Identify recommendations for nursing education you believe will be most effective or radical in creating change within the industry.

Topic 1 DQ 2

Refer to the consensus report of the National Academies of Sciences, Engineering, and Medicine, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity, provided in the topic Resources. Identify recommendations for nursing education you believe will be most effective or radical in creating change within the industry. Provide rationale based on your experience in practice. Do you agree or disagree with how the report describes the evolution of the advanced practice registered nurse role? Why or why not?

The consensus report of the National Academies of Science, Engineering and Medicine, The Future of Nursing 2020-2030: Charting a Path to Achieve Equity, is a report that outlines recommendations for improving patient care and achieving health equity. Some of the recommendations for nursing education can be key in causing desired change within the industry. Two of the recommendations are recommendation three, which revolves around promoting nurses’ well-being and health, and the eighth recommendation, which revolves around enabling nurses to address iniquities within communities by strengthening and protecting the workforce (Wakefield et al., 2021, pg 370).

Among the key focuses of nursing is improved patient care and ensuring that patients are safe in the care environment (Wei et al., 2018, pg 288). These can better be achieved by promoting the well-being and health of the nurses as they take on new roles to help advance health equity. Promoting their well-being and health will make nurses feel more valued and hence improve and work towards offering the patients the best. Recommendation eight is also more likely to cause notable change and improvements. It is important to address inequities within communities by strengthening and protecting the nursing workforce during emergencies such as natural disasters and pandemics (Wakefield et al, pg. 377). This recommendation became more relevant to me during the Covid-19 pandemic, where the organization made no efforts to ensure our safety since sometimes the nurses found it difficult to even access vital supplies. The management was at a distance, and the nurses felt neglected. As such, fulfilling the requirements stated in this recommendation will go along the way in ensuring that inequities are eliminated.

I agree with how the report describes the evolution of the advanced practice registered nurse role. From the report, it is recommended that the nurses should be allowed to practice to the full extent of their education as well as training. This is to be achieved by eliminating the practice barriers preventing them from practice and ensuring that they appropriately address the social determinants of health and social needs to enhance healthcare value, quality and access. Addressing the social determinants of health are all key to better patient outcomes (Hill-Briggs et al., 2021, pg 259).

References

Hill-Briggs, F., Adler, N. E., Berkowitz, S. A., Chin, M. H., Gary-Webb, T. L., Navas-Acien, A., … & Haire-Joshu, D. (2021). Social determinants of health and diabetes: a scientific review. Diabetes Care, 44(1), 258–279. https://doi.org/10.2337/dci20-0053

Wakefield, M., Williams, D. R., & Le Menestrel, S. (2021). The future of nursing 2020-2030: Charting a path to achieve health equity. National Academy of Sciences.

Wei, H., Sewell, K. A., Woody, G., & Rose, M. A. (2018). The state of the science of nurse work environments in the United States: A systematic review. International Journal of Nursing Sciences, 5(3), 287–300. https://doi.org/10.1016/j.ijnss.2018.04.010

The report that the Institute of Medicine (IOM) published in 2001 was information that was attempting to depict how the health system should have planned for its improvement. One of the six subjects that was inadvertently pushed aside was equity. There is inequity in health care. “Social determinants of health (SDOH) as defined by the US Centers for Disease Control and Prevention (Centers for Disease Control) are the conditions in which people live, learn, work, and play that are determined by the distribution of money, power, and resources and that affect a wide range of health and quality of-life risks and outcomes” (Macias-Konstantopoulos et al., 2023, p. 907). The health care field is not a level playing field. Insurance has a major influence unfortunately. There is a great push from the administrative staff to make sure that all the paperwork is correctly filled out to get the hospital its money. So yes, the hospital is a business, but it becomes overshadowed by the politics of reassuring that some form of payment is also filed in the patient’s profile as well.

When the healthcare professional has direct patient contact, then they should not have to think about any sort of money exchange. Their focus is improving the patient’s current health care status. Providing health equity should be a given. Having worked in a county hospital, I was able to see how patients were obviously in the hospital because they were unfortunately the ones without insurance and also more so the ones who did not receive preventative care. Therefor they are now in worse shape than they would have been if they had received preventative care to begin with. The evolution of the advanced practice registered nurse will greatly benefit those who require preventative care but are just out of reach of the physician’s care. Having the option to seek care prior to desperately needing care would be extremely beneficial to the patient and extremely cost effective to the health care system.

Macias-Konstantopoulos, W. L., Collins, K. A., Diaz, R., Duber, H. C., Edwards, C. D., Hsu, A. P., Ranney, M. L., Riviello, R. J., Wettstein, Z. S., & Sachs, C. J. (2023). Race, Healthcare, and Health Disparities: A Critical Review and Recommendations for Advancing Health Equity. Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 24(5), 906–918. https://doi-org.lopes.idm.oclc.org/10.5811/westjem.5840

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Important information for writing discussion questions and participation

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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

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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.

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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
Student paper example
Citing Sources
The Writing Center is a great resource