Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages To Order 5-10 Pages Description/Paper Instructions
Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.
Peer 1
Topic 1
From the chapter “The Changing United States Health Care System” in your course textbook, using either the story of Wald’s efforts to improve the health status of impoverished immigrant communities or the story of how advanced practice registered nurses have struggled with their legitimacy within the health care delivery system, compare your own experience in nursing.
- Have there been challenges you have faced? If so, what strategies did you employ to overcome these challenges?
- How do you envision your career moving forward in advocating for your patients? Your community? Yourself?
The struggle with legitimacy within the health care system still continues today. The stories of nurse practitioners and public health nurses are also connected by the ability to thrive and continue negotiations within a slow and subtle policy process (Mason 2016). I have seen that many nurse practitioners continue to find their way. I have seen where the nurse practitioners on a patient’s team may make an independent decision and the primary physician may come and discontinue the order. This can be very discouraging for up and coming nurse practitioner because they have the patient’s best interest at heart. Often times to overcome the challenges, we find it best to come together and discuss the patient’s treatment plan to make the best decision for the patient’s diagnosis and still continue to be an advocate for the patient.
As I envision my career, I know that there will continue to be many obstacles that come may way. I have always tried to be an advocate for all my patients and sometimes the nurse is the only person that the patient can depend on. When patients come to the hospital, they voice their concerns to us with hope that we will communicate with the physician. Because we are our patient’s advocates, our advocacy will resonate throughout the community because they will brag on the treatment they received when we cared for them. As a nurse, it brings me great joy when I know that I have made a difference in someone’s life during my 12 hour shift. Many times, this joy may be the only motivation that I have to go back and conquer the next shift. I have seen so many things change, but many still remain the same.
D. Mason, D. Gardener, F. Outlaw, E. O’Grady. Policy & Politics in Nursing and Health Care. 2016 7th edition. Elsevier Inc.
978-0-323-24144-1
Peer 2
As a seasoned nurse I feel that accountability is one of the issues that we are faced with in healthcare. We have always had an issue with our staff regarding call ins, however since Covid reared its ugly face we have had an influx of staff not holding themselves accountable in more ways than one. This issue stems from clerical staff, CNA, to nursing staff unfortunately. It seems that medical staff are not going into the nursing profession to make a difference, only to make a decent paycheck. While healthcare has numerous challenges, accountability is high on the list alongside long work hours and areas of short staffed. Denis states that “Accountability regimes in healthcare systems thus face numerous challenges relating to the definition of a clear mandate in the form of specific goals and objectives, to the attribution of these mandates to skillful providers or organizations and to the design of incentives to support the accountability relationship and improvement” (Denis, 2014). Nursing is a demanding profession that entails increased workloads, higher level acuity patients today and we are expected to perform safe and quality patient care with very limited staff. This is where professional accountability allows us to celebrate our success while providing safe effective patient care to our patients and admitting when we make mistakes every time. Many go on to say that accountability has become a major issue in healthcare, and I could not agree more with that statement. I feel like in order to encourage accountability, we as managers must hold our staff to the policies that we are governed by. We can not worry about staff threatening to quit as a result of holding them accountable for their actions and show other staff that we are setting a higher limit for our facilities.
In order to advocate for our patients properly we must first know the needs of our patients and then focus on how we can meet those needs. Advocating is a strong aspect of my nursing career given my professional background in the medical field. I will always advocate for my patients and family regardless of the circumstances because that is the right thing to do as a nurse and as a person.
Reference
Denis J. L. (2014). Accountability in healthcare organizations and systems. Healthcare policy = Politiques de sante, 10(Spec issue), 8–11.
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. The can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. GET THIS PROJECT NOW BY CLICKING ON THIS LINK TO PLACE THE ORDER
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