Nurse Education in Practice Assignment

Scenario and Policy Identification

Purpose: The purpose of this assignment is to demonstrate how you as a nursing student and the other 4 million nurses can utilize health policy and your leadership to impact changes to improve the overall health of the population.

1. Under the Learning Materials-Table of Contents-Go to the Leadership Project tab. Please read through the scenarios. After a careful review make your choice from the 4 that are provided for you.
2. Utilizing the information in the scenario you will need to research the current health policies that will be applicable to your scenario.
3. Utilize the website https://dph.illinois.gov/resource-center/laws-rules.html to look up information on current health policies. You can also utilize the following websites to assist you with choosing relevant topics with evidence based practice. https://health.gov/healthypeople/objectives-and-data
   

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Govtrack.us

The U.S. Senate Legislation & Records

Nursing World.org–  Policy & Advocacy-Congress and Federal Agencies-Legislation & Issues

4. After thoughtful reflection you need to choose 2 current health policies you can explain the rationale and how it fits into the scenario you have chosen.
5. Discuss if the current health policies meet the need of the patient population discussed in the scenario you chose.
6. Explain the potential revisions nurses could make to improve them. Nurse Education in Practice Assignment

I chose Scenario 1 Confidentiality, and the current health policies that I found related to this incident are the Health Insurance Portability and Accountability Act (HIPAA) and the Heath Information Technology for Economic and Clinical Health Act (HITECH). HIPAA is a law that sets standards that help protect patient information from being used without consent. This correlates with this scenario because there is a concern that educational videos contain personal patient information, and it is being shared without their consent. HITECH is a law that sets the proper use of health information technology and protects the concerns related to electronic health records. It is known as an extension to the HIPAA policy. In this case, the electronic records are the videos taken in the ER which patients should be made aware of and have access to.

These policies do meet the current needs of the patient population because no matter how advanced healthcare becomes, every patient deserves to have their information protected. In most facilities, the use of electronic health records is essential as it provides accurate and vital information. A nurse can improve these policies by becoming familiar with its standards so that we are aware if a situation is in violation. They can watch where they view patient information and not access it on personal devices. Nurses can participate in employee training and educate or correct others on the policies. Also, improve the efficiency of care through proper utilization of EHRs.

Bowles, K. H., Dykes, P., & Demiris, G. (2015). The Use of Health Information Technology to Improve Care and Outcomes for Older Adults. Research in Gerontological Nursing, 8(1), 5–10. https://doi.org/10.3928/19404921-20121222-01. Nurse Education in Practice Assignment

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Centers for Disease Control and Prevention. (2022). Health insurance portability and accountability act of 1996 (HIPAA). Centers for Disease Control and Prevention. https://www.cdc.gov/phlp/publications/topic/hipaa.html

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N4313: Health Policy and Professional Leadership

Purpose: This writing assignment is to advance your awareness, understanding, and evaluation of problematic situations you will encounter when working in your profession and through leadership, determine solutions based on national level health policies and evidence-based practice. Additionally, this assignment is designed to help prepare you when making leadership choices in your nursing practice, as well as stress the importance of patient safety, ethically appropriate care, conflict resolution and delegation.

Audience: Audience of the journal, Nurse Education in Practice: current nurses, future nurses, and nursing faculty

Genre: You are writing an article for Nurse Education in Practice, described on its website as:

Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments, that is both in the University/faculty and clinical settings. It is supportive of new authors and is at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.

Review articles from Nurse Education in Practice in order to understand the level (vocabulary, complexity, etc.) at which to write your paper.

Objectives: At the completion of the written assignment the student will:

1. Evaluate and analyze leadership and management styles and choices
2. Outline the appropriate course of action, responsibility, and solution.
3. Integrate knowledge, concepts, and skills from evidence- based practice, include the 2 health policies that closely aligns with your problem.
4. Discuss your 2 health policies the revisions and how you plan to implement them to improve your policies. (federal or state)
5. Analyze patient safety, ethically appropriate care, conflict resolution and delegation.
6. Support the analysis and solution by integrating knowledge, concepts, and skills from evidence-based practice and by referencing 2 current health policies that are directly related to the problem and/or solution
7. Demonstrate writing competence at a baccalaureate level. Nurse Education in Practice Assignment

Specifications:

1. 4-8 pages in length not including the title page and references page (you must meet the minimum four-page requirement)
2. You must use the case study you chose
3. APA format and style
4. Minimum of four scholarly, peer reviewed, non-textbook sources used as support: sources must be recent (within 5 years); older sources must be approved by instructor
5. Minimum of two state/national level health policies (these do not count toward the four scholarly sources)
6. Written in third person
7. Written in a scholarly and professional manner

This paper is about leadership and health policy.  You are writing for the Nursing Education in Practice journal as listed above. Your audience can be nursing students to seasoned nurses. It is important to keep this in mind when writing your paper.

Writing the Paper:

1. Introduction (Written in third person)
   • Introduce the overarching concept of the paper. (nursing leadership and the impact nurses can make on health policies)
   • Do not discuss the scenario.
2. Discuss and explain nursing leadership. (You are explaining to the readers about leadership). (Written in third person)
   • What are the ways in which nurses are leaders?
   • What is the importance of effective leadership choices and actions in nursing?
   • What are the benefits, for nurse leaders, making leadership choices in your nursing practice, the importance of effective leadership choices, delegation, conflict resolution and actions in nursing (Use scholarly source material for support.)
   • Do not discuss the scenario.
3. Briefly describe the scenario, you chose, that you might face as a nurse leader. You will want to cite the scenario. You may be paraphrasing when describing the scenario. It needs to be objective and detailed enough for the reader. Nurse Education in Practice Assignment
   • Clearly connect the scenario to the overall purpose of the paper (without directly mentioning your paper)
4. Formulate a plan of action, responsibility and solution. (written in first person)
   • Analyze patient safety, ethically appropriate care, conflict resolution and delegation.
5. Describe the plan and your rationale for it.
   • Explain your rationale for the leadership choices and plan of action. Use scholarly source material for support.
   • Defend your choice of leadership style(s) by comparing and contrasting it to another possible style.
   • Explain why your choice would be the most effective for the scenario and why. Use scholarly source material for support.
6. Describe how you would implement your plan to improve/revise the 2 health policies that relate to your scenario. (written in first person)
   • Using the 2 chosen health policies (state or federal level) you need to explain the rationale and how it fits into the scenario you have chosen. (Be sure to cite your policies)
   • Explain at the potential revisions as a nurse leader the student can make to improve them.
   • Explain more thoroughly the specific steps (either state or federal) you would take to revise the policies.
   • Clearly identify how the steps you are taking reflect your chosen leadership style(s).
   • Integrate knowledge, concepts, and skills from evidence-based practice, include the 2 health policies that closely aligns with your problem.
   • Explain at the potential revisions as a nurse leader the student can make to improve them. Use scholarly source material for support.
7. Explain the need and benefit for the constant awareness and use of effective leadership and management styles and choices. Use scholarly source material for support. (written in third person)
   • Explain more thoroughly the need for nurses to employ the most effective leadership and management style choices for any given situation (this includes changing styles for different situations)
   • Explain more thoroughly the need for nurses to employ the most effective leadership and management style choices for any given situation (this includes changing styles for different situations)
   • Explain the need and benefit for the constant awareness and use of effective leadership and management styles and choices.
   • Provide more relevant and/or scholarly support for the need for nurses to employ the most effective leadership and management style choices for any given situation
   • Do not discuss the scenario in this section.
8. Conclusion (written in third person)
   • Provide a synopsis of the importance for nurse leaders
   • Do not recap the scenario itself or discuss the scenario. Nurse Education in Practice Assignment

Steps for Completing Leadership Project

1. Complete your “Scenario and Policy Identification” assignment. Choose and identify one of the provided case studies. Identify at least two health policies, at the national level, that are directly related to the problem in the case study you chose. For each policy, describe how it relates to the problem in your chosen case study.

10 points –

2. Write a plan for your paper. This is a critical step as you will use this to write your paper. This can be written in bullet points and you will want to be sure to add your sources where appropriate.

30 points –

3. Write first full draft of your paper. This is a complete first draft, not a rough draft. It must be 4-8 pages plus your title page and references page. The first full draft needs to be in proper APA format and complete all of the requirements of the assignment. Be sure to open the Revised Nurse Leader Comments and Evaluation Sheet when writing your plan. The outline is already there for you to follow.

60 points –

4. You will need to sign up for a time to meet with the instructor virtually (doodle document that is sent out). You will need to print a copy of your paper to take notes on. We will meet on TEAMS so will be able to record the meeting this will give you the ability to view multiple times. For assistance with writing conventions and APA, make an appointment and work with a tutor in the CSS. If you chose not to have a meeting the instructor will review your first full draft, your instructor will provide a feedback and response video. You need to review the video before revising your paper.  (You will need to let the instructor know which you prefer).
5. Revise your first full draft to create the final draft of your paper.

200 points –

Scenario #1: Confidentiality

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Sandy is the supervisor of the emergency room and critical care facilities in a large urban teaching hospital that also has a medical school. She was informed by the ER nurses that on weekends several physicians on the faculty of the medical school are setting up closed circuit videotaping of medical students doing admissions histories physical exams and so on in the ER. The tapes are being used for teaching purposes to allow the students and opportunity to evaluate their own mistakes. The physicians assure nursing staff that no one else ever sees the films and that the films help medical students give better medical care.

However, the nursing staff feel they are being coerced into participating in the physical exposure of the clients as well as giving personal information without their consent. The ER nurses appeal to Sandy who intercedes with the physicians and is told that the hospital is a teaching institution and that the films will continue to be taken. If the ER nurses are uncomfortable with the practice, they can refrain from entering the room. But the nurses still know the practices going on.

The supervisor finds that the practice of taking training films on weekends has been going on for several years. The previous nursing supervisor did not find anything objectionable in the practice. The supervisor feels caught between furthering the goals of the medical education and the teaching institution and upholding her nurses’ obligations to protect the privacy and confidentiality of their patients. Nurse Education in Practice Assignment