How does the use of data mining, EHRs/EMRs, Telehealth and the use of technology in nursing education and research influence the decision-making process?

2)   What are some benefits and consequences of the growing use of technology in healthcare settings to address the complex care-related issues, with which providers are often faced? 

3)   Provide current scholarly and evidence-based sources to support your discussion.

NR 512 – Fundamentals of Nursing Informatics 

(Chamberlain College of Nursing)

 

NR 512 Week 5 TD 1 Knowledge Generation Through Informatics

What are informatics-related possibilities to accelerate the generation and uptake of new nursing knowledge? How can informatics help nurses become more knowledgeable?

 

NR 512 Week 5 TD 2 EHR – Pros and Cons 

Explain to a colleague or patient/client, with evidence, a benefit and a risk of using EHRs.