NRS-440-VN0502 Trends and Issues
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Trends And Issues 10_25_2020 (1).docx
Summary
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Advocacy Through Legislation Identify a problem or concern in your state, community, or organization that has the capacity to be advocated through legislation. Research the issue and complete the sections below. For each topic that requires the listing of criteria, a minimum of two criteria should be identified and discussed. Add more rows as is appropriate for the topic/proposal.
Student: Submitted to Grand Canyon UniversityNRS-440-VN0502 Trends And Issues Name:
Course: Trend Institution:
Date:
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Problem In no more than 250 words, describe the problem, who is affected, and the current ramifications. Explain the consequences if the issue continues.
Safety and effective patient care faces problems concerning the current healthcare settings in which the
integrative nursing are less therefore, there is a need of increasing them. The main reason that contributes to
lack of good communication and ineffective handoff from the service providers. Continuity of healthcare
supported by provision of effective handoffs while handling hospitalized patients. Poor quality services and unsafe
have been contributed by ineffective nurse transitions and Poor communication. The most important part is
personal communication. Therefore, nurses have to be more careful on matters concerning the patient treatment
conditions, and records of the patient to ensure that they deliver appropriate services. Nurse transitions
communication. Therefore, nurses have to focus on the emotional and intentional information that has a direct
health to achieve successful handoffs.
Patients' health have attained adverse effects due to poor communication during handoffs leading
health related conditions, overdosing and late treatments. Errors that are likely to happen during patient treatments
enhancement of effective communication which will lead to increment of successful treatment and hospitalization
Promotion of effective communication during nurse’s transitions enables the healthcare system to achieve its goals and visions.
Passive voice: provision is supported by
Spelling mistake: handoffs hand offs
Passive voice: have been contributed
Spelling mistake: handoffs hand offs
Spelling mistake: handoffs hand offs
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Spelling mistake: handoffs hand offs
Passive voice: handoffs are guaranteed b...
verb acquire (get, develop): acquire get
sufficient (enough): sufficient enough
Passive voice: policy is applied fully by
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Passive voice: have been established
Idea for Addressing Solution In no more than 250 words, outline your idea for addressing the issue and explain why legislation is the best course for advocacy.
Effective nurse’s transitions and good communication affect directly the nurse-patient relationship which leads
services. Therefore, nurses have to adopt and put into practice nursing policies that guide through communication
handoffs improvement in the healthcare sector. Legislation is the weapon used when advocating changes in the
instance when emphasizing on effective communication, a handoff system among all healthcare professionals.
are guaranteed by nurses through the use of SBAR communication tools that focus mainly on the effectiveness
while dealing with hospitalized patients. SBAR stands for Situation, background, Argument and recommendations,
care providers to acquire common communication.
Healthcare practitioners have to adopt SBAR directives to allow them offer sufficient and successful
services to the patients due to conveyance of important and necessary information during the nursing transitioning
done consistently with clarity. Legislation is a recommended method used in advocacy because it is respected
Similarly, legislation ensures that the policy is applied fully by the healthcare system rather than one facility
healthcare services worldwide.
Research the Issue Perform research and compile information for your idea. Present substantive evidence-based findings that support your idea for addressing the problem (studies, research, and reports). Include any similar legislation introduced or passed in other states.
Evidence 1 The SBAR communication tool complements the safe nurse
ensure that g patient information is adequate and safely communicated
According to Shahid and Thomas (2018), safe nurse staffing
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Unpaired braces, brackets, quotation m...: (
Spelling mistake: Müller Muller
Grammatical problem: Policymaking
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Spelling mistake: handoffs hand offs
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established to reduce medical errors and promote shared
professionals. Also, well-defined SBAR protocol ensures that
to review patient information during handoff is significantly
2018). Further, Smiley (2019) studied the effect of the use of
of improving patient outcomes and reducing readmission rates
study findings established the positive impact of the tool in emergency department.
Evidence 2 Policymaking has focused on the need for safe nurse staffing
quality of health care. In particular, the Safe Staffing for Nurse
of 2018 seeks to “amend title XVIII of the Social Security Act
protection by establishing safe nurse staffing levels at certain
for other purposes.” (The Congress, 2018). The bill reflects the
tool as a way of training nurses to implement best practices
errors. Moreover, Shahid and Thomas (2018) urge that implementing
for nurse training will reduce medical errors and minimize the cost of treatment.
Stakeholder Support Discuss the stakeholders who would support the proposed idea and explain why they would be in support.
Stakeholder(s) Supporting 1 Health care professionals are in favor of SBAR communication tools as the best
approach to minimizing communication problems that occur during
and doctors understand the importance of the legislation as a way of improving patient
outcomes and reducing medical errors.
Stakeholder(s) Supporting 2 Lawmakers are the proponents of the legislation as a way of improvingsector. Throughout the formulation and implementation of the create awareness about the problem of communication during handoff.
Stakeholder Opposition Discuss the stakeholders who would oppose the proposed idea. Explain why they would be in opposition and how you would prepare to debate or converse about these considerations.
Stakeholder(s) Opposed 1 Hospital managers may reject an attempt to implement SBAR-related
on the financial strain on the healthcare organization. Therefore,
to successful implementation of SBAR tool much to the
managers because of associated costs.
Stakeholder(s) Opposed 2 Nurses may object to the implementation of the SBAR tool, particularly
settings that do not have enough health care professionals.
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Redundant phrase: Some of the Some
Spelling mistake: handoffs hand offs
Passive voice: have been established
Grammatical problem: Phone
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Student: Submitted to Grand Canyon University
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Grammatical problem: regarding to
professional might view this legislation as unnecessary and waste of resources.
Financial Incentives/Costs In no more than 250 words, summarize the financial impact for the issue and the idea (added costs, cost savings, increased revenue, etc.). Provided support.
In the recent past, health care costs have been on the rise, partly due to changes in health care policies and
the health care cost is expected to rise with the increase in demand for health care services. Some of the underlying
lifestyle diseases such as diabetes and obesity require that healthcare providers shift the attention to the treatment
Ineffective handoffs and inadequate communication have been established to increase health care costs because
which increases the number of hospital stays which will consequently put pressure on existing resources ( Scott et la., 2017
In addition, the amount of resources required to improve patient outcome and manage critical conditions increase
handoff. As a result, the cost of providing medical services will witness further increase. For instance, insurance
required to increase their operational expenditures to cover medical expenses. Also, employers will be required
contributions to the insurance cover for their employees because of the elevated risk from medical errors caused
and inadequate communication.
Legislature: Information Needed and Process for Proposal
Discuss how to advocate for your proposal using legislation. Include the following:
Provide the name and complete contact information for the legislator.
Sen. Merkley, Jeff [D-OR]. Contact information: SW Salmon Street., Ste. 1400. Portland, OR 97204 Phone: (503) 326-3386. Fax: (503) 326-2900.
Describe the steps for how you would present this to your legislator.
The first step will involve the presentation of research data to the legislator to
support the need for the policy change. Also, the preparing concise message will be
necessary to ensure that all takeovers are engaged through the legislative process.
Effective communication will ensure that there is proper understanding about the
need for the legislation.
Outline the process if your legislator chooses to introduce your idea as a bill to congress.
Advocacy will take a central stage in policy making through
close ties with other legislators. The robust partnership will
garners popular support for the bill.
Christian Principles and Nursing Advocacy In no more than 250 words, discuss how principles of a Christian worldview lend support to legislative advocacy in health care without bias. Be specific as to how these principles help advocate for inclusiveness and positive health outcomes for all populations, including those more vulnerable, without regard to gender, sexual orientation, culture, race, religion/belief, etc.
According to Christianity, service to God is directly connected to service to others. Therefore, people ought
dignity to each other as God's creation. Nursing practice aims at promoting and restoring health and well-being
society. In conjunction with this, nurses have to gain knowledge regarding to the day today activities of nursing
up with policies that promote individual’s health. In Christianity, leadership serves a crucial role in solving
handoff. For example, through Jesus working selflessly without anything in return demonstrates more about
was more concerned about others welfare as observed when he healed the sick during his ministry. Therefore,
results are improved following the advocacy for change in handoff. Nurses demonstrate the act of servant leadership
dedication and selflessly to improve individual’s health.
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References
Müller, M., Jürgens, J., Redaèlli, M., Klingberg, K., Hautz, W. E., & Stock, S. (2018). Impact of
the communication and patient hand-off tool SBAR on patient safety: a systematic
review. BMJ open, 8(8), e022202.
Scott, A. M., Li, J., Oyewole-Eletu, S., Nguyen, H. Q., Gass, B., Hirschman, K. B., ... & Project
ACHIEVE Team. (2017). Understanding facilitators and barriers to Care transitions:
insights from project ACHIEVE site visits. The Joint Commission Journal on Quality
and Patient Safety, 43(9), 433-447.
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Shahid, S., & Thomas, S. (2018). Situation, Background, Assessment, Recommendation (SBAR) communication tool for handoff in health care–a narrative review. Safety in Health, 4(1),
7.
Smiley, B. A. (2019). Use of a Structured Communication Tool to Improve Patient Handoffs in
the Emergency Department (Doctoral dissertation, University of California, Davis).
The Congress. (2018). S.2446 - Safe Staffing for Nurse and Patient Safety Act of 2018.
Retrieved from https://www.congress.gov/bill/115th-congress/senate-
bill/2446/text?format=txt
