NRS428VN Topic 4: Policy and Environmental Issues Assignments
Objectives:
Apply screening and referral principles to nursing care of populations.
Examine the role of public health in addressing environmental issues.
Evaluate the effectiveness of the U.S. health care system.
Examine how policy in the U.S. health care delivery system affects specific populations.
Examine the effects of health care reform on the U.S. health care system and its stakeholders.
Study Materials
Community and Public Health: The Future of Health Care
Read Chapter 4 in Community and Public Health: The Future of Health Care.
URL:
https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/community-and-public-health_the-future-of-health-care_1e.php
About the Affordable Care Act
Study “About the Affordable Care Act,” from the U.S. Department of Health & Human Services website.
URL:
http://www.hhs.gov/healthcare/facts/timeline/index.html
Health Care Transformation: The Affordable Care Act and More
Read “Health Care Transformation: The Affordable Care Act and More” (2014), located on the American Nurse Association website. NRS428VN Topic 4: Policy and Environmental Issues Assignments
URL:
https://www.nursingworld.org/~4afc9b/globalassets/practiceandpolicy/health-policy/healthcare-reform-document.pdf
EPHO1: Surveillance of Population Health and Wellbeing
Read “EPHO1: Surveillance of Population Health and Wellbeing,” by the World Health Organization (WHO), located on the WHO website.
URL:
http://www.euro.who.int/en/health-topics/Health-systems/public-health-services/policy/the-10-essential-public-health-operations/epho1-surveillance-of-population-health-and-wellbeing
Policy Briefs
Read “Policy Briefs,” located on the World Health Organization (WHO) website.
URL:
http://www.who.int/hrh/documents/policy_brief/en/
2020 County Health Rankings: State Reports
Explore the 2020 County Health Rankings: State Reports website. This resource may be used for the Community Assessment and Community Teaching Plan assignments in Topics 4 and 5.
URL:
https://www.countyhealthrankings.org/
Climate Change
Explore the Climate Change page of the American Public Health Association (APHA) website.
URL:
https://www.apha.org/topics-and-issues/climate-change
Topics and Issues
Explore the Topics and Issues page of the American Public Health Association (APHA) website.
URL:
https://www.apha.org/topics-and-issues
Tasks
Community Assessment and Analysis Presentation
The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities. NRS428VN Topic 4: Policy and Environmental Issues Assignments
This assignment consists of both an interview and a PowerPoint (PPT) presentation.
Assessment/Interview
Select a community of interest in your region. Perform a physical assessment of the community.
Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.”
Interview a community health and public health provider regarding that person’s role and experiences within the community.
Interview Guidelines
Interviews can take place in-person, by phone, or by Skype.
Develop interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.
Complete the “Provider Interview Acknowledgement Form” prior to conducting the interview. Submit this document separately in its respective drop box.
Compile key findings from the interview, including the interview questions used, and submit these with the presentation.
PowerPoint Presentation
Create a PowerPoint presentation of 15-20 slides (slide count does not include title and references slide) describing the chosen community interest.
Include the following in your presentation:
Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level; ethnic and phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges, including any identified social determinates of health.
Summary of community assessment: (a) funding sources and (b) partnerships.
Summary of interview with community health/public health provider.
Identification of an issue that is lacking or an opportunity for health promotion.
A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA format ting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Materials if you need Helpance.
Attachments
NRS-428VN-RS4-FunctionalHealthPatternsCommAssessment.doc
NRS-428VN-RS4-ProviderInterviewAcknowledgementForm.doc
Course Code Class Code Assignment Title Total Points
NRS-428VN NRS-428VN-O503 Community Assessment and Analysis Presentation 125.0
Criteria Percentage Unsatisfactory (0.00%) Less than Satisfactory (75.00%) Satisfactory (79.00%) Good (89.00%) Excellent (100.00%) Comments Points Earned
Content 90.0%
Description of Community and Community Boundaries: (People, Geographic, Geopolitical, Financial, Educational Level, Ethnic, Phenomenological Features and Types of Interactions, Goals, Interests, Barriers, and Challenges, Including Social Determinates of Health) 20.0% Description of boundaries of community is omitted. Description of community and boundaries is unclear or incomplete and missing one or more necessary components to give context to the community assessment. Description of community and boundaries of community is complete. A brief description of all components is offered. NRS428VN Topic 4: Policy and Environmental Issues Assignments Description of community and boundaries of community is complete, and components of community functioning are discussed in sufficient depth. Description of community is complete. Boundaries are described in great detail, distinguishing environmental boundaries, environmental relationships, and external systems that comprise the open, community system.
Summary of Community Health Assessment 20.0% Community assessment is omitted. Community assessment is provided but discussion is vague or incomplete. Community assessment is complete, and a synopsis of each functional health pattern (FHP) is included. Nursing process and functional health patterns (FHP) are identified with clear indications for actual, at-risk, and potential for improved health. Discussion of functional health patterns is clear, complete, and comprehensive, with indications for actual, at-risk, and potential diagnoses as well as recommendations for surveillance and preventive measures.
Identification of Issue That Is Lacking or an Opportunity for Health Promotion 20.0% Identification of an issue that is lacking or an opportunity for health promotion is omitted. Identification of an issue that is lacking or an opportunity for health promotion is included but discussion is vague or incomplete NA NA Identification of an issue that is lacking or an opportunity for health promotion is effectively included.
Conclusion With Summary of Findings and Impressions of General Community Health 15.0% Conclusion is omitted. Conclusion is incomplete or unclear. Conclusion is complete, with general summary of findings. Conclusion is clear, with a comprehensive discussion of findings and general health of the community. Conclusion is comprehensive, with a detailed summary of key findings that explains general health of the community and offers rationale for recommendations.
Summary of Interview With Community Health/Public Health Provider 15.0% Summary table is omitted. Summary table is incomplete or unclear. Summary table includes all functional health patterns with adequate documentation. Summary table is clear, with a detailed and comprehensive description of findings from an assessment of the chosen community. Summary table is comprehensive, with a detailed description of findings, as well as actual, at-risk, and potential diagnoses and recommendations for surveillance and preventative measures.
Organization, Effectiveness, and Format 10.0%
Layout 5.0% The layout is cluttered, confusing, and does not use spacing, headings, and subheadings to enhance the readability. The text is extremely difficult to read with long blocks of text, small point size for fonts, and inappropriate contrasting colors. Poor use of headings, subheadings, indentations, or bold formatting is evident. The layout shows some structure, but appears cluttered and busy or distracting with large gaps of white space or a distracting background. Overall readability is difficult due to lengthy paragraphs, too many different fonts, dark or busy background, overuse of bold, or lack of appropriate indentations of text. The layout uses horizontal and vertical white space appropriately. Sometimes the fonts are easy to read, but in a few places the use of fonts, italics, bold, long paragraphs, color, or busy background detracts and does not enhance readability. NRS428VN Topic 4: Policy and Environmental Issues Assignments The layout background and text complement each other and enable the content to be easily read. The fonts are easy to read and point size varies appropriately for headings and text. The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.
Language Use and Audience Awareness (includes sentence construction, word choice, etc.) 5.0% Inappropriate word choice and lack of variety in language use are evident. Writer appears to be unaware of audience. Use of primer prose indicates writer either does not apply figures of speech or uses them inappropriately. Some distracting inconsistencies in language choice (register) or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately. Language is appropriate to the targeted audience for the most part. The writer is clearly aware of audience, uses a variety of appropriate vocabulary for the targeted audience, and uses figures of speech to communicate clearly. The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.
Total Weightage 100%
.
Benchmark – Policy Brief
Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA) website. Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.
Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue.
Follow this outline when writing the policy brief:
Describe the policy health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issues supported by resources.
Create a problem statement.
Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable.
Discuss the impact on the health care delivery system.
Include three peer-reviewed sources and two other sources to support the policy brief.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Materials if you need Helpance. NRS428VN Topic 4: Policy and Environmental Issues Assignments
Benchmark Information
Registered Nurse to Bachelor of Science in Nursing
The benchmark assesses the following competencies:
1.4 Participate in health care policy development to influence nursing practice and health care.
Course Code Class Code Assignment Title Total Points
NRS-428VN NRS-428VN-O503 Benchmark – Policy Brief 120.0
Criteria Percentage Unsatisfactory (0.00%) Less Than Satisfactory (80.00%) Satisfactory (88.00%) Good (92.00%) Excellent (100.00%) Comments Points Earned
Content 80.0%
Description of Policy Health Issue 20.0% Description of the policy issue is omitted. An incomplete description of the policy issue is presented. The origin of this policy is unclear. There is no evidence that this policy creates a health issue, or that it is an issue for the population selected. The level at which the issue occurs has not been identified. There are major inaccuracies. A description of the policy issue is summarized. The origin of the policy is described, but it is unclear why the policy creates a health issue for the population selected. The level at which the issue occurs is identified. There are some inaccuracies. More information and rationale are needed. A general description of the policy issue is presented. The origin of the policy is described and a correlation between the policy and the health issue for the population selected is established. The level at which this occurs is discussed. Some rationale or detail is needed for clarity. A detailed description of the policy issue is presented. The origin of the policy is described and a strong correlation between the policy and the health issue for the population selected is established. The level at which this occurs is discussed. Strong rationale and evidence are offered for support. Insight into the policy health issue is demonstrated.
Problem Statement 20.0% A problem statement is not included. A problem statement is present but lacks detail or is incomplete. Subject knowledge is unclear or inconsistent. A problem statement is present. Some subject knowledge is evident.r A problem statement is included, and subject knowledge is competent. A problem statement is thoroughly developed with supporting details.
Suggestions for Addressing the Policy Health Issue (C1.4) 20.0% Suggestions for addressing the policy health issue are not included. Suggestions for addressing the policy health issue are incomplete. Suggestions do not include all assignment criteria. The suggestions do not support policy change for the policy health issue. Suggestions for addressing the issue are present. Some subject knowledge is evident. Most assignment criteria are met. The suggestions generally outline steps for policy change. More information or evidence is needed. Suggestions for addressing the issue are present, and subject knowledge is competent. All assignment criteria are met. The suggestions outline steps for policy change. Minor detail is needed for clarity. Suggestions for addressing the issue are thoroughly developed with supporting details. All assignment criteria are met and well-supported. The suggestions are well-supported and offer clear steps for initiating policy change.
Impact on Health Care Delivery System 20.0% A discussion on the impact on the health care delivery system is not included. A discussion on the impact on the health care delivery system is present but lacks detail or is incomplete. Subject knowledge is unclear or inconsistent. A discussion on the impact on the health care delivery system is present. Some subject knowledge is evident. A discussion on the impact on the health care delivery system is present, and subject knowledge is competent. A discussion on the impact on the health care delivery system is thoroughly developed with supporting details. NRS428VN Topic 4: Policy and Environmental Issues Assignments
Organization, Effectiveness, and Format 20.0%
Thesis Development and Purpose 5.0% Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction 5.0% Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. NRS428VN Topic 4: Policy and Environmental Issues Assignments Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Writer is clearly in command of standard, written, academic English.
Paper Format (use of appropriate style for the major and assignment) 2.0% Template is not used appropriately, or documentation format is rarely followed correctly. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Appropriate template is used. Formatting is correct, although some minor errors may be present. Appropriate template is fully used. There are virtually no errors in formatting style. All format elements are correct.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 3.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Total Weightage 100%
.
Topic 4 DQ 1
Research the delivery, finance, management, and sustainability methods of the U.S. health care system. Evaluate the effectiveness of one or more of these areas on quality patient care and health outcomes. Propose a potential health care reform solution to improve effectiveness in the area you evaluated and predict the expected effect. Describe the effect of health care reform on the U.S. health care system and its respective stakeholders. Support your post with a peer-reviewed journal article. NRS428VN Topic 4: Policy and Environmental Issues Assignments
Topic 4 DQ 2
The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic materials:
“About the Affordable Care Act”
“Health Care Transformation: The Affordable Care Act and More”
What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law?
The Affordable Care Act (ACA) is a comprehensive health care reform law that aims to increase access to health care services, improve the quality of care, and reduce health care costs. Some of the key provisions of the ACA that are relevant to community and public health include:
Medicaid Expansion: The ACA expanded Medicaid eligibility to millions of low-income individuals and families, thereby increasing access to preventive and primary care services.
Prevention and Public Health Fund: The ACA established a Prevention and Public Health Fund to support community-based prevention programs and initiatives to address chronic diseases, such as diabetes and heart disease.
Health Insurance Marketplaces: The ACA created health insurance marketplaces where individuals and small businesses can purchase affordable health insurance plans.
Essential Health Benefits: The ACA requires health insurance plans to cover essential health benefits, such as preventive services, maternity care, and mental health services.
Patient-Centered Medical Homes: The ACA promotes the use of patient-centered medical homes, which provide coordinated and comprehensive care to patients, particularly those with chronic conditions.
The role of the nurse in implementing the ACA is multifaceted. Nurses can play a vital role in educating patients and communities about the provisions of the law, Helping patients with enrollment in health insurance plans, and providing preventive and primary care services. Nurses can also collaborate with other health care providers and community organizations to develop and implement programs and initiatives aimed at promoting health and preventing disease. Additionally, nurses can advocate for policies and programs that support the goals of the ACA and advance the health and well-being of their patients and communities.
References
Okeke, C. O., & Okeke, I. A. (2021). The Affordable Care Act: Implications for community and public health nursing. Journal of Community Health Nursing, 38(2), 77-85.
Beckman, H. (2020). Public health implications of the Affordable Care Act. Journal of Public Health Management and Practice, 26(2), 193-195. doi: 10.1097/PHH.0000000000001027man, H. (2020). Public health implications of the Affordable Care Act. Journal of Public Health Management and Practice, 26(2), 193-195.
