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Hello, This was due today and with the Hurricane and lack of power/limited internet I lost track of the things pending. The professor allowed me to turn it in tomorrow. If you need more time let me know so I can speak to her again. Assignment 2: Health Policy The purpose of this assignment is for you to identify an issue of concern for your role as an advanced practice nurse and to formulate a potential policy change to address that issue. There are many potential issues which can influence your practice setting or other issues which may negatively affect the patients with whom you work.

All of the course reading will help you to identify a topic for this assignment. You can think about the issue as related to your health promotion project. The policy you consider may be in reaction to the health promotion issue or something larger that is still related to that issue. There are hundreds of possible issues, but here is a list of a few to consider: · Child and elder care · Civil rights · Domestic violence · Drug abuse/addiction · HIV/AIDS · Homelessness · Native American and migrant workers’ health · Long-term care · Immigration/illegal aliens · Legislative issues affecting advanced practice nursing · Barriers to practice · Access to care.

As you begin to work on the possible policy change, the following ideas and steps should be considered: · Definition and description of the issue · Exploration of the background of the issue · Stakeholders · Issue statement or statement of clarity · Possible methods of addressing the issue · Goals and options for changes · Risks and benefits of the changes · Evaluation methodology · Recommendation or solution.

By Monday, September 18, 2017 , submit a Word document to the W3 Assignment 2 Dropbox. Be sure to use APA style and include all of your references.

Grading Criteria:

Maximum Points: 75

Identify the type of legislation, such as state, federal, scope of practice, reimbursement, loan repayment, or others. (10 points)

Review of the literature consists of a minimum of 3–4 peer-reviewed articles and 6–7 other outside sources. (15 points)

Describe the current policy or health policy issue and specify how it would impact nursing or healthcare. (10 points)

Describe the specific aspects of the proposed policy or policy change. (10 points)

Identify the individuals who would benefit from the policy change and explain where support for the change would be found. (10 points)

Describe the impact of the policy change on nursing practice and health care. (5 points)

Provide an analysis of the policy from your point of view and how this will influence your practice. (10 points)

Use good writing skills, appropriate grammar, and application of APA formatting throughout paper, citations, and references. (5 points)

Sample Paper For Above instruction

Introduction

The evolving landscape of healthcare policy significantly influences nursing practice, impacting both the delivery of care and the scope of practice for advanced practice nurses (APNs). One pivotal issue currently shaping healthcare policy is the accessibility and reimbursement of nurse-led primary care services. This paper examines this issue through a policy analysis lens, highlighting its background, stakeholders, potential policy solutions, and implications for nursing practice.

Background and Significance

In recent years, the shortage of primary care physicians has intensified, especially in rural and underserved areas, leading to increased reliance on nurse practitioners (NPs) and other APNs to fill the gap (Buerhaus, Skinner, Auerbach, & Staiger, 2018). However, restrictive policies regarding reimbursement and scope of practice often limit the ability of these providers to fully deliver primary care services, thereby affecting patient access and health outcomes (Gerald & Kwan, 2020). Addressing these barriers is essential to optimizing healthcare delivery and ensuring equitable access to care.

Stakeholders

The primary stakeholders include APNs, patients, healthcare institutions, insurance companies, legislators, and advocacy groups. APNs stand to benefit from expanded reimbursement policies that recognize their role in primary care. Patients, particularly in underserved areas, would experience improved access to care. Policymakers are tasked with balancing cost-effectiveness with quality of care, while insurers influence reimbursement structures.

Policy Issue and Proposed Change

The current policy limitations restrict NPs' ability to practice to the full extent of their education and training, particularly in terms of reimbursement for services. The proposed policy change involves advocating for full practice authority coupled with reimbursement parity—ensuring NPs receive reimbursement equivalent to physicians for equivalent services. This change aims to reduce barriers, expand access, and improve healthcare efficiency.

Impact on Nursing Practice and Healthcare

Implementing this policy would empower NPs by allowing them to deliver comprehensive care independently, especially in primary care settings. It would also encourage NPs to serve in rural and underserved communities, alleviating primary care shortages. For healthcare systems, this could translate to improved patient outcomes, reduced healthcare costs, and increased workforce satisfaction among NPs (Kleinpell, 2019).

Analysis and Personal Reflection

From a personal perspective, this policy change aligns with the vision of nursing as a full partner in healthcare delivery. It recognizes the advanced skills of NPs and their capacity to improve access and quality of care. As an aspiring advanced practice nurse, I believe facilitating full practice authority not only enhances professional autonomy but also benefits patient populations who depend on accessible, high-quality primary care.

Conclusion

In conclusion, reforming reimbursement policies to support full practice authority for NPs is a critical step toward addressing primary care shortages and improving healthcare equity. Stakeholder engagement, evidence-based advocacy, and legislative action are essential to effecting this change, ultimately leading to a more responsive and patient-centered healthcare system.

References

• Buerhaus, P. I., Skinner, L. E., Auerbach, D. I., & Staiger, D. O. (2018). The Future of the Nursing Workforce. JAMA, 320(19), 1979–1980.
• Gerald, L., & Kwan, J. (2020). Reimbursement Challenges for Advanced Practice Nurses. Health Policy Journal, 124(5), 491-496.
• Kleinpell, R. (2019). Advancing Nursing Practice through Policy Changes. Nursing Outlook, 67(2), 124-128.
• American Association of Nurse Practitioners. (2021). Full Practice Authority. Retrieved from https://www.aanp.org
• National Governors Association. (2020). State Strategies for Expanding the Role of NPs. Washington, D.C.
• Institute of Medicine. (2010). The Future of Nursing: Leading Change, Advancing Health. Washington, D.C.: National Academies Press.
• World Health Organization. (2019). The State of the World's Nursing. Geneva.
• American Nurses Association. (2019). Nurse Practitioner Scope of Practice. ANA Publications.
• U.S. Department of Health and Human Services. (2021). Nominations and Reimbursements for Healthcare Providers. HHS.gov.
• Reid, R. J., & Morgan, F. (2017). Impact of Policy on Nursing Practice. Policy & Practice Journal, 8(3), 45-53.