What are some economic reasons for the current expanding nursing workforce? What are four uncertainties that threaten the nursing workforce? How does the ACA affect the nursing workforce according to this article?

The focus of this module’s discussion is to explore policy that relates to nursing workforce. You will think in depth about staffing, technology, and other factors that are and can be regulated through policy that impact nursing workforce.

Discussion Board Items:

In your assigned readings for this module, it is not clear whether the California staffing regulations have improved patient outcomes.

Studies do show that nurse satisfaction has improved and nurses perceive they are providing better care. Is improving nurse satisfaction a sufficient reason to establish regulation as done in California? Why or Why not?

The American Nurses Association has made a stand on staffing regulations for registered nurses. What is their stance? Name two reasons that the ANA present to support their position.

What are your thoughts on the ANA position?
Several studies have suggested that hospitals responded to staffing regulations by reducing staffing of non-RN personnel.

What might be the benefits AND the consequences of reducing non-RN staffing?
Are you in favor of federal regulation for staffing levels? Provide a rationale.

How can nurses inform and influence the development of health policy related to information technology?

How does the use of information technology in health care affect reimbursement in nursing?

According to Auerbach et al. (2013) the foundation of the US healthcare delivery system is the workforce of Registered Nurses.

What are some economic reasons for the current expanding nursing workforce? What are four uncertainties that threaten the nursing workforce? How does the ACA affect the nursing workforce according to this article?

https://govt.westlaw.com/calregs/Document/I8612C410941F11E29091E6B951DDF6CE?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData=(sc.Default)

https://govt.westlaw.com/calregs/Document/IEB62D7F0D4BB11DE8879F88E8B0DAAAE?originationContext=Search+Result&listSource=Search&viewType=FullText&navigationPath=Search%2fv3%2fsearch%2fresults%2fnavigation%2fi0ad62d3400000164e19979a5f9d7099d%3fstartIndex%3d1%26Nav%3dREGULATION_PUBLICVIEW%26contextData%3d(sc.Default)&rank=1&list=REGULATION_PUBLICVIEW&transitionType=SearchItem&contextData=(sc.Search)&t_T2=70225&t_S1=CA+ADC+s&bhcp=1

https://govt.westlaw.com/calregs/Document/IFAA0F940D4BB11DE8879F88E8B0DAAAE?originationContext=Search+Result&listSource=Search&viewType=FullText&navigationPath=Search%2fv3%2fsearch%2fresults%2fnavigation%2fi0ad62d3400000164e19169e7f9d708e3%3fstartIndex%3d1%26Nav%3dREGULATION_PUBLICVIEW%26contextData%3d(sc.Default)&rank=1&list=REGULATION_PUBLICVIEW&transitionType=SearchItem&contextData=(sc.Search)&t_T2=70455&t_S1=CA+ADC+s

Identify an appropriate congressional leader about a selected population health issue in your nearby community.

Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act

There are no federal mandates regulating the number of patients a registered nurse can care for at one time in U.S. hospitals.

As a result, registered nurses (RNs) are consistently required to care for more patients than is safe, compromising patient care and negatively impacting patient outcomes.

This legislation would protect patients and improve health care by setting mandated, minimum, registered nurse-to-patient staffing ratios.

Identify an appropriate congressional leader about a selected population health issue in your nearby community.

You will need to research the official and explain why you chose to contact them (have they historically opposed or supported your selected population/issue? Are they involved in any committees/projects that might influence this population/issue?).

You may contact any nursing advocacy organization for related topics and/or legislative bills for information also.

You will then, write a one-page letter (not to be sent necessarily) to the identified congressional leader introducing yourself, giving

a brief summary with statistical/scientific support about the issue you are addressing. Finally, you must describe your suggested solution to the issue and what you desire the leader to do concerning it.

You must use three (3) scholarly resources in your research and submit the worksheet along with the letter for grading.

Once you have received feedback from the professor, this piece should be uploaded to the Completed e-portfolio in ProjectConcert.

You will not be graded on uploading each piece to the e-portfolio separately, but at the end there will be an overall grade for the completed e-portfolio.

It is in your best interest to become familiar with the technology early so that you are not struggling to catch up in the end. You can log in to ProjectConcert at: https://secure.projectconcert.com/frostburg/ (Links to an external site.).

You will be prompted to pay if you have not done so already. In Module 1 of this course there is an overview of ProjectConcert, it purpose, and student user guide.

Points Possible

Criteria

20

Introduce self and explain why you are contacting this official.

20

Write a brief summary of the community issue.

20

Use statistical/scientific support in favor of your opinion (3) scholarly resources.

20

What is your suggested solution along with what you are asking the official to do?

20

Correct spelling, grammar, and APA format for a formal letter.

Criteria Ratings Pts
This criterion is linked to a Learning OutcomeIntroduction
Introduce self and explain why you are contacting this official.
20 to >10.0 pts
Proficient
10 to >5.0 pts
Competent
5 to >0 pts
Advanced Beginner/Novice
20 pts
This criterion is linked to a Learning OutcomeSummary of Issue
Write a brief summary of the community issue.
20 to >10.0 pts
Proficient
10 to >5.0 pts
Competent
5 to >0 pts
Advanced Beginner/Novice
20 pts
This criterion is linked to a Learning OutcomeSupport for the Issue
Use statistical/scientific support in favor of your opinion (3) scholarly resources.
20 to >10.0 pts
Proficient
10 to >5.0 pts
Competent
5 to >0 pts
Advanced Beginner/Novice
20 pts
This criterion is linked to a Learning OutcomeSolution
What is your suggested solution along with what you are asking the official to do?
20 to >10.0 pts
Proficient
10 to >5.0 pts
Competent
5 to >0 pts
Advanced Beginner/Novice
20 pts
This criterion is linked to a Learning OutcomeFormatting
Correct spelling, grammar, and APA format for a formal letter.
20 to >10.0 pts
Proficient
10 to >5.0 pts
Competent
5 to >0 pts
Advanced Beginner/Novice
20 pts
Total Points: 100

Describe aspects of these specific regulations that might impact your delegation decision-making or understanding of scope of practice for UAPs (Unlicensed Assistive Personnel).

Module 4 Assignment: Delegation

In conjunction with your reading assignment to review Delegation and You! in Module 4 Resources,Review the Washington State Nursing Care Quality Assurance Commission (NCQAC) web page(s) (Links to an external site.). Answer the following questions in a short (2 page) APA-styled paper:

1. Describe briefly the kind of information about delegation found on links from the NCQAC website.

2. Identify key differences between RN and LPN scope of practice in WA State and a citation of the regulatory justification for your conclusion.

3. What do WA regulations say about the scope of practice of LPNs in relation to delegation, assigning tasks/functions to others and supervision?

4. Explore at least one hyperlink that is setting specific (hospitals, assisted living, nursing homes, etc) OR UAP role specific (home care worker, nursing assistant, etc). Describe aspects of these specific regulations that might impact your delegation decision-making or understanding of scope of practice for UAPs (Unlicensed Assistive Personnel).

How does the educational requirements at NKU compare with those identified in the NCSBN Consensus Model for APRNs?

The focus of this assignment is to help you better understand the various components of and appreciate the importance of Nurse Practice Acts, scopes of practice, and the NCSBN Consensus Model.

Discussion Board Items:

1. Compare and contrast two (2) Nurse Practice Acts addressing

a) identify each state (Ohio and Kentucky)

b) the APRN Title,

c) Scope of Practice including prescriptive authority,

d) education requirements, and

e) national certification.

2. Define scope of practice.

3. How does an APRN determine his/her scope of practice?

4. Let’s explore the NCSBN Consensus Model. Use the Implementation Status link on the NCSBN Consensus Model website.

a) Identify the goal of the NCSBN Consensus Model

b) How does your state’s Nurse Practice Act compare to the NCSBN Consensus Model?

c) Which states are in full compliance with the Consensus Model?

d) Which states are the least compliant?

e) What are the educational requirements identified by the NCSBN Consensus Model for all APRNs?

f) How does the educational requirements at NKU compare with those identified in the NCSBN Consensus Model for APRNs?

Read the following documents:

National Council of State Boards of Nursing. (2018). APRN Consensus Model Toolkit. Retrieved from https://www.ncsbn.org/739.htm (Links to an external site.) review this site and find the information needed for the Discussion Board items.

Review state implementation of NCSBN Consensus Model. National Council of State Boards of Nursing. (2018, April 23). APRN consensus implementation status. Retrieved from https://www.ncsbn.org/5397.htm (Links to an external site.)

Review Kentucky Board of Nursing. (2018). RN & APRN Licensure Information. Retrieved from https://kbn.ky.gov/aprnlicenseinfo/Pages/default.aspx (Links to an external site.)

Pay particular attention to: nursing licensure requirements including APRN, nurse practice acts including APRN, scope of practice including APRN, the specifics of the NCSBN Consensus Model, the various sources of regulation, and the role of courts in shaping policy.

Further, pay particular attention to: Understanding Scope of Practice. Scope of Practice is tied to the Nurse Practice Act of the state in which you practice.

For nurses who work for the Veterans Administration, this is a bit different (this is truly the only exception that am aware of).

You must know the Nurse Practice Act in your state and understand that this is legislated.

https://www.ncsbn.org/739.htm
https://www.ncsbn.org/5397.htm
https://kbn.ky.gov/aprnlicenseinfo/Pages/default.aspx

What are your thoughts now regarding the role of the professional nurse? How will you integrate related cultural and/or spiritual aspects into your role as a professional nurse?

Assignment

Answer the following questions with evidence-based research: (This Discussion Board requires a citation and references for initial post in order to receive credit).
1. Identify 3 “aha’s” as you have progressed through the RN-BSN program.
2. What are your thoughts now regarding the role of the professional nurse?
3. How will you integrate related cultural and/or spiritual aspects into your role as a professional nurse?