NURS 8100 Week 3 Discussion Agenda Setting

Walden University NURS 8100 Week 3 Discussion Agenda Setting – Step-By-Step Guide

This guide will demonstrate how to complete the Walden University NURS 8100 Week 3 Discussion Agenda Setting 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 NURS 8100 Week 3 Discussion Agenda Setting

Whether one passes or fails an academic assignment such as the Walden University NURS 8100 Week 3 Discussion Agenda Setting 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 NURS 8100 Week 3 Discussion Agenda Setting

The introduction for the Walden University NURS 8100 Week 3 Discussion Agenda Setting 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 NURS 8100 Week 3 Discussion Agenda Setting

After the introduction, move into the main part of the NURS 8100 Week 3 Discussion Agenda Setting 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 NURS 8100 Week 3 Discussion Agenda Setting

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 NURS 8100 Week 3 Discussion Agenda Setting

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 NURS 8100 Week 3 Discussion Agenda Setting

Clinical Practice Issue: Nurse-Patient Ratios 

As the chair of the Nurse Peer Review Council at my institution, we review many problems that arise from clinical practice issues that are unresolved. In the first two months of 2022, we have reviewed clinical practice issues with the nurse-to-nurse handoff, staffing shortages, and failures to escalate the chain of command.  

I have been a perinatal services director for over 10 years and in my time as a leader, I have often felt that the patient ratios in the perinatal services arena are not in alignment with the Association of Women’s Health and Neonatal Nursing (AWHONN) staffing acuity guidelines. Although these guidelines were created in 2010 to promote caring for patients in the perinatal period in a safe manner based on the acuity of the patient (Simpson et al., 2019) hospital financial colleagues do not understand the importance, and frequently these guidelines have to be overlooked to maintain compliance financially. The guidelines break down different types of diagnosis and acuity of specific clinical care scenarios and rank them into categories. This information is further broken down into the number of FTEs that would be appropriate to care for this type of patient. An example would be that any patient that is pushing while in labor would require a 1:1 patient ratio whereas three patients in triage could be cared for by one nurse. The problem with this is that patients can move in and out of different levels of acuity based on their course of labor up to and after delivery. From a financial and productivity perspective this does not make sense. Staffing for a patient that begins at the lowest level of acuity then turns into the highest level of acuity, and then back to a moderate level of acuity after delivery is hard to measure from a productivity standpoint. This is even harder to maintain if departments are held to a productivity standard that is not in alignment with the patient ratios that mirror actual care a patient needs to receive during their hospital stay. The result is less safe care for patients, poor outcomes for mothers and infants, and staff dissatisfaction and burnout (Simpson, 2016). 

I am currently working with an internal PI specialist piloting a program for the health care system that involves assessing the AWHONN staffing acuity guidelines and how often my labor and delivery unit is overstaffed or understaffed based on the AWHONN staffing acuity guidelines. We have collected eight months of data and have now created a presentation for the senior leadership team to help inform them of the need to deploy additional resources at a certain time of the day and on certain days of the week. This additional resource would increase the safety of care being provided to mothers and infants.  

Some of the strategies I have used up to this point are in an agency for healthcare and research quality toolkit (AHRQ). The strategies include having a well-outlined plan that involves getting the right people on the team for the project, identifying a champion, communicating regularly with the stakeholders, and moving systematically through the stages of a project (www.ahrq.gov). By doing this the end-user has a well-developed objective presentation to support the need for a change. The importance of presenting a proposal that not only includes the need for change based on safety, but needs to include the financial, and operational impacts also. 

References 

Agency for Healthcare Research and Quality. (October, 2014). Designing and Implementing Medicaid Disease and Care Management Programs. Retrieved from https://www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm2.html 

Simpson, K. R., Lyndon, A., Spetz, J., Gay, C. L., & Landstrom, G. L. (2019). Incorporation of the AWHONN Nurse Staffing Guidelines into Clinical Practice. Nurse Women’s Health, 23(3), 217–233. https://doi.org/10.1016/j.nwh.2019.03.003  

Simpson, K. R., Lyndon, A., & Ruhl, C. (2016). Consequences of inadequate staffing include missed care, potential failure to rescue, and job stress and dissatisfaction. Journal of Obstetric, Gynecologic & Neonatal Nursing, 45(4), 481–490. https://doi.org/10.1016/j.jogn.2016.02.011 

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Sample Answer 2 for NURS 8100 Week 3 Discussion Agenda Setting

This is insightful, staffing ratio is one of the major problem that impact the delivery of quality care in different healthcare systems. According to the Association of Women’s Health and Neonatal Nursing (AWHONN), the patient-to-nurse ratio in the perinatal services arena should be alignment with the AWHONN Standards (Simpson et al., 2019). The AWHONN Standards recommend a minimum of four patients for every nurse in the labor and delivery setting and a minimum of five patients for every nurse in the postpartum setting. Many hospitals struggle to maintain these ratios, especially during times of high volume (Esmail, 2017). This can lead to nurses being overworked and understaffed, which can have negative consequences for both patients and nurses. Patients may not receive the level of care they need, and nurses may be more likely to experience burnout or job dissatisfaction (Roth et al., 2020). Besides, communicating regularly with the stakeholders and moving systematically through the stages of a project, some other strategies that can be used to inform stakeholders and persuade them of the importance of the identified clinical practice issue include constant meetings and workshops with all the interested parties.  

References 

Esmail, D. (2017). Development of a Graduate Nurse Residency Program in Women’s Services (Doctoral dissertation, Walden University). https://www.proquest.com/openview/5a2c8e2f30eb4b44fe5997a76d76d912/1?pq-origsite=gscholar&cbl=18750 

Roth, C., Brewer, M. A., Bay, R. C., & Gosselin, K. P. (2020). Nurses’ experiences of “being swamped” in the clinical setting and association with adherence to AWHONN Nurse Staffing Guidelines. MCN: The American Journal of Maternal/Child Nursing, 45(5), 271-279. https://journals.lww.com/mcnjournal/Abstract/2020/09000/Nurses__Experiences_of__Being_Swamped__in_the.4.aspx 

Simpson, K. R., Lyndon, A., Spetz, J., Gay, C. L., & Landstrom, G. L. (2019). Incorporation of the AWHONN Nurse Staffing Guidelines into Clinical Practice. Nurse Women’s Health, 23(3), 217–233. https://doi.org/10.1016/j.nwh.2019.03.003  

Sample Answer 3 for NURS 8100 Week 3 Discussion Agenda Setting

Within every organization, employee satisfaction is a largely contributing factor the success or failure of a healthcare system. What is the organization without its employees? Right now, within the world of nursing, many are searching for opportunities at other organizations. Looking for increased pay, work life balance, flexibility and safe ratios of care. Health care systems are losing nurses in mass numbers with the demand for the profession continuing to grow. Currently, the national average for turnover rates is 8.8 % to 37.0% varying on location. According to The American Nurses Association (ANA), more registered nurse jobs will be available through 2022 than any other profession in the United States. According to an article in the Nursing Times, The US Bureau of Labor Statistics projects that more than 275,000 additional nurses are needed from 2020 to 2030 (Haddad, et al., 2022). 

Dr. Kathleen White and Dr. Joan Stanley discuss the original theory of agenda setting. These discussions and implementation of formal policies to address important issues (Laureate Education, 2011). Dr. Kathleen also discusses the importance of taking certain steps to get a policy adopted while taking into consideration feasibility, cost, and involvement of stakeholders prior to implementation (Laureate Education, 2011). Collaboration is key to creating change. Policy change cannot occur without the input from frontline members. In this scenario the staff are the stakeholders. Stakeholders can be defined as “Organizations and individuals that are involved in a specific activity because they participate in producing, consuming, managing, regulating, or evaluating the activity” (Hyder, et. alt. 2010). Hyder describes the importance of stakeholders and their perceptions. The perspective of decision makers is important as it provides insight to areas of policy making. 

The voice of the employee is invaluable to the success and longevity of an organization. At my current organization, every year a survey is administered to each and every nurse to have a better understand of what is important and needed at an employee level. Many policy changes have occurred from the results of this survey. Last year, nurses and patient care technicians spoke to the importance of flexible scheduling related to the wellbeing of their roles. Many described how they were unable to leave from their scheduled shifts in a timely fashion or arrange their lives to meet the needs of the unit. Hospital leadership met to discuss how to make the voices of the employees heard. Scheduling needs were adjusted to be in 4 hour increments, which increased the workforce. The view from staff was that wellness and work life balance was more achievable with the flexible scheduling. This made happier, healthier employees. This simple change cost nothing but increased retention and was viewed as a recruitment tool as well. Allowing employees to be viewed as individuals not just a body to fill a staffing need.  

References 

 Haddad LM, Annamaraju P, Toney-Butler TJ. Nursing Shortage. [Updated 2022 Feb 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK4931 

Hyder, S. Syed, P. Puvanachandra, G. Bloom, S. Sundaram, S. Mahmood, M. Iqbal, Z. Hongwen, N. Ravichandran, O. Oladepo, G. Pariyo, D. Peters, Stakeholder analysis for health research: Case studies from low- and middle-income countries, Public Health, 124 (3), 159-166 

Walden University, LLC. (Executive Producer). (2011). Healthcare policy and advocacy: Agenda      setting and the policy process. Baltimore: Author. 

Sample Answer 4 for NURS 8100 Week 3 Discussion Agenda Setting

This is insightful, employee satisfaction is a critical factor in the success or failure of any healthcare system. Happy, satisfied employees are more likely to provide quality care than those who are disgruntled and unhappy (Lins et al., 2021). A recent study by the Commonwealth Fund found that employee satisfaction is a key ingredient in high-performing health systems. The study looked at six countries – Australia, Canada, France, Germany, Sweden, and the United Kingdom – and found that those with the most satisfied employees also had the best results in terms of quality of care and patient outcomes (Popa et al., 2018). Most organizations consider flexibility scheduling as one of the major factors that can ensure employee satisfaction within the healthcare institutions. Flexible scheduling is an important part of ensuring the wellbeing of nurse’s roles in healthcare (Gomez et al., 2020). It can help to reduce stress levels and improve work-life balance. Additionally, it can allow nurses to better care for their patients by providing them with the time they need to perform their duties effectively. Informing the stakeholder about flexibility scheduling requires constant communication through different platforms such as workshops.  

References 

Gomez, S., Anderson, B. J., Yu, H., Gutsche, J., Jablonski, J., Martin, N., … & Mikkelsen, M. E. (2020). Benchmarking critical care well-being: before and after the coronavirus disease 2019 pandemic. Critical care explorations, 2(10). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7587602/ 

Lins, M. G., Zotes, L. P., & Caiado, R. (2021). Critical factors for lean and innovation in services: from a systematic review to an empirical investigation. Total Quality Management & Business Excellence, 32(5-6), 606-631. https://doi.org/10.1080/14783363.2019.1624518 

Popa, I., Ştefan, S. C., Morărescu, C., & Cicea, C. (2018). Research regarding the influence of knowledge management practices on employee satisfaction in the Romanian healthcare system. Amfiteatru Economic, 20(49), 553-566. https://www.ceeol.com/search/article-detail?id=686828

Sample Answer 5 for NURS 8100 Week 3 Discussion Agenda Setting

Identify the clinical practice issue you would like to see on your organization’s systematic agenda.

Clinical Practice Issue: Frequent Admissions due to Poor Discharge Nursing Education. Reducing hospital readmissions is a national focus for healthcare reform. Consequently, patient discharge education is increasingly important for improving clinical outcomes and reducing hospital costs (Polster, 2015). According to the Centers for Medicare and Medicaid Services (CMS), nearly 20% of all Medicare patients are readmitted to the hospital within 30 days of discharge; 34% are readmitted within 90 days of discharge (Polster, 2015)

The quality of discharge teaching is statistically linked to decreased readmission rates. Nursing most often bears the major responsibility of patient and caregiver teaching (Luther, et al., 2019). Currently, discharge teaching is complicated by problems including time constraints, patient and caregiver overload, and coexisting comorbidities that add complexity to the patient’s care needs at home. (Luther, et al., 2019). A structured discharge process with tools to help healthcare organizations improve their discharge process to decrease readmission rates need to be considered (Luther, et al., 2019).

The CMS expects nurses and other healthcare team members to address modifiable factors that can increase the chance of rehospitalization, such as (1) unplanned and early discharge or insufficient post-discharge support, (2) inadequate follow-up, (3) therapeutic mistakes, (4) adverse drug events, and (5) failed handoffs (Polster, 2015). The policy of interest will focus on failed handoffs or poor discharge education. Ineffective discharge is related to factors at the level of the individual care provider, the patient, the relationship between providers, and the organizational and technical support for care providers. Providers can reduce hospital readmission rates and adverse events by focusing on high-quality discharge information, well-coordinated care, and direct and timely communication with their counterpart colleagues (Hesselink, et al., 2015)

What strategies would you use to inform stakeholders and persuade them of the importance of your identified clinical practice issue?

There are several strategies that can be used to inform stakeholders while persuading them on the importance of a new policy (Hydera, et al., 2010). For example, the policy of interest must be established and stakeholders to be included.  The stakeholders will entail clinical nursing, physicians, patient experiences, pharmacy, quality and safety, nursing managers and directors. Once a policy of interest and stakeholders have been established, accepting of the stakeholder’s perspective on the issue would be first taken into consideration. Expectations related to interventions can predict the likelihood of successful intervention implementation through intervention refinement and incorporation of innovative ideas, sharing perspectives with key stakeholders will enhance solidarity around interventions for improving discharge education and reduction of frequent admits (Hydera, et al., 2010). Stakeholder engagement throughout research generation and policymaking becomes critical to strengthening the research–policy interface.

Fostering such linkages between mediators, individuals or institutions with different stakeholders will encourage strong research-policy linkages (Hydera, et al., 2010). Another strategy that can be used to persuade stakeholders on the importance of improving discharge education to decrease frequent admissions is to use policy briefing, a new approach to packaging research evidence for policymakers (Lavis, et al., 2009). The first step in a policy brief is to prioritize a policy issue, followed by use of systematic reviews to mobilize full range research evidence to the various features of the issue.

Hesselink, G., Zegers, M., MyVernooij-Dassen, M., Barach, P., Kalkman, C., Flink, M., Ön, G., Olsson, M., Bergenbrant, S., Orrego, C., Suñol, R., Toccafondi, G., Venneri, F., Dudzik-Urbaniak, E., Kutryba, B., Schoonhoven, L., & Wollersheim, H. (2014). Improving patient discharge and reducing hospital readmissions by using Intervention Mapping. BMC Health Services Research. 14: 389.

Hydera, A., Syeda, S., Puvanachandraa, P., Bloomb, G., Sundarama, S., Mahmoodc, S., Iqbalc, M., Hongwend, A., Ravichandrane, N., Oladepof, O., Pariyog, D., & Petersa, D. (2010). Stakeholder analysis for health research: Case studies from low- and middle-income countries. Public Health, 124(3): 159-166

Lavis, J. N., Permanand, G., Oxman, A. D., Lewin, S., & Fretheim, A. (2009). SUPPORT Tools for evidence-informed health Policymaking (STP) 13: Preparing and using policy briefs to support evidence-informed policymaking. Health Research Policy & Systems, 71–79.

Luther, B., Wilson, R. D., Kranz, C., & Krahulec, M. (2019). Discharge processes: what evidence tells us I most effective. Review Orthopedic Nurse; 38(5): 328-333.

Polster, D. (2015). Preventing readmissions with discharge education. Nursing Management, 46(10):  30-37.

NURS 8100 WEEK 4 Policy Model Sample

Policy Model 

The chosen policymaking framework is the Advocacy Coalition Framework (ACF). This framework serves as an essential instrument for nurses promoting policy in intricate domains of healthcare delivery. It facilitates the navigation of the policy process by emphasizing alliances, convictions, and temporal learning. The ACF is structured to address the intricacies of healthcare policy by examining the interactions among many stakeholders over prolonged durations (Pierce et al., 2020). Nurses often need collaboration with other healthcare professionals, patient advocacy organizations, and lawmakers, highlighting the necessity of establishing coalitions with shared values and objectives. The ACF emphasizes the belief systems of various stakeholders, which may serve as a significant impetus for coalition formation and policy modification (Mattaini et al., 2020). The ACF can assist nurses in navigating the complex policy-making environment and advocating for their unique policy priorities. 

By allowing the identification of colleagues and opponents in policy advocacy, the Advocacy Coalition Framework effectively delineates my strategy for accomplishing my advocacy aim inside the policymaking process. This is accomplished by facilitating the identification of policy advocates. It makes strategic framing easier by understanding the belief systems held by different coalitions, making it possible to prioritize policies in the interests of significant stakeholders and decision-makers (Mattaini et al., 2020). Through the facilitation of continuing conversation and feedback systems, the ACF highlights the relevance of temporal learning, allowing for the refinement of strategies according to their potential effectiveness. Principal components of the ACF include a concentration on subsystems, the categorization of perspectives into deep core and policy core beliefs, subsidiary aspects, an understanding of coalition dynamics, and policy-oriented learning. 

To utilize the ACF for advocacy, it is essential to identify and comprehend the policy subsystem, delineate belief systems, establish coalitions with stakeholders who share core policy beliefs, participate in policy-oriented learning, and articulate policy priorities in a manner that resonates with the belief systems of pivotal stakeholders (Kim, 2022). This methodology is especially pertinent in healthcare, as new evidence and procedures continually arise. In conclusion, the ACF is essential for finding friends, establishing coalitions, facilitating policy-oriented learning, and successfully formulating policy goals. By adhering to these measures, advocates may proficiently promote their policy concerns and guarantee their message resonates with essential stakeholders and decision-makers. 

References 

Kim, Y. (2022). The role of Science in the Policy Subsystem: An application of the Advocacy Coalition Framework to nanotechnology regulation policies. International Journal of Public Administration, 47(6), 397–414. https://doi.org/10.1080/01900692.2022.2123504 

Mattaini, M. A., Esquierdo-Leal, J. L., Sánchez, J. G. A., Richling, S. M., & Ethridge, A. N. (2020). Public Policy Advocacy in Culturo-Behavior Science. In Springer eBooks (pp. 385–412). https://doi.org/10.1007/978-3-030-45421-0_16 

Pierce, J. J., Giordono, L. S., Peterson, H. L., & Hicks, K. C. (2020). Common approaches for studying advocacy: Review of methods and model practices of the Advocacy Coalition Framework. The Social Science Journal, 59(1), 139–158. https://doi.org/10.1016/j.soscij.2019.06.005 

Wiley, K., Searing, E. A., & Young, S. (2020). Utility of the advocacy coalition framework in a regional budget crisis. Public Policy and Administration, 36(3), 401–426. https://doi.org/10.1177/0952076720905007