Discussion: Week 8 The final week will focus on Global Policy Reform and the impact on patient care.  Students read the Berwick article and respond to the required discussions.  In addition, students reflect on what they have learned in NR506NP and how it is applicable to their upcoming clinical courses

Discussion: Week 8 The final week will focus on Global Policy Reform and the impact on patient care.  Students read the Berwick article and respond to the required discussions.  In addition, students reflect on what they have learned in NR506NP and how it is applicable to their upcoming clinical courses

Discussion: Week 8 The final week will focus on Global Policy Reform and the impact on patient care.  Students read the Berwick article and respond to the required discussions.  In addition, students reflect on what they have learned in NR506NP and how it is applicable to their upcoming clinical courses

Purpose 

The final week will focus on Global Policy Reform and the impact on patient care.  Students read the Berwick article and respond to the required discussions.  In addition, students reflect on what they have learned in NR506NP and how it is applicable to their upcoming clinical courses.

Activity Learning Outcomes 

Through this discussion, the student will demonstrate the ability to:

1. Understand the role of advanced practice nursing in the International Context (CO2)
2. Research global aspects of healthcare and the effect on the US healthcare system (CO5)
3. Discuss the implications of global health on your clinical practice (CO5)
   

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 Due Date: Wednesday by 11:59pm MT of week 8 

Initial responses to the discussion topic must be posted by Wednesday 11:59pm MT. Two additional posts to peers and/or faculty are due by Sunday at 11:59pm MT.  Students are expected to submit assignments by the time they are due.

A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday of week 8 by 11:59PM MST, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Saturday (i.e. student will receive an automatic 0). Week 8 discussion closes on Saturday at 11:59pm MT.

Total Points Possible: 100 

Requirements:

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.

Read the Berwick article and reflect on the concepts and practices you have learned in NR506 on healthcare systems, politics, and health policy. Reflections should include:

1. 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.
2. Describe how one will apply content from NR506NP to the upcoming clinical courses.

DISCUSSION CONTENT
Category	Points	%	Description
Making informed decisions	40	40%	Provides relevant evidence of scholarly inquiry sharing insights as how to make informed decisions on nursing practice and patient outcomes on a global basis. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
Application to Clinical Practice	35	35%	Provides relevant evidence of scholarly inquiry stating how one may apply content learned in this course to future clinical practice.  Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
			Total CONTENT Points= 75 pts
DISCUSSION FORMAT
Category	Points	%	Description
Interactive Dialogue	20	20%	4 Required Elements: Responds a minimum of two other posts to peers and/or faculty in the threaded discussion; Responses to peer/faculty are substantive (adds importance, depth, and meaningfulness to the discussion) Responds to all direct questions from faculty (if no question asked directly, student responded to questions posed to the entire class) Summarizes what was learned from the lesson, readings, and other student posts for the week. The summary could be included in one of the three minimum posts.
Grammar, Syntax, Spelling, & Punctuation	5	5%	Grammar, syntax, spelling, and punctuation are accurate.
			Total FORMAT Points= 25 pts
			DISCUSSION TOTAL=100 points

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Reflection on Achievement of Outcomes

The politics of a state have considerable influence on the healthcare policies affecting the health care system of that state. Besides the universal code of practice for healthcare professionals, different States have regulatory bodies that develop healthcare policies and set regulations by which the healthcare system is run (Xue et al., 2018). This discussion entails reflecting on the concepts and practices learned in the course and the application to the upcoming clinical practicum experience. More so, it will focus on how I can make informed decisions on nursing practice and patient outcomes globally.

The major concepts that stood out for me in NR506NP include the development of healthcare policies, the components, and the consequences of different healthcare policies to nursing practitioners. I understood in detail that different healthcare policies in a state could be enablers or restrictors of nursing practice, specifically for advanced nursing practice nurses who have knowledge and experience. However, unfavorable policies can be amended through advocacy and lobbying done by the primary stakeholders in the health department. Nurses can be at the frontline in influencing healthcare policy from institutional levels to the state, national and global levels. Since nurses are at the grassroots level in understanding patient needs and preferences and how different healthcare policies apply to the entire healthcare system, they should lead in policy change interventions.      

According to Yakusheva, Rambur & Buerhaus (2022), nurses’ role puts them in a place where they are required to make decisions regarding the quality, safety, and cost of care in their institutions throughout the professional practice. Thus, nurses should make informed decisions since their decisions considerably influence healthcare. NR506NP has been an eye-opener to me since it has emphasized the importance of making informed decisions. Using it, I can effectively apply the principles of informatics to support my decision-making. It has prepared me to make informed decisions in patient actions through evidence-based practices. Evidence-based practice is imperative for patient safety, hence essential consideration in making decisions, especially while developing care plans. I will also consider being actively involved in research with other nurse professionals globally. Consequently, it will enhance my understanding of other healthcare systems, thus making informed decisions when working in different areas.  

The course will also be applied in my upcoming practicum experience. Knowing the regulations that the board of nursing has set in our state, I will be careful to perform my roles and duties diligently and uphold ethics in the departments in which I will be doing my practicum. I will also use my upcoming practicum to engage with other healthcare stakeholders in conversations on the existing health policies in our state and brainstorm on the changes that can be made to make them more favorable and how to influence policymakers. I will also take part in campaigns for action in areas of desired policy change. 

Linking knowledge acquired from previously learned courses to upcoming ones is integral in nursing education. A review of the position of global healthcare quality by Berwick, Snail, and Nishtar (2018) showed that the healthcare system has not gotten where it should be, being in the 21^st century. The knowledge acquired in this course will be used together with the upcoming clinical courses to play my role effectively as a nurse in helping the world realize universal health coverage. 

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 https:// doi:10.1001/jama.2018.13696

Xue, Y., Kannan, V., Greener, E., Smith, J. A., Brasch, J., Johnson, B. A., & Spetz, J. (2018). Full scope-of-practice regulation is associated with higher supply of nurse practitioners in rural and primary care health professional shortage counties. Journal of Nursing Regulation, 8(4), 5-13. https://doi.org/10.1016/S2155-8256(17)30176-X

Yakusheva, O., Rambur, B., & Buerhaus, P. I. (2022). Value-informed nursing practice: What is it and how to make it a reality. Nursing Outlook, 70(2), 211-214. https://doi.org/10.1016/j.outlook.2022.01.001