Advanced Practice Roles in Nursing Research Paper

Pages: 8 (2598 words)  ·  Bibliography Sources: 8  ·  Level: Master's  ·  Topic: Health - Nursing

SAMPLE EXCERPT:

[. . .] This was a viable lesson in community health nursing for me as the treatment of choice tends to be limited by a patient's economic condition (Mason, 2013).

Leadership attributes you currently possess, and attributes you may need to develop

I am a team builder; a participative climate is defined by collaborative efforts. As a leader, I tend to guide my team of colleagues to generate outcomes that are because of team accomplishment. In order to achieve this, I can formulate a group of diverse workers even in the midst of conflicting methods and ideas. I seek to form a workforce that progresses and works efficiently through both personal and material challenges.

Attributes I may need to develop

Empowering: I would empower my colleagues within the healthcare facility. This is because I like sharing the spotlight by giving others the chance to make big decisions. I would like to invest my success by placing it in the hands of my colleagues. This will encourage and motivate them to become more optimistic and proficient.

How to attain and evaluate those missing attribute

I would attain and evaluate the missing attribute by encouraging others to participate effectively and display their skills and talents at reaching viable decisions and courses of action. While I am still responsible for the final decisions, such an approach of sharing roles within the organization or department enables me to attain and evaluate how I can empower other people. It is a perfect environment to ensure everyone gives input possible for generating an all-rounded and profitable outcome for the organization as a whole (King & Gerard, 2013).

Health Policy and the Advanced Practice Role

Medicaid policy and what needs to change

At its center, the imperfect federal state matching equation has energized runaway spending. Medicaid's current structure of payment gives states an unreasonable motivation to go through with minimal motivating force to innovate or save. I believe the adoption of the FLEX system will be useful in enhancing the Medicaid program. This possible by creating valuable motivating forces for states supporting innovation and saving through coordinated-care conveyance. The need to reform the broken Medicaid framework has never been greater (Hamric, Spross & Hanson, 2009). Medicaid seeks to serve individuals who require healthcare. Many states with unsustainable expenses as additional individuals are added to the framework. The main way Medicaid could be spared from crumpling is through capable national reforms.

Process required reforming the Medicaid policy

The leaders of the Republican will utilize the Senate budget plan to giver Nurses the power to produce a waiver proposal to solicit from the central government the Medicaid reforms. The Senate budget will include procurement approaching DHHS authorities to formulate a waiver. This will then be submitted to the elected Medicaid program for approval. The Senate budget is also anticipated that it will incorporate a disputable tax reform suggestion that will cut wages and business charges, and make a need for $1 billion in cuts throughout the following three years (Finkelman & Kenner, 2010). The Medicaid waiver will be liable to authoritative support also, before being sent off to the national government.

How I would lead the effort to make or influence the change in policy

Nurses carry a paramount voice and perspective to policy and management discussions. I will have to get ready more nurses to help lead reforms to help enhance healthcare safety, quality, value, and access. A later overview of 1,000 clinics in the United States by the American Hospital Association discovered that nurses represent just 6% of the hospital board executives. Physicians represent twenty percent of clinic board members, and different clinicians make up around the range of five percent (Mason, 2013). Nurses need to see themselves as chiefs and have the ability to impact health policies and outcomes. The campaign on reform is cultivating appointments of well-trained nurses to healthcare organizations and public policy boards at the national and state levels.

Leadership should happen at each level. One project that has been auspicious at engaging nursing staff is Transforming Care at the Bedside, which enables floor nurses to propose reforms that they suppose will enhance healthcare quality. The progressions are tried over a brief time, and they are embraced if they prove to be helpful. This project has enhanced patient results including decreases in falls with injury and 30-day doctor's facility readmission rates (King & Gerard, 2013).

The effect on health care quality if the change in policy is implemented

A standout amongst the most evident issues of the U.S. health insurance framework as it capacities today is the exponentially developing expenses. Curtailing these expenses is a tremendous part of reforming the Medicaid policy. At the same time if expenses are radically cut due to reforms, quality is an alternate path that must be taken into consideration. If cutting certain expenses is directly identified with a decline in quality, maybe cheaper costs may not be a feasible result in that scenario. In case the reforms attempt to cut costs, the quality of the health care system may be enhanced (Sullivan-Marx, 2010).

States are presently allowed to institute reforms in their health care systems. They have defined the goal of testing systems for covering uninsured citizens and new conveyance frameworks without increasing the costs. As to quality, the Centers for Medicare and Medicaid Services as of late advanced a Medicaid/chip Quality Strategy. Included in this system are evidence-based health care and quality estimations, quality-based payments, health data technologies, collaborations, data sharing, specialized help, and offering of best practices. This system includes ways that the reforms will help the states to enhance the nature of their services. It is very clear that these zones require many reforms. Both the Senate Leadership Bill and House Leadership Bill examine the subject of expense control and enhanced quality widely.

References

Dreher, H. & Glasgow, M. (2011). Role development for doctoral advanced nursing practice. New York: Springer Pub. Co.

Finkelman, A. & Kenner, C. (2010). Professional nursing concepts: Competencies for quality leadership. Sudbury, Mass: Jones and Bartlett Publishers.

Hamric, A. Spross, J. & Hanson, C. (2009). Advanced practice nursing: an integrative approach (4 ed.). New Delhi: Gennext Publication.

Ivanov, L. & Blue, C. (2007). Public health nursing: Leadership, policy, & practice. Australia: Delmar Cengage Delmar.

King, C., & Gerard, S. (2013). Clinical nurse leader certification review. New York: Springer Pub. Co.

Madhav, N. (2010). Mental health nursing. New Delhi: Gennext Publication.

Mason, D. (2013). Policy and politics in nursing and healthcare. S.l.: Elsevier Saunders.

Mirr, J. & Zwygart-Stauffacher, M. (2010). Advanced… [END OF PREVIEW]

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