DNP 840 Discuss a health care policy or practice that has been advanced through lobbying efforts at the national level

Grand Canyon University DNP 840 Discuss a health care policy or practice that has been advanced through lobbying efforts at the national level-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University DNP 840 Discuss a health care policy or practice that has been advanced through lobbying efforts at the national level 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 DNP 840 Discuss a health care policy or practice that has been advanced through lobbying efforts at the national level                            

Whether one passes or fails an academic assignment such as the Grand Canyon University DNP 840 Discuss a health care policy or practice that has been advanced through lobbying efforts at the national level  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 DNP 840 Discuss a health care policy or practice that has been advanced through lobbying efforts at the national level                          

The introduction for the Grand Canyon University DNP 840 Discuss a health care policy or practice that has been advanced through lobbying efforts at the national level  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 DNP 840 Discuss a health care policy or practice that has been advanced through lobbying efforts at the national level                          

After the introduction, move into the main part of the DNP 840 Discuss a health care policy or practice that has been advanced through lobbying efforts at the national level  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 DNP 840 Discuss a health care policy or practice that has been advanced through lobbying efforts at the national level                          

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 DNP 840 Discuss a health care policy or practice that has been advanced through lobbying efforts at the national level                            

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 DNP 840 Discuss a health care policy or practice that has been advanced through lobbying efforts at the national level

Re: Topic 7 DQ 2

The roots of the quality improvement movement can be traced back to the work of epic figures such as Ignaz Semmelweis, the 19th-century obstetrician who championed the importance of hand washing in medical care. In addition, Florence Nightingale, the English nurse, identified the association between poor living conditions and high death rates among soldiers treated at army hospitals. The modern quality movement has since transformed to include a wide variety of stakeholders, a range of unique and modified approaches, and an evolving set of goals. The human and financial costs of treating surgical site infections (SSIs) are increasing. The number of surgical procedures performed in the United States continues to rise, and surgical patients are initially seen with increasingly complex comorbidities. It is estimated that approximately half of SSIs are deemed preventable using evidence-based strategies. Several years later along the healthcare quality timeline, in 2003, the Surgical Care Improvement Program (SCIP) was established. SCIP is a voluntary multidisciplinary partnership of organizations that was created based on the Surgical Infection Prevention (SIP) program and the NSQIP model, and aimed at reducing surgical complications and mortality.

In 2005, the VA implemented the Surgical Care Improvement Project (SCIP) to increase compliance with a bundle of SSI prevention and other quality improvement measures. SCIP was a Joint Commission initiative, which included a set of publicly reported evidenced-based antimicrobial guideline compliance metrics primarily targeting high-risk surgeries in five specialties, such as cardiac bypasses and orthopedic total joint replacements [5]. Public reporting of SCIP metrics required resource-intense manual review by a trained reviewer as part of the VA’s External Peer Review Program (EPRP) to assess compliance with the antimicrobial administration metrics. Following implementation of active reporting, VA compliance with guideline-concordant preoperative antimicrobial use (SCIP INF-1) and prompt discontinuation of antimicrobials postoperatively (SCIP INF-3) exceeded 95% [6,7,8]. After this high level of compliance was achieved, SCIP was retired in 2015, as the measurement and reporting process was felt to be costly with limited additional expected benefit. Since the program’s retirement, no studies have examined if the practice changes achieved through the active SCIP program were sustained, or if improvements spread beyond the originally targeted surgeries to procedures not included under the umbrella of the original program.

Branch-Elliman, W., Elwy, A.R., Lamkin, R.L. et al. Assessing the sustainability of compliance with surgical site infection prophylaxis after discontinuation of mandatory active reporting: study protocol. Implement Sci Commun 3, 47 (2022). https://doi.org/10.1186/s43058-022-00288-0

Berrios-Torres SI, Umscheid CA, Bratzler DW, et al. (2017).  Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection. JAMA Surg. 2017;152(8):784–91. https://doi.org/10.1001/jamasurg.2017.0904.

Sample Answer 2 for DNP 840 Discuss a health care policy or practice that has been advanced through lobbying efforts at the national level

The Affordable Care Act (ACA) is one of the healthcare policies that have been advanced through lobbying efforts at the national level. Enacted in 2010 by the 111th US Congress, the ACA aims to improve access to affordable care by increasing health insurance coverage for uninsured citizens (Reny & Sears, 2020). The policy has undergone various amendments that are grounded on the need to address hindrances to accessing quality healthcare and improve the US healthcare system. The ACA helps overcome the barriers to quality healthcare by making affordable health insurance available to more people. Even though the ACA was enacted and signed into law by President Barack Obama, lobbying efforts at the national level have led to the expansion of the policy’s major provisions throughout the past decade. For instance, the ACA’s main provisions that came into force in 2014 aim to expand coverage, control healthcare costs and improve the healthcare system.

Since enacting ACA, most states in the US have expanded the Medicaid coverage program to all adults living under the federal poverty level. Many adults earning less than 138% of the federal poverty line have joined the cover program, thus improving access to quality and affordable care (Hardcastle et al., 2011). Besides access to affordable care, US citizens with an income between 100% and 400% of the poverty level enjoy subsidies that reduce the cost of households. Also, the expansion Affordable Care Act introduced innovative methods of delivering care to patients that aim at lowering the cost of healthcare. Methods such as integrated delivery systems, preferred provider organization, and point-of-service plans enhanced the connection between hospitals and insurers for easier payments and care delivery. Furthermore, the expansion of the ACA has increased the distribution of healthcare facilities across the US (Courtemanche et al., 2020). The distribution of hospitals to the most vulnerable communities has seen more citizens in economically disadvantaged areas get access to quality care.

References

Courtemanche, C., Marton, J., & Yelowitz, A. (2020). The full impact of the Affordable Care Act on political participation. RSF: The Russell Sage Foundation Journal of the Social Sciences, 6(2), 179-204. DOI: https://doi.org/10.7758/RSF.2020.6.2.08

Hardcastle, L. E., Record, K. L., Jacobson, P. D., & Gostin, L. O. (2011). Improving the population’s health: the Affordable Care Act and the importance of integration. Journal of Law, Medicine & Ethics, 39(3), 317-327. DOI: https://doi.org/10.1111/j.1748-720X.2011.00602.x

Reny, T. T., & Sears, D. O. (2020). Symbolic politics and self-interest in post-Affordable Care Act health Insurance coverage. Research & Politics, 7(3), 2053168020955108. doi:10.1001/jamapediatrics.2014.1691

Sample Answer 3 for DNP 840 Discuss a health care policy or practice that has been advanced through lobbying efforts at the national level

Thank you for your post. It resonates with me on many levels. The historical aspect you outlined coupled with bringing me down memory lane with SCIP. In response to inconsistent compliance with infection prevention measures, the Centers for Medicare & Medicaid Services collaborated with the U.S. Centers for Disease Control and Prevention to initiate the Surgical Care Improvement Program (SCIP) in 2002 (Schonberger, R. B. et. all, 2015).  As a nurse surgical nurse, a core measure lead at that time, I vividly remember the vision focused on reducing the morbidity and mortality associated with postoperative surgical site infection by addressing antibiotics use and early discontinuation, catheter removal within 48 hours postoperatively, use of clippers for hair removal, controlled blood sugars on preop, first and second postop days and maintenance of normothermia. This was an excellent best, demonstrated practice for the care of the surgical patient. The guidelines are clear and create ease of use, even for novice nurses or new physicians. There is strong evidence that implementing protocols that standardize practices reduces the risk of surgical infection. The SCIP initiative targets complications that account for a significant portion of preventable morbidity and cost (Schonberger, R. B. et. all, 2015). SCIP ensures reduced surgical site infection rates, lesser duration of hospital stay, decreased incidence of deep venous thrombosis, and reduced postop morbidity and mortality.  Process measures are becoming routine, and as we practice more evidence-based medicine, it falls to us, the surgeons, and Nurses, to be active, not only in the implementation and execution of these measures but in the investigation of clinical questions and the writing of protocols. We are responsible for ensuring that out-of-date practices are removed from use and that new practices are appropriate, achievable, and effective.

Schonberger, R. B., Barash, P. G., & Lagasse, R. S. (2015). The Surgical Care Improvement Project Antibiotic Guidelines: Should We Expect More Than Good Intentions?. Anesthesia and analgesia, 121(2), 397–403. https://doi.org/10.1213/ANE.0000000000000735