NRS 440 Health Care Delivery Models and Nursing Practice GCU

NRS 440 Health Care Delivery Models and Nursing Practice GCU

In order to achieve better results, stakeholders must constantly implement laws that reform and restructure the health care delivery system. This is necessitated by the requirement to provide high-quality care that is also cheap. As patient advocates, nurses play a crucial role in these changes and restructuring. The new care delivery models are developed to provide high-quality treatment at the lowest cost to patients and other stakeholders, such as nurses (Gott, 2018). In order to alter or restructure the way health care is delivered, this article will look at recent laws and federal regulations. The impact of quality standards and remuneration for performance on nursing practice and patient outcomes is also covered in the paper. The essay also examines the professional nurse leadership and management roles in promoting patient safety and high-quality treatment as well as responding to new trends.

The provision of care in the American healthcare system depends on the improvement of nursing education and practice. As one of the greatest labor forces in the nation, the Nursing Workforce Reauthorization Act of 2019 is vital because it would update, reauthorize, and improve key programs to support and develop the nursing workforce. The Nursing Workforce Reauthorization Act of 2019 prioritizes improving nursing education, practice, and programs to retain nurses in order to satisfy the growing national demand brought on by an aging population and the ensuing retirement of the baby boomers’ nursing generation (Merkley, 2019). The law provides nurse practitioners with a variety of programs to promote nursing care, services, and these professionals’ general health. The goal of this law is to promote nurse accountability and broaden the nurse’s scope of practice in order to boost career satisfaction and boost retention rates.

The act will help to match the nursing sector with its profession since nurses will have the chance to further their education and serve in both rural and urban places, particularly in communities and populations that are underserved. The act guarantees that nurses will have improved practice skills based on their degree of training, education, and speciality. The statute urges nurses to exercise greater responsibility in their capacity as primary care providers, particularly in underserved and rural areas (Congress.GOV., 2019). The act makes sure that the nursing workforce in the United States is prepared to meet care needs both now and in the future and can address issues with access to care in the populations they serve.

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Assessment Description

Examine changes introduced to reform or restructure the U.S. health . In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.

Include the following:

  1. Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of Describe the effect of this on nursing practice and the nurse’s role and responsibility.
  2. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
  3. Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
  4. Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.

You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

– Rubric

Criteria Description

Current or Emerging Health Care Law or Federal Regulation and Effect on Nursing Practice, Role and Responsibility

5. Excellent

33 points

Discussion on emerging health care law or federal regulation, and effect on nursing practice and the nurse role, and responsibility is well-developed.

4. Good

29.37 points

Emerging health care law or federal regulation, and effect on nursing practice and the nurse role, and responsibility is described. Some information or detail is needed for clarity.

3. Satisfactory

26.07 points

Emerging health care law or federal regulation, and effect on nursing practice and the nurse role, and responsibility is summarized. There are some inaccuracies.

2. Less Than Satisfactory

24.75 points

Emerging health care law or federal regulation is incomplete. Effect on nursing practice and nurse role and responsibility is partially described.

1. Unsatisfactory

0 points

Emerging health care law or federal regulation is omitted. The law or regulation presented is not relevant to health care.

Criteria Description

Quality Measures Pay for Performance, Patient Outcomes, and Effect on Nursing Practice

5. Excellent

33 points

A thorough and insightful discussion on how quality measures and pay for performance affect patient outcomes, and how they affect nursing practice, expectations, and responsibilities of the nursing role, is presented.

4. Good

29.37 points

Discussion on how quality measures and pay for performance affect patient outcomes, and how they affect nursing practice, expectations, and responsibilities of the nursing role, is presented. Some information is needed for clarity.

3. Satisfactory

26.07 points

Summary on how quality measures and pay for performance affect patient outcomes, and how they affect nursing practice, expectations, and responsibilities of the nursing role, is presented. There are inaccuracies or slight omissions.

2. Less Than Satisfactory
NRS 440 Health Care Delivery Models and Nursing Practice GCU

24.75 points

Discussion on how quality measures and pay for performance affect patient outcomes, and how they affect nursing practice, expectations, and responsibilities of the nursing role, is incomplete.

1. Unsatisfactory

0 points

Discussion on how quality measures and pay for performance affect patient outcomes, and how they affect nursing practice, expectations, and responsibilities of the nursing role, is omitted.

Criteria Description

Professional Nursing Leadership and Management Roles

5. Excellent

33 points

A well-developed discussion on professional nursing leadership and management roles, and the imporantance of these roles in responding to emerging trends and patient safety and quality care, is presented. The discussion demonstrates a thorough understanding of the nursing profession in emerging trends and patient care in a diverse health setting.

4. Good

29.37 points

A discussion on professional nursing leadership and management roles, and the imporantance of these roles in responding to emerging trends and patient safety and quality care, is presented. Some detail or information is needed for clarity.

3. Satisfactory

26.07 points

A summary on professional nursing leadership and management roles, and the imporantance of these roles in responding to emerging trends and patient safety and quality care, is presented. There are inaccuracies or slight omissions.

2. Less Than Satisfactory

24.75 points

An incomplete discussion on professional nursing leadership and management roles and the imporantance of these roles in responding to emerging trends and patient safety and quality care is presented.

1. Unsatisfactory

0 points

Discussion on professional nursing leadership and management roles and the imporantance of these roles in responding to emerging trends and patient safety and quality care is omitted.

Criteria Description

Predict Change in Nursing Roles and Nursing Practice

5. Excellent

33 points

Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years to respond to upcoming trends or predicted issues in health care are thoroughly discussed. The predictions are based on evidence and highly relevant to emerging trends.

4. Good

29.37 points

Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years to respond to upcoming trends or predicted issues in health care are discussed. The predictions are generally supported and realistic.

3. Satisfactory

26.07 points

Insert Satisfactory CoA summary on professional nursing leadership and management roles, and the imporantance of these roles in responding to emerging trends and patient safety and quality care, is presented. There are inaccuracies or slight omissions.Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years to respond to upcoming trends or predicted issues in health care are summarized. The predictions are realistic, but there are inaccuracies or slight omissions. ntent 2 Descriptor

2. Less Than Satisfactory

24.75 points

Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years to respond to upcoming trends or predicted issues in health care are incomplete. The predictions are unrealistic or lack evidence for support.

1. Unsatisfactory

0 points

Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years to respond to upcoming trends or predicted issues in health care are omitted.

Criteria Description

Thesis Development and Purpose

5. Excellent

8.25 points

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

4. Good

7.34 points

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

3. Satisfactory

6.52 points

Thesis is apparent and appropriate to purpose.

2. Less Than Satisfactory

6.19 points

Thesis is insufficiently developed or vague. Purpose is not clear.

1. Unsatisfactory

0 points

Paper lacks any discernible overall purpose or organizing claim.

Criteria Description

Argument Logic and Construction

5. Excellent

8.25 points

Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

4. Good

7.34 points

Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

3. Satisfactory

6.52 points

Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

2. Less Than Satisfactory

6.19 points

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

1. Unsatisfactory

0 points

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Criteria Description

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

5. Excellent

8.25 points

Writer is clearly in command of standard, written, academic English.

4. Good

7.34 points

Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

3. Satisfactory

6.52 points

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

2. Less Than Satisfactory

6.19 points

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.

1. Unsatisfactory

0 points

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Criteria Description

Paper Format (use of appropriate style for the major and assignment)

5. Excellent

3.3 points

All format elements are correct.

4. Good

2.94 points

Template is fully used; There are virtually no errors in formatting style.

3. Satisfactory

2.61 points

Appropriate template is used. Formatting is correct, although some minor errors may be present.

2. Less Than Satisfactory

2.47 points

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

1. Unsatisfactory

0 points

Template is not used appropriately, or documentation format is rarely followed correctly.

Criteria Description

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

5. Excellent

4.95 points

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

4. Good

4.41 points

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

3. Satisfactory

3.91 points

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

2. Less Than Satisfactory

3.71 points

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

1. Unsatisfactory

0 points

Sources are not documented.

Total 165 points

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed
  • Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
  • Here are some helpful links
  • The is a great resource

 

Replies to Melisha Burns

For many patients and clinicians, the challenge of managing symptoms related to cancer and its treatment is in finding the balance between achieving a reasonable quality of life while undergoing potentially toxic and lifesaving modalities (Hinkle & Cheever, 2014). Vitamins and supplements such as the intake of Omega 3, 6, or 9 fatty acids was the second most used CAM in a study conducted by Kristoffersen et al (2022). In the study, they found that many patients used Omega fatty acids to boost or strengthen their immune system rather than find cure in it. It was also found that depression influences the quality of life of around 20% of cancer patients and antidepressants are the most well-established treatment for depression alongside different psychotherapeutic interventions. Many patients experience adverse effects of antidepressant medication. Psychiatry studies investigated the association between depression and omega-3 fatty acids as a potential complementary and well-tolerated interventions for cancer patients suffering from depression. Patients do not routinely communicate CAM practices to their health care providers because they were not asked to, or they withhold the information in the fear that their physician will not approve of it (Hinkle & Cheever, 2014). Using nonjudgmental approach, nurses include the assessment of CAM practices as part of the overall patient assessment. Nurses can also educate the patient regarding the importance of telling the medical provider of CAM practices such that of the use of vitamins and supplements. They may think that it is harmless but with receiving chemotherapy, the use of herbs and botanicals may interfere with metabolism which may decrease or increase the desired effect. Therefore, it is imperative to educate the patient on this matter.

Hinkle, J. L., & Cheever, K. H. (2014). Brunner & Suddarth’s textbook of medical-surgical nursing (Edition 13.). Wolters Kluwer Health/Lippincott Williams & Wilkins.

Kristoffersen, A. E., Nilsen, J. V., Stub, T., Nordberg, J. H., Wider, B., Mora, D., Nakandi, K., & Bjelland, M. (2022). Use of Complementary and Alternative Medicine in the context of cancer; prevalence, reasons for use, disclosure, information received, risks and benefits reported by people with cancer in Norway. BMC Complementary Medicine and Therapies, 22(1), 202. https://doi-org.lopes.idm.oclc.org/10.1186/s12906-022-03606-0

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