NRS 440 Describe advocacy strategies that you can use as a leader to create positive change in your current workplace

Grand Canyon University NRS 440 Describe advocacy strategies that you can use as a leader to create positive change in your current workplace-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University NRS 440 Describe advocacy strategies that you can use as a leader to create positive change in your current workplace assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NRS 440 Describe advocacy strategies that you can use as a leader to create positive change in your current workplace                            

Whether one passes or fails an academic assignment such as the Grand Canyon University NRS 440 Describe advocacy strategies that you can use as a leader to create positive change in your current workplace  depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NRS 440 Describe advocacy strategies that you can use as a leader to create positive change in your current workplace                          

The introduction for the Grand Canyon University NRS 440 Describe advocacy strategies that you can use as a leader to create positive change in your current workplace  is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NRS 440 Describe advocacy strategies that you can use as a leader to create positive change in your current workplace                          

After the introduction, move into the main part of the NRS 440 Describe advocacy strategies that you can use as a leader to create positive change in your current workplace  assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NRS 440 Describe advocacy strategies that you can use as a leader to create positive change in your current workplace                          

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NRS 440 Describe advocacy strategies that you can use as a leader to create positive change in your current workplace                            

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NRS 440 Describe advocacy strategies that you can use as a leader to create positive change in your current workplace

Re: Topic 5 DQ 2

A formal role in nursing leadership is the CNO or chief nursing officer. This position is the highest-ranking job a nurse can hold within a healthcare system. Some of the essential responsibilities of a CNO are to manage nursing finances, implement up to date policies and manage the nursing care to provide up to date and successful patient care. “The National Academies of Sciences, Engineering, and Medicine identify ways in which nurses should work with other members of the interdisciplinary team to eliminate disparities in health care and move toward equitable care delivery” (Thomas,2022). There are many traits necessary for Chief Nursing Officers have in order to be successful in the role. “All 3 valued flexibilities, clinical expertise, administrative capability, and willingness to assist with patient care when needed” (Riesch et al,.2022). To be placed in this position you are required to have an advanced nursing degree, a masters or doctoral degree is required to be in such a high-ranking nursing position. A person in this position must lead by example and be well educated, informed and caring. These characteristics are in alignment with the Christian world view. It is necessary to maintain a strong and empathetic presents as the CNO to maintain a nursing system that is built for success. We as followers of God believe in doing good for those in need and as a nurse on any level from a staff nurse to the CNO of a hospital this belief should follow with you as a person of faith.

Reference:

Gertrude Thomas. In: Interdisciplinary Journal of Partnership Studies, Vol 9, Iss 1 (2022); University of Minnesota Libraries Publishing, 2022. Language: English, Database: Directory of Open Access Journals

Malak, Haroon M.; Lorman, William; Rundio, Al; Simion, Denise; Simion, Marian G.. In Journal of Interprofessional Education & Practice. September 2022 28 Language: English. DOI: 10.1016/j.xjep.2022.100517, Database: ScienceDirect

Riesch, Susan K.; Chiappa, Jennifer; Floyd, Naomi; Ponce, Mary. In Nurse Leader. January 2022 Language: English. DOI: 10.1016/j.mnl.2022.09.006, Database: ScienceDirect

Sample Answer 2 for NRS 440 Describe advocacy strategies that you can use as a leader to create positive change in your current workplace

I currently work from home as a Prior Authorization Nurse (PAN) for United Healthcare (UHC). I can help providers submit request correctly and give patients a better understanding of how authorizations are determined. For eligible Unitedhealthcare members a new health plan feature creates increased transparency for prior authorization, including by enabling online tracking of a request’s progress from start to finish (UHC, 2022). UHC does have nurse advocates available that assist patient with any questions or concerns about their coverage. This position was created due to the process being determined “behind the scenes”. It is more pleasing for the providers and members to have more transparency and provide other resources when requests are denied. Before becoming a PAN I would help patients submit requests for redetermination (these were forms patients had to submit) for continuation coverage for medication. Nurses always advocate for their patients to protect the safety and provide the best outcome. The outcomes of advocacy gives patients a sense of empowerment and satisfaction. A good nurse advocate is all things and more. They are the voice for the voiceless, a champion for the hopeless, and a force to be reckoned with in the healthcare system (GNA Admin, 2022).

References:

independent Nurse Advocacy: The Remedy For Restoring Your Passion And The Perfect Career Move. (2022). Greater National Advocates (GNA)

https://www.gnanow.org/blog/nurse-advocate.

How nurse advocates are helping to ease the prior authorization process. (2022). UnitedHealthcare (UHC). UnitedHealth Group Incorporated.

https://newsroom.uhc.com/affordability-/prior-authorization-advocacy.html.

Sample Answer 3 for NRS 440 Describe advocacy strategies that you can use as a leader to create positive change in your current workplace

As I was thinking about this topic, I was thinking about the leadership responsibility of being a preceptor nurse. It is often challenging and scary teaching other nurses about the unit policies and the charting expectations required for the unit. Precepting new graduate or student nurses further increases the responsibilities as the new nurse is like a sponge, soaking up tons of new information. If the preceptor is not careful, they can pass along bad habits with the good habits. Preceptors can “utilize authentic leadership to help foster self-awareness and positive relationships and build capacity with student [ or new graduate] nurses” (Bryan & Vitello-Cicciu, 2022).

As a new Charge Nurse in ICU, I find leadership a bit challenging. Though is it said that “every nurse is a leader”, I am not a born leader in my opinion and prefer to simply focus on my own patients (Whitney, 2018). I love being a bedside nurse but am happy to help with the charge nurse shortage in my hospital. I can think of a recent situation involving leadership that I might change in the future. I was charge one shift and was getting report on each of the patients from the previous shift charge nurse. We came upon a patient that had a small, known, pericardial effusion that was in the process of tamponading. It appeared that an additional echo had not been done in four days, so I followed up soon after finishing report. The patient become more fragile and was in A-fib RVR. The nurse was busy with the patient, so I called the cardiologist on call and then the hospitalist. A stat echo was ordered showing a large pericardial effusion with definite tamponade. I then spoke with the cardiologist and hospitalist again and it was decided that they were going to wait until the next day to intervene. This was tough to hear because it was clear that there was nothing we could do, and nothing I could do as a charge nurse to change the situation. The patient ended up being okay and not decompensating further so no harm was seen. In the future, I am not sure I will get as involved in individual patient situations. Though our job is advocating, I should have let the bedside nurse lead more in that situation instead of completely taking over.

Does anyone have any advice for me in the future should a similar situation arise?

References:

Bryan, V., & Vitello-Cicciu (2022). Perceptions of preceptors’ authentic leadership and final year nursing students’ self-efficacy, job satisfaction, and job performance. Journal of professional nursing. 41, 81-87. https://doi.org/10.1016/j.profnurs.2022.04.003

Whitney, S. (2018). Every nurse is a leader. In GCU’s trends in healthcare: A nursing perspective. https://lc.gcumedia.com/nrs440vn/trends-in-health-care-a-nursing-perspective/v1.1/#/chapter/5

NRS-440 Future of Nursing Report

Nursing is the largest profession in the healthcare system. Nurses play instrumental roles in the healthcare industry. They offer various services such as direct patient care, health promotion, patient education, and care coordination. They serve as leaders, researchers, and advocates, and ensure the enhancement of health policy. In the face of the reformation of the healthcare delivery system, the nursing profession is playing a critical role in providing cost-effective, accessible, and patient-centered care. With a unique blend of knowledge, skills, and commitment, nurses can assist in mitigating health disparities and enhancing health and welfare for all. The National Academies of Sciences, Engineering, and Medicine report on the Future of Nursing 2020-2030 aim at predicting and charting a path forward for nursing to assist in minimizing inequalities in the ability of people to attain their full health potential (Flaubert et al., 2021). The purpose of this paper is to explore “the Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity,” and explore the roles of state-based action coalitions.  

Description of “The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity.” 

The future nursing practice will test nurses in new and intricate ways. Nurses often work in numerous settings and practices at various professional levels. Nurses are usually the healthcare professionals who are frequently in touch with people from all experiences and backgrounds looking for care and they are the biggest healthcare workforce (Wakefield et al., 2021). Accordingly, the report by the National Academies of Sciences, Engineering, and Medicine, “the Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity,” sought to envision and chart a way forward for nurses to assist in eliminating the inability in individuals to attain their full health potential. The report highlights how nursing professionals can operate to minimize health disparities and enhance health equity. It also explores the reduction of healthcare costs, using technology, and ensuring patient and family-oriented care. The decisive objective of this report is the realization of health equity in the US anchored on robust nursing capacity and expertise (Needleman, 2021). Leveraging these factors will help nursing professionals to develop and contribute broadly to equitable healthcare systems and public health that works for all.  

The safety and effectiveness of the healthcare system are founded on an active and empowered workforce. “The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity” report builds based on nursing as a primary care contributor (Needleman, 2021). It entails a framework equipping nurses to enhance equity, create a healthy working environment, reduce health disparities, enhance professional autonomy, and support patient and family-centered care through education. According to the framework developed by the committee, the key areas that strengthen the nursing profession to navigate future practice challenges include nursing education, leadership, nursing workforce, emergency preparedness, nurse wellbeing, and nursing responsibilities regarding personal and structural determinants of health (Flaubert et al., 2021). Nurses work in numerous roles, which influence social and medical factors that promote better health outcomes and healthcare equity. 

The Trend Occurring in the Nursing Workforce and how Nursing Education is Adapting to Meet the Evolving Needs of the Profession 

Various trends are occurring in the current nursing workforce. The first trend is technology. Technology is highly used in the current nursing practice in areas such as electronic health records, mobile apps, smart beds, mobile monitoring devices, and wearable devices. Telehealth is also becoming increasingly common, especially in remote rural areas where access to healthcare services is challenging. Technology is also used in various aspects of healthcare delivery to promote instant communication, enhance safety, and improve the quality of nursing care. As such, nurses are expected to keep abreast of technological advancements in nursing practice (Tiase, 2022). The other trend is increasing diversity in nursing practice creating the need for cultural competency care for nurses. Diversity is also evident among nursing professionals, which is essential in creating a richer experience and talent pool in nursing. The other trend is increased nursing responsibilities. The passage of the Affordable Care Act (ACA) of 2010 brought massive changes in nursing practice. The focus on community health screenings and preventive care significantly changed how nurses relate to patients. The shift to in-home care also provided an opportunity for educating patients about self-care at various levels as opposed to the past. The other trend is leadership. Nurses are no longer perceived as physician helpers and trusted partners in the healthcare industry. The respect for the nursing profession has increased leading to more responsibilities and leadership roles.  

Nursing education is adapting to meet the evolving needs of the profession in various ways. Various accredited nursing schools offer flexible programs to accommodate all nursing students and the working class. This makes nursing education accessible for all nurses (Sumpter et al., 2022). Nursing schools also prepare nurses to have broad learning experiences in the community to foster effective collaboration with people from diverse cultural values and varied experiences. Education also seeks to break structural barriers that are prevalent in the current healthcare industry (Sumpter et al., 2022). Nursing education also prepares nurses to be agile to adapt consistently to emerging technologies and also enhance collaboration with other experts and sectors.  

Regarding the role of the nurse in leading change, nurses are prepared to be innovative and act as change agents to push for new processes and ensure technology is leveraged to deliver positive outcomes and lead to cost-effective care for patients and the community. Nurses also lead change by advancing health information, developing and implementing creative changes to health policy, and creating new knowledge in nursing practice.  

Discuss the Role of State-Based Action Coalitions 

All states in the US have varying health initiatives including laws and regulations. State-based action coalitions were created to facilitate more participation and possession of state health programs by the citizens, state government, and private sectors within the state. The National Academies of Sciences, Engineering, and Medicine can partner with state-based coalitions to provide information, inter-state knowledge sharing, campaign resources, facilitate communication, and avail planning tools and technical support (HealthImpact, 2020). State-based action coalitions also act as advocates of the Future of Nursing (FON) campaign at the local and state level.  

The Initiatives on which my State’s Action Coalition is Working 

My state’s action coalition is engaging in advancing leadership opportunities for nurses. The coalition is performing robust mentoring initiatives in the states, which is spearheaded by the association of nurse leaders in the state. The other initiative of the action coalition in the state is to define nurses’ responsibilities in the delivery of healthcare and to set the basis for full nursing practice. The coalition also confers with other coalitions from different states to develop a standard nursing curriculum for nursing education across states (Hassmiller & Reinhard, 2019).   These programs are crucial in promoting public health and identifying of roles of nurses as leaders in the face of healthcare transformation.   

Barriers to Advancement of the Initiatives 

The first barrier is the lack of full practice and prescriptive authority. Nurses are required to comply with standardized protocols in clinical practice. These protocols are developed and consented to by physicians or the organization’s management. This barrier can be addressed by persuading policymakers to revise the existing laws to enable nurses to practice and prescribe drugs without control by physicians. The other barrier is differences in nursing qualifications and skill levels from different specialties. This barrier can be mitigated through educational development and continuous training of nurses.  

Conclusion 

The report by the National Academies of Sciences, Engineering, and Medicine, “the Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity,” sought to advance how nursing professionals can operate to minimize health disparities and enhance health equity. Various trends are occurring in the current nursing workforce including technology, healthcare diversity, increased nursing responsibilities, and leadership. On the other hand, State-based action coalitions were created to facilitate more participation and possession of state health programs by the citizens, state government, and private sectors within the state. 

References 

Flaubert, J. L., Le Menestrel, S., Williams, D. R., & Wakefield, M. K. (2021). The future of nursing 2020-2030: Charting a Path to achieve health equity. DOI: 10.17226/25982 

Hassmiller, S. B., & Reinhard, S. (2019). The Robert Wood Johnson Foundation and AARP Story: How Our Partnership Advanced the Future of Nursing. Nurse Leader, 17(5), 399-403. https://doi.org/10.1016/j.mnl.2019.07.005 

HealthImpact. (2020). California Action Coalition (CA AC) – HealthImpact | Optimizing Health Through Nursing. HealthImpact | Optimizing Health Through Nursing. Retrieved 27 from https://healthimpact.org/programs/california-action-coalition/. 

Needleman, J. (2021). Future of nursing 2020-2030: Increasing the focus of nursing and health care on equity and discrimination. Nursing Economics, 39(4), 196-199. https://www.proquest.com/openview/53ba73bb8b0717be00795d879d2032a9/1?pq-origsite=gscholar&cbl=30765 

Sumpter, D., Blodgett, N., Beard, K., & Howard, V. (2022). Transforming nursing education in response to the Future of Nursing 2020–2030 report. Nursing Outlook, 70(6), S20-S31. https://doi.org/10.1016/j.outlook.2022.02.007 

Tiase, V. L. (2022). The Future of Nursing 2030: Informatics Implications. CIN: Computers, Informatics, Nursing, 40(4), 228-229. DOI: 10.1097/CIN.0000000000000923 

Wakefield, M., Williams, D. R., & Le Menestrel, S. (2021). The future of nursing 2020-2030: Charting a path to achieve health equity. National Academy of Sciences.