NUR 508 (Ethics, Policy, and Finance in the Health Care System) Entire Course
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NUR 508 Week 1 Discussion DQ 1 & DQ 2
DQ 1
What were the major
causes of U.S. mortality in the last 100 years, and what public health measures
most contributed to improvements in the health of the nation? Include at least
two source citations from the readings and/or additional sources to support
your answer
DQ 2
What are the major
causes of disease and death in the 21st century (e.g., chronic illnesses,
communicable diseases, etc.) that continue to affect U.S. citizens in spite of
the achievements in public health in the past century? What have been some of
the strategies implemented to combat these illnesses on the local and national
levels? Have they been successful? Include reference citations where
appropriate.
NUR 508 Week 2 Discussion DQ 1 & DQ 2
DQ1
Select one of the
United Nations’ (U.N.) Millennial Development Goals (MDGs). Visit the website
and report on the UN’s progress in achieving this goal? How will meeting this
goal positively impact the health of the world? What suggestions would you make
to help the UN achieve this goal?
DQ 2
Select a global health
issue from the World Health Organization (WHO) list of health topics available
athttp://www.who.int/topics/en/How has globalization influenced this issue
from a positive or negative perspective?
NUR 508 Week 3 Discussion DQ 1 & DQ 2
DQ 1
Debate the various
social factors associated with the situation of the “underinsured.” Respond to
two other classmates’ answers with solid reasoning and support your opinions
with appropriate reference citations.
DQ 2
Review the Agency for
Healthcare Research and Quality (AHRQ) report “Priority Populations”:
Select one of the
“priority populations” and explain the disparities this population faces. What
strategies have been implemented to combat these disparities on the local and
national levels? Have they been successful? Include reference citations where
appropriate.
NUR 508 Week 4 Discussion DQ 1 & DQ 2
DQ 1
Debate the efficacies
of public versus private-based quality initiatives. What roles do each play in
the quality of U.S. health care? How would the elimination of one aspect affect
the other? Respond to two other classmates and counter their answer, citing
references as appropriate.
DQ 2
After reading the
Kaiser Family Foundation summary on the Patient Protection and Affordable Care
Act, state why or why not you believe the act should remain in law, or which
pieces should be reversed. Then describe two pieces of the act that you were
unaware was part of the act and how that may affect you as a citizen.
NUR 508 Week 5 Discussion DQ 1 & DQ 2
DQ 1
What are the
eligibility requirements and coverage of Medicaid for the categories of
low-income adults, pregnant women, and the aging/blind/disabled in the state
where you live? Do you consider the eligibility requirements reasonable or
restrictive? Do you consider the coverage reasonable or liberal? What are the
benefits and drawbacks to keeping these populations insured through Medicaid?
Consider both direct and indirect factors.\
DQ 2
Review the CMS.gov
30-Day Mortality and Readmission Data website. Review at least two local
hospitals and see how they compare to state and national benchmarks. How and
why may a consumer or a health care professional use this data to make decision
about their next hospitalization? Will reporting this data have an impact on
hospitals bottom line in addition to financial penalties from CMS? Give at
least two examples of how this data may be used and what type of impact if may
have if at all on the hospitals.
NUR 508 Week 6 Discussion DQ 1 & DQ 2
DQ 1
Debate the question:
“Is health care a basic right in the United States?” Answer this question
through the lens of your role as RN. Support your response utilizing ethical
theories and principles. Respond to two other classmates using respectful
communication and solid reasoning. Support your response with appropriate
references.
DQ 2
Select an ethical
dilemma related to health policy from the categories of moral values,
professional regulation, health of individuals in society, or distributive
justice. What are the controversies surrounding this issue? What are the
opposing ethical principles? How has past or current health policy addressed
this dilemma? Support your reasoning with reference citations.
NUR 508 Week 7 Discussion DQ 1 & DQ 2
DQ 1
How do spiritual
beliefs impact political ideologies and the policy process? How have they
affected the health policy reform process? Using respectful communication,
debate your response with two other classmates. Give examples and support your
reasoning with appropriate references.
DQ 2
What is the role of a
religious ethic in public policy today? Should a religious ethic and/or
theistic worldview take priority over that of others? How can religious policy
decision makers remain true to their personal values while respecting the views
of individuals with differing cultural and spiritual beliefs? Respond to two
other classmates and cite references as appropriate.
NUR 508 Week 8 Discussion DQ 1 & DQ 2
DQ 1
Select an advanced
professional or advanced practice nursing specialty. How has past and current
regulation/legislation affected the role and scope of this nursing role? What,
if any, discussions are currently underway relative to the scope and role of
this specialty? What resources are available to assist nurses in advocating for
these roles?
DQ 2
Select a professional
or specialty nursing association. What impact has this organization had on
health care legislation in the past 2 years? Respond to two other classmates
and support your answer with appropriate references and specific examples.
NUR 508 Week 2 Assignment
The IOM Future of
Nursing report calls for an increase in leadership from nurses at all levels.
One way nurses demonstrate their role as a leader, is through public policy
change. A leader does not always carry an official title or position, but
demonstrates leadership through the work and the stance he/she takes to make a
change for the good of others. Nurses have been noted by the Gallop poll year
after year as the most trusted professionals.
This assignment
requires thought about a public policy that is needed or needs to be changed
that relates to nursing, healthcare, and/or the public. Policy changes can
occur by working with members of your legislature, and state or national nurses
associations, to introduce a new bill and/or change to a current law in your
state or federal government.
Examples of public
policy includes any component of the current legislation governing health care,
Medicare part D, Medicaid, nursing regulation, medication technicians, etc.
In 750-1000 words,
propose a health policy change (that is currently a bill, a law, or may not
exist at all) at the state or federal level that you believe needs to change
and why.
1.
The policy must NOT be
a clinical care policy for individual care. The policy involved may include
public or community health, legislative or regulatory, professional
organization (nursing-oriented), advanced nursing practice, health plan, or
hospital plan.
2.
Include a specific
section for the exact wording for the bill or change in wording of the law.
3.
Include the plan for
the implementation of your policy development, to lobbying for passage, to next
steps after passage.
4.
Discuss who would be
the champion for the bill/law change from your state advocates (legislators,
federal legislators, local or national state nursing organizations). Are these
individuals also influential in making changes occur? Did you vote for the
individual in office that you want to help you make this change?
Resources:
1.
Review different
pieces of legislation for ideas on wording.
2.
Visit your state’s
legislative governmental affairs website site to understand the process your
policy change could take if you wanted to introduce to into legislation.
3.
Refer to the Nursing Leadership
Health Policy Presentation Rubric.
4.
Submit the assignment
to the instructor by the end of Topic 2.
Prepare this
assignment according to the APA guidelines found in the APA Style Guide,
located in the Student Success Center. An abstract is not required.
You are required to
submit this assignment to Turnitin. Refer to the directions in the Student
Success Center.
NUR 508 week 5 Assignment
In a paper of
500-1,000 words, describe the relationship between health care cost and
quality. Address the following:
1.
Select one public
agency and one private agency and differentiate their roles and major
activities in addressing cost and quality in health care. See Topic 4 Readings
for sources regarding health care agencies.
2.
Analyze current and
projected initiatives to improve quality while simultaneously controlling
costs. Describe any unintended consequences.
3.
Synthesize
implications for staff nurses and advanced practice nurses, including
evidence-based practice, relative to cost and quality.
Prepare this assignment
according to the APA guidelines found in the APA Style Guide, located in the
Student Success Center. An abstract is not required.
This assignment uses a
grading rubric. Instructors will be using the rubric to grade the assignment;
therefore, students should review the rubric prior to beginning the assignment
to become familiar with the assignment criteria and expectations for successful
completion of the assignment.
You are required to
submit this assignment to Turnitin. Refer to the directions in the Student
Success Center.
Resource 1: CLC Health Issue Analysis Overview
Group work has
benefits and liabilities. EVERYONE assigned to a CLC is expected to equally
participate in the work in terms of time and quality of effort. Each
participant has strengths and it is reasonable to apportion the work to make
best use of this. Some are natural leaders. Our strengths can be our greatest
liabilities: No one wants to be bossed around no matter how skilled the boss
is. Honest communication is critical to effective group work. The best way to
avoid conflict is to set very clear expectations up front. Then, if someone
does not do what is expected him/her, he/she can be referred to the original
agreement rather than have the confrontation become personal.
Course instructors are
able to observe the group process in the CLC forum. If the work takes place
outside the forum, this information will be absent. Be certain (even if
communicating via e-mail, phone, or face-to-face) to record the communication
in the CLC forum.
CLC Project Overview
The purpose of this
assignment is to critically analyze a health care issue through the focus of
major concepts from each Topic. There are six components to this assignment
after the CLC agreement is signed and the topic is identified. It is not
expected that every member of the CLC group will contribute to each assignment,
but that assignments will be divided fairly and equally among the group. Each
of the written components of the CLC project will be 500-1,000 words. These papers
should be in APA format with a title and a reference page. An abstract is not
required. An introduction is required ONLY for Part 1 and is not required in
any parts thereafter. It is the intention that if one were to take the six
parts of this assignment and put them together, a comprehensive and cohesive
analysis would be produced. Part 1 is worth 3 points and each of the subsequent
parts (2-6) are worth 4 points each.
Topic 1 (10 points)
Check into the CLC
group and provide contact information and describe prior experience, if any,
with health policy. Locate and read the CLC Agreement provided by the instructor, located
within the Additional Resources Folder in Canyon Connect. Choose one member to
transfer the document to the CLC forum. Decide upon the process needed to fill
out the contract. Everyone should participate. Before filling out the
agreement, it may be helpful for each student to describe the most difficult,
frustrating, helpful, or beneficial apects of working on a collaborative project.
Getting this type of information out in the open ahead of time may help to
prevent conflict later on. Since no one is angry yet, you can comfortably list
what is likely to make you angry and also what would make you satisfied.
Complete the CLC Agreement (except for the final block, which is
used at the end). Select someone to submit the CLC Agreement by the end of Topic 1.
Topic 2 (10 points)
Initiate a
conversation regarding potential topics of interest. This should be a health
issue with national and international relevance that will be the basis for your
final project. It may be helpful to identify a number of topics of interest and
have individual group members do a quick survey of the literature to be sure
that there is current information available. Revise the CLC Agreement with the choice of the topic identified
in the title and re-submit the CLC Agreement.There is no formal writing requirement for the
topic selection. It is merely a brief paragraph declaring your identified
topic.
Topic 3 – Part 1 (50 points)
Research and outline
the history of the health issue. Write a formal paper in APA format (500-1,000
words in length), describing the history of the issue. A title, introduction,
and a reference page are required, but an abstract and conclusion are not.
Include the following:
1) Influences such as
determinants of health and socioeconomic status.
2) Past and present
initiatives (private and public) to address the issue.
3) Outcomes that have
been developed and utilized to measure progress on the issue.
4) The current status
of the health issue based on measured outcomes.
Topic 4 – Part 2 (60 points)
Describe the national
and international implications of the health issue. Write a formal paper
(500-1,000 words in length), using APA format. Include a title page and a
reference page. An abstract, introduction, and conclusion are not required.
Include the following:
1) Scope and depth of
the problem.
2) Countries that are
faring better or worse than others.
3) How the U.S. ranks
on this issue in relation to other countries.
4) Efforts of the
World Health Organization and other agencies on this issue.
5) Existing
disparities (include race, age, and gender, as appropriate) in relation to the
issue – describe the populations that have emerged as being disadvantaged and
why.
Topic 5 – Part 3 (60 points)
Write a formal paper
(500-1,000 words in length), using APA format. Include a title and a reference
page. An abstract, introduction, and conclusion are not required. Include a
title page and a reference page, and the following:
1) Discuss past and
present funding for initiatives that address the health issue. Include both
public and private sources.
2) Analyze past and
present quality initiatives that address the health issue. Include both public
and private sources.
3) Differentiate how
being insured versus uninsured impacts health outcomes relative to this issue;
4) Compare health
outcomes for the issue between the U.S. and a country with universal health
coverage.
Topic 6 – Part 4 (60 points)
Write a formal paper
(500-1,000 words in length), using APA format. A title page and a reference
page are required, but an abstract, introduction, and conclusion are not.
Include the following:
1) Examine the
previously addressed aspects of health policies, finance, global/national
prevention, and/or treatment initiatives related to the health issue by
identifying applicable ethics principles.
2) Differentiate how
application of the identified ethics principles to the health issue has
resulted in population disparities.
3) Hypothesize how
existing disparities might be eliminated using alternate ethics principles.
4) Critique whether
the applicable ethics principles are consistent with the ANA’s Code of Ethics for
Nurses.
Topic 7 – Part 5 (60 points)
Write a formal paper
(500-1,000 words in length), using APA format. A title page and a reference
page are required, but an abstract, introduction, and conclusion are not.
Include the following:
1) Discuss cultural
beliefs and influences relative to the health issue.
2) Differentiate any
religious/spiritual beliefs and values relative to the issue.
3) Appraise how
religious/spiritual beliefs and values have influenced progress in addressing
the issue – either negatively or positively.
4) Compare differences
in ideologies related to the issue across political party lines, geographic
regions, and countries of the world.
Topic 8 – Part 6 (60 points)
Write a formal paper
(500-1,000 words in length), using APA format. A title page, conclusion, and a
reference page are required, but an abstract and introduction are not. Include
the following:
1) Assess the past and
present impact nurses, including advanced professional/ advanced practice
nurses, have made in addressing this health issue.
2) Describe how nurses
can become more broadly involved with influencing health policy related to this
issue. Include available resources.
3) Hypothesize how
nurses can positively impact future outcomes related to the provision of care
for persons affected by the health issue.
4) Synthesize all
aspects of the health care issue through a summary conclusion, concisely tying
up Parts 1-8 of the CLC project.
This is a CLC assignment.
1.
Check into your
respective Collaborative Learning Community and provide contact information.
Describe your prior experience with health policy.
2.
Read “CLC Health Issue
Analysis Overview.”
3.
Read “CLC Group
Project Agreement.”
4.
Transfer “CLC Group
Project Agreement” to your CLC team space, come to a consensus on team
responsibilities, and complete one copy of the form.
APA format is not
required, but solid academic writing is expected.
You are not required
to submit this assignment to Turnitin.
NUR 508 CLC Group Project Agreement
Grading Criteria
CLC Course Information
|
Course Name/Section
Number:
|
|
|
Instructor’s Name:
|
|
|
Start Date of the
Course:
|
CLC Member Contact Information
(Who is in our group?)
|
CLC Member Name
|
Primary E-mail
Address
|
Secondary E-mail
Address
|
Other Contact
Information
|
CLC Group Values]
(What do we need to do to ensure our team’s success?)
|
What Each Team
Member Agrees to Do
|
Why This Is
Important to the Team
|
|
Check into the CLC
regularly to review progress on the assignment.
|
|
|
Contribute ideas and
feedback to the group from initial discussions throughout project completion.
|
|
|
Communicate with all
CLC members as soon as a problem or issue arises.
|
|
|
Maintain respectful
communications with all team members.
|
|
|
Complete assigned
tasks by the deadlines set by the CLC members.
|
|
|
Take a leadership
role in CLC assignments.
|
|
|
Make sure to cite
and reference all sources of information used in completing tasks.
|
|
|
Other:
|
|
|
Other:
|
Project Management Specifics
(What needs to be undertaken to complete the CLC project?)
|
CLC Group Member’s
Name
|
Task to be Completed
by This Team Member
(This section will change for each CLC Project.) |
Due Date for
Completing the Task for the CLC to Review
|
|
Contributing one or
more ideas for how the project should be completed.
|
||
|
Outlining the CLC
project.
|
||
|
Assigning tasks to
CLC members.
|
||
|
Performing research
on assigned topics and writing it up for CLC members to review.
|
||
|
Making sure everyone
meets their assigned deadlines for tasks.
|
||
|
Proofreading and
editing the paper.
|
||
|
Submitting the paper
via the Assignments feature by the due date deadline.
|
||
|
Other:
|
||
|
Other:
|
CLC Group Interaction Guidelines
(How can we anticipate and deal with group conflict when it arises?)
|
What Could Happen To
Impede Our Teamwork?
|
What We Will Do if
This Happens?
|
|
A CLC member doesn’t
provide project ideas or feedback to other team members.
|
|
|
A CLC member doesn’t
complete his/her task at all.
|
|
|
A CLC member
completes his/her task, but turns it in after the agreed-upon due date.
|
|
|
Other:
|
|
|
Other:
|
CLC Group Review Process
(What makes a CLC effective?)
|
What did Our CLC Do
Well This Time?
(This section will change for each CLC Project.) |
What Can We Do to be
a More Effective CLC Next Time?
(This section will change for each CLC Project.) |
NUR 508 Week 7 Assignment
Write a paper of
750-1,000 words examining your personal values and beliefs. Include the
following:
1.
Describe your personal
values and spiritual beliefs.
2.
Using the elements of
cost, quality, and social issues to frame your description, differentiate your
beliefs and opinions about health care policy. Give examples of relevant
ethical principles, supported by your values.
3.
Analyze how factors
such as your upbringing, spiritual or religious beliefs/doctrine, personal and
professional experiences, and political ideology affect your current
perspective on health care policy.
4.
Examine any
inconsistencies you discovered relative to the alignment of your personal
values and beliefs with those concerning health policy. Discuss what insights
this has given you.
Prepare this
assignment according to the APA guidelines found in the APA Style Guide,
located in the Student Success Center. An abstract is not required.
This assignment uses a
grading rubric. Instructors will be using the rubric to grade the assignment;
therefore, students should review the rubric prior to beginning the assignment
to become familiar with the assignment criteria and expectations for successful
completion of the assignment.
You are required to
submit this assignment
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