Begin Reviewing And Replying To Peer Postings Early 786099

Begin Reviewing And Replying To Peer Postingsresponses Early In The W

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.

Paper For Above instruction

The discussion surrounding the evolution of the U.S. healthcare system and the ongoing struggles for legitimacy faced by advanced practice registered nurses (APRNs) reflects broader systemic challenges that influence nursing practice and advocacy. Both peer posts highlight critical issues: the first emphasizes the importance of collaboration and advocacy despite obstacles, while the second underscores accountability issues exacerbated by staffing challenges and recent healthcare pressures. These themes underscore the need for resilient advocacy and unwavering commitment to patient safety and quality care amidst systemic barriers.

In the first peer post, the writer draws parallels to the narrative of Wald's efforts to improve health in impoverished immigrant communities, emphasizing that nurse practitioners often face challenges to their autonomy within a slow policy change process (Mason, 2016). The writer recounts personal experiences of witnessing nurse practitioners making autonomous decisions that are then challenged by physicians, which can be discouraging but underscores the importance of collaboration and open communication. This aligns with the broader issue of legitimacy for APRNs striving to establish independent roles within the healthcare hierarchy.

The writer advocates for collective decision-making in treatment plans, which exemplifies professional collaboration—a key strategy for overcoming systemic barriers. They also express a forward-looking vision of advocacy extending beyond individual patients to community health, recognizing that advocacy remains a fundamental role of nurses. The joy derived from making a tangible difference in patient lives exemplifies the intrinsic motivation that sustains nursing practitioners through systemic challenges.

Meanwhile, the second peer discusses accountability, a vital component of effective healthcare delivery, especially intensified during the COVID-19 pandemic. The writer notes that accountability issues are pervasive across all staff levels, from clerical workers to nurses and physicians, citing the increased workload and staffing shortages as underlying factors (Denis, 2014). This perspective aligns with current healthcare trends that see increased pressure on nursing staff, which compromises both accountability and patient safety.

The writer emphasizes that healthcare managers must enforce policies consistently, despite staff threats to leave, to uphold standards and foster a culture of accountability. This reflects an understanding that accountability is crucial to safe patient care, and that advocacy starts with leadership that models and enforces these standards. The personal assertion of always advocating for patients and families underscores the nurse’s moral obligation regardless of systemic issues.

Both posts demonstrate that advocacy—whether for autonomous practice, improved patient outcomes, or accountability—is central to nursing. Challenges exist at multiple levels—professional, systemic, and policy—and addressing them requires strategic efforts like collaboration, leadership, and unwavering commitment to ethical standards. Recognizing systemic barriers and proactively working to overcome them is essential in advancing the nursing profession and ensuring quality patient care.

References

• Mason, D. J. (2016). Policy & Politics in Nursing and Health Care (7th ed.). Elsevier Inc.
• Denis, J. L. (2014). Accountability in healthcare organizations and systems. Healthcare Policy, 10(Spec issue), 8–11.
• American Association of Nurse Practitioners. (2020). The State of Nurse Practitioners in the US. Retrieved from https://www.aanp.org/advocacy/advocacy-resource/state-profiles
• Hooker, R. S., & Horowitz, S. (2018). The evolution of nurse-led care and roles for advanced practice nurses. Policy, Politics & Nursing Practice, 19(1-2), 3-8.
• Finkelstein, J. A. (2019). Political processes affecting nursing practice. Nursing Outlook, 67(4), 283-290.
• Hamric, A. B., Spross, L. R., & Hanson, C. M. (2014). Advanced Practice Nursing: An Integrative Approach. Elsevier Saunders.
• American Nurses Association. (2018). Code of Ethics for Nurses with Interpretive Statements. ANA.
• National Council of State Boards of Nursing. (2021). Consensus Model for Advanced Practice Registered Nurse Regulation. NCSBN.
• Yardley, S., & Scott, E. (2017). Enhancing coaching and leadership skills in nursing professionals. Journal of Nursing Management, 25(2), 112-117.
• Hoffmann, T., & Kinner, S. (2020). Building resilience in healthcare: Strategies for advocacy and accountability. Journal of Healthcare Leadership, 12, 57-65.