NUR 740 Discussion 11.1: Advocacy for APN Practice
Grand Canyon University NUR 740 Discussion 11.1: Advocacy for APN Practice-Step-By-Step Guide
This guide will demonstrate how to complete the Grand Canyon University NUR 740 Discussion 11.1: Advocacy for APN Practice 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 NUR 740 Discussion 11.1: Advocacy for APN Practice
Whether one passes or fails an academic assignment such as the Grand Canyon University NUR 740 Discussion 11.1: Advocacy for APN Practice 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 NUR 740 Discussion 11.1: Advocacy for APN Practice
The introduction for the Grand Canyon University NUR 740 Discussion 11.1: Advocacy for APN Practice 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 NUR 740 Discussion 11.1: Advocacy for APN Practice
After the introduction, move into the main part of the NUR 740 Discussion 11.1: Advocacy for APN Practice 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 NUR 740 Discussion 11.1: Advocacy for APN Practice
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 NUR 740 Discussion 11.1: Advocacy for APN Practice
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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NUR 740 Discussion 11.1: Advocacy for APN Practice
As the demand for health care workers surged with the coronavirus case count, many states lifted restrictions on nurse practitioners, who provide much of the same care as doctors do. But California did not allow nurse practitioners to work without the supervision of a doctor, and most limitations on their practice stayed the same amidst pandemic.
In a March 2020 Gov. Gavin Newsom directed the state Department of Consumer Affairs, which controls professional licensing, the power to change or temporarily waive regulations to let the health care workforce respond to the crisis (Brusie, 2020). That opened the door for nurse practitioners to ask the department to kill the supervision requirements without actually lifting them. It temporarily lifted the cap on how many nurse practitioners each physician could supervise, though it left in place the oversight requirement (Brusie, 2020). Instead of one physician supervising four nurse practitioners, physicians can supervise an unlimited number of nurse practitioners (Brusie, 2020). In addition, on September 29, 2020, AB890 was signed into law by Gavin Newsom and Assembly member Jim Wood (Brusie, 2020). With the passage of AB 890 the Nurse Practitioner may be able to practice independently once certain provisions have been met. This law will come into effect in January 2022. Per AB890, the transition to practice must include a minimum of three full-time equivalent years of practice or 4600 hours (California Board of Nursing, 2021). Upon completion of the transition to practice, a nurse practitioner may practice in limited settings or organizations in which one or more physicians and surgeons practice with the nurse practitioner without standardized procedures (California Board of Nursing, 2021).
A restrictive environment of imposed state laws and regulations reduces nurse practitioners’ level of autonomy in prescribing medications and acts as a barrier to their practicing to full potential. The restrictive practice scope adversely impacts APNs’ ethical
practices. For example, the restrictive-level policy is associated with reduced access to care, which goes against the ethical principle of justice. This ethical principle requires nurses to fairly and equitably distribute care to patients. Nevertheless, with the scope of practice limits, APNs might not be in a position to adhere to this policy. According to Patel et al. (2019), restrictive policies inhibit using nurse practitioners’ workforce strategically at their full capacity to improve access to care. As such, it might be challenging for APNs to offer equal care, particularly among patients from low-resource regions. Neff et al. (2018) added that in restrictive nursing practitioner policy states, APNs face restraints to practice to their full capacity and ability to offer the expected care. As a result, it becomes challenging for nurse practitioners to always adhere to the code of ethical practice requiring them to ensure fair and equitable care to all patients regardless of their socioeconomic status.
NUR 740 Discussion 11.1: Advocacy for APN Practice References
Brusie, Chaunie (2020). California Grants Nurse Practitioners Full Practice Authority by 2023. Nurse.org. Retrieved June 13, 2022, from https://nurse.org/articles/california-nurse-practitioners-full-practice/
California Board of Nursing (2021). Assembly bill 890. California Board of Registered Nursing. Retrieved June 13, 2022, from https://www.rn.ca.gov/practice/ab890.shtml
Patel, E. Y., Petermann, V., & Mark, B. A. (2019). Does state-level nurse practitioner scope-of-practice policy affect access to care? Western Journal of Nursing Research, 41(4), 488-518. https://doi.org/10.1177/0193945918795168
Peterson M. E. (2017). Barriers to practice and the impact on health care: A nurse practitioner focus. Journal of the Advanced Practitioner in Oncology, 8(1), 74–81. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5995533/
The prevailing changes in the context of healthcare practices throughout the world have imposed direct implications on the overall scope of practices among distinct medical providers. Most of the respective changes have led to the substantial evolutions, especially regarding the traditional roles and mandates of nursing practitioners and other non-physicians medical professionals. In this respect, I concur with your indications about the recent significant advancements in the scope of practices and educational frameworks for nursing practitioners, thereby according them sufficient level of expertise to provide almost similar care as typical doctors (Rosa et al., 2020). It is also true that recent COVID-19 pandemic prompted notable changes in the general scope of practice for healthcare providers in certain states, including the policy provision allowing nurses to work independently without the supervision of physicians.
Regardless, some states are yet to realize the emerging evolutions in the sphere of nursing practitioners and their integral roles toward fostering healthcare access among individuals through the implementation of relevant health policy reform. I agree with you that lack of effective policy reforms in some states, enabling nursing practitioners to practice up to their full potential have been a limiting factor and barriers to enhancing improved care access among the members of public (Rosa et al., 2022). It is logical that critical policy changes should be implemented countrywide to recognize the current advancements in the scope of practice for nurses in order to ensure enhanced accessible care among individuals.
However, don’t you think much emphasis should be conducted to determine whether the nurses’ pre-existing levels of healthcare expertise could not only warrant accessible care, but also quality patient care? According to Poortaghi et al. (2021), one of the notable factors that has been dwarfing the adoption of adequate regulations to allow nurses practice at the top of their licenses in certain states includes the risk of patient safety. From this perspective, health policy makers in the region have attempted to overcome the respective challenge through proposing the introduction of patient safety education in the context of nursing undergraduate curriculum, in a bid to ensure quality patient outcomes among future nurses (Mansour et al., 2018).
NUR 740 Discussion 11.1: Advocacy for APN Practice References
Mansour, M. J., Al Shadafan, S. F., Abu-Sneineh, F. T., & AlAmer, M. M. (2018). Integrating patient safety education in the undergraduate nursing curriculum: A discussion paper. The Open Nursing Journal, 12, 125. https://doi.org/10.2174%2F1874434601812010125
Poortaghi, S., Shahmari, M., & Ghobadi, A. (2021). Exploring nursing managers’ perceptions of nursing workforce management during the outbreak of COVID-19: A content analysis study. BMC Nursing, 20(1), 1-10. https://doi.org/10.1186/s12912-021-00546-x
Rosa, W. E., de Campos, A. P., Abedini, N. C., Gray, T. F., Huijer, H. A. S., Bhadelia, A., & Downing, J. (2022). Optimizing the global nursing workforce to ensure universal palliative care access and alleviate serious health-related suffering worldwide. Journal of Pain and Symptom Management, 63(2), e224-e236. https://doi.org/10.1016/j.jpainsymman.2021.07.014
Rosa, W. E., Binagwaho, A., Catton, H., Davis, S., Farmer, P. E., Iro, E., & Aiken, L. H. (2020). Rapid investment in nursing to strengthen the global COVID-19 response. International Journal of Nursing Studies, 109, 103668. https://doi.org/10.1016%2Fj.ijnurstu.2020.103668
NUR 740 Discussion 11.1: Advocacy for APN Practice References
Spetz, J. (2018, September). California’s nurse practitioners: How scope of practice laws impact care. California Health Care Foundation. https://www.chcf.org/wp-content/uploads/2018/09/NursePractitionerScopePracticeLaws.pdf
Indeed, the restrictive environment imposed by state laws and regulations reduces nurse practitioners’ autonomy in prescribing medications and acts as a barrier to practice to their full potential. Do you think that the difference in educational requirements warrants physician supervision? Perhaps you could explore the argument that physicians go through lengthier and more cumbersome training hence justified in supervising nurses. According to Peacock & Hernandez (2020), nurses are not required to undergo years of medical residency training and get only 500 to 720 hours of clinical training compared to the 10,000 to 16,000 hours physicians receive. When you said that restrictive-level policy is associated with reduced access to care, did you mean that allowing nurses to practice independently can increase access to healthcare? Some evidence shows that states like Oregon, which allow for independent practice, have not witnessed any significant shift of nurses to rural areas (Feyereisen & Puro, 2020). However, I agree that restrictive practice prevents nurses from exploring their full potential. My discussion established that decisions to restore restrictive practices after the pandemic could seriously damage relationships with APRNs who perceive a lack of reciprocity from institutions for which they have risked their health and sacrificed their personal needs. If the practice restrictions are suddenly or even gradually reversed, when the pandemic declines, many APRNs, for instance, may feel that they were treated unfairly. You had an excellent discussion.
NUR 740 Discussion 11.1: Advocacy for APN Practice References
Feyereisen, S., & Puro, N. (2020). Seventeen states enacted executive orders expanding advanced practice nurses’ scopes of practice during the first 21 days of the COVID-19 pandemic. Rural and Remote Health, 20(4). DOI:10.22605/RRH6068
Peacock, M., & Hernandez, S. (2020). A concept analysis of nurse practitioner autonomy. Journal of the American Association of Nurse Practitioners, 32(2), 113-119. doi: 10.1097/JXX.0000000000000374
I agree with you that the surge of COVID-19 triggered the demand for healthcare providers. Therefore, healthcare organizations lifted restrictions on nurse practitioners. The decision was reached as the best strategy of ensuring that there are enough nurses to attend to patients (Bolt et al., 2021). Thus, most nurses were allowed to work at the same capacity as doctors without licensing. Unfortunately, some states such as California did not lift the restrictions on nurses. As a result, nurses were expected to perform their nursing roles without interfering with doctor’s obligations. The decision was a surprise to many people given that California was among states with surging cases of COVID-19 (Minissian et al., 2021). However, the state was clear on not allowing nurses to execute new roles since some healthcare providers were doubted to have the right skills to operate as nurses. Despite of the crisis, California healthcare sector wanted nurses to operate under supervision from certified doctors. Restricted environment amidst the pandemic interferes with response. However, California wanted to maintain professionalism.
NUR 740 Discussion 11.1: Advocacy for APN Practice References
Bolt, S. R., van der Steen, J. T., Mujezinović, I., Janssen, D. J., Schols, J. M., Zwakhalen, S. M., … & Meijers, J. M. (2021). Practical nursing recommendations for palliative care for people with dementia living in long-term care facilities during the COVID-19 pandemic: A rapid scoping review. International journal of nursing studies, 113, 103781. https://doi.org/10.1016/j.ijnurstu.2020.103781
Minissian, M. B., Ballard-Hernandez, J., Coleman, B., Chavez, J., Sheffield, L., Joung, S., … & Marshall, D. (2021). Multispecialty Nursing During COVID-19:: Lessons Learned in Southern California. Nurse leader, 19(2), 170-178. https://doi.org/10.1016/j.mnl.2020.08.013