As a nurse, you serve an important role in identifying strategies to effectively manage health care resources and in leading health care quality improvement. You must be able to decide what leadership style or strategy to apply in a given situation to achieve an effective resolution of the issue. Read the following two scenarios and select one to focus on in this Discussion. Consider the leadership style or strategy that might be most effective in the scenario you selected.

Scenario 1

You work in a for-profit nursing home, with about 100 beds, on a 20-bed unit that is largely patients with Alzheimer’s disease. Your patient mix is predominantly Medicare and Medicaid patients. Your nursing home is part of a larger system that includes a major medical center, as well as VNA, outpatient dialysis, and a fully integrated network. Your nurse manager is getting feedback from the hospital that your nursing home is sending too many patients to the ED who really don’t need to go. How would you go about figuring out what could be done at the nursing home to prevent avoidable ED visits?

Scenario 2

You’ve been associated with an outpatient cardiology clinic that is part of a large academic medical center. Your patients are mostly charity care and managed Medicaid. Most have a prescription plan, but none have a “family doctor” and use the clinic (and the ED) regularly. Most are unfamiliar with their medications and do not have the resources for care coordination in their family/social network. About 25 CHF patients have been “lovingly,” but inappropriately, called “frequent fliers” because of their inability to manage their own care, their frequent visits to the ED, and their “one night stays” paid at the observation rate. As a staff nurse in this clinic, describe the strategies you could devise for you and your fellow staff nurses targeting these 25 patients. Find at least one article from the professional literature to corroborate your recommendations.

By Day 3

Select one of the scenarios, and post the following:

Describe the most appropriate leadership style and/or strategy to apply in the scenario you chose in order to implement the recommendations successfully. Justify your selection.

Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist)

Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. 

  

The final step is to develop the plan discussing the steps clearly and succinctly. The plan must be evidence based .

By Day 4

Post an explanation of how you could apply key interventions supported by the scholarly research evidence to potentially help resolve the issue in measurable ways. Continue to collaborate with the selected individuals in your practice environment as needed in the development of the Practice Experience Project, and share this information with your group.

work on an Agenda Comparison Grid to compare the impact of the current/sitting U.S. president and the two previous presidents’ agendas on the healthcare item you selected for study. In this Discussion, you will share your first draft with your colleagues to receive feedback to be applied to your final version. APA citation and reference

 

• Review the Resources and reflect on the importance of agenda setting.
• Consider how federal agendas promote healthcare issues and how these healthcare issues become agenda priorities.
• Review Part 1 of the Module 1 Assignment and complete the requirements for this Discussion.

he Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page Fact Sheet)

Part 1: Agenda Comparison Grid

 

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

• Chapter 1, “Informing Public Policy: An Important Role for Registered Nurses” (pp. 11–13 only)
• Chapter 2, “Agenda Setting: What Rises to a Policymaker’s Attention?” (pp. 17–36)
• Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 171–180)
• Chapter 12, “An Insider’s Guide to Engaging in Policy Activities”
  • “Creating a Fact Sheet” (pp. 217-221)

Purpose:

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.

Directions:

1. 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

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

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

Watch the “Diary of Medical Mission Trip” videos dealing with the catastrophic earthquake in Haiti in 2010. Reflect on this natural disaster by answering the following questions:

1. Propose one example of a nursing intervention related to the disaster from each of the following levels: primary prevention, secondary prevention, and tertiary prevention. Provide innovative examples that have not been discussed by previous students.
2. Under which phase of the disaster do the three proposed interventions fall? Explain why you chose that phase.

Research the range of contemporary issues teenagers face today. In a   500-750-word paper, choose one issue (besides teen pregnancy) and   discuss its effect on adolescent behavior and overall well-being.   Include the following in your submission:

1. Describe the contemporary issue and explain what external     stressors are associated with this issue.
2. Outline     assessment strategies to screen for this issue and external     stressors during an assessment for an adolescent patient. Describe     what additional assessment questions you would need to ask and     define the ethical parameters regarding what you can and cannot     share with the parent or guardian.
3. Discuss support options     for adolescents encountering external stressors. Include specific     support options for the contemporary issue you presented. 

Prepare this assignment according to the guidelines found in the APA   Style Guide, located in the Student Success Center. An abstract is not required.