Policy and State Boards of Nursing Within the far-reaching and multi-laye

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    Policy and State Boards of NursingWithin the far-reaching and multi-layered realm of policy and reform, government at the state level plays an essential role. Consider the federally enacted PPACA’s individual mandate which sought to increase the number of consumers who receive insurance coverage and, therefore, greater access to care. In a system that is already stretched beyond capacity and confronting a nursing shortage, how can the health care system meet this increased demand? Since state boards of nursing determine scope of practice, it is important to stay up to date and current with the policies and regulations that are created by the state board of nursing.To prepare:Review      the Thomas, Benbow, and Ayars article and the Watson and Hillman article      focusing on how states regulate advanced nursing practice and how      legislative changes are impacting scope of practice.Visit      your state board of nursing website and/or contact the board to determine      how the state board controls advanced practice through regulations (google mbon.org for my state board      of nursing)Determine      if your state board has created any new policies or regulations that      address changes to scope of practice in response to legislative changes.By tomorrow 04/25/2018 10am, write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Include the level one headings as numbered below”Post a cohesive response that addresses the following:1) What are the most recent regulations promulgated through your state board of nursing for advanced practice?2) How are the state regulations supported within your place of employment? (google mbon.org for my state board of nursing)3) How do the states differ in terms of scope of practice? What impact does this have on professional nurses across the United States?Required ReadingsChen, A. S., & Weir, M. (2009). The long shadow of the past: Risk pooling and the political development of health care reform in the States. Journal of Health Politics, Policy & Law, 34(5), 679–716. The authors provide an analysis of varying state health care policies, with a basic premise that health care risk is either “pooled”—shared, or “actuarial”—segmented by risk level. Most states have taken a segmented approach to health care, and therefore, have not solved health care issues such as rising costs and access to care. The authors maintain that federal action is needed to create a uniformed approach to health care.Junghee, L. (2009). Cultural, social, and political influences on state-level indigent health care policy formation. Journal of Policy Practice, 8(2), 129–146.This article provides details on a 50-state study of Medicaid spending. The authors concluded that political and economic factors can positively predict individual state Medicaid spending, and that actual need has a negative impact on spending. In conclusion, a uniform, federal structure may be the only method to ensure equal access to Medicaid.Mills, A., Engelhard, C. L., & Tereskerz, P. M. (2010). Truth and consequences—Insurance-premium rate regulation and the ACA. New England Journal of Medicine 363(10), 899–901.O’Connor, J. C., MacNeil, A., Chriqui, J. F., Tynan, M., Bates, H., & Eidson, S. K. (2008). Preemption of local smoke-free air ordinances: The implications of judicial opinions for meeting national health objectives. Journal of Law, Medicine & Ethics, 36(2), 403– 412.Sommers, B. (2010). Enrolling eligible children in Medicaid and CHIP: A research update. Health Affairs, 29(7), 1350.The enrollment and retention of eligible children in Medicaid and Children’s Health Insurance Program (CHIP) is a health care concern. The article concludes that some state processes have mitigated this issue but other requirements, such as providing citizenship documentation, may have a detrimental effect. Therefore, these concerns should be incorporated into the implementation on PPACA of 2010.Thomas, M. B., Benbow, D. A., & Ayars, V. D. (2010). Continued competency and board regulation: One state expands options. Journal of Continuing Education in Nursing, 41(11), 524-528. The authors use the changes instituted by the state of Texas in regard to the licensing of nurses to illustrate the need to adapt state licensing requirements to the changing diversity and scopes of practice among nurses.Watson, E., & Hillman, H. (2010). Advanced practice registered nursing: Licensure, education, scope of practice, and liability issues. Journal of Legal Nurse Consulting, 21(3), 25–29.The expanded role of the advanced practice nurse has led to changes in licensure, education, certification, and scope of practice definitions. The author points out that this expanded role has led to increased liability and accountability concerns as well.Yue, L., Harrington, C., Spector, W. D., & Mukamel, D. B. (2010). State regulatory enforcement and nursing home termination from the Medicare and Medicaid programs. Health Services Research, 45(6p1), 1796-1814. doi:10.1111/j.1475-6773.2010.01164.xThose nursing homes receiving Medicare and Medicaid funding are subject to strict quality and safety regulations. This article examines the consequences of enforcing those federal quality standards.  Optional ResourcesWieck, K. L., Oehler, T., Green, A., & Jordan, C. (2004). Safe nurse staffing: A win-win collaboration model for influencing health policy. Nursing Education Perspectives, 31(3), 160-166.

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#065

Discussion: Reaching Out to Community ServicesAs a professional, you most likely

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Discussion: Reaching Out to Community ServicesAs a professional, you most likely will be in a position to link families who need support with the appropriate community services. Review pages 390-396 of your text, which offer an overview of the community as a support system. Then read the following case studies on pages 413-416:Case Study 2: The Johnson FamilyCase Study 4: The Meyers FamilyCase Study 7: The Lambert FamilyCase Study 9: The Nguyen FamilyChoose the case study that interests you the most, then complete the following.By Day 3Post:The title of the case study and a summary of the problem/concernsYour response to the question(s) posed at the end of the case study, including what community services you would recommend (In examples that ask you to respond as a teacher, respond as a professional working with children and families.)Two general suggestions to foster communication, clearheadedness, and the development of a collaborative plan of action
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#065

Reaching new customers

You have been hired as a consultant for a major grocery store (publix) store near a large university. They want to broaden their appeal to
college students. You meet with Edith Wharton, the Director of Customer relations. She indicates that she believes changes should be made
but believe small steps are best. She also wants to show her bosses that she is taking swift and immediate steps to bring new business
while maintaining the loyalty of current customers.write a 2 page letter to Wharton that functions as a recommendation report outlining and justifying my specific recommendations about the
specific needs of college students and make two specific recommendations for what the chain store can do to improve its appeal to that
demographic. Be attentive to the fact that, as a consultant, you want to keep the grocery store as a repeat client.The letter should establish a purpose, use direct organization, have a informative and purposeful subject line.Write with reader-based emphasis and use good-will emphasis.Use two separate informative headings when indicating your suggestions. Write with parallel structure, and use list.

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#055

Modern problems of academic writing reaching the public

Science to the Public If you are not a scientist, how many times you have read a real scientific research on a regular basis? Ok, let me paraphrase it: have you EVER read a scientific research not because it was a home work assignment but because you where interested in the subject? The statistics show the number is not high: only 17% of published scientific…
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