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NUR 740 Discussion 9.1: Contemporary Health Policy Project: Policy Reform Rationale

NUR 740 Discussion 9.1: Contemporary Health Policy Project: Policy Reform Rationale

Grand Canyon University NUR 740 Discussion 9.1: Contemporary Health Policy Project: Policy Reform Rationale-Step-By-Step Guide

 

This guide will demonstrate how to complete the Grand Canyon University NUR 740 Discussion 9.1: Contemporary Health Policy Project: Policy Reform Rationale  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 9.1: Contemporary Health Policy Project: Policy Reform Rationale                  

 

Whether one passes or fails an academic assignment such as the Grand Canyon University NUR 740 Discussion 9.1: Contemporary Health Policy Project: Policy Reform Rationale  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 9.1: Contemporary Health Policy Project: Policy Reform Rationale                  

The introduction for the Grand Canyon University NUR 740 Discussion 9.1: Contemporary Health Policy Project: Policy Reform Rationale 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 9.1: Contemporary Health Policy Project: Policy Reform Rationale                  

 

After the introduction, move into the main part of the NUR 740 Discussion 9.1: Contemporary Health Policy Project: Policy Reform Rationale  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 9.1: Contemporary Health Policy Project: Policy Reform Rationale                  

 

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 9.1: Contemporary Health Policy Project: Policy Reform Rationale                  

 

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 9.1: Contemporary Health Policy Project: Policy Reform Rationale
The healthcare policy reform I chose was Roe v. Wade. Recent U.S. Supreme Court documents were released threatening to overturn the law that protects a women’s right to choose an abortion. My reform focus was keeping Roe v. Wade in place, but also expanding the law to make abortion even more accessible to women. Abortion can be completed through medication management or a surgical procedure. Medical abortions can be performed up to nine weeks through prescription medications called misoprostol and mifepristone. 91.6% of abortions occur during the first twelve weeks of pregnancy, also known as the first trimester (Zolot, 2018). State laws currently restrict what providers can participate in abortion care. My healthcare policy aims to expand abortion care to a wider range of medical providers including advanced practice nurses (APNs). Another way my healthcare reform policy aims to support abortion access is through telemedicine options. The COVID-19 pandemic changed the way we practice healthcare and demonstrated creative ways to reach patients. My healthcare policy also works to incorporate telemedicine options in abortion care. Telemedicine can help women without a nearby practitioner still receive their desired care.
Advanced practice nurses (APNs) are within their scope of practice when prescribing and managing medications. My healthcare policy would provide APNs the federal right to provide prescription abortion care to patients. My policy reform would strive to make APNs an integrated and standardized team member for abortion care throughout the United States. Kristiansen et al. (2021) studied the medical management of abortions throughout low- and middle-income countries was as effective when provided by non-physician practitioners. There are currently some states that give APNs autonomy for procedural abortions as well. Distance to a provider was the top reason for choosing a specific abortion clinic (Fuentes & Jerman, 2019). Rural or low-income areas may not have access to an abundance of physician providers. Many of these areas have APNs or physician assistants (PAs) as the most advanced provider in the practice. What are some educational frameworks or training methods that can be implemented to make APNs more comfortable providing medical abortions, are there any limitations you would recommend? 
 

My healthcare policy reform also focused on taking advantage of recent changes to prescription laws driven by the COVID-19

NUR 740 Discussion 9.1 Contemporary Health Policy Project Policy Reform Rationale
NUR 740 Discussion 9.1 Contemporary Health Policy Project Policy Reform Rationale

pandemic. The Food and Drug Administration (FDA) no longer requires in-person appointments before receiving a medical abortion (Godfrey et al., 2021). Telehealth is a viable option moving forward for some aspects of abortion care. As previously mentioned, distance can delay or prolong abortion care due to lack of nearby providers. Telemedicine gives the patient options to a wider range of providers and a more convenient way to access them. Roberts et al. (2021) found abortions decreased by 31% during the height of the pandemic when access was restricted; however, the number of second trimester abortions increased. Medical abortions completed during the first trimester carry lower risk versus more invasive procedural abortions. What are some ways to incorporate successful telemedicine communication in a practice? 

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References
Godfrey, E. M., Fiastro, A. E., Jacob-Files, E. A., Coeytaux, F. M., Wells, E. S., Ruben, M. R., Sanan, S. S., & Bennett, I. M. (2021). Factors associated with successful implementation of telehealth abortion in 4 United States clinical practice settings. Contraception104(1), 82–91. https://doi.org/10.1016/j.contraception.2021.04.021 (Links to an external site.)

Fuentes, L., & Jerman, J. (2019). Distance traveled to obtain clinical abortion care in the united states and reasons for clinic choice. Journal of Women’s Health28(12), 1623–1631. https://doi.org/10.1089/jwh.2018.7496

Kristiansen, M. B., Shayo, B. C., Philemon, R., Khan, K. S., Rasch, V., & Linde, D. S. (2021). Medical management of induced and incomplete first‐trimester abortion by non‐physicians in low‐ and middle‐income countries: A systematic review and meta‐analysis of randomized controlled trials. Acta Obstetricia et Gynecologica Scandinavica100(4), 718–726. https://doi.org/10.1111/aogs.14134 (Links to an external site.)
Roberts, S. C. M., Berglas, N. F., Schroeder, R., Lingwall, M., Grossman, D., & White, K. (2021). Disruptions to abortion care in Louisiana during early months of the COVID-19 pandemic. American Journal of Public Health111(8), 1504–1512. https://doi.org/10.2105/ajph.2021.306284 (Links to an external site.)
Zolot, Joan. (2018). The Safety and Quality of Abortions in the United States. AJN, American Journal of Nursing, 118, 16. https://doi.org/10.1097/01.NAJ.0000534835.10728.dc

Despite the emerging controversies in relation to the issue of abortion right/policy, it is apprehensible that the Advanced Practicing Nurses (APNs) and other nursing taskforce are mandated to foster specific policies that endeavors to protect the rights of their patients. In this perspective, I concur with you regarding the need for the implementation of policy reform to extend complete abortion rights, especially to women. While the currently adopted Roe v. Wade act accords specific abortion rights to women, it is worth noting that the policy remains a subject of contention among different groups of stakeholders, including the Pro-choice and Pro-life. From this perspective, it would be logical to review the ANA’s specifications regarding the involvement of nursing practitioners in such a relatively controversial or ethical health concern as the right to abortion. Precisely, can you inquire about ANA’s Code of Ethics with Interpretative Statements indications regarding nurses’ standpoints or advocating for policy reforms in relation to ethical health topics? ANA’s Code of Ethics normally discourages nurses from engaging in such contentious bioethical health subjects (Olson & Stokes, 2016).

 

Olson, L. L., & Stokes, F. (2016). The ANA code of ethics for nurses with interpretive statements: Resource for nursing regulation. Journal of Nursing Regulation7(2), 9-20.

Although abortion is one of the most common surgical procedures performed in the United States, the number of abortion providers is declining (Watson, 2019). Advanced practice clinicians, including nurse practitioners and certified nurse‐midwives, may help to alleviate this shortage. However, some states bar non-physicians from performing abortions. Not only should training in abortion techniques be made available to non-physician providers who desire it, but legal obstacles must also be overcome in order to allow advanced practice clinicians the right to provide abortion services (Watson, 2019).

Telehealth is changing how people around the world access health-related information and services. In the United States, where access to abortion is highly politicized and varies from state to state, telehealth provision of abortion has improved access to care in some states (Fiastro et.al., 2022). Yet federal and state restrictions limit whether and how patients can use this type of care. Lifting these restrictions could expand abortion access to new and underserved communities. It could also allow for the growth of additional telehealth models that offer increased convenience, flexibility and privacy (Fiastro et.al., 2022).

References

Fiastro, A., Godfrey, E., & Bennett, I. (2022). Successful implementation and operation of innovative telehealth medication abortion services in primary care settings. Women’s Health. https://doi.org/10.1370/afm.20.s1.3000

Watson, M. (2019). Should APNS perform abortion services? The Journal for Nurse Practitioners, 2(6), 388–389. https://doi.org/10.1016/j.nurpra.2006.04.007

I agree with you that medical abortions can be completed through medical management. Similarly, surgical procedures can be alternative for safe medical abortion. Unfortunately, religious institutions have shown their displeasure towards the call of legalizing abortion in some regions and government (Sheraton et al., 2020). Roe v. Wade was a threat to women’s rights in choosing an abortion. Different laws allow women to have decision before having medical or surgical abortion. State laws have shown dilemma as other state laws recognize abortion as women’s rights whereas other authorities have criminalized abortion. However, the COVID-19 pandemic transformed healthcare practice. Due to limited pharmaceutical resources states are compelled to work together (Sutton & Vacarezza, 2020). The purpose for unity enabled states to have similar laws. Common laws allow states to pool together pharmaceutical resources. Limited time to replace for the pandemic creates room for multiple reliable collaborations. The transformed healthcare delivery has somehow improved patient experience.

 

References

Sheraton, M., Deo, N., Dutt, T., Surani, S., Hall-Flavin, D., & Kashyap, R. (2020). Psychological effects of the COVID 19 pandemic on healthcare workers globally: A systematic review. Psychiatry research292, 113360. https://doi.org/10.1016/j.psychres.2020.113360 (Links to an external site.)

Sutton, B., & Vacarezza, N. L. (2020). Abortion rights in images: Visual interventions by activist organizations in Argentina. Signs: Journal of Women in Culture and Society45(3), 731-757. Article DOI https://doi.org/10.1086/706489