In this assignment I need a peer response for the main discussion, that show below.

The peer’s responses

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) and reference in APA format.

Remember the post and responses should include scholarly writing about the topic in nursing literature.

Note por the professor:

Hello class,

Please refer to your APA format in your postings. The journal name and volume is italicized font. Ex.

…The American Nursing Journal,7(9),,,,

Please update your APA to reflect doi 

Amely Perez Cicili

Advanced Family Practicum III

The application of national health reform with millions of people receiving health insurance service is increasing the current challenges facing primary care. A major issue focuses on how to rise capacity while improving superiority and cost efficacy. Policy makers and researchers are suggesting innovative approaches to guarantee the system is ready as more people are gaining access (Barnes & Novosel, 2018). While some strategies seek to increase the number of primary care providers (PCPs), others seek to encourage efficient use of existing providers. As providers, Nurse Practitioners have faced some challenges in their scope of practice. Three of these challenges are the autonomy in practice, the teamwork with physicians, and limited prescriptive authority.

State and organizational policies generate misunderstanding around NP roles. In some states, regulations require NPs to collaborate or be supervised by physicians, whereas in other states, these regulatory requirements have been removed by policy makers. Similarly, some organizations restrict NP practice or fail to provide necessary support so NPs can maximally contribute their advanced skills to teams. On the other hand, teamwork between NPs and physicians in primary care has received care due to their overlapping scopes of practice and the fact that lack of agreement exists between them about their respective roles. On the contrary, when patient care suffers, fragmented teamwork and poor collaboration and communication between team members are often found to be contributing factors (Poghosyan, Shang, Liu, et al.,2015).

Limited right for prescription and referral challenged the development of APN scope of practice. Some people believe that only a physician should be allowed to diagnose, refer, or treat any medical condition. Independent prescribing by a NP does not require collaboration with a physician and is a key element of scope of practice for NPs, as well as being part of the APRN Consensus Model, which seeks to achieve uniformity of state regulation of APRN practice. However, regardless of the existence of the consensus model, there are extensive disparities among the states with respect to prescriptive authority. In some states, prescriptive authority is granted at the time of APRN licensure; in others, the APRN must apply separately for these privileges. (Gardner, Chang, & Duffield, 2012).

References:

Barnes, H., Novosel, L. M. (2018). A scoping review of nurse practitioner workforce data: Part Two of a four-part series on critical topics identified by the 2015 Research Agenda Roundtable. Journal of the American Association of Nurse Practitioners. Advance online publication. doi:10.1097/JXX.0000000000000069.

Gardner, A., Chang, C., & Duffield, A. D. (2012). Delineating the practice profile of advanced practice nursing: a cross-sectional survey using the modified strong model of advanced practice. J Adv Nurs, 69 (9), pp. 1931-1942. Google Scholar

Poghosyan, L., Shang, J., Liu, J., Liu, N., et al. (2015). Nurse practitioners as primary care providers: creating favorable practice environments in New York State and Massachusetts. Health Care Manag Rev;40(1):46–55. doi: 10.1097/HMR.0000000000000010. [PubMed] [CrossRef] [Google Scholar]

Your comments will be graded on how well they meet the Discussion Requirements posted under “Before You Begin.”

For this discussion, please do the following before responding to the discussion questions:

1. Go to Centers for Disease Control and Prevention’s Solve the Outbreak application at https://www.cdc.gov/mobile/applications/sto/web-app.html
2. Select “Level 1” outbreaks.
3. Choose one of the 12 outbreaks to solve and select “Start”.
4. Read the “Your Mission” and select “I accept this mission.”
5. Review each clue in the investigation and answer the questions correctly to solve the outbreak.

In your discussion post:

1. Identify the outbreak you had chosen to solve.
2. Discussed how you rate as a disease detective based on points earned in the game?
3. Discuss what factors you examined to determine the occurrence of the outbreak.

Students are expected to initially address the discussion question by Wednesday of each week.

nursing

Description

Instructions

It is anticipated that the initial discussion response should be in the range of 250-300 words. Response posts must demonstrate topic knowledge and scholarly engagement with peers. This is not the only criteria utilized for evaluation; substantive content is imperative. All questions in the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments. All responses need to be supported by a minimum of one scholarly resource. Journals and websites must be cited appropriately. Citation and reference must adhere to APA format.

Classroom Participation

Students are expected to initially address the discussion question by Wednesday of each week. Participation in the discussion forums is expected with a minimum total of three (3) substantive postings (this includes your initial posting and posting to two peers) on three (3) different days per week. Substantive means that you add something new to the discussion, you aren’t just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion and should be correlated to the literature.

All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion you will not receive these points, you may however post to your peers for partial credit following the guidelines above. Due to the nature of this type of assignment and the need for timely responses for initial posts and posting to peers, the Make-Up Coursework Policy (effective July 2017) does not apply to Discussion Board https://homeworkharbour.info/papers Participation.

Discussion Prompt [Due Wednesday]

o Based on your experiences and readings, analyze the roles, empowerment of patients, and values needed to be an effective nurse advocate and policy player.

o Discuss the APN role as a change agent. 

o Provide an example of a time that you have acted as an advocate or a situation that you are familiar with that involved an APN acting as an advocate.

o Additionally, address how the APN role is implemented at an organizations, state, and national level.

o The text discusses the limited evidence base for the credibility of advocacy, in your opinion does it work?

o Why or why not? Support your thoughts with evidence.

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with citations and references in APA format. https://homeworkbay.info/content/

Please review the rubric to ensure that your response meets the criteria.

Estimated time to complete: 2 hours

Discussion Peer/Participation Prompt [Due Sunday]

Instructions:

Please respond to at least 2 of your peer’s posts.  To ensure that your responses are substantive, use at least two of these prompts:

o Do you agree with your peers’ assessment?

o Take an opposing view to a peer and present a logical argument supporting an alternate opinion.

o Share your thoughts on how you support their opinion and explain why.

o Present new references that support your opinions.

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with citations and references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Estimated time to complete: 1 hour

Instruction Files

Unit3Discussion1.docx

28.0 KB

 Find a study published in a nursing journal in 2010 or earlier that is described a s a pilot study. Do you think the study really is a pilot study, or do you think this label was used inappropriately? Search forward for a larger subsequent study to evaluate your response. APA style, 250 words. Scholarly citation required. 

To BMI or not to BMI—What the issues are

The calculation of Body Mass Index (BMI) is an important measurement  tool for determining relative disease risk for preventable conditions  like type 2 diabetes, hypertension, and heart disease. These conditions  may be controlled and/or prevented by maintaining a healthy weight  relative to height. For instance, the higher the BMI number above the  normal range (18-25), the greater the degree of overweight.

National indicators for obesity, as determined by the BMI report that  women are more likely to have higher BMI’s in comparison to men. In  addition, minority women including African Americans, Hispanics, and  Asian Americans are more likely to have a higher BMI in comparison to  white women. However, recent research suggests that current standards  for measuring BMI may not be accurate for African American women. Read  the article “Ethnic-Specific BMI and Waist Circumference Thresholds” and  create a 4- to 5-page report in Microsoft Word document that covers the  following:

• Explain why the current BMI scale may not be an accurate measure of obesity for African American women.
• How can these findings impact the manner in which physicians  communicate with their female patients about weight loss and disease  prevention? In your explanation, be sure to describe at least one  positive and one negative implication that these findings might have on  how physicians counsel their female patients regarding weight-loss.
• What influence might these findings have on societal perceptions of body image and weight loss?
• Explain how an accurate perception of body image is associated with appropriate weight-control behavior.
• What social and cultural factors influence African American women’s risk of becoming obese?
• What role do the media play in promoting healthy eating behaviors in women and girls?
• What can be the implications for healthcare policy as a result of the findings of the study?

Submission Details:

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