NR 506 Week 1: The Four Spheres of Political Action in Nursing
Chamberlain University NR 506 Week 1: The Four Spheres of Political Action in Nursing– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 506 Week 1: The Four Spheres of Political Action in Nursing 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 1: The Four Spheres of Political Action in Nursing
Whether one passes or fails an academic assignment such as the Chamberlain University NR 506 Week 1: The Four Spheres of Political Action in Nursing 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 1: The Four Spheres of Political Action in Nursing
The introduction for the Chamberlain University NR 506 Week 1: The Four Spheres of Political Action in Nursing 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 1: The Four Spheres of Political Action in Nursing
After the introduction, move into the main part of the NR 506 Week 1: The Four Spheres of Political Action in Nursing 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 1: The Four Spheres of Political Action in Nursing
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 1: The Four Spheres of Political Action in Nursing
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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Please discuss the four spheres of political action in nursing. In addition, please develop a brief argument sharing how these spheres are interconnected and overlapping by applying an example from your practice. What are some ethical considerations here?
Sample Answer for NR 506 Week 1: The Four Spheres of Political Action in Nursing
The four spheres of political actions in nursing are the workplace, government, community and professional organizations (Mason et al, 2012). Each one of the spheres has it’s own separate functions such as: the workplace focuses on issue, which affect jobs and patient care. Government addresses rules, laws, and manages regulations in nursing practice. Community involves issues that affect community well-being and lastly organizations which address concerns related to shaping nursing practice (Mason et al, 2012). Together the spheres can create change. Nurses are able to change policy making and improve issues in the community health systems (Mason et al, 2012).
When you start out in your new nursing career, it is vital to review the political policies and nursing policies in your organizations. Nurses don’t realize that we are already political our nursing practice is molded around governing bodies, ethical, professional, governmental standards, and healthcare itself (Bjornsdottir, 2009).
I believe in centered family care in our organization. Especially when a trauma has occurred and the outcome doesn’t look good. It is important for family to see that you have done everything you can to help their loved one. Nursing has the greatest power in this situation (Parker, 2013). We are responsible for being the patient’s advocate. In the workplace it is vital for the patient’s family to be at their child’s bedside when something critical is taking place. If not then the family is wondering what is being done on their child (Parker, 2013) when a family member becomes involved they know you have done your best even if the outcome is not good. We have an ethical responsibility to do everything we can to save someone’s life. Nurses have to remind surgeons and other physicians that families have a right to be with their loved ones (Parker, 2013). Physicians see families as a distraction and that they will be in the way, instead of seeing them as a positive and realizing the family needs to believe that we tried everything to save their child’s life. If not allowed in the room they decide what they think or don’t think you did for their loved one (Parker, 2013).
Some ethical problems one may face with not allowing patient centered care in your organization can be wait times in the emergency room. These extended wait times puts a patient and their families at risk for harm (CDC, 2014). The main reason for this is boarding of patient’s for lack of nurses to take care of patient’s inpatient. When boarded patient’s take up Ed resources which makes waiting times in the Ed waiting room increase to unsafe levels (CDC, 2014).
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Bjornsdottir, K. (2009). The ethics and politics of home care. International journal of nursing studies, 46, 732-736. Retrieved from
Centers for Disease Control. (2014). Emergency department visits. Retrieved from http://www.cdc.gov/nchs/fastats/emergency-department.html (Links to an external site.)
Mason, D.J., Leavitt, J.K., & Chaffee, M.W. (2012). Policy and politics in nursing and health care. Retrieved from http://nursingandpolitics.blogspot.com/2012/12/asyou-are-learning-this-week-about.html (Links to an external site.)
McClelland, M., (March 6, 2015) “Ethics: Harm in the Emergency Department – Ethical Drivers for Change”: The Online Journal of Issues in Nursing 20, (2).
doi: 10.3912/OJIN.Vol20No02EthCol0
Parler, L. (2013). Family centered care: Aiming fro excellence exploring the past, present, and future. Vancouver general hospital. Retrieved from
http://www.caccn.ca/en/files/Dyn149B Family Centered
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Sample Answer 2 for NR 506 Week 1: The Four Spheres of Political Action in Nursing
I connected with your post because I also work as a nurse in the Emergency Room and wait times have become a big problem for us over the past 5 or so years. The first 5-7 years I worked in the ER patients rarely had to wait more than 15-20 minutes. Since that time we have remodeled and expanded the amount of beds and many times we have wait times of 2-6 hours. You mentioned boarding patients and how this puts the patients in the waiting room at risk. I absolutely agree. I started my career on the floor and when our beds were full that was it, no more patients. In the ER the patients keep coming and every time we have to wait for a bed to open up for an admit hold we are delaying care of others who are sitting in the waiting room undiagnosed. One of our triage nurses sits at the front desk and registers patients and keeps track of people in the waiting room. That assignment can be the worst because half of your day is spent deflecting mean comments from people waiting. Many times we send ambulance patients to wait in the waiting room if they have a lower acuity complaint and are stable. In our ER we have advanced techs who work in triage with the nurses and if wait times are over an hour we order initial blood work, urine, and x-rays if necessary just to expedite the visit. This does help because many times patients have labs resulted by the time the Dr sees them and then further diagnostic testing can be decided on. So in addition to a full unit we are also medicating and getting labs and x-rays on waiting room patients. It’s difficult and dangerous. There have been policy changes over the years that attempt to open overflow units and move those ER patients who are waiting for beds over so we can make room for ambulances and waiting room patients. It’s really difficult when the census is high because everyone in the hospital feels it, but it’s important for policies within hospitals to have a plan to move boarded patients out quickly so those waiting can be evaluated.
Thank you for your post. I also see that the role of the modern nurse has expanded; we are the key factors influencing community health. Community based healthcare is important, and nurses can lead the way in forming the community’s view of healthcare organizations when they become more involved in the community (Fooladi, 2015). One goal of nursing is to provide a compassionate and well-managed continuum of care (Fooladi, 2015). We can do this more effectively when we grow our political leadership skills. When I campaign on behalf of the community I am advocating for comprehensive care on all levels. As a nurse professional, I can join organizations that endorse patient and community rights. I also plan to join the American Nurses Association after I receive my graduate degree. I believe that another part of providing comprehensive healthcare is creating an inviting and safe environment for the patients and medical staff. There is nothing worse than walking into a medical facility seeing patients unattended, scarce resources and equipment, and the nursing staff overworked and understaffed. As a supporter of both the community and nurses’ rights, I am taking a practical action-based approach to community healthcare.
Reference:
Fooladi, M. M. (2015). The Role of Nurses in Community Awareness and Preventive Health. International Journal of Community Based Nursing and Midwifery, 3(4), 328–329.
Sample Answer 3 for NR 506 Week 1: The Four Spheres of Political Action in Nursing
Nurse practitioners, and nurses in general, are in a prime position to influence health care policy through political knowledge, communication and collaboration. The resulting policy improvements benefit the nurse in the workplace as well as the community by improving patient outcomes and access to healthcare (Arabi, Rafii, Cheraghi & Ghivasvandian, 2014). It is essential for nurses to not only be involved in the implementation of new policies but also to persuade new policy.
As a rule, nurses value people in a holistic manner and aim to foster health throughout a patient’s lifespan, no matter their socioeconomic status. In order to provide high-quality, patient-centered care we must be able to function in an environment that fosters quality of care, integrates standards for care delivery and allocates adequate resources to provide that level of care (Burke, 2016). The nursing profession is known for advocating for social justice and we see, first-hand, how policies affect our patients and our profession, so we are in the perfect position to shape the future of the profession as well as our patient’s health/lives.
According to our text, nurses influence healthcare policy in four spheres: government, workplace, interest groups and community (Mason, Gardner, Outlaw & O’Grady, 2016). These spheres are a continuum and are not in their own class, they all function together and influence one another.
Government: Government programs fund public safety with programs that ensure food safety, safe highways/roadways, police and fire protection and financial assistance for those whose who cannot provide for themselves. Government also responds in disasters. They regulate who can get healthcare as well as how much those who provide care will be paid. Nurses can influence healthcare policy at all three levels of government; local, state and federal (Mason, Gardner, Outlaw & O’Grady, 2016).
Workplace: There are many ways in which nurses can influence healthcare policy in the workplace. In all sectors where nurses work, the limited resources must be allocated efficiently. Healthcare policies guide nurse-patient ratios, clinical procedures, nursing licensure, worker protection, etc. (Mason, Gardner, Outlaw & O’Grady, 2016).
Professional Organization: Many professional organizations have legislative committees designated to advocate for policies that foster optimal member practice as well as increased patient care outcomes. One of the benefits of a professional organization is that they have a power in numbers and the bigger the group, the larger the funding and influence (Mason, Gardner, Outlaw & O’Grady, 2016).
Community: There are a vast number of opportunities for nurses to influence change at the community level, because community just means a group of people that share a common goal and work together to get things done. At the community level, nurses can see a problem, work with others to gather support and advocate for change. PTA’s, online groups and civic organizations are all great examples of communities (Mason, Gardner, Outlaw & O’Grady, 2016).
One example from my current acute care practice is that of the nurse patient ratio in California. In 1999, CA passed AB 394, which mandated the maximum number of patients assigned per RN each shift (McHugh, Kelly, Sloane & Aiken, 2011). The assignments are based on a patient acuity system which measures patient needs/nursing care. While CA was the first state to enact such laws, by 2011, 15 other states had enacted legislation addressing nurse:patient ratios. One of the ethical fears of these ratios is that facilities may employ less skilled staff, such as LVN’s to care for patients, which would compromise the quality of care and patient outcomes. Personally, I have not experienced that. In fact, at my facility, we have less than 5 LVN’s employed in the acute care setting and those were all grandfathered in, with no new LVN’s hired for several years.
There really is no question as to the importance of nurse involvement in healthcare policy at all three levels of government.
Thank you so much, SAM
Arabi, A., Rafii, F., Cheraghi, M. A., & Ghiyasvandian, S. (2014). Nurses’ policy influence: A concept analysis. Iranian Journal of Nursing and Midwifery Research, 19(3), 315–322.
Burke, S. (2016). Influence through policy: nurses have a unique role. Reflections on Nursing Leadership. Retrieved from: https://www.reflectionsonnursingleadership.org/commentary/more-commentary/Vol42_2_nurses-have-a-unique-role (Links to an external site.)
Mason, D.J., Gardner, D.B., Outlaw, F.H., & O’Grady, E.T. (2016). Policy and politics in nursing and healthcare (7th ed). Retrieved from: http://online.vitalsource.com (Links to an external site.)
McHugh, M.D., Kelly, L.A., Sloane, D.M., & Aiken, L.H. (2011). Contradicting fears, california’s nurse-to-patient mandate did not reduce the skill level of nursing workforce in hospitals. Health Affairs (Project Hope), 30(7), 1299-1306. http://doi.org/10.1377/hlthaff.2010.1118 (Links to an external site.).
Sample Answer 4 for NR 506 Week 1: The Four Spheres of Political Action in Nursing
Nurses are people within the field of healthcare that provide quality care to their patients, community and within their interdisciplinary teams. As you mentioned before Andrea, nurses often assess a situation or patient to allow advocacy to occur and at the same time such advocacy must be done by the books or within their scope of practice.
For instance, I once had a peritoneal dialysis (PD) patient of 89 that wanted to appease his wife by doing the modality but he often voiced to his spouse and I that he really wanted to die. Now this situation was the first time where a patient of mine wanted to actively die meaning no form of dialysis at all. I honestly didn’t know how to handle it because my patient was actually thriving in this modality and it was clear to me that the wife refused for the patient to die. I’m not going to sit here and lie that I wasn’t also encouraging him to try PD just for a few more months because the spouse and I absolutely loved his company (it’s very hard to not get attached to patients in the chronic outpatient setting).
But after awhile, I realized that my patient was thriving yes but talking to him away from his spouse he revealed something to me saying, “I’m a proud man, Dorcas. I’ve lived a good and long life without any help from any machine. I want to die without any help from a machine. Can you let me die?” His question hit me hard right in the gut and I realized at that moment I was being selfish: it wasn’t my choice or his wife’s choice but his. I said yes that afternoon, I advocated for him to his wife and his wife accepted that hard choice. My patient I came to know in such a little time of 1 month and 3 weeks died early the next morning