RN to BSN Leadership Learning Experience ESSAY

RN to BSN Leadership Learning Experience ESSAY

Competencies between BSN and ADN, RN Nurses

There are numerous differences in competencies between BSN and ADN. Nursing is a dynamic profession and life long learning is essential for nurses to stay current with the increased complexity of the healthcare needs of today and into the future. In other words, the needs of our patients are changing, as we must change in order to be prepared to better serve that need.
Nursing has a long history of formal education which moved out of hospitals and into colleges and universities early last century. The associate degree level of nursing was developed out of a need to produce nurses in response to a shortage during and…show more content…
As cited the report When Care Becomes a Burden released by the Milbank Memorial fund in 2001, two separate studies conducted in 1996- one by the state of New York and one by the state of Texas –clearly show that significantly higher levels of medication errors and procedural violations are committed by nurses prepared at the associate degree and diploma levels as compared with baccalaureate level. ASSOCIATE DEGREE IN NURSING

The ADN program require about 2 yrs for the student to complete. The Adn nurses are associate degree in nursing, ADN nurses have clinical skills and hands on basic skills but they lack both management and leadership skills with in the nursing field. Additionally they lack research skills used in nursing as well as knowledge on informatics the use of technological advances in enhancing quality medical delivery.

ADN is shortened program time and reduced tuition rates. This program is more concise which focuses on the clinical skills and more tasks oriented. It lacks the theory and science behind nursing as a profession. ADN nurses are educated to provide nursing are to persons with similar alterations in structured setting. ADN degree graduates to meet the needs of the pt.
ADN gives you the fundamentals of nursing practices. They basic theory, skills, competencies knowledge of scope of practice and legalities for licensure and the essential general education core that is necessary as a foundation [English, psychology, biology chemistry,

NURS FPX 4050 Assessment 2 Ethical Policy Factors Care Coordination Essay

NURS FPX 4050 Assessment 2 Ethical Policy Factors Care Coordination

Ethical and Policy Factors in Care Coordination

NURS FPX 4050 Assessment 2 Ethical Policy Factors Care Coordination

Care coordination is defined as the process in which the different participants involved in the care of a patient interact and correspond with one another to give better outcomes and quality of services (“Care Coordination,” 2014). There are many different factors that can deter and aid the process of care coordination. The importance of Care Coordination is unequivocal, since the absence of proper cooperation between different participants can lead to destructive results, leaving the patient mentally and physically marred. 

In this paper, the aim is to discuss the effect which ethical factors has on care coordination, and what role government policies play during the process. Ethical factors from the nurse’s perspective are also an aspect of importance in the care continuum and coordination. 

NURS FPX 4050 Assessment 2 Ethical Policy Factors Care Coordination

When providing health care, there are many different ethical factors that come into play. When deciding on which course of action to take, the nurses can practice priority based on age, gender and previously underlying medical condition. It is up to the nurse to conduct an analyses to adequately understand the standing of a number of patients, and to expertly provide healthcare to them in the order required. An example that can be served to delineate this point is if two patients are to simultaneously enter a hospital, only to find one bed to be free, it would resolve to the administration to assess and evaluate the involved ethical factors to decide what course of action to take. These sorts of decisions and responses are governed by the Code of Conduct, which will be discussed in detail in this paper. 

How Governmental Policies Affect Coordination of Care

In the United States, the provision of healthcare and care coordination is vastly governed by governmental policies. There are a number of different policies that are active in the United States as a result of the efforts of the Department of Health and Human Services (Regis College Online, 2021), a couple of which will be described in this paper to portray exactly what effect such policies can have on healthcare. 

Government policies can lay out various guidelines and instructions for institutes and healthcare professionals to follow. The reason behind the enforcement of certain guidelines from the government can be to enhance the provision of healthcare, safeguarding the rights of the patients and so forth. Furthermore, policies can encourage professionals to adopt certain measures when dealing with patients. Similarly, policies can also act as a motivation for professionals to pursue a certain mode of treatment or interaction when dealing with patients.

NURS FPX 4050 Assessment 2 Ethical Policy Factors Care Coordination

To further understand how government policies affect care coordination, the example of the Hospital Readmission Reduction Program can be taken. The main function of the HRRP is to reduce the number of readmissions. This is done by encouraging the healthcare service providers (nurses, doctors etc.) to efficiently and expertly discuss post-discharge plans with patients in order to help them recover better, in turn enabling them to avoid readmissions for problems that are manageable (CMS.gov, n.d.).

The way this policy affects care coordination is that it encourages the different healthcare service providers to actively and expertly communicate with one another, and the patients with the objective of delineating to them the various aspects necessary for the after-discharge recovery and treatment. By keeping the motivation of reduced readmissions, this policy serves to improve the quality of coordination and collaboration between patient and professional.

In light of the above argument and the example stated above, it can be seen that this particular policy reflects positively on coordination of care.

NURS FPX 4050 Assessment 2 Ethical Policy Factors Care Coordination

National, State, or Local Policy Provisions that Raise Ethical Dilemmas

There are a few policy provisions that can raise ethical dilemmas, and create implications for care coordination. The first policy provision that can be scrutinized is the Affordable Care Act of 2010. The essence of the Affordable Care Act was the obligation and enforcement of securing health insurance, the failing of which would culminate in the levying of fines (Regis College Online, 2021). From an unbiased perspective, it is quite apparent what ethical complications and dilemmas the ACA can bring about. The ethical corruption of the ACA can be attributed primarily to the aspect of religion. The concept of insurance is an aspect of prohibition in the fastest growing religion in the world viz. Islam. Since the concept of insurance is subjected to prohibition in the third largest religion in the USA, the ACA which is advocating and stressing upon insurance can be seen as an aspect causing ethical unrest and dilemmas. Coming to the effect this has on care coordination, since the lack of insurance will result in fines and penalties, a person who is not insured will not be able to get treated and medically aided. When such discrepancies can occur on the basis of insurance, it can lead to turbulence in the process of care coordination. It can get exceedingly hard for a person without insurance to get treated. If such a person can get partially treated, he can face complications going forward, based on the lack of insurance.

Another policy that can be enumerated in this regard is the HRRP discussed previously. While the concept behind the HRRP was seen to be advantageous, as it encouraged doctors and nurses to better engage and communicate with the patients (CMS.gov, n.d.), there is the chance of ethical complications erupting from it. The complications that can rise from the HRRP can culminate from the possibility of a patient getting misunderstood, or the condition misdiagnosed, which can lead to denial of admission. 

NURS FPX 4050 Assessment 2 Ethical Policy Factors Care Coordination

Impact of Code of Ethics of Nurses on the Coordination and Continuum of Care

There are four main points of the Nurses’ Code of Ethics. To elaborate the impact of each on the coordination and continuum of care, all four will be enumerated.

Firstly comes the factor of Autonomy. The discretion and the decision-making is to be handed over to the patient as far as deciding between different treatments and medications etcetera is concerned. It is imperative for the nurse to present the viable options to let the patient choose on his or her discretion (Gaines, 2020). This impacts coordination and continuum of care as it helps the patient know all about how he is being treated. Since he is making the decisions, he will be able to properly portray and explain the treatment process to any future doctor.

Then, there is the beneficence factor which helps in creating good relationships between nurses and patients, which in itself is conducive to better cooperation (Gaines, 2020). 

NURS FPX 4050 Assessment 2 Ethical Policy Factors Care Coordination

Then follows the Justice factor. This aspect of the code of ethics demands that the nurses don’t act out of any degree or trace of racism or prejudice. Regardless of age, gender, race and ethnicity, the care given by the nurses must be the same (Gaines, 2020). This helps in care coordination and continuum as better bonds will be formed between the patient and nurse. 

Finally, there is ‘Non-maleficence’ which means to cause no harm (Gaines, 2020). This point means that the nurses must opt for ways which are least deteriorative and harmful to the patient. This helps in the coordination of care as trust will be created between the patient and nurse.

Conclusion

Governmental policies can affect care coordination vastly. In this paper, the purpose was to describe how exactly governmental policies affect coordination of care along with some examples. Policies like the ACA and HRRP were enumerated and elucidated.

Furthermore, the nurses’ code of ethics also features some points and aspects that has an impact on the care coordination. These points, along with the perceived effects, were enumerated.

NURS FPX 4050 Assessment 2 Ethical Policy Factors Care Coordination

References

Care Coordination. (2014). Retrieved from https://www.ahrq.gov/ncepcr/care/coordination.html

CMS.gov. (n.d.). Hospital Readmissions Reduction Program (HRRP). Retrieved from https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Readmissions-Reduction-Program

Gaines, K. (2020). What is the Nursing Code of Ethics? Retrieved June 18, 2021, from https://nurse.org/education/nursing-code-of-ethics/

NURS FPX 4050 Assessment 2 Ethical Policy Factors Care Coordination

Regis College Online. (2021, April 22). 8 Important Regulations in United States Health Care. Retrieved June 18, 2021, from https://online.regiscollege.edu/blog/8-important-regulations-united-states-health-care/

McDonald, K. M., Sundaram, V., & Bravata, D. M. (2007). Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies (Vol. 7: Care Coordination). Agency for Healthcare Research and Quality (US). 

RN to BSN Scholarly paper: Leadership

RN to BSN Scholarly paper: Leadership

RN to BSN Scholary paper: Leadership

1)Assigned template must be used for this assignment 2) the only resource for paper is the following assigned article 3) rubric for length limitations for Article Summary section of the paper: a,cleary summarize the major content for the assigned article using 175-200 words. b, content must include main ideas from across the entire article.c, specifics should be excellent. d, content must be attributed to the coorect source. 4) For the Impact section: a, clearly state how learning from the assigned article will impact your future practice. b,length must be 125–150 words. c, writing must be concise and clearly relate the assigned article contents to practice; and first person in this section

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You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes. RN to BSN Scholary paper: Leadership

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source. RN to BSN Scholary paper: Leadership

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.