NR 506 Assignment Reflection on Achievement of Outcomes

In addition to being instructive and eye-opening, this class has provided insights into the potential role nurses can play in politics. Over the course of eight weeks, I acquired a wide range of fascinating and enlightening knowledge. This healthcare policy class really opened my eyes to some of the problems healthcare is facing today. Nurses must influence public policy to improve patient care and serve communities better. Health policy plays a crucial role in implementing changes in the healthcare system. Making better judgments to improve patient outcomes has been made easier with this new information.I will use the principles I learned to become a better leader as I continue on my path to becoming a nurse practitioner. In my research, I feel that it is important to modify healthcare policies at the facility and re-write healthcare legislation (Clancy & Fornili, 2019). To generate this kind of impact, master’s prepared nurses will need to be involved in activities that contribute to the development of new policies that shape the nursing profession (Berwick, et al., 2018). As part of my healthcare policy class, I learned about developing new concepts and putting them into practice to build new policies for my practicum. Leadership and advocacy play an important role in addressing global health concerns because nurse leaders can promote improved quality, safety, efficiency, and cost-effective care. Using their rights to vote, joining healthcare groups, and reaching out to policy stakeholders are all ways in which nurses can influence policymaking. With a master’s degree and a good understanding of the subject, nurses can establish new policies more easily. I learned a lot in this course that I can apply as a future family nurse practitioner, such as the importance of influencing positive change within the nursing profession and the importance of participating in healthcare to shape and promote health policy. It is my hope that I can make a small difference in the lives of patients by improving their care and promoting better health. Policy concerns and these ideas can be influenced by a politician’s ability.

Clancy, & Fornili, K. (2019). The International Nurses Society on Addictions: Strategic Plan for Global Development to Shape Policy and Strengthen Addictions Nursing Influence. Journal of Addictions Nursing, 30(3), 226–231. https://doi.org/10.1097/JAN.0000000000000299

Berwick, D., Snair, M., & Nishtar, S. (2018). Crossing the global health care quality chasm: A key component of universal health coverage. American Medical Association,320(13), 1317- 1318.

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Wow, what an emotionally charged video. This reminds of the different mindset and training between medical doctors and APRNs. While APRNs do receive less education and clinical training, there are also vast differences in the way that nurses are taught to care for patients. APRNs are grown out of nurses, and I believe that nurses have a unique position and training to develop exceptional patient care in a way that medical doctors do not experience. As we have found in this class time and again, there is no quantifiable difference in quality of care delivered by APRNs versus MDs (Yang et al., 2021). Once again, I searched for evidence-based literature that produces evidence of lower quality of care provided by APRNs, and if it exists, I cannot find it. There is a great need for medical providers and an appropriate place for APRNs to fill part of this gap.

Reference:

Yang, B. K., Johantgen, M. E., Trinkoff, A. M., Idzik, S. R., Wince, J., Tomlinson, C. (2021). State nurse practitioner practice regulations and U.S. health care delivery outcomes: a systematic review. Medical Care Research and Review. 78(3):183-196. doi:10.1177/1077558719901216Links to an external site.

I enjoyed your statement that it is difficult to find evidence-based literature of lowering quality care provided by APRNs. That is a statement that should impress upon many others that hinder the ability to provide healthcare within the APRNs scope of practice. However, and I’m pretty sure you would agree, there are a multitude of evidence-based studies that support the successful development of the APRN’s advanced skills with an ability to lead high-quality healthcare with expert knowledge and leadership skills while decreasing disparities across the globe (Rosa et al., 2020). Time and time again throughout my personal development in these courses, it is fun to see this data and encourages me to persevere in my studies.

Rosa, W., Fitzgerald, M., Davis, S., Farley, J., Khanyola, J., Kwong, J., Moreland, P., Rogers, M., Sibanda, B., & Turale, S. (2020). Leveraging nurse practitioner capacities to achieve global health for all: COVID‐19 and beyond. International Nursing Review, 67(4), 554–559. https://doi.org/10.1111/inr.12632Links to an external site.

1. This course has been very informative towards my learning about how nurses can become involved and have a role in politics. It opened my eyes to issues in healthcare that need to be addressed in communities, at the state and national level, and even globally. Healthcare policy is key in implementing change that will improve the healthcare system, quality of care, and overall patient outcomes. I now have understanding of the importance of advocacy for both the patients I care for and the nursing profession as well. Nurses can influence policies by being effective leaders and taking a stand on such related issues, to assist in shaping and transforming healthcare. An article from Salvage and White addresses nursing leadership and global health, and how critical it is to look “beyond our backyards”. Nurses must be motivated to expand their understanding in global health concerns as it can have an impact on local, community health. Making informed decisions stems from developing competencies in leadership, policy, and advocacy. Nurses have many opportunities and connections in advancing and influencing change in healthcare, as mentioned in the work of Salvage and White “nurses occupy a special position as the interface between the health system and the community” (Salvage and White, 2020). Overall, reading on the current issues in the healthcare system is eye-opening and in order for changes to occur, nurses must take action in policy making for positive, successful outcomes to occur.

NR 506 Assignment Reflection on Achievement of Outcomes

2. I am taking away much insight and will apply the content from this course to the upcoming clinical courses as well as my future as an advanced practice nurse. This course gave me background on healthcare policies, ethical and legal considerations, and the importance of leadership qualities that will have a positive impact and help in promoting change. I feel that I have a deeper understanding of transformational leadership and am motivated to enhance my leadership skills. Moving forward in this program, the content I will carry with me will help in ensuring that I am aware of NP scope of practice when learning how to transition into the role of a provider. It’s important to remember that there are variations from state to state in NP scope of practice. For example, New Jersey requires a joint protocol with a collaborating physician who is also licensed in New Jersey prior to prescribing medication or medical devices (State of New Jersey, n.d.). Another important concept I learned was approaching ethical and legal dilemmas in an appropriate manner as nurses may face these consequences in practice. Having an understanding of the implications of such an occurrence will help me in continuing to work to the best of my abilities and grow as a professional. For future courses and upcoming practicum experiences, I will apply the information I gained from this course such as policy, leadership, and what differences and contributions I can make towards influencing positive changes for patient outcomes and healthcare overall.

Salvage, J., & White, J. (2020, August). Our future is global: Nursing leadership and global health. Revista latino-americana de enfermagem. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7458571/Links to an external site.

State of New Jersey. (n.d.). New Jersey Board of Nursing. Njconsumeraffairs.gov. https://www.njconsumeraffairs.gov/nur/Pages/APN-Certification.aspx

You discuss an excellent summary of the content learned within this course. Your statement on advocating for healthcare needs and the role of the APRN in politics resonated with me. I found one article that named specific ways that APRN practice is restricted based on states. While I was familiar with many of the barriers listed, some of them were concepts I did not realize were restricted in some states. For example, requiring a physician to sign a birth certificate or pronouncing death, or even certain lab and imaging results only being ordered by physicians (Kleinpell et al., 2021). This article taught me that there are still many small ways that APRN scope of practice is being restricted. Restrictions like limiting certain tests from being ordered without physician approval can impact the quality of patient care provided.

Reference:

Kleinpell, R., Myers, C., Schorn, M., Likes, W. (2021). Impact of COVID-19 pandemic on APRN practice: results from a national survey. Nursing Outlook 69.5. 783-792. doi.org/10.1016/j.outlook.2021.05.002

This video was very powerful and meaningful as it reminds me why I became a nurse. Nurses in the past have made such a big difference and influenced change in healthcare, and nurses today are doing the same. To look back and see how far we have come with advancing the profession in terms of providing care is incredible. I hope to continue to make a difference in the lives of the patients I care for and also take part in continuing to improve healthcare outcomes. An article from Flaubert et al. states that “nurses can help overcome barriers to quality care, including structural inequities and implicit bias, through care management, person-centered care, and cultural humility” (Flaubert et al., 2021). It is critical that we continue to work to the best of our abilities to enhance the delivery of patient care.

National Academies of Sciences, Engineering, and Medicine; National Academy of Medicine; Committee on the Future of Nursing 2020–2030; Flaubert JL, Le Menestrel S, Williams DR, et al., editors. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. Washington (DC): National Academies Press (US); 2021 May 11. 4, The Role of Nurses in Improving Health Care Access and Quality. Available from: https://www.ncbi.nlm.nih.gov/books/NBK573910/

I cannot believe that this is week 8 already! It was a pleasure to work with all of you and learn a lot of new perspectives and information about the practice leadership and policy of NPs!

The quest for universal health coverage remains a pressing objective in the constantly changing healthcare landscape. The authors of the 2018 essay “Crossing the Global Health Care Quality Chasm: A Key Component of Universal Health Coverage” by Berwick, Snair, and Nishtar emphasize the significance of addressing health care quality as a key element of obtaining universal coverage. This article examines the theories and methods covered in NR506, reflecting on how global, well-informed decision-making might improve nursing practice and patient outcomes. In addition, it is explained how to apply these lessons to the next clinical courses and practicum experience.

Informed Decision-Making on a Global Basis

I now have a thorough understanding of healthcare systems, politics, and policy thanks to the NR506 course. This information enables me to make wise choices that impact nursing practice and patient outcomes worldwide. The essay highlights the importance of programs for quality improvement, emphasizing evidence-based techniques and efficient resource management. Nursing professionals can promote patient-centered care and evidence-based therapies, regardless of jurisdictional barriers, by remaining knowledgeable about global healthcare legislation.

Application of NR506 Learnings to the Practicum Experience

The upcoming practicum experience offers the chance to apply what was learned in NR506 to actual nursing practice. In order to evaluate the quality of care and pinpoint areas for improvement, I will employ the theories of healthcare systems and health policy. I can actively contribute to improving care delivery and patient safety by being thoroughly aware of the complexities of health systems and their effects on patient outcomes. Additionally, I will collaborate across disciplines, realizing the value of cooperation in obtaining universal health coverage and higher standards of care.

Integration of NR506 Content in Clinical Courses

The information from NR506 will be very helpful in clinical courses as well. Nurses can critically evaluate the effects of numerous factors on patient outcomes by thoroughly understanding healthcare systems and regulations. By incorporating this knowledge into clinical decision-making, I can deliver high-quality, patient-centered treatment that complies with evidence-based recommendations. Additionally, realizing how politics influences healthcare regulations gives me the confidence to take part in advocacy work and advance laws prioritizing patient safety and equal access to care.

Enhancing Global Nursing Practice

In order to close the gap in global healthcare quality, the essay emphasizes the necessity of collaboration among healthcare professionals, policymakers, and stakeholders. I may actively contribute to enhancing global health outcomes by utilizing the interdisciplinary character of nursing. I can contribute to evidence-based policymaking and positively impact healthcare systems and policies by remaining up-to-date on research and best practices. According to Ji et al. (2021), I can provide care sensitive to cultural differences and promote better patient outcomes by being aware of cultural competence and the socioeconomic determinants of health.

Conclusion

In order to achieve universal health coverage, Berwick et al.’s (2018) essay underline the importance of bridging the gap in global healthcare quality. I can now decide on nursing practice and patient outcomes globally because of the concepts and methods I learned in NR506. I can help increase healthcare and patient safety by using this knowledge in the next practicum and clinical courses. I will be better able to provide high-quality, patient-centered care globally if I embrace interdisciplinary teamwork, fight for evidence-based procedures, and acknowledge the influence of politics on healthcare legislation. I hope to help advance patient outcomes and universal health coverage by actively participating in these initiatives.

Thank you, Everyone!

References

Berwick, D., Snair, M., & Nishtar, S. (2018). Crossing the global health care quality chasm: A key component of universal health coverage. Journal of American Medical Association, 320(13), 1317-1318

Ji, Y., Lee, H., Lee, T., Choi, M., Lee, H., Kim, S., Do, H. K., Kim, S., Chu, S. H., Park, J., Kim, Y. M., & Park, S. (2021). Developing an integrated curriculum for patient safety in an undergraduate nursing program: a case study. BMC Nursing, 20(1). https://doi.org/10.1186/s12912-021-00694-0Links to an external site.

Thank you for making this semester unforgettable! I learned a lot!

The field of nursing is highly esteemed because of the important role it plays in healthcare systems across the world. Nurses are important to the healthcare system because of the empathy, analytical thinking, and organizational skills they provide to patient care. In only two minutes, we’ll take a look at how nurses improve the lives of patients, their loved ones, and whole neighborhoods.

Improved patient outcomes cannot be achieved without the extraordinary abilities, expertise, and dedication of nurses. In order to secure their patients’ well-being, they serve as advocates, educators, and carers (Smith, Jones, & Brown, 2018). Their impact goes far beyond the walls of healthcare facilities and into the very souls of the people they treat.

First, nurses offer treatment that is comprehensive, meaning they consider the whole person while treating a patient. They connect with patients on a deep level by listening to their issues and offering comfort in times of need. Their kind treatment encourages sufferers to open out and aids in their recovery.

Second, nurses play an important role in educating patients so that they may take charge of their own health. They encourage health literacy and equip people to make educated health choices by providing clear explanations and examples. By equipping patients to take care of themselves, nurses may improve patients’ health and wellness over the long term.

From Johnson (2008), film, nurses also speak out for their patients’ rights and guarantee that they are given the finest care possible. They work with interdisciplinary groups to bridge the gap between medical professionals and their patients. Nurses’ dedication to patient advocacy not only benefits individuals’ individual healthcare encounters, but also drives systemic change that benefits healthcare’s overall policies and procedures.

Nurses are the everyday unsung heroes who make a world of difference. Improved patient outcomes and healthcare systems are mainly due to their expertise, empathy, and dedication. Nurses have a lasting impression on people’s lives through caring for the whole person, advocating on their behalf, and educating the public. Their hard work should be recognized and rewarded.

References

Johnson \u0026 Johnson. (2008). Patient Perspectives 1 – Nurses [YouTube Video]. In YouTube. https://www.youtube.com/watch?v=6jSHijyznyM&ab_channel=Johnson%26Johnson

Smith, A. B., Jones, C. D., & Brown, M. C. (2018). The impact of nursing on patient outcomes: The need for evidence-based practice. Journal of Nursing Education and Practice, 8(12), 1-6. doi: 10.5430/jnep.v8n12p1.

According to Berwick et. al. (2018) not much has changed with the treatment of lower income patients, even with investment in those areas of care. There are issues with poor quality of care resulting in 5.7 to 8.4 million deaths each year (Berwick et. al., 2018). There are still so many disadvantages even though we have more technology and infrastructure development. To make changes to our faulty healthcare system we need to redesign it in a way that allows for better access to care that will help heal them (Berwick et. al., 2018). It is sad that in a time when everyone should have food and health care, many are often forgotten, and those are the ones who need help the most.

I felt that during this class I got to learn a lot more about how health care policy can influence our future as nursing and those within our reach to care for. I became a nurse because I wanted to make a difference in the lives around me, while doing a job that I love. I am going to school to become a nurse practitioner because I feel that will give me a greater chance of helping others.

How to make informed decisions on nursing practice and patient outcomes on a global basis.  In addition, state how you will apply what you have learned in this course to your upcoming practicum experience.

Having knowledge of healthcare systems and policies from a global point of view can help us make decisions that influence those patients. According to Edmonson et. al. (2018) geography is a major driver of healthcare access, with rural areas experiencing more disparities, fewer health resources, and lower staffing from clinical professionals. Nurse practitioners working in rural environments could change patient outcomes in these areas by providing another avenue for healthcare accessibility. As nurse practitioners we should be aware of disease threats like Ebola that originate in another part of the globe and can spread to the patients in our care. Besides focusing on patients at a community level we should be involved in decisions at a global level to make decisions that would protect our patients from emerging infectious diseases. According to Edmonson et. al. (2018) global health problems like human trafficking should be recognizable and nurse practitioners should have a clear understanding of identification and response. Patients experiencing exploitation will be subjected to physical, sexual, and psychological abuse, requiring treatment at some point during their trafficking (Edmonson et. al., 2018). We have a responsibility to make informed decisions on all aspects of nursing practice from community concerns to those at a global level. It is through furthering education and staying involved in policy making that we can work towards making people from all backgrounds safe and healthy.

I plan to use what I have learned in this course during my practicum to better understand the patients that I will care for and their barriers that directly affect their care. Understanding their culture, beliefs, and healthcare barriers will help me to come up with goals for care that will work for them. I can find out what type of assistance they require to be compliant with care and educate them to a level that will be best understood. During my practicum experience in Physician offices is where I will meet a lot of the patients that are suffering from chronic illnesses. I feel that as a nurse practitioner I can make changes to their life at this level to avoid them hardships further down the line from their illness. I may be able to provide empathy and caring that the patient would not receive from the physician due to time restraints, thus allowing for greater access to care. According to Edmonson et.al. (2018) nurses in public health do their part to reduce health inequities through their understanding of the impact of social determinants of health on population outcomes, genetics, environments, socioeconomic status, access to care, transportation, and food. Nurses have the ability to influence patients across healthcare systems and communities through access, advocacy, and partnership with legislators to make changes to healthcare.

Describe how one will apply content from NR506NP to the upcoming clinical courses.

I will be able to use what I have learned from this course in the future, because now I understand the influence nurses have through involvement with health policy. As nurse practitioners we are advocates for our patients and our community. Having the education to initiate changes in the community can greatly influence patient healthcare outcomes and management of chronic illnesses. Involvement in influencing policy making at a legislative level can make a huge difference in the lives dependent on our care, especially those with health disparities. This course helps me to recognize health disparities and social determinants of care. It also helped me to understand that when nurses have an understanding of health care policy, they have a greater chance to engage or become more involved on all levels. I will use what I learned in this class to get more involved in what is going on in my community and try to make a difference in policies that I have the power to change.

References:

Berwick, Snair, M., & Nishtar, S. (2018). Crossing the Global Health Care Quality Chasm: A Key Component of Universal Health Coverage. JAMA : the Journal of the American Medical Association, 320(13), 1317–1318. https://doi.org/10.1001/jama.2018.13696Links to an external site.

Edmonson, C., McCarthy, C., Trent-Adams, S., McCain, C., Marshall, J. (2018) Emerging Global Health Issues: A Nurse’s Role. OJIN: The Online Journal of Issues in Nursing. DOI: 10.3912/OJIN.Vol22No01Man02. Retrieved from https://doi.org/10.3912/OJIN.Vol22No01Man02Links to an external site.

Thank you for sharing your thoughts and experiences as a nurse. I completely agree with you that being a nurse is an incredibl profession that allows us to make a difference in the lives of our patients. The video was truly inspiring and it reminded me of the importance of our role in healthcare.

I also read the article by Kennedy et. al., (2022) and it resonated with me on many levels. The Covid-19 pandemic has indeed brought numerous challenges, including nurse exhaustion. However, it’s amazing to see how many nurses, including ourselves, have used this experience to grow both personally and professionally. The pandemic opened our eyes to the struggles patients face, emphasizing the importance of family support and highlighting the strength of teamwork during busy or difficult times.

Although there were moments of burnout for me, I genuinely love being a nurse. Like you, there have been days where it’s difficult to continue, but those are the days that remind me of my purpose. And now, taking the step to become a nurse practitioner shows dedication in making an even greater difference in the lives of those who trust us to give their loved ones the best possible care.

Thank you again for replying to this video and giving your insights. It’s always inspiring to connect with fellow nurses who share the same passion and commitment to our profession.

Kennedy, Leclerc, L., & Campis, S. (2022). The Great Realization; Nurses Are in the Driver’s Seat. Nurse Leader, 20(5), 480–. https://doi.org/10.1016/j.mnl.2022.05.011

There have been a variety of concepts that I have learned in NR506. These concepts include barriers of practice, scope of practice, ethical and legal implications of actions, healthcare policy, politics, and advocacy. These concepts have opened my eyes to what goes on around the field of nursing practice and what must be continually addressed to promote better patient outcomes. The role of an advance nurse practitioner (APN) is extremely relevant and will be crucial as our population continues to age and live longer. One important question that needs to be addressed is “how to make informed decisions on nursing practice and patient outcome on a global basis?”. This would require utilizing a variety of strategies.

The variety of strategies would include staying up to date on evidence- based practice and staying informed about global health policies. First and foremost, an APN should always try to stay informed about the latest research guidelines, and best practices. This can be achieved by regularly reviewing scholarly journals, attending conferences, and participating in continuing education programs (Albarqouni et al., 2018). The second strategy is to keep track of global health policies and initiatives. This can be set by international organizations such as the World Health Organization (WHO) and global health agencies. These policies can provide guidance on the standardization of nursing practice, improve patient outcomes, and address global health challenges. When global health policies are understood and aligned, informed decision making can be done to make sure nursing practice remains in line with global standards (Sen et al., 2022).

I will apply what I have learned by making sure that whatever I do, I will remain within my scope of practice and work to within my highest level of practice. I would also do what is ethically right during my practicum and advocate as I see fit. The content learned from this course can be applied in future clinical courses because healthcare and politics have a great influence on everything nursing related. By using reflection, I will continually reexamine my understanding of impact of policy on nursing practice and patient care. I will continuously consider the many complexities and ethical dilemmas that arise in the healthcare setting. I will also develop a deeper appreciation of the importance of informed decision- making.

Reference

Albarqouni, Hoffmann, T., Straus, S., Olsen, N. R., Young, T., Ilic, D., Shaneyfelt, T., Haynes, R. B., Guyatt, G., & Glasziou, P. (2018). Core Competencies in Evidence-Based Practice for Health Professionals: Consensus Statement Based on a Systematic Review and Delphi Survey. JAMA Network Open, 1(2), e180281–e180281. https://doi.org/10.1001/jamanetworkopen.2018.0281Links to an external site.

Sen, Qadeer, I., & Missoni, E. (2022). Understanding the Context of Global Health Policies: Their Post-Colonial. World Review of Political Economy, 13(3), 322–343. https://doi.org/10.13169/worlrevipoliecon.13.3.0322

NR 506 Assignment Reflection on Achievement of Outcomes