Want create site? With Free visual composer you can do it easy.

NUR 740 Discussion 7.1: Contemporary Health Policy Project: Policy Selection

Contemporary Health Policy Project Initial Post 

The fundamental objective of the current project is to address a relatively restrictive Bill 327 health policy, recently proposed by the Nevada State Board of Nursing (CEUfast, 2021). Despite the underlying implications of this policy towards fostering nurses’ cultural proficiency, equity, and annexation, it also impedes the roles and performance efficiency of nurses resulting from the addition of a pointless monetary weight on the licensee holders (Fang & Bednash, 2021). The policy also adversely affects the APNs’ ethical practice. It constitutes among the overly prohibitive scope of-nursing practice guidelines that potentially hinder accessible care throughout the country (Fang & Bednash, 2021). This is because it places unnecessary restrictions on the scope of practice for nurses with similar educational qualifications and public accreditation transferring from other states to work in Nevada.

Research Plan

The proposed research would entail a quantitative quasi-experimental study aimed at examining the possible impacts of the proposed Bill 327 on the acquisition, distribution, and performance of a sample population of APNs in the state of Nevada. For this case, the research subjects would be assigned to two distinct conditions or groups in order to enable effective comparisons of the data and the outcomes. In general, the structure of the research would be informed by the insights of the pre-existing peer-reviewed healthcare reports related to the currently proposed study topic. Precisely, these sources will be less than a decade old and based on examining the correlation between the nursing scope of practice and the Nursing Professional Code of Ethics/performance guidelines, as well as the influence of nurses in health policy reforms.

Moral Principles Behind Bioethics

Throughout history, numerous moral principles in the context of healthcare bioethics have been derived to inform proper conduct among practitioners. The possible ethical implications of pursuing the proposed health policy are inherently related to the principle of justice, such as fostering fair, appropriate, and equitable patient treatments among nurses (Manning, 2022). The policy’s main objective is to improve the nurses’ cultural proficiencies in order to accord holistic treatment, as well as ensure fair distribution of medical resources in society.

References

CEUfast. (2021). Cultural competency training courses required in Nevada now offered on CEUfast. Continuing Education for Nurses – Unlimited Nursing CEUs | CEUfast. https://ceufast.com/news/cultural-competency-training-courses-required-in-nevada-now-offered-on-ceufast (Links to an external site.)

Fang, D., & Bednash, G. D. (2017). Identifying barriers and facilitators to future nurse faculty careers for DNP students. Journal of Professional Nursing33(1), 56-67. DOI: https://doi.org/10.1016/j.profnurs.2016.05.008 (Links to an external site.)

Manning, J. (2022). Connecting research priorities, the research agenda, and health policy. In K. A.  Goudreau, & M. C. Smolenski, (Eds). Health policy and advanced nursing practice (3rd ed.) Springer.

Hello Romina,

I so much agree with you that health disparities in the US healthcare sector are rooted in ethnicity and race. It’s so unfortunate to see how racial and ethnic differences have changed the efforts of some Americans from accessing quality healthcare services. Healthcare institutions that are supposed to take care of all patients, however, are involved in marginalizing some patients due to their race or ethnicity. Health disparities have increased the burden of disease among African Americans, Latinos, and other minority groups in US (Zavala et al., 2021). Diabetes, HIV/AIDS, Asthma, and COVID-19 are some health complications which have forced marginalized populations to pay high medical costs. The inequality has also interfered with access to information (Santos-Lozada et al., 2020). Therefore, medical costs have increased due to late discovery of some illnesses.  The primary obligation of the government is to provide affordable and quality medical services. Regrettably, health disparities make it hard for minority groups to access right medical attention. Privileged racial groups enjoy quality services due to subsidized medical rates.

References

Santos-Lozada, A. R., Howard, J. T., & Verdery, A. M. (2020). How differential privacy will affect our understanding of health disparities in the United States. Proceedings of the National Academy of Sciences, 117(24), 13405-13412. https://doi.org/10.1073/pnas.2003714117

Zavala, V. A., Bracci, P. M., Carethers, J. M., Carvajal-Carmona, L., Coggins, N. B., Cruz-Correa, M. R., … & Fejerman, L. (2021). Cancer health disparities in racial/ethnic minorities in the United States. British journal of cancer, 124(2), 315-332.

Hello Romina,  

 While I can understand that continuing education can be daunting, it is incredibly necessary. Not being familiar with the Nevada Assembly Bill No. 327, I had to do some research to understand what the bill was and how it pertained to your discussion question post. Although I am still not entirely sure that I understand completely, from what I am gathering is that with this bill the Nevada state board of health is requiring those holding healthcare related licenses complete continuing education credits related to diversity with their license renewals (AB327, 2021). Medicine and healthcare are always changing, therefore continuing education is a necessity for the professional to have the most current evidence-based knowledge. These requirements are all based on diversity inclusion in healthcare practice, there are so many different cultures in this country, and they continue to change with not only transient people from other countries, but the transgender population becoming more prevalent. Healthcare providers cannot possibly know how to treat every population possible. 

 Did Nevada not already have a fee in place to renew a healthcare license? From what I have read, there is not an extra monetary fee for the requirements outlined within these mandates (AB327, 2021). It could be an expense to the clinician to purchase the continuing education, but many employers often cover these costs, some will even pay the renewal fee for the license. In the event the organization does not provide any financial aid for these, the fees are not astronomical, so I am unable to comprehend the explanation that it impedes the roles and nursing performance efficiency of nurses.  

In regard to my own experiences, I must ask, how many times have you been in a situation involving a patient or family member and a culture that you are not familiar with? Things are ever changing in healthcare; do you understand the importance of continuing education? I must also inquire about how this policy affects a nurse’s ethical practice? I may not understand correctly, that is why I am asking, but when an individual becomes a healthcare provider, they agree to a healthcare provider code of ethics. For nurses it is the nurse’s code of ethics, which means they will treat all patients with the same level of fairness regardless of any background factor, including cultural differences (Gaines, 2021). The only restrictions I found to nursing care, was that the continuing education must be completed during the biennium between license renewals (AB327, 2021), am I missing something?  

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NUR 740 Discussion 7.1: Contemporary Health Policy Project: Policy Selection

NUR 740  Discussion 7.1: Contemporary Health Policy Project: Policy Selection

NUR 740 Discussion 7.1: Contemporary Health Policy Project: Policy Selection

Coming from a state where these mandates are already in place and having transferred to a state that does not require continuing education and back to the state that does, I believe in continuing education for the topics usually included in the mandates. This policy for instance, has education requirements for diversity inclusion and terrorist attacks, these things are ever changing and evolving (AB327, 2021). I believe any preparation for unprecedented situations is extremely important, especially considering what we all went through with the COVID-19 pandemic most recently. 

 Is it possible to look at this bill as an effective instrument in creating knowledgeable, inviting, understanding helpful and quick acting healthcare providers? Wouldn’t these mandates aid clinicians in knowing how to quickly handle situations involving those from cultures much different their own? You could even propose to the organization you work for to create an educational in service to alleviate the burden of finding and paying for the required continuing education for their employees.  

Dinauer, C., (2021, Dec. 10). Cultural competency memo- 12102021. Nevada state board of nursing. https://nevadanursingboard.org/wp-content/uploads/2021/12/Cultural-competency-memo-12102021.pdf (Links to an external site.) 

  1. B. 327, 2021 Assembly, 2021 Reg. Sess. (Nev. 2021). https://www.leg.state.nv.us/App/NELIS/REL/81st2021/Bill/7850/Text (Links to an external site.)

Gaines, K., (2021, July 22). What is the nursing code of ethics. Nursing.org. https://nurse.org/education/nursing-code-of-ethics/ (Links to an external site.) 

Hello Airion

It is true that the field of nursing comprises one of the professions that require continuous education among its professionals. I also agree with you that constant education, although it can be daunting, it is necessary since it enables the underlying nursing practitioners to enhance their level of competencies and knowledge to effectively encounter the emerging healthcare scenarios in contemporary society. The Nevada State Board of Nursing’s Bill No. 327 is a relatively new policy, and most healthcare providers are yet to come to terms with it. I understand that the policy serves the purpose of improving nurses’ proficiencies and patient outcomes. However, my primary focus with regards to the policy is not what it stands for or represents but its potential capability to cause inconveniences to nursing professionals coming from states without such policies. In this perspective, the policy may somehow create a barrier preventing some nurses from other regions from working in the State of Nevada.

Hi Romina,

I was not familiar with this bill before reading your post. Upon further research, it looks like Nevada is requiring all professional nursing to complete two continuing education hours focused on cultural competency with license renewal (CEUfast, 2021). The bill only requires two hours of continuing education to make nurses more culturally aware of their patient population. How do you think continuing education courses would take away from an APNs practice instead of adding value to it? I actually find the bill could expand to include more on the job training scenarios to help nurses and APNs be better caregivers for our patients. Also, many continuing education courses can be found for free online making them accessible to a larger population. I recommend for your research plan you limit your research search to only go back three years based on assignment guidelines.

 

References

CEUfast. (2021). Cultural competency training courses required in Nevada now offered on CEUfast. Continuing Education for Nurses – Unlimited Nursing CEUs | CEUfast. https://ceufast.com/news/cultural-competency-training-courses-required-in-nevada-now-offered-on-ceufast

Hello Romina

It was interesting to learn from your discussion that bill 327, recently proposed by the Nevada state board of nursing, impedes the roles and performance of nurses due to the increase in license fees. I agree that the policy places unnecessary restrictions on the scope of practice for nurses with similar educational qualifications and public accreditation transferring from other states to work in Nevada. I was glad to learn that you will conduct quasi-experimental research with APNs as your target population. When you said your research subjects would be assigned to two distinct conditions or groups for data comparison and outcomes, did you mean that one group would be the intervention group while the other would be the control group? You might want to expound on your intervention. I chose to address the health insurance portability and accountability act (HIPAA) of 1996, which mandates the US Department of Human and Health Services to develop standards that prevent the disclosure of sensitive patient information without the knowledge or consent of the patient (Choi & Williams, 2021). The law demands written informed consent from patients before sharing their data (Oyeleye, 2021). Perhaps you can consider a non-experimental study design because you will be collecting APNs’ views on bill 327.  It was interesting to learn that the possible ethical implication of pursing your topic relates to the ethical principle of justice. Justice requires that the benefits and burden of new or experimental treatments be divided equally among all groups in society. The procedures must comply with the existing laws. Health care providers must ensure fair distribution of scarce resources, rights and obligations, competing needs, and potential conflicts with existing legislation (Kumar, 2020). You had an excellent discussion

References

Choi, Y. B., & Williams, C. E. (2021). A HIPAA security and privacy compliance audit and risk assessment mitigation approach. International Journal of Cyber Research and Education (IJCRE)3(2), 28-45. Doi: 10.4018/IJCRE.2021070103

Kumar, N. (2020). Bioethics: Principles, Issues, and Cases. Anesthesia & Analgesia130(5), e144-e145. doi: 10.1213/ANE.0000000000004726

Oyeleye, O. A. (2021). The HIPAA privacy rule, COVID-19, and nurses’ privacy rights. Nursing202151(2), 11-14. Doi: 10.1097/01.NURSE.0000731892.59941.a9

Romina,

I wasn’t familiar with this legislation. After reading your post, I did some research and found out that Bill 327 health policy proposed by Nevada  State Board of Nursing requires that all licensee holders including RNs, LPNs, APRNs, and CRNAs complete one or more courses of instruction that provide at least 2 hours of continuing education relating to cultural competency, diversity, equity, and inclusion and this is to be completed with every renewal cycle (CEUfast, 2021). I understand your main focus for the project is to focus on the restrictions that this policy impose on scope of practice of APNs especially if they are moving from other states to Nevada State. You stated that this policy puts monetary weight on APNs. I wasn’t able to find enough information on this. Does the board added additional fees in addition to renewal fees? I personally think completing nursing CE credits will help nurses to stay current with new information. The field of healthcare is constantly changing and the facts and values we learned in nursing school might have changed. It is important to get refreshed on the information you already know and learn any new information that is relevant to your nursing practice.

References

CEUfast. (2021). Cultural competency training courses required in Nevada now offered on CEUfast. Continuing Education for Nurses – Unlimited Nursing CEUs | CEUfast. https://ceufast.com/news/cultural-competency-training-courses-required-in-nevada-now-offered-on-ceufast

Did you find apk for android? You can find new Free Android Games and apps.
error: