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Week 1 Discussion: Response 1Hello Benjamin! I like that you touched on wanting to bring more addiction resources to rural areas of America. I currently work on a drug and alcohol detox unit at a hospital that serves several rural counties in North Carolina. What are some ideas you have to help rural communities that deal with addiction? Carr & Stewart (2019) found that school nurses in rural areas have the opportunity to identify or address risk factors that could lead to addiction (p.23). School nurses are uniquely positioned to not only educate students about mental health but also their families, which can trickle out into the community as a whole. Another major hurdle to serving the rural population would be the stigma behind asking for help with mental health issues or addiction. Young & Rabiner (2015) found that parents in rural areas were quicker to ask for help for a physical illness rather than mental health issues due to the stigma that behavioral problems or mental issues reflected poorly on parenting styles.
ReferencesCarr, K. L., & Stewart, M. W. (2019). Effectiveness of school-based health center delivery of a cognitive skills building intervention in young, rural adolescents: Potential applications for addiction and mood. Journal of Pediatric Nursing, 47, 23–29. https://doi.org/10.1016/j.pedn.2019.04.013Young, A. S., & Rabiner, D. (2015). Racial/ethnic differences in parent-reported barriers to accessing children’s health services. Psychological Services, 12(3), 267–273. Retrieved September 3, 2020, from https://doi.org/10.1037/a0038701Rubric DetailSelect Grid View or List View to change the rubric’s layout.
Content
Name: NURS_6050_Module01_Week01_Discussion_RubricGrid View
List ViewExcellent Good Fair Poor
Main Posting
Points Range: 45 (45%) – 50 (50%)
Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.Supported by at least three current, credible sources.Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
Points Range: 40 (40%) – 44 (44%)
Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.
At least 75% of post has exceptional depth and breadth.
Supported by at least three credible sources.
Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
Points Range: 35 (35%) – 39 (39%)
Responds to some of the discussion question(s).
One or two criteria are not addressed or are superficially addressed.
Is somewhat lacking reflection and critical analysis and synthesis.
Somewhat represents knowledge gained from the course readings for the module.
Post is cited with two credible sources.
Written somewhat concisely; may contain more than two spelling or grammatical errors.
Contains some APA formatting errors.
Points Range: 0 (0%) – 34 (34%)
Does not respond to the discussion question(s) adequately.
Lacks depth or superficially addresses criteria.
Lacks reflection and critical analysis and synthesis.
Does not represent knowledge gained from the course readings for the module.
Contains only one or no credible sources.
Not written clearly or concisely.
Contains more than two spelling or grammatical errors.
Does not adhere to current APA manual writing rules and style.
Main Post: Timeliness
Points Range: 10 (10%) – 10 (10%)
Posts main post by day 3.
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Does not post by day 3.
First Response
Points Range: 17 (17%) – 18 (18%)
Response exhibits synthesis, critical thinking, and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are fully answered, if posed.
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives.
Response is effectively written in standard, edited English.
Points Range: 15 (15%) – 16 (16%)
Response exhibits critical thinking and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are answered, if posed.
Provides clear, concise opinions and ideas that are supported by two or more credible sources.
Response is effectively written in standard, edited English.
Points Range: 13 (13%) – 14 (14%)
Response is on topic and may have some depth.
Responses posted in the discussion may lack effective professional communication.
Responses to faculty questions are somewhat answered, if posed.
Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.
Points Range: 0 (0%) – 12 (12%)
Response may not be on topic and lacks depth.
Responses posted in the discussion lack effective professional communication.
Responses to faculty questions are missing.
No credible sources are cited.
Second Response
Points Range: 16 (16%) – 17 (17%)
Response exhibits synthesis, critical thinking, and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are fully answered, if posed.
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives.
Response is effectively written in standard, edited English.
Points Range: 14 (14%) – 15 (15%)
Response exhibits critical thinking and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are answered, if posed.
Provides clear, concise opinions and ideas that are supported by two or more credible sources.
Response is effectively written in standard, edited English.
Points Range: 12 (12%) – 13 (13%)
Response is on topic and may have some depth.
Responses posted in the discussion may lack effective professional communication.
Responses to faculty questions are somewhat answered, if posed.
Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.
Points Range: 0 (0%) – 11 (11%)
Response may not be on topic and lacks depth.
Responses posted in the discussion lack effective professional communication.
Responses to faculty questions are missing.
No credible sources are cited.
Participation
Points Range: 5 (5%) – 5 (5%)
Meets requirements for participation by posting on three different days.
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days.
Total Points: 100
Name: NURS_6050_Module01_Week01_Discussion_Rubric
While it is an extraordinarily broad topic, national healthcare and the reform thereof is always a topic at the forefront of the political arena. Every president has a hand in the maintaining or changing the vast matter that is our national healthcare. Below I will briefly discuss some of the more familiar changes and implementations of the last three United States presidents and quickly discuss how each of them handled the issues.
Former president George Bush made several reforms to healthcare during his terms in the White House; among the most notable was the prescription drug benefit. According to The White House archives, President Bush’s prescription drug benefit plan “provided more than 40 million Americans with better access to prescription drugs” (The White House, n.d., The Bush Record). This website also tells us that under Bush there were preventative screening programs added to the Medicare plans to assist with and improve preventative care. The archives also state that “Increased competition and choices by stabilizing and expanding private plan options through the Medicare Advantage program, and increased enrollment to nearly 10 million Americans. Increased private plan enrollment from 4.7 million in 2003 to nearly 10 million in 2008 (more than 20 percent of all Medicare beneficiaries). The Administration also ensured nearly every county in America has a private plan choice, many with zero dollar premiums and supplemental benefits” (The White House, n.d., The Bush Record).
Healthcare reform was one of the Barack Obama administration’s key issues. It was the dream of this administration to make affordable and quality health care the right of every citizen. The reform preposed was a massive overhaul of what was in place. For the sake of brevity, I will discuss only a few of the ideals implemented. According to The White House archives, there was an expansion of discount and rebate programs to reduce drug costs. (The White House, n.d., Improving Health for Americans). Another point of this massive overhaul was “Ensured individual and small business health plans include essential health benefits, covering emergency services, hospitalization, maternity and newborn care, preventive care such as annual physicals, and more” (The White House, n.d., Improving Health for Americans).
The Trump administration’s attention on national healthcare has been much more focused. The White House website offers that “President Trump has taken decisive action to lower drug prices for American patients, resulting in declines after years of rising prices” (The White House, 2020, The Fact Sheet). This includes approving several generic drugs, and a plan to allow importation of drugs from Canada. This site also tells us that “The President has challenged Congress to pass legislation ending the outrageous practice of surprise medical billing” (The White House, 2020, The Fact Sheet). Discussion: Presidential Agendas NURS 6050
Every president faces a unique set of problems that the public deems important and demands they address. One of the topics that always arises is that of our nation’s health care. The political environment is fluid and ever-changing causing the responses to national problems to shift as well. As the leader of our country, it is the duty of the president to do what is in the greatest good for the greatest number of people. While it is easy to say what should be done, it is quite difficulty to accomplish what is in the best interest of such an eclectic group of people that makes up the United States. I think the best approach would be to take experts that are on the front lines of this country’s healthcare, sift through the policies and laws that are currently in place, then identify what is working and what needs to change. According to Milstead & Short (2019), following and utilizing the levels of political agenda (pp. 18) can assist in navigating the vast realm of national healthcare. This is obviously a massive project that would require the expertise of countless individuals, but this is one of the best ways to assess the and revise the systems currently in place. According to one article “The ability to accurately attribute the unique contributions of nurses working independently or as members of a team was viewed as central to professional practice and all policy recommendations” (Lamb et al., 2015).
References:
Lamb, G., Newhouse, R., Beverly, C., Toney, D. A., Cropley, S., Weaver, C. A., Kurtzman, E., … Peterson, C. (2015). Policy agenda for nurse-led care coordination. Nursing Outlook, 63(4), 521–530. doi:10.1016/j.outlook.2015.06.003.
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning. Chapter 2, “Agenda Setting: What Rises to a Policymaker’s Attention?” (pp. 17–18).
The White House, Fact Sheet. (February, 2020). President Trump Is Working To Ensure That Every American Has Access To Better Healthcare At Lower Cost. https://www.whitehouse.gov/briefings-statements/president-trump-working-ensure-every-american-access-better-healthcare-lower-cost/
The White House. President Barack Obama. (n.d.) Improving Health for All Americans. https://obamawhitehouse.archives.gov/the-record/health-care
The White House. President George H. Bush. (n.d.) The Bush Record. https://georgewbush-whitehouse.archives.gov/infocus/bushrecord/factsheets/healthcare.html
Vanna, I found the topic you chose on prescription drug benefits and expanded health care needs enlightening. I was originally considering focusing on that same topic. I really like the insight you gave on each of the former and current Presidents view on that area of health care reform.
Former President Bush accomplished many areas of health care reform and notably as you mentioned was signing into legislation laws that would make Medicare prescription drug coverage available to 40 million seniors and people with disabilities according to President Bush’s State of the Union address in 2004. He approved prescription drug discount cards and monetary allowances up to $600 to help low income beneficiaries purchase their medications (President Bush, 2004). Former President Bush also wanted to achieve equality for the American public by implementing upwards of 1,200 new and expanded health center sites to serve underserved populations which lead to the treatment of an additional 6.1 million people by the year 2006 (President Bush, 2004). You mentioned in your discussion that President Bush’s administration had a goal of ensuring Americans had free will in choosing private healthcare plans with no premiums and supplemental benefits, and in 2002 President Bush signed into law legislation that helped fund $100 million to states who established and helped high risk populations receive necessary care that they would otherwise not be able to receive due to financial strain. (President Bush, 2004).
Former President Obama also had a passion for improving health care in America and he went about it with the goal of having every American covered by some form of health insurance. President Obama’s Administration focused similarly to Former President Bush on wanting to establish financial assistance to help individuals and families afford health care coverage who otherwise could not afford it through state and federal marketplaces (The Record, n.d.). President Obama’s healthcare reform also focused on closing the “donut hole” which would decrease the coverage gap for Medicare prescription drug coverage that our senior population could not afford (The Record, n.d.); by closing this gap it would allow for seniors to still receive their medications even when they were in the “gap” of high coverage by decreasing their out of pocket expense. I found similar information that supported what you wrote Vanna, that under the Affordable Care Act the administration would ensure individual and small business health plans included essential health benefits, covering emergency services, hospitalizations, maternity and newborn care and preventative care (The Record, n.d.).
I found it interesting that when President Trump was running his campaign in 2016 his focus was to revamp and abolish the Affordable Care Act, however, much of what Trump was hoping to accomplish was not all that different from his predecessors. President Trump’s health care initiative focused on lower prescription drug prices and making new affordable healthcare options available (The White House, 2019). The Trump Administration has pursued empowering consumers to be in control of their healthcare by providing transparency and allowing American’s the choice to choose their healthcare needs. Under the current Trump Administration prescription drug prices fell in 2018 for the first time in nearly five decades and new generic drug approvals saved consumers $26 billion through the first year and a half of President Trump’s Administration according to the White House Fact Sheet (2019).
All the Presidential Administrations have wanted to protect Americans right to received low cost, high quality healthcare. In each of the Presidential Administration there have been benefits to the American consumer, some costed more to the taxpayers, but each vision was to restore the greater good to the consumer. Healthcare is always going to be at the forefront of Presidential elections and Presidential Agendas. One of the greatest ability nurses have is to be part of current and future changes to healthcare. Professional nurses have a strong, persistent voice in designing such a healthcare system for today and for the future (Milstead & Short, 2019 pp. 13). We are a unique and diverse group of experts that can shape healthcare for the greater good of Americans. According to Milstead and Short by developing credibility with those active in the political process and demonstrating integrity and moral purpose as client advocates, nurses are becoming players in the complex process of policymaking (pp. 12). Nurses can help drive policy and play an integral part in an ever-changing healthcare system from one Administration to the next. Discussion: Presidential Agendas NURS 6050
Resources
Milstead, J. A., & Short, N. M. (2019) Health Policy and Politics: A Nurses Guide (6th ed.). Burlington, M: Jones & Bartlett Learning.
The Record. (n.d.). President Obama on Health: Improving Health for All Americans. [Press release]. theRecord_health.pdf (archives.gov)
The White House, Fact Sheet. (October,2019). President Donald J. Trump’s Healthcare Agenda Puts Seniors and American Patients First. President Donald J. Trump’s Healthcare Agenda Puts Seniors and American Patients First | The White House
The White House, Fact Sheet. (January, 2004). The President’s Health Care Agenda. Fact Sheet: the President’s Health Care Agenda (Text Only) (archives.gov)
Name: NURS_6050_Module01_Week01_Discussion_Rubric
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| Main Posting |
Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.
Supported by at least three current, credible sources.
Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
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Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.
At least 75% of post has exceptional depth and breadth.
Supported by at least three credible sources.
Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
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Responds to some of the discussion question(s).
One or two criteria are not addressed or are superficially addressed.
Is somewhat lacking reflection and critical analysis and synthesis.
Somewhat represents knowledge gained from the course readings for the module.
Post is cited with two credible sources.
Written somewhat concisely; may contain more than two spelling or grammatical errors.
Contains some APA formatting errors.
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Does not respond to the discussion question(s) adequately.
Lacks depth or superficially addresses criteria.
Lacks reflection and critical analysis and synthesis.
Does not represent knowledge gained from the course readings for the module.
Contains only one or no credible sources.
Not written clearly or concisely.
Contains more than two spelling or grammatical errors.
Does not adhere to current APA manual writing rules and style.
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| Main Post: Timeliness |
Posts main post by day 3.
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Does not post by day 3.
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| First Response |
Response exhibits synthesis, critical thinking, and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are fully answered, if posed.
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives.
Response is effectively written in standard, edited English.
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Response exhibits critical thinking and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are answered, if posed.
Provides clear, concise opinions and ideas that are supported by two or more credible sources.
Response is effectively written in standard, edited English.
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Response is on topic and may have some depth.
Responses posted in the discussion may lack effective professional communication.
Responses to faculty questions are somewhat answered, if posed.
Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.
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Response may not be on topic and lacks depth.
Responses posted in the discussion lack effective professional communication.
Responses to faculty questions are missing.
No credible sources are cited.
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| Second Response |
Response exhibits synthesis, critical thinking, and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are fully answered, if posed.
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives.
Response is effectively written in standard, edited English.
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Response exhibits critical thinking and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are answered, if posed.
Provides clear, concise opinions and ideas that are supported by two or more credible sources.
Response is effectively written in standard, edited English.
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Response is on topic and may have some depth.
Responses posted in the discussion may lack effective professional communication.
Responses to faculty questions are somewhat answered, if posed.
Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.
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Response may not be on topic and lacks depth.
Responses posted in the discussion lack effective professional communication.
Responses to faculty questions are missing.
No credible sources are cited.
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| Participation |
Meets requirements for participation by posting on three different days. Discussion: Presidential Agendas NURS 6050
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Does not meet requirements for participation by posting on 3 different days.
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