NR 506 Week 1 Discussion: The Four Spheres of Political Action in Nursing
Chamberlain University NR 506 Week 1 Discussion: The Four Spheres of Political Action in Nursing– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 506 Week 1 Discussion: The Four Spheres of Political Action in Nursing 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 NR 506 Week 1 Discussion: The Four Spheres of Political Action in Nursing
Whether one passes or fails an academic assignment such as the Chamberlain University NR 506 Week 1 Discussion: The Four Spheres of Political Action in Nursing 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 NR 506 Week 1 Discussion: The Four Spheres of Political Action in Nursing
The introduction for the Chamberlain University NR 506 Week 1 Discussion: The Four Spheres of Political Action in Nursing 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.
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How to Write the Body for NR 506 Week 1 Discussion: The Four Spheres of Political Action in Nursing
After the introduction, move into the main part of the NR 506 Week 1 Discussion: The Four Spheres of Political Action in Nursing 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 NR 506 Week 1 Discussion: The Four Spheres of Political Action in Nursing
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 NR 506 Week 1 Discussion: The Four Spheres of Political Action in Nursing
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 NR 506 Week 1 Discussion: The Four Spheres of Political Action in Nursing
The four spheres of political actions in nursing are the workplace, government, community and professional organizations (Mason et al, 2012). Each one of the spheres has it’s own separate functions such as: the workplace focuses on issue, which affect jobs and patient care. Government addresses rules, laws, and manages regulations in nursing practice. Community involves issues that affect community well-being and lastly organizations which address concerns related to shaping nursing practice (Mason et al, 2012). Together the spheres can create change. Nurses are able to change policy making and improve issues in the community health systems (Mason et al, 2012).
When you start out in your new nursing career, it is vital to review the political policies and nursing policies in your organizations. Nurses don’t realize that we are already political our nursing practice is molded around governing bodies, ethical, professional, governmental standards, and healthcare itself (Bjornsdottir, 2009).
I believe in centered family care in our organization. Especially when a trauma has occurred and the outcome doesn’t look good. It is important for family to see that you have done everything you can to help their loved one. Nursing has the greatest power in this situation (Parker, 2013). We are responsible for being the patient’s advocate. In the workplace it is vital for the patient’s family to be at their child’s bedside when something critical is taking place. If not then the family is wondering what is being done on their child (Parker, 2013) when a family member becomes involved they know you have done your best even if the outcome is not good. We have an ethical responsibility to do everything we can to save someone’s life. Nurses have to remind surgeons and other physicians that families have a right to be with their loved ones (Parker, 2013). Physicians see families as a distraction and that they will be in the way, instead of seeing them as a positive and realizing the family needs to believe that we tried everything to save their child’s life. If not allowed in the room they decide what they think or don’t think you did for their loved one (Parker, 2013).
Some ethical problems one may face with not allowing patient centered care in your organization can be wait times in the emergency room. These extended wait times puts a patient and their families at risk for harm (CDC, 2014). The main reason for this is boarding of patient’s for lack of nurses to take care of patient’s inpatient. When boarded patient’s take up Ed resources which makes waiting times in the Ed waiting room increase to unsafe levels (CDC, 2014).
Bjornsdottir, K. (2009). The ethics and politics of home care. International journal of nursing studies, 46, 732-736. Retrieved from
Centers for Disease Control. (2014). Emergency department visits. Retrieved from http://www.cdc.gov/nchs/fastats/emergency-department.html (Links to an external site.)
Mason, D.J., Leavitt, J.K., & Chaffee, M.W. (2012). Policy and politics in nursing and health care. Retrieved from http://nursingandpolitics.blogspot.com/2012/12/asyou-are-learning-this-week-about.html (Links to an external site.)
McClelland, M., (March 6, 2015) “Ethics: Harm in the Emergency Department – Ethical Drivers for Change”: The Online Journal of Issues in Nursing 20, (2).
doi: 10.3912/OJIN.Vol20No02EthCol0
Parler, L. (2013). Family centered care: Aiming fro excellence exploring the past, present, and future. Vancouver general hospital. Retrieved from
http://www.caccn.ca/en/files/Dyn14 9B Family Centered
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Sample Answer 2 for NR 506 Week 1 Discussion: The Four Spheres of Political Action in Nursing
The original framework for Action had four spheres of influenced. The four spheres were: the workplace, the government, organizations, and the community (Chaffee, Leavitt, and Mason, 2014). The term workplace has been broadened to include the workforce now as well. Organization has been expanded upon as well to now include “associations and interest groups.”
Each of the four spheres are part of a broader and more complex system (Chaffee, Leavitt, and Mason, 2014). Nurses can be big influences within a community by identifying problems, forming strategies, and advocating for change (Chaffee, Leavitt, and Mason, 2014). Nurses can get involved in their community to have their voice be heard on issues involving nursing and healthcare.
As far as the workforce and workplace goes, there are several different settings a nurse can work in. Nurses can work in hospitals, clinics, schools, factories, etc. but they must all abide by certain laws and other factors that are set forth by their state or by their scope of practice.
As for the workplace and workforce, we as nurses must follow the same guidelines regardless of where we work. While our job descriptions can vary significantly depending on the type of nursing we practice, we must still only practice what is outlined within our scope of practice.
I do all of the new RN orientation at our hospital. One thing we have began to incorporate in our orientation is to have nurses familiarize themselves with the Illinois Nurse Practice Act to look at what is in our scope of practice as a nurse. I was very intrigued to find after years of nursing that I was not aware with certain things listed within.
Government- The government responds to and funds disasters. They also regulate much of healthcare, therefore how government views health policy is important because the government has a large influence over nursing practices.
With all of the regulations set forth by payers as well as CMS, it is necessary to follow the guidelines set forth by these agencies. One example within my practice that comes to mind is documentation. There are many different required fields of documentation that must be completed on each patient. VTE prophylaxis, immunization status, and sepsis screening are a few areas that must be addressed on each patient at the time of admission. Another thing that comes to mind is documentation on swing bed patients. Certain things that seem pretty small can actually be very important when it comes to receiving payment. For swing bed patients, it is necessary that the nurse or CNA charts the number of people required to assist the patient in getting out of bed. If the correct documentation is not completed, the entire stay can be seen as unnecessary and payment can be refused. I teach all nursing students and new employees how important a simple step of documenting the number of people it takes to transfer or ambulate a patient. As mentioned, this is a very simple step, but can mean a huge difference.
Nurses can also become involved in lobbying for what they believe in or in changes they think need to happen.
Organizations – There are many organizations within nursing. They work together for the good of their cause. Resources can be shared which can promote networking and can limit the amount of resources used by each organization. When organizations work together, they can be much stronger and have more opportunities. At our hospital, our CEO works with many local hospitals and organizations to build strong relationships so we can build off of one another. Working together can save time, money, and resources, and eliminate having multiple people researching the same information for potential changes.
Community- It is important for nurses to become involved in their community to help to promote change when needed, or to stand up for what is current if they feel no change is needed. Nurses can both volunteer and have paid positions where they work to influence policy and changes within policy.
I currently do not have any involvement in my community other than speaking to prospective students about nursing, but many people throughout history have voiced their concerns to promote a change.
As with anything, there can be ethical concerns. Some ethical concerns that would involve government, community, and organizations would be having an ulterior motive or any conflict of interest in what the nurse is promoting or how they are choosing to speak on certain topics. Like many things within politics, there is always a concern that someone is financially backing a person and that those people have a personal interest or have something to gain by their involvement. An example I can think of is I used to work with a physician who was the Medical Director of a local nursing home. He refused to send his patients to any nursing home other than the one he was the Medical director of. He worked with the community to promote this nursing home, but it all came back to the fact that he had personal involvement as well as financial gain from his involvement.
There can be a lot of ethical dilemmas within the workplace. Some can be as simple as the nurses and physicians not seeing eye to eye. Other ethical dilemmas could be the nurses feel like they have an inequitable workload (Bajwa, Hamid, Kanwal, Rhalid, and Mubarak, H. (2016). This is something that is especially on my mind right now. Our hospital census has been almost double what it normally is for almost four months. Nurses are feeling overworked and as if their workload is more than they can handle. There is constant talk of this. Many good nurses have left recently due to this complaint. One argument is that even with the increased census, the nurses still take much smaller patient loads than many of the neighboring hospitals are required to take. But because our nurses have been a little “spoiled” the last several years with a lower census, they now are not satisfied with a normal full patient load. The major dilemma becomes 1) are our patients being taken care of and 2) can how do we focus on being profitable while satisfying the nurses.
References:
Chaffee, M., Leavitt, J., & Mason, D. (2014). Policy & Politics in nursing and health care. (Sixth Edition.) St. Louis, Missouri. Elselvier.
Bajwa, M., Hamid, S., Kanwal, R., Rhalid, S., & Mubarak, H. (2016). Ethical issues faced by nursing during nursing practice in District Layyah, Pakistan. Diversity & Equality in health care. Retrieved from: http://diversityhealthcare.imedpub.com/ethical-issues-faced-by-nurses-during-nursingpractice-in-district-layyah-pakistan.php?aid=10616
Sample Answer 3 for NR 506 Week 1 Discussion: The Four Spheres of Political Action in Nursing
Thank you for your post. I can personally relate to this situation. I had an aunt who I was very close to. She had two kidney transplants at the age of 21. This first one was from my grandpa, which her body rejected, and months later the second one came from an anonymous donor. This kidney lasted or 25-30 years before it began to fail her. At that time she was back and forth between hemodialysis and peritoneal dialysis for various reasons. She was chronically ill, but frequently would become acutely ill as well. It seemed that every time she went to the hospital she was critical. We also joked that she could only knock on death’s door so many times before they were going to have to make her go in. It was a viscous cycle of infection, sepsis, vasopressors, ICU stay and repeat.
The last time she went into the hospital she was very ill. She had sepsis and her blood pressure was the lowest I had ever seen hers, with her systolic being in the 40s. She had multiple complications and was in the hospital for a total of 6 weeks during that time. During this hospitalization they would perform inpatient dialysis on her. Each time it was harder and harder on her body, but she kept doing it because she had a young daughter and grandchildren and she didn’t want to give up on them.
One night I was in her hospital room with her alone and she got very emotional. I was the lucky one who she actually opened up to, because to everyone else she always had on a happy face. She kept asking me what she should do. She knew she wasn’t getting any better, and even if her health improved this time, she was so weak and her quality of life wasn’t going to be great. She talked about how she could still do what she loved which was talk to people, but that would be about all she could do as her mobility was becoming limited due to lack of strength. I talked to her about how it was her choice and we would all support her regardless of her choice. I always asked her, “do you want me to talk to you like your niece or like an ICU nurse?” Usually she would say, “both.” So we would discuss all of her options both ways.
She decided that she would give it one more try. During that round of dialysis the next day, her body began to fail her. They were not able to pull the fluid off that they wanted to because of blood pressure issues (among others). At that point they asked her what she wanted to do and she decided it was time to stop. I remember her coming out of that room looking at me and saying, “I’m sorry I let you all down, I just couldn’t do it.” It broke my heart. I know she wanted to keep fighting for her family, but at what cost to her? I talked to her daughters and had the same conversation. They understood that it was her choice, but like your patient’s wife, selfishly wanted to keep her here for them.
She actually died the same night about 10 hours later. It is amazing how many of these similar situations we as nurses deal with. I think so often, our patients are ready to die, but they don’t want to upset their families by sharing this, so instead they confide in the nurses. I think letting people die with dignity is often something that lacks in the medical field.
Sample Answer 4 for NR 506 Week 1 Discussion: The Four Spheres of Political Action in Nursing
I fully agree with the American Nurses Association on their policies for safe nurse staffing ratios. According to the America Nurses Association (2015), “identifying and maintaining the appropriate number and mix of nursing staff is critical to the delivery of quality patient care” (para. 1). I currently work and reside in New York, and there is a state law in place that requires hospitals to have some way to inform the public on what the current nurse staffing numbers are. I do believe that Congress needs to fully enact a federal law that requires every state to be regulated in supplying sufficient staffing for nurse-patient ratios in order to provide the best care possible for the patients, as well as keeping our nurses from being over worked or burnt out. So far because of the wording with the law that Congress passed, there only needs to be an adequate amount of nurses in a hospital that accepts Medicare, thus allowing hospitals to find loopholes in this policy. In order to help resolve this issue, only fourteen states have elected to create laws that address the staffing issues that nurses and hospitals face. If this issue could be resolved, it would be required by all of the states, rather than just the fourteen states that have elected to try to create their own resolution. Great topic of discussion!
American Nurses Association. (2015). Nurse staffing. Retrieved from: http://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/State/Legislative-Agenda-Reports/State-StaffingPlansRatios