NR 447 DISCUSSIONS NURSING ESSAYS NR 447 DISCUSSIONS NURSING ESSAYS NR447 NR 447 DeVry Week 1 Discussion Latest The Affordable Care Act (graded) Healthcare reform is a term that is ever present in our practice settings and will not disappear any time soon. Share with the class implementation of the Affordable Care Act in your organization. (If you are not working as a nurse, think about what was happening when you were a pre licensure student). How did your fellow healthcare workers react to implementation of the ACA? How were citizens in your community impacted? ORDER INSTRUCTIONS-COMPLIANT NR 447 DISCUSSIONS NURSING ESSAYS NR 447 DeVry Week 2 discussion Latest AACN Essentials Self-Assessment and Patient-Centered Care (graded) Locate and complete the Self-Assessment of the AACN Essentials located in Doc Sharing (Week 2). Follow the directions on the form. Note your total score. Next, review the article cited below: Kramer, M., Schmalenberg, C., Maguire, P., Brewer, B., Burke, R., Chmielewski, L., ? Meeks-Sjostrom, D. (2009). Walk the talk: Promoting control of nursing practice and a patient-centered culture. Critical Care Nurse, 29(3), 77?93. Click to link. Answer the following: If you are willing, please share your total score on the AACN Essentials Self-Assessment Candidly identify and share with your classmates areas where knowledge, skills or abilities (KSAs) are lacking Describe the relationship between the Essentials and your new-found knowledge about Patient Centered Care. Are there opportunities for your improvement? NR 447 DISCUSSIONS NURSING ESSAYS Week 3 Discussion Latest Conflict and Collaboration (graded) Please watch the video and listen to the dialogue before posting. Second Life Video Transcript At times the needs of our families conflict with our work responsibilities. Could this possibly be the underlying issue here? Explain the conflict resolution skills displayed by the leader in the scenario. On a scale of 1-10, how would you rate those of the leader. How might earlier collaboration have been beneficial? Some organizations utilize non Registered Nurses in the Case Manager role. What additional skills, knowledge and attributes would the BSN-prepared Registered Nurse bring to case management in this scenario? Week 4 Discussion Latest Transformational Nursing Leaders (graded) Review Appendix A, Sections I?V in Finkelman (2012, pp. 510?515). Select one of the sections and share how your chief nurse executive demonstrates expertise in these competencies. Your comments should be about the ?highest nursing leader? in your organization. Typically this is the leader who represents nurses and nursing to the governing board. In your own words, explain the differences between a transactional nursing leader and a transformational nursing leader. What one is more like your Nurse Executive? Describe how the Nurse Executive ?leads the charge? for transformational leadership in an organization where you work or have done pre licensure clinical experiences. NR 447 DeVry Week 5 Discussion Latest Patient Outcomes (graded) Review the story at the link below before posting to the discussion: Rau, J. (2015). Half of nations hospitals fail again to escape Medicares readmission penalties. Kaiser Health News. Retrieved After you have finished, consider how you would respond to the following situation: Your local hospital has received notice from CMS (Centers for Medicare and Medicaid) regarding their readmission rates. As a BSN prepared nurse, you have been asked to serve as a consultant to suggest a new Quality (Performance) Improvement process for ONE of the areas of deficiency. Write some brief steps (suggestions) for improvement as you contemplate accepting the consulting opportunity. Share practice improvements utilized from your own clinical nursing experiences that have led to enhanced patient outcomes. NR 447 DISCUSSIONS NURSING ESSAYS Week 6 Discussion Latest Civility in the Workplace (graded) Complete the Clark Workplace Civility Index located in Doc Sharing. After you are finished, read the assigned article: Lachman, V. D. (2015). Ethical issues in the disruptive behaviors of incivility, bullying, and horizontal/lateral violence. Urologic Nursing, 35(1), 39-42. Click HERE to link. Next watch the video by clicking on the link below. Video Transcript Reflect on what you observed in the video as you answer the following: Based on what you observed, what leadership skills should you, as Masayas preceptor, model for your fellow coworkers to promote his acceptance into the work-group or team. Does incivility seem to be an issue in the scenario? Describe any common themes you discovered among the article, the video and the Civility Index Share how you may improve your score on the index based on what you have read. NR 447 DeVry Week 7 Discussion Latest Our Future Leaders (graded) In Hustons (2010) brief, but impressive article (required reading this week), the author outlines several leadership competencies that EVERY nurse leader will need for 2020. That year is not too far in the future, is it? Select one of the eight leadership competencies Huston described and relate it to your own leadership of nurses and nursing. This should promote a robust discussion as we come from different clinical and nonclinical perspectives. Discuss how the BSN-prepared nurse can assist a nurse leader in the budgeting process by contributing data readily available to the staff nurse. Huston, C. (2010). What skills will the nurse leaders of 2020 need? (2010). Kai Tiaki Nursing New Zealand, 16(6), 14?15. Click here to link. ORDER INSTRUCTIONS-COMPLIANT NURSING PAPERS NR 447 DeVry Week 8 Discussion Latest Closing the Loop (graded) Complete the Week 8 AACN Essentials Self-Assessment located in Doc Sharing. 1. Compare your scores from Week 2 to Week 8. 2. Describe how far have you come and how much further do you wish to go in improving your competencies during the next two years of practice. Next, review the Course Outcomes as listed in the Syllabus. Select one of the course outcomes and share with your classmates how you feel you have achieved the outcome and how you will utilize the essentials and course outcomes in your practice setting. NR 447 DISCUSSIONS NURSING ESSAYS

ADDITIONAL INFORMATION;

Introduction

The Affordable Care Act is set to be a primary theme in the upcoming election. Some states have improved their options, but there are still many questions about whether the act has served its purpose. We will have to see where it stands after this election.

The Affordable Care Act is set to be a primary theme in the upcoming election.

The Affordable Care Act is set to be a primary theme in the upcoming election. This is because it affects every American, from their health care to their pocketbook.

Why? Because there are so many things that have changed since Obamacare was passed that it’s hard for people to remember all of them.

Let’s take a look at how this law has affected you:

-The individual mandate. This was the requirement that all Americans purchase health insurance, or pay a penalty fee. It was meant to ensure that there were enough people with insurance coverage so that costs wouldn’t be too high for everyone else. The problem with this is that many people didn’t want to buy health insurance, even though it was affordable (or even free).

Has the Affordable Care Act served its purpose?

The Affordable Care Act has not yet been fully implemented and the law is still being challenged in the courts. However, it is important to note that some parts of the act have helped millions of Americans while others have not. The ACA has helped some people by providing them with better health care options; however, it also left many people behind due to high costs or limited coverage options for their specific needs.

The ACA needs changes if it is going to meet all of its goals as it currently exists today (or soon). Changes will be made over time as new research comes out about how effective these programs are at helping those who need them most (and what types can’t afford them).

Some states have improved their options.

Some states are improving their options.

In some states, the Affordable Care Act (ACA) has become a better option than the old system. For example, in Alabama and Louisiana, you can get health insurance through the state-run exchange or through your employer instead of having to buy private coverage on your own.

In other states, however, getting affordable care has gotten harder or impossible altogether–especially if you live in one of those places where Republicans are trying to repeal Obamacare without providing any alternate replacement plan first: Arizona (where premiums will increase by an average of 63 percent over next year); Missouri (where premiums will increase by an average of 43 percent over next year); Wyoming (where premiums will increase by 25 percent).

The act aims to help everyone get affordable care.

The Affordable Care Act, also known as Obamacare, is a federal law that aims to help everyone get affordable health care. It has helped many people and has not helped everyone.

The act is not perfect and needs improvement, but it’s still a step in the right direction for improving Americans’ access to health care coverage. In fact, we’re still on track for having coverage available by 2018!

How do you plan on improving the ACA? What are your plans for fixing our current problems with this system?

I will improve the ACA by: 1. Ensuring that everyone has access to affordable health care coverage. This means increasing subsidies for low-income Americans, expanding Medicaid in all states where it’s not currently available and ensuring that more people can afford their out-of-pocket costs.

We will have to see where the Affordable Care Act stands after this election.

After the election, we will have to see where the Affordable Care Act stands.

We know that President Trump has promised to repeal and replace it. If he were to do so, what would happen? Would there be any changes at all? Or would everything stay as is and force businesses like yours into making difficult decisions about their employees’ health care coverage?

We don’t know yet how this election will turn out, but one thing we do know: it’s important for your employees’ due diligence when it comes time for them to evaluate whether or not they want health insurance from their employer.

Conclusion

It is difficult to say whether the Affordable Care Act will be a success or not. The act has helped millions of Americans get health insurance and access to medical care, but it also comes with its share of problems. The biggest issue is that people are not signing up for coverage at the rate expected by the government. In addition, there have been some major problems with the website during launch; so far though no one has lost their coverage because of these issues.