NR 447 Week 1: The Affordable Care Act
Chamberlain University NR 447 Week 1: The Affordable Care Act– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 447 Week 1: The Affordable Care Act 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 447 Week 1: The Affordable Care Act
Whether one passes or fails an academic assignment such as the Chamberlain University NR 447 Week 1: The Affordable Care Act 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 447 Week 1: The Affordable Care Act
The introduction for the Chamberlain University NR 447 Week 1: The Affordable Care Act 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 447 Week 1: The Affordable Care Act
After the introduction, move into the main part of the NR 447 Week 1: The Affordable Care Act 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 447 Week 1: The Affordable Care Act
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 447 Week 1: The Affordable Care Act
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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Healthcare reform is a term that is ever present in our practice settings and will not disappear any time soon.
1. Share with the class implementation of the Affordable Care Act in your organization. (If you are not working as a nurse, think about what was happening when you were a prelicensure student).
2. How did your fellow healthcare workers react to implementation of the ACA?
3. How were citizens in your community impacted?
Sample Answer for NR 447 Week 1: The Affordable Care Act
The Affordable Care Act (ACA) was enacted on March 23, 2010, under a democratic administrator, President Barack Obama. This 906-pg. document expands on Medicaid and those eligible for coverage, tax exemptions, coverage expectations for insurers, individual provisions, and the establishment of Essential Health Benefits (EHB) (Congress 117th, Law 111-148). The uninsured decreased by 43% after it was enacted (Manchikanti & Hirsch, 2016). This bill was passed thanks to the Democratic majority in the House in this particular year. However, passing this bill ultimately cost Obama his reelection, and public opinion opposing the ACA grew to 54% by 2016 (Manchikanti & Hirsch, 2016).
Republican Position on ACA
Milstead and Short (2019) claimed Trump was not able to take on the ACA and fully repeal it as promised in his campaign, primarily due to the complexity of enacting a replacement program and the significant costs and time required to do so would place him close to the next election This would be a substantial risk if the program changes suffered any complication or failures, which it was very likely to do, his public opinion would be at risk. Ultimately, the Republican party voted against repealing the program entirely. According to the Committee on Responsible Federal Budget (2017), the total cost to fully repeal the ACA is approximately $350 billion through 2027.
According to Wilson & Singer (2017), the Trump administration did not need a new bill to impact the ACA; instead, they used regulatory processes to carve away the coverage requirements under the EBH to provide less coverage. This caused considerable instability in the insurance marketplace, making premiums unstable and undermining the program’s integrity considerably.
Democratic Position on ACA
The current state of the federal budget is a very concerning issue for most Americans, and the ACA is a considerable contributor to the deficit. According to the Congressional Budget Office (2023), the projections for 2023 were that subsidies would reach 1.7 trillion dollars or seven percent of gross domestic; however, these subsidies have ballooned to 3.3 trillion by the end of the year and are projected to reach upward of 25 trillion by 2033. As the administration heads into an election year, it will remain to be seen whether the considerable infusions of funds into the ACA over the current term will help or hinder this party in reelection.
Conclusion
The complexity of the ACA makes it such that now that it is in place and ingrained in so many programs, repealing it would be challenging and costly. Since no suitable alternative has been presented and justified, it doesn’t appear soon for Americans despite any campaign promises. However, there is a risk of another round of executive orders that will destabilize the program again, creating more disparity for those who need the programs offered if the Trump administration is reelected in 2024. President Biden is not holding the public opinion presently primarily due to the budget issues and excessive spending, which puts all the advancements made for the ACA at risk.
References
Congressional Budget Office. (2023, September 8). Federal subsidies for health insurance 2023-2033. Retrieved December 11, 2023, from https://www.cbo.gov/publication/59273Links to an external site.
Committee of Responsible Federal Budget. (2017, January 4). The cost of full repeal of the Affordable Care Act. Retrieved December 9, 2023, from https://www.crfb.org/sites/default/files/managed/media-documents2022-02/ACA%20Repeal%20Score.pdfLinks to an external site.
Patient Protection and Affordable Care Act. (2010). 117th Congress. Retrieved December 9, 2023, from https://www.govinfo.gov/content/pkg/PLAW-111publ148/pdf/PLAW-111publ148.pdfLinks to an external site.
Manchikanti, L., & Hirsch, J. A. (2016). Repeal and Replace of Affordable Care: A Complex, but Not an Impossible Task. Pain physician, 19(8), E1109–E1113.
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning.
Willison, C. E., & Singer, P. M. (2017). Repealing the Affordable Care Act Essential Health Benefits: Threats and Obstacles. American journal of public health, 107(8), 1225–1226. https://doi.org/10.2105/AJPH.2017.303888Links to an external site.
Sample Answer 2 for NR 447 Week 1: The Affordable Care Act
The issue of nursing shortage is one that is well-documented in the United States. The federal government has designed several policies intentioned to address the matter. One of the laws that has provisions intentioned to tackle the matter is The Affordable Care Act. According to scholars on the matter, the absence of access to financial facilities hamstrung the efforts to increase the n number of practicing nurses. The Affordable Care Act, in its Section 5202 offers incentives for people to undertake nursing as regards the availability of loan facilities. The provision undertakes to address the nursing shortage in undermanned specialties such as pediatric nursing (Nursing and Health Reform, n.d).. As a consequence of this, the number of nurses in the United States has increased steadily in the last couple of years. Whereas the issue still remains, its severity has ameliorated since the passage of the Affordable Care Act as nurses take advantage of the provisions of Section 5202.
Moreover, the ACA also has improved the quality of care offered by nurses in the United States. Section 5309 addresses the issues of nurse education, retention, and practice grants (French, Homer, Gumus, & Hickling, 2016). The section has provisions that establish further grants to the nursing profession in order to improve the retention rates of the professionals in the area. The advancement of nurses’ careers that is advocated for by this section has successfully led to the retention of nurses as their salaries and comfortability with care provision increase afterwards. In addition, the provision also addresses one of the leading attrition factors as relates to nurses in terms of collaboration and communication. By offering incentives to hospitals that improve the two phenomena, the ACA has ensured that care facilities institute measures to improve them. Therefore, the retention of workers and the consequent improved work environment leads to enhanced care by nurses.
References
French, M. T., Homer, J., Gumus, G., & Hickling, L. (2016). Key Provisions of the Patient Protection and Affordable Care Act (ACA): A Systematic Review and Presentation of Early Research Findings. Health services research, 51(5), 1735–1771. doi:10.1111/1475-6773.12511
Nursing and Health Reform. (n.d). Retrieved from https://c.ymcdn.com/sites/www.wocn.org/resource/resmgr/AdvocacyPolicy/PPACA_and_Nursing_-_Nursing_.pdf
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APA Writing Checklist
Use this document as a checklist for each paper you will write throughout your GCU graduate
program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.
☐ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.
☐ The title page is present. APA format is applied correctly. There are no errors.
☐ The introduction is present. APA format is applied correctly. There are no errors.
☐ Topic is well defined.
☐ Strong thesis statement is included in the introduction of the paper.
☐ The thesis statement is consistently threaded throughout the paper and included in the conclusion.
☐ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.
☐ All sources are cited. APA style and format are correctly applied and are free from error.
☐ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.
Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.
Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.
Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.
Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.
Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.
☐ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.
Read Also: NR 447 Week 2: AACN Essentials Self-Assessment and Patient-Centered Care