NR506 week 7 discussion RN as Healthcare Policy Leader

Sample Answer for NR506 week 7 discussion RN as Healthcare Policy Leader

As a health policy professional leader, communicating with
lay audiences is an important skill in promoting the health of the community
for master prepared registered nurses. Develop a concise position statement
reflecting the research findings and recommendations by experts as they relate
to workplace support for breast feeding mothers, medical marijuana services in
the community, genetic testing or applications of stem cell research,
transgender care, abortion, end-of-life care,
or a community service administered by Family Nurse Practitioners (if
you pick this one be specific about the type of community service the FNP would
work in or manage).

“As a health policy professional leader, communicating with lay audiences is an important skill in promoting the health of the community for master prepared registered nurses. Develop a concise position statement reflecting the research findings and recommendations by experts as they relate to workplace support for breast feeding mothers, medical marijuana services in the community, genetic testing or applications of stem cell research, transgender care, abortion, end-of-life care, or a community service administered by Family Nurse Practitioners (if you pick this one be specific about the type of community service the FNP would work in or manage).”

I chose breastfeeding because I am a new mom and I have struggled with breastfeeding in the workplace and publicly. Breastfeeding in public is somehow still causing raised eyebrows as strangers give breastfeeding mother’s unwanted stares. A concise position statement reflecting the research findings and recommendations by experts as they relate to workplace support for breast feeding mothers is “The promotion of breastfeeding is an important public health intervention with many benefits for the mother and baby.” Breastfeeding is less expensive than formula feeding and can contribute to significant health care cost savings short-term and in the long run. For example, various benefits for the baby and mother, this includes decreasing infant’s infection, illnesses and maternal’s health outcome like postpartum weight decline, reduces diabetes, metabolic, cardiovascular risk, and reproductive cancers (Dieterich, Felice, O’Sullivan, & Rasmussen, 2013).

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NR506 Healthcare Policy Week 7 Assignment

Medical marijuana has been a very taboo subject for many years.  Only recently has the use of medicinal marijuana and CBD oils gained mainstream attention.  According to Compton, Han, & Hughes (2017), marijuana has been used as a treatment and a “healing drug” dating back to the 19th century.  Compton et. al. (2017) also listed nausea, seizure, and chronic pain as ailments that this drug was prescribed to treat.  Throughout history, there have been articles published supporting the use of marijuana as a treatment, but has never fully been accepted.  There are ongoing studies being performed on the uses of this drug, however very few states in the United States have adopted the use.  One would argue, why hasn’t this drug been adopted nationwide if there have been so many proven benefits for its use?

In my home state of West Virginia, there have been a handful of Senators fighting for the legalization of medicinal marijuana.  Just recently, the bill was finally passed that CBD oil would be available legally, but the use of marijuana itself still would not.  Monte, Zane, & Heard (2015) printed a study that showed medicinal marijuana has a safer therapeutic window than opioids for pain control.  West Virginia is the highest ranked prescribers of prescription opioid pain killers in the United States.  The state consensus according to several independent social media polls shows that 89% of West Virginia support medicinal marijuana and an astounding 99% of those believe that the hold up is the pharmaceutical lobbyist that bring in the millions of opioids into this state.  Again, this is public opinion and not factual information.  In my opinion, the full legalization of medicinal marijuana would not only cut down on the opioid epidemic here in West Virginia, but also increase the states revenue with the taxation on sales after the decline of the coal industry.  I have found very little literature on the negative effects of medicinal marijuana to make a case against the legalization and I fully support the legalization personally.

References

Compton, W. M., Han, B., & Hughes, A. (2017). Use of Marijuana for Medical Purposes Among Adults in the United States. Jama, 317(2), 209.

Links to an external site.

Monte, A. A., Zane, R. D., & Heard, K. J. (2015). The Implications of Marijuana Legalization in Colorado. Jama, 313(3), 241.

Sample Answer 2 for NR506 week 7 discussion RN as Healthcare Policy Leader

However, employers in workplace must give full support for breast feeding mothers. “Section 4207 of this law requires employers nationwide to accommodate women who wish to breastfeed at work by allowing for reasonable breaks for breastfeeding or expressing breast milk each time the mother needs to do so until the infant is 1 year of age” (Smith & Pravikoff, 2017). It is recommended that employers must provide a private location for breastfeeding that is not a bathroom, nevertheless there is not a room dedicated to breastfeeding at my work at Kaiser Permanante hospital so I was pumping in the break room hiding in the corner. Research indicates that the attitudes and level of knowledge of health care providers who support women learning to breastfeed can directly impact the ability of a mother to successfully breastfeed (Smith, Javanparast & Craig, 2017). Nurses and other health care providers should support each woman’s choice of infant nutrition, whatever she choses and assist her to select and utilize the best infant nutrition available. In 1991, the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) established Baby Friendly Hospital Initiative (BFHI), Ten Steps to Successful Breastfeeding in the USA and the principles of the BFHI have been shown to increase breastfeeding initiation rates among participating hospitals when compared with national averages (CDC, 2013). The Affordable Care Act (2010) requires new health plans to cover prenatal and postpartum breastfeeding counseling and supplies (CDC, 2013). Hopefully, with all the laws supporting breastfeeding mothers it should meet the goal of Healthy People 2020 “aims to increase breast-feeding rates to 82% “ever breast-fed,” 61% at 6 months and 34% at 1 year; exclusive breast-feeding goals are set for 44% by 3 months and 24% at 6 months” (Healthy People, 2020).

References

Centers for Disease Control and Prevention (2013). Strategies to Prevent Obesity and Other Chronic Diseases: The CDC Guide to Strategies to Support Breastfeeding Mothers and Babies. Atlanta: U.S. Department of Health and Human Services. Retrieved from https://www.cdc.gov/breastfeeding/pdf/bf-guide-508.pdfLinks to an external site.

Dieterich C.M., Felice J.P., O’Sullivan E., & Rasmussen K.M. (2013). Breastfeeding and Health Outcomes for the Mother-Infant Dyad. Pediatr Clin North Am. 60(1): 31–48.

Smith J., Javanparast S., Craig L. (2017). Bringing babies and breasts into workplaces: Support for breastfeeding mothers in workplaces and childcare services at the Australian National University. Breastfeeding Review. 25(1): 45-57. 13p.

Smith N., & Pravikoff D. (2017). Breastfeeding: Working Mothers (United States). CINAHL Nursing Guide, EBSCO Publishing, (Evidence-Based Care Sheet – CEU), Database: Nursing Reference Center Plus

Sample Answer 3 for NR506 week 7 discussion RN as Healthcare Policy Leader

I agree with you about the importance of working mothers being able to have a clean and safe place to pump and store expressed milk for their babies.  We built and moved into a new hospital a few years ago and there were lactation rooms built into the new facility.  They are set up like a small break room with a sink, microwave, refrigerator, TV and seating.  For a while there was a problem with non-breastfeeding mothers using the rooms as a break room, but that problem as since been solved with a door passcode that general employees do not have access to.

One problem that I have noticed is that there are no additional break allotments for employees that need to pump.  Currently, they have to pump on their 15 minute breaks and their lunch.  This doesn’t seem right to me.  I feel that they could be allowed an additional 15 minute break so they don’t have to eat while they pump.  Our hospital being a small-community one, is like a big family, so people will cover for them, sort of off the record.  However, when they are off the unit, we are out of compliance with your nurse/patient ratios and on busy days it can be pretty challenging to let them go several times a day.  One of our doctors flies from Illinois one week/month and works a 7-day stretch.  Her husband comes with her because they have a 6-month old baby.  He brings the baby to the hospital several times/day for her to nurse.  They make it work, but it is such a challenge.  Life while our children are infants is already so challenging with sleep deprivation and it is a shame that trying to make breastfeeding work can be so hard for some working mothers.

Participation Guidelines

Due Date: First initial posting to the required threaded discussion topic is due by Wednesday, 11:59 pm MT. Peer and instructor responses are due by Sunday 11:59 pm MT. All posts for week 8 are due by the close of class on Wednesday 11:59 pm MT. Please note that the late assignment policy does not apply to the threaded discussions.

Total Points Possible: Varies with course, please see specific course syllabus. These guidelines are for a required threaded discussion worth 50 points. Please note that week 8 will be worth only 25 points.

Requirements:

Description of the Assignment

1. Initial posting: This is defined to be the initial post in which the student responds to the required threaded discussion topic. The first posting by a student within the required discussion area is considered to be the initial posting and will be evaluated using the rubric criteria. Scholarship in communication is expected. Required scholarly source(s) provide specific information that thoroughly address the required topic. For the initial posting, one scholarly source must be presented. The scholarly source must be an outside source. The student may use the required course textbook (s), assigned readings and lesson information in the initial post; however, these are not considered outside scholarly sources.

The initial posting must occur before Wednesday, 11:59 pm MT. Initial postings must be at a minimum of 300 words. References do not apply toward word count. ONLY in Week 8, the initial posting must be a minimum of 200 words with a scholarly reference. It remains due by Wednesday, 11:59 pm MT

2. Peer responses: As part of the threaded discussion requirements, the student must provide a substantive response to a peer. Substantive responses pose new ideas, ask questions, and/or generally add to the discussion topic in a meaningful and constructive way.

The peer response must occur on a separate day from the initial posting and instructor response (see below). This peer response must occur before Sunday, 11:59 pm MT. This response does not require a scholarly reference unless information is paraphrased and/or direct quotes are used, then APA guidelines apply. Peer responses must be a minimum of 150 words. References do not apply toward word count.

3. Instructor response: The student must respond to an instructor’s follow-up questions. The instructor’s question may be directed to the student or may be a question directed to another student in the section. The response must be comprehensive and scholarly in nature. Instructor responses must be a minimum of 150 words. References do not apply toward word count.

The response to the instructor must occur on a day different from the initial post and a day different from the peer response. Responses to the instructor must occur before Sunday, 11:59 pm MT.

4. For week 8 only: Students are expected to post a peer response or an instructor post but are not required to do both. These posts must be a minimum of 100 words. References do not apply toward word count. The peer or instructor response must be on a different day than the initial post and must occur before Wednesday, 11:50 pm MT due to the shorter week.

Posting Requirements:

1. The initial posting must be provided before Wednesday, 11:59 pm MT.
2. The initial posting must have at least one scholarly outside source that is cited within the posting and referenced. Required course textbooks, assigned readings and lesson information are not considered to be outside scholarly sources.
3. Initial posting must be a minimum of 300 words; peer responses and instructor responses a minimum 150 words.
4. The peer responses and instructor responses must be provided before Sunday, 11:59 pm MT.
5. All postings are substantive and relate to the graded threaded discussion topic.
6. Only one small quote (15 words or less) within the entire initial posting is accepted.
7. Postings must occur on 3 separate days.
8. For week 8 only: the required postings are amended due to the shorter week. Two posts are required. One initial post and either a peer response or an instructor response. Initial post must be a minimum of 200 words and the peer or instructor response must be a minimum of 100 words. Both posts are required to be on two separate days. All posts must be made by Wednesday, 11:59 pm MT

Criteria for Content

• Scholarliness: In this category, the student will conduct a search of the current databases and locate valid, relevant, and reliable information for the required topic. Each reference must be scholarly.
• Application of Course Knowledge: In this category, the student demonstrates the ability to analyze and apply principles, knowledge, and information learned in the course lesson and outside readings. This information is then applied to a real-life professional situation as an example.
• Interactive Dialogue: In this category, the minimum requirements are to provide an initial posting to the graded threaded discussion topic by Wednesday, 11:59 pm MT of each week. In addition, one peer response and one instructor response are required. These postings must be completed by Sunday, 11:59 pm MT of each week. The initial posting, peer response, and instructor response must be on 3 separate days.
• Grammar, Syntax, APA: Proper grammar, APA, and syntax is required for all posts. Students should follow the APA Manual 6th Edition. Additional APA information is available in Course Resources.
• Participation Requirement: One initial posting, one peer response and one instructor response (for a total of 3 posts for the week) are required on 3 separate days.
• Participation Deadline: The student must provide a substantive response to the graded threaded discussion topic. This must be posted by Wednesday, 11:59 pm MT of each week. Peer and instructor responses must be posted by Sunday, 11:59 pm MT.
• For week 8 only: the required postings are amended due to the shorter week. Two posts are required. One initial post and either a peer response or an instructor response. Initial post must be a minimum of 200 words and the peer or instructor response must be a minimum of 100 words. Both posts are required to be on two separate days. All posts must be made by Wednesday, 11:59 pm MT.

Criteria for Format and Special Instructions

1. Instructor reserves the right to submit any threaded discussion posting to TurnItIn in order to verify the originality.
2. When journals are used as the outside source of information, it is preferred that the journal be peer reviewed. The Chamberlain online librarian is very helpful in assisting you to find an article related to your topic. If you have questions concerning scholarly sources, please refer to the handout entitled “What is a scholarly source” located under “Course Resources” tab.
3. Web sites vary in quality and scholarship. It is the responsibility of the student to determine the scholarly nature of the web site. If the instructor determines that the site failed to demonstrate scholarship, points maybe deducted. Students are cautioned to use care regarding .com sites. Some .com sites are excellent such as American Heart Association, but others are built by individuals and scholarliness is lacking. It is recommended that you check with your instructor before using a .com website as a reference.
4. Only one small quote (15 words or less) within the entire initial posting is acceptable. It is expected that the student will paraphrase the information when presenting information from a scholarly source. The scholarly source(s) for the paraphrased information must be cited using APA format. Do not include a number of small quotes even if they are just a few words as your instructor considers a quote to be a quote no matter its limited size.

Grading Rubric

NOTE: To receive credit for a week’s discussion, students may begin posting no earlier than the Sunday immediately before each week opens. Unless otherwise specified, access to most weeks begins on Sunday at 12:01 a.m. MT, and that week’s assignments are due by the next Sunday by 11:59 pm MT. Week 8 opens at 12:01 a.m. MT Sunday and closes at 11:59 pm MT Wednesday. Any assignments and all discussion requirements must be completed by 11:59 pm MT Wednesday of the eighth week.

*Scholarly source: Per the APA Guidelines in Course Resources, only scholarly sources should be used in assignments and threaded discussions. These include peer reviewed publications, government reports, or sources written by a professional or scholar in the field. Your textbook and lesson are not considered to be an outside scholarly source. For the discussions, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. The best outside scholarly source to use is a peer reviewed nursing journal. You are encouraged to use the Chamberlain library and search one of the available data bases for a peer reviewed journal article. The following sources should not be used: Wikipedia, Wikis, or blogs. These web sites are not considered scholarly as anyone can add to these. Please be aware that .com websites can vary in scholarship and quality. For example American Heart Association is a .com site with scholarship and quality. It is the responsibility of the student to determine the scholarship and quality of any .com site. Ask your instructor before using any site that you are unsure of. If the instructor determines that the site does not demonstrate scholarship or quality, points will be deducted for not using scholarly sources. Current outside scholarly sources are required for the initial posting. This is defined to be 5 years or less. Instructor permission must be obtained if using a source that is older than 5 years.