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NR 506 Week 3: Your Policy-Priority Issue

NR 506 Week 3: Your Policy-Priority Issue

Chamberlain University NR 506 Week 3: Your Policy-Priority Issue– Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University   NR 506 Week 3: Your Policy-Priority Issue  assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for  NR 506 Week 3: Your Policy-Priority Issue                                

Whether one passes or fails an academic assignment such as the Chamberlain University   NR 506 Week 3: Your Policy-Priority Issue    depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for  NR 506 Week 3: Your Policy-Priority Issue                                

The introduction for the Chamberlain University   NR 506 Week 3: Your Policy-Priority Issue    is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for  NR 506 Week 3: Your Policy-Priority Issue                                

After the introduction, move into the main part of the  NR 506 Week 3: Your Policy-Priority Issue       assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for  NR 506 Week 3: Your Policy-Priority Issue                                

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for  NR 506 Week 3: Your Policy-Priority Issue                                

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NR 506 Week 3: Your Policy-Priority Issue

NR 506 Week 3Your Policy Priority Issue

With an estimated 400,000 illegal or undocumented immigrants in Georgia, Georgia is on record as one of the states with the most stringent immigration healthcare laws (Ridder, 2015). Under federal law, Georgia’s undocumented immigrants are prohibited from receiving public or private healthcare services, purchasing private health insurance, or receiving public healthcare insurance; however, they can receive emergency healthcare services at a hospital ER. Undocumented immigrants can also receive limited healthcare services from state approved community health centers or safety net hospitals. Georgia adheres to federal laws governing healthcare services, but state law enforcement agencies have begun to enforce the “show me your papers” clause under Georgia’s central immigration law (Yee, 2017). This clause places severe restrictions on undocumented immigrants’ ability to travel. Undocumented immigrants are less likely to seek health services because they may be deported after receiving treatment (Sconyers & Tate, 2016). My public policy focuses on making healthcare services more accessible to Georgia’s undocumented immigrant population. The health policy will focus on providing a standard delivery of equitable health care services (to include low cost vaccinations for school age children and six-month health checkups) for all undocumented immigrants in Georgia. The policy will also include a provision that blocks medical deportation while receiving any of the medical services listed within the conditions of this new public health policy.

My public policy issue impacts Georgia’s nurses because the law restricts the type of healthcare services nurses can offer to undocumented immigrants. This raises ethical issues as nurses are both the central health providers for patient care and information resources who drive patient safety and quality. There is no specific Georgia legislator in charge of immigration legislation. Each immigration bill, and there are many of them, is authored by one or several state representatives or senators and sponsored by various committees. In that my policy is healthcare based, I will contact State Representative Sharon Cooper. I think she would be interested in my policy issue for several reasons: Rep. Cooper is the chairperson over the Health and Human Services Committee; she has an MSN in Nursing; she is a member of the Special Committee on Saving Grady Memorial Hospital (Atlanta’s largest “safety net” hospital). She is a noted conservative, but I believe her experiences in nursing and education make her a compassionate and knowledgeable ally for my public health policy. Rep. Copper can be reached at the State Capitol in Atlanta, GA (404-656-5069) or at the district office in Marietta, GA (770- 956- 8357. Her email address is sharon.cooper@house.ga.gov., and her Facebook link is https://www.facebook.com/State-Rep-Sharon-Cooper-133816235514/.

Key Points:

The context of the public healthcare policies aimed at undocumented immigrants living in Georgia starts with laws passed on the federal level. Georgia must follow federal guidelines regarding healthcare services for undocumented immigrants, the type of medical services provided, and the location healthcare services can be received (Ballotpedia, 2018). However, the state can also create its own immigration laws that do not conflict with federal provisions. Instead of passing a public health policy that benefits undocumented immigrants and legal residents, for the greater good of society, state legislators have chosen to pass laws that limit the scope of care undocumented immigrants can receive outside of the ER if they do not present a valid ID. Georgia’s public healthcare policy is so restrictive that as of October 2016  enacted legislation does not even allow lawfully residing immigrants to enroll in Medicaid or CHIP (Ballotpedia, 2018). Georgia legislators are conservative and want to provide as little healthcare services to immigrants as possible, which is evident by many of the state laws that have been passed regarding this population.

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Sample Answer 2 for NR 506 Week 3: Your Policy-Priority Issue

One of the identified need for changes is Georgia’s legislators’ ideas about undocumented immigrants and their connection with spreading diseases. For example, Rep. Phil Gingrey, R-Ga. wrote an impassioned letter to the CDC in July of 2014 advocating for stricter federal immigration polices because he feels undocumented immigrant children carry all types of diseases, such as dengue fever and tuberculosis that place other school age children at risk (Poon, 2014). In response, the CDC released a statement that there is little evidence that undocumented immigrants are to blame for diseases outbreaks of measles, pertussis, hepatitis C, and other diseases (Tani, 2015). This is also a key point that I will have to overcome when presenting my public healthcare policy to Rep. Cooper. Another identified need for change is that both Georgia and the federal government’s public healthcare policies allow for the deportation of sick undocumented immigrants. In Georgia, hospitals are no longer “sensitive locations” protected from enforcement actions. This poses ethical issues for nurses and doctors, as they are legally forced to stop treatment on sick patients under arrest.

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The goal is to provide undocumented immigrants access to a better and varied set of healthcare services. Another goal is to eliminate medical deportations and re-establish Georgia’s hospitals as “safe locations,” to include all medical facilities. My solution is to pass a socially and ethically appropriate public health policy that benefits legal residents and undocumented immigrants. The policy will eliminate medical deportations from “safe locations,” approve low cost preventative care checkups every six months with no ID required, and support low cost childhood vaccines for school age children. My rationale is to make healthcare services more accessible to undocumented immigrants and remove the threat of deportation to help them make a better informed decision about going to the doctor; therefore, minimizing the concerns of Georgia legislators about disease outbreaks. Providing a standard delivery of equitable health care services is a more noble use of Georgia’s economic resources. The low cost paid by undocumented immigrants will help offset some of the medical costs absorbed by the state, which will be offset by some of the $67 million in federal funds Georgia receives for healthcare.

Analysis of Empirical Evidence:

The CDC has acknowledged there is a risk of high levels of disease spreading but that risk does not stem from undocumented immigrants alone (Jacobson, 2015). Surveyed medical experts all agree that there is “no hard data” to prove that undocumented immigrants have spread unusually high levels disease; a disease outbreak can come from legal immigrants, refugees, international travelers, and yes even from a U.S. citizen (Jacobson, 2015). Therefore, continuing to pass Georgia legislation that limits undocumented immigrants access to healthcare based upon these grounds is counterproductive. The success of my public health policy hangs on my ability to show that undocumented immigrants do not pose a strain on Georgia’s healthcare system and that undocumented immigrants will not trigger a disease outbreak. I must also show that medical deportations pose more risk, as scrutiny and lawsuits from anti-immigrations coalitions and civil liberties organizations like the ACLU will grow.

I plan to convey this message to Rep. Cooper. I know her schedule is busy, so getting a meeting may be challenging. My contingency plan is to set up a meeting with another member of the Health and Human Services Committee, Kim Schofield (D – Atlanta). Before I present my public policy, I must develop a solid objective, clear plan of delivery, and a written proposal of my public policy. My aim is to evoke empathy and compassion for undocumented immigrants and familiarity with the nursing profession and its goals. I would also like to bring some charts and graphs that validate the details of my proposal. I must give Rep. Cooper a chance to present her point of view but be able to provide counterpoints that open the floor to meaningful discourse and hopefully some resolution. It is critical that I present with confidence and stick to my presentation. Communication skills are critical, such as maintaining eye contact, steadying my tone of voice, and using visual aids.

Importance and Impact to Nursing:

Under current Georgia law, nurses are under no obligation to report undocumented patients, but they are also under no obligation to provide treatment outside of an ER setting. Some nurses may feel obligated to call immigration enforcement on foreign patients who present fake IDs or who they suspect are undocumented immigrants. Nurses who report illegal immigrants raise ethical concerns within the nursing profession: nonmalfeasance, beneficence, confidentiality, fidelity (Sconyers & Tate, 2016). If nurses exercise their legal rights not to disclose any personal information about a suspected undocumented patient to immigration enforcement officials, their silence is often the nail in the coffin that causes undocumented patients to be carted off in cuffs. The ethical dilemma for nurses raises questions about whether nurses have a higher ethical responsibility to the government or to the professional code. (Sconyers & Tate, 2016).

Conclusion:

Georgia’s public health policy regarding access and type of healthcare for undocumented immigrants is in dire need of reform. The policy approves medical deportation and offers limited access to healthcare services, which restricts 400,000 people from seeking necessary healthcare services. My policy calls for comprehensive policy reform that expands access to health care for undocumented immigrants based on an analysis of their impact on health care expenditures, public health, and the role of health care providers. Nurses can advocate this reform on ethical grounds, maintaining the goal is to improve the health of everyone in Georgia.

References

Ballotpedia. (2018). Immigration in Georgia: Public policy in Georgia. Retrieved from https://ballotpedia.org/Immigration_in_Georgia

Jacobson, L. (2105, July 23). Are illegal immigrants bringing ‘tremendous’ disease across the border, as Trump says? Unlikely. POLITIFACT. Retrieved from http://www.politifact.com/truth-o-meter/article/2015/jul/23/are-illegal-immigrants-bringing-tremendous-diseas/

Poon, L. (2014, July 22). The immigrant kids have health issues — but not the ones you’d think. National Public Radio (NPR). Retrieved from https://www.npr.org/sections/goatsandsoda/2014/07/22/332598798/the-immigrant-kids-have-health-issues-but-not-the-ones-youd-think

Ridder, K. (2105, September 14). Illegal immigration population in Georgia. NewsMax. Retrieved from https://www.newsmax.com/fastfeatures/illegal-immigration-georgia/2015/09/14/id/691510/

Sconyers, J., & Tate, T. (2016). How should clinicians treat patients who might be undocumented? AMA Journal of Ethics18(3), 229-236. doi: 10.1001/journalofethics.2016.18.03.ecas4-1603

Tani, M. (2015, February 24). CDC official dismisses claim that undocumented immigrants bring measles into the U.S. Huffington Post. Retrieved from https://www.huffingtonpost.com/2015/02/23/undocumented-immigrants-measles-outbreak_n_6737102.html

Yee, A. (2017, May 31). Feds, states target southern ‘sanctuary cities’. Savannah Now[Savannah]. Retrieved from http://www.savannahnow.com/lavozlatinaonline/noticias/2017-05-31/feds-states-target-southern-sanctuary-cities

Sample Answer 3 for NR 506 Week 3: Your Policy-Priority Issue

After starting my research for this assignment, I now realize the importance of NP performance measurements. One of the most important things to myself, and I’m sure to all of you as well, as a NP is to have positive patient outcomes. Providing necessary interventions is essential to providing high quality care and improving our patient’s health outcomes. One organization that assesses performance and identifies areas that need development is The National Committee for Quality Assurance (NCQA, 2020). I feel that this assignment is going to give me a greater insight into the relationships between healthcare interventions, patient outcomes, and financial healthcare savings. Furthermore, possessing knowledge about NCQA and HEDIS empowers NPs to navigate the healthcare landscape and grasp the broader context of quality improvement initiatives, performance measurement, and value-based care models. This understanding enhances their ability to collaborate effectively with other healthcare professionals, engage in quality improvement initiatives, and deliver patient-centered care.

References

 

National Committee for Quality Assurance. (2020). About NCQA.  https://www.ncqa.org/about-ncqa/ (https://www.ncqa.org/about-ncqa/)Links to an external site.

Sample Answer 4 for NR 506 Week 3: Your Policy-Priority Issue

I agree that providing medical care for undocumented immigrants is an important public health policy issue on so many levels. I will gladly take your suggestion and change my focus to undocumented patients. In narrowing the focus of my public policy issue, my revamped  public policy is as follows:

Currently, health care access for undocumented immigrants relies greatly on federal provisions for emergency medical treatment (EMTALA) and for safety-net clinics and hospitals. While undocumented immigrants can seek medical attention at ERs and approved medical facilities under the EMTALA Act, federal policies prioritizing deportation add new health concerns for medical professionals and communities. Medical deportations have risen and have scared the immigrant community into staying away from seeking medical care. To reduce the chance of exposing themselves to the risk of prosecution just by showing up to the emergency room, immigrants who need medical attention simply do not go to the doctor. The narrow scope of denying health care coverage to 23 million non-citizens, more significant is 11 million of these individuals are undocumented and approximately one million are “dreamers” (young undocumented immigrants), is the ethical issues associated with denying people medical assistance when they need it most and deporting undocumented immigrants who are sick or who need serious medical attention. On a larger social/national scale, over 300 million legal residents are now at risk for exposure to contagious diseases. According to the CDC and other credible national and state health reports contagious diseases that were once controlled in the U.S. have increased in incidence in port states and states bordering Mexico. Incidences of tuberculosis and dysentery have increased in these states because most immigrants live in substandard conditions. The CDC specifically cites a more serious risk of the spread of a number of contagious diseases due to “U.S./Mexico cross border movement” that includes HIV, measles, pertussis, rubella, rabies, hepatitis A, influenza, and foodborne diseases. Undocumented immigrants do not undergo simple medical screenings to assure they are not carriers of contagious diseases because they are more concerned about being deported. Current public policy regarding the access of healthcare and immigration law is in dire need of reform. My public policy will focus on formulating legislation for a standard delivery of medical care across the board for all immigrants regardless of their immigration status. The new policy will include provisions that block undocumented immigrants from being detained once they are discharged and allow for hospitals and safety net clinics to see an increase in funding to provide medical care for undocumented immigrants. If immigrants know they can receive medical attention but are still at risk for deportation once they are released from a medical facility, they still will not seek medical attention when they need it.

I still believe that the rational policy model is the best way to approach my healthcare policy priority. This type of policy approach is best for “broad, sweeping policy changes” and reflects the goals of society, which I believe is to provide a feasible standard of healthcare for everyone in the United States regardless of resident status. Using this model, policymakers identify and outline the issue, rank social values according to policy goals, create and assess policy alternatives for positive and negative outcomes, then select the best policy that achieves the overall policy goals.

Centers for Disease Control and Prevention (CDC). (2017, September 15). U.S. – Mexico Cross-Border Health. Retrieved from https://www.cdc.gov/healthcommunication/toolstemplates/entertainmented/tips/us-mexico-health.html

UPI News. (2013, April 24). U.S. hospitals repatriating sick/injured undocumented immigrants. Retrieved from https://www.upi.com/US-hospitals-repatriating-sickinjured-undocumented-immigrants/21001366847321/

Washington Post. (2017, September 6). The Health 202: Immigrants’ health-care problems are about to get worse. Retrieved from https://www.washingtonpost.com/news/powerpost/paloma/the-health-202/2017/09/06/the-health-202-immigrants-health-care-problems-are-about-to-get-worse/59aeffdf30fb04264c2a1ceb/?utm_term=.45cd4776c4b1