NURS 6050 Week 4 Assignment Legislation Comparison Grid and Testimony/Advocacy Statement

NURS 6050 Week 4 Assignment Legislation Comparison Grid and Testimony/Advocacy Statement

As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice.

Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy.

To Prepare:

· Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.( https://www.congress.gov/)

The Assignment: (1- to 2-page Comparison Grid; 1- to 2-page Legislation Testimony/Advocacy Statement)

Part 1: Legislation Comparison Grid

Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Comparison Grid Template. Be sure to address the following:

· Determine the legislative intent of the bill you have reviewed.

· Identify the proponents/opponents of the bill.

· Identify the target populations addressed by the bill.

· Where in the process is the bill currently? Is it in hearings or committees?

· Is it receiving press coverage?

Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1- to 2-page Legislation Testimony/Advocacy Statement that addresses the following:

· Advocate a position for the bill you selected and write testimony in support of your position.

· Describe how you would address the opponent to your position. Be specific and provide examples.

· Recommend at least one amendment to the bill in support of your position.

Rubric Detail

	Excellent	Good	Fair	Poor
Federal and State Legislation Part 1: Legislation Comparison Grid Based on the health-related bill you selected, complete the Legislation Comparison Grid Template. Be sure to address the following: • Determine the legislative intent of the bill you have reviewed. • Identify the proponents/opponents of the bill. • Identify the target populations addressed by the bill. • Where in the process is the bill currently? Is it in hearings or committees? • Is it receiving press coverage?	32 (32%) – 35 (35%) The response clearly and accurately summarizes in detail the legislative intent of the health-related bill. The response accurately identifies in detail the proponents and opponents of the health-related bill. The response accurately identifies in detail the populations targeted by the health-related bill. The response clearly and thoroughly describes in detail the current status of the health-related bill.	28 (28%) – 31 (31%) The response accurately summarizes the legislative intent of the health-related bill. The response accurately identifies the proponents and opponents of the health-related bill. The response accurately identifies the populations targeted by the health-related bill. The response accurately describes the current status of the health-related bill.	25 (25%) – 27 (27%) The response vaguely or inaccurately summarizes the legislative intent of the health-related bill. The response vaguely or inaccurately identifies the proponents and opponents of the health-related bill. The response vaguely or inaccurately identifies the populations targeted by the health-related bill. The response vaguely or inaccurately describes the current status of the health-related bill.	0 (0%) – 24 (24%) Summary of the legislative intent of the health-related bill is vague and inaccurate or is missing. Identification of the proponents and opponents of the health-related bill are vague and inaccurate or is missing. Identification of the populations targeted by the health-related bill is vague and inaccurate or is missing. The description of the current status of the health-related bill is vague and inaccurate or is missing.
Advocating for Legislation Part 2: Legislation Testimony/Advocacy Statement Based on the health-related bill you selected, develop a 1- to 2-page Legislation Testimony/Advocacy Statement that addresses the following: • Advocate a position for the bill you selected and write testimony in support of your position. • Describe how you would address the opponent to your position. Be specific and provide examples. • Recommend at least one amendment to the bill in support of your position.	45 (45%) – 50 (50%) Testimony clearly and thoroughly provides statements that fully justifies a position for a health-related bill. Response provides a detailed, thorough, and logical explanation of how to address opponents to the position for the health-related bill and includes one or more clear and accurate supporting examples. A complete, detailed, and specific synthesis of two outside resources is provided. The response fully integrates at least 2 outside resources and 2-3 course specific resources that fully supports the responses provided. The response accurately and thoroughly recommends at least one amendment to the bill that fully supports the position.	40 (40%) – 44 (44%) Testimony clearly and accurately provides statements that somewhat justifies a position for a health-related bill. Response provides an accurate explanation of how to address opponents to the position for the health-related bill and may include at least one supporting example. An accurate synthesis of at least one outside resource is provided. The response integrates at least 1 outside resource and 2-3 course specific resources that may support the responses provided. The response accurately recommends at least one amendment to the bill that may support the position.	35 (35%) – 39 (39%) Testimony used to justify a position for a health-related bill is vague or inaccurate. Explanation of how to address the opponents to the position for the health-related bill is vague or inaccurate, lacks logic, and/or the supporting examples are vague or inaccurate. A vague or inaccurate synthesis of outside resources is provided. The response minimally integrates resources that may support the responses provided. The recommendation of an amendment to the bill in support of the position is inaccurate or incomplete.	0 (0%) – 34 (34%) Testimony used to justify a position for a health-related bill is vague and inaccurate, incomplete, or is missing. Explanation of how to address the opponents to the position for the health-related bill is vague and inaccurate, or is missing. A vague and inaccurate synthesis of no outside resources is provided, or is missing. The response fails to integrate any resources to support the responses provided. The recommendation of an amendment to the bill in support of the position is inaccurate and incomplete, or is missing.
Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.	5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.	4 (4%) – 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.	3.5 (3.5%) – 3.5 (3.5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time. Purpose, introduction, and conclusion of the assignment is vague or off topic.	0 (0%) – 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion was provided.
Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation	5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors.	4 (4%) – 4 (4%) Contains a few (1-2) grammar, spelling, and punctuation errors.	3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors.	0 (0%) – 3 (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.	5 (5%) – 5 (5%) Uses correct APA format with no errors.	4 (4%) – 4 (4%) Contains a few (1-2) APA format errors.	3.5 (3.5%) – 3.5 (3.5%) Contains several (3-4) APA format errors.	0 (0%) – 3 (3%) Contains many (≥ 5) APA format errors.

Expert Answer and Explanation

Legislation Testimony/Advocacy Statement

Part 1: Legislation Comparison Grid

Health-related Bill Name	H.R. 3 – The Lower Drug Costs Now Act
Bill Number	H.R. 3
Description	The Bill develops various requirements and programs relating to offering prices to prescription drugs. Also, the bill wants to give power to the US government to negotiate drug prices with private companies for Medicare recipient.
Federal or State?	This bill is meant to affect the federal government, and thus it is a federal bill.
Legislative Intent	The prices of prescription drugs are so high. According to a report by the speaker of the house, Nancy Pelosi, big pharmaceutical companies in the US have raised the prices of the drugs 10 times higher than how the drugs are sold outside the US (Pelosi, n. d). Also, the report mentions that the firms make huge profits even though they sell the same drugs outside the US for lower prices. For instance, in the US, the cost of insulin drugs is ten times much higher than the cost of the same drugs in the UK, France, or Germany. The cost of the drugs has increased drastically since 1990s (Sterling, 2018). The current laws forbid Medicare from negotiating drug prices. The intention of H.R. 3, the Elijah E. Cummings Lower Drug Costs Now Act is to grant Medicare power to negotiate the drug prices in a move to reduce the cost of drugs in the country.
Proponents/ Opponents	Proponents: The proponents of the bill are house democrats. All the democrats in the house unanimously voted for the bill. In addition, Jaime Herrera Beutler and Brian Fitzpatrick also jointed the democrats in supporting the bill. According to Zhou (2019), out of 422 representatives, 230 passed the bills.
	Opponents: The bill was opposed by house republicans. However, two of the republicans supported the bill along with the democrats (Benen, 2019). Apart from the house republicans, the White House led by president Donald Trump and the Senate Republicans have also opposed the bill.
Target Population	The bill targets people with chronic diseases such as diabetes. When the bill will become law, the prices of prescription drugs will reduce because the government will now have the power to negotiate of behalf of Medicare recipients.
Status of the bill (Is it in hearings or committees? Is it receiving press coverage?)	The bill has been discussed in the house of the representatives and passed. Currently, the bill is an act that will be submitted in the house of senate for further discussions and reviews. The American media has given the bill fair coverage because it affects their health. After the bill was passed in the house of representatives, the speaker of the house gave a press conference about the bill and what she expects the senate to do about it.
General Notes/Comments	This bill will change the healthcare system by providing Medicare with power to develop tools that the institution can use to force drug companies to reduce the price of drugs. As a result, the bill will ensure that people with chronic conditions get regular access to their prescriptions.

Part 2: Legislation Testimony/Advocacy Statement

My Position for the Bill

As a nurse I support the H.R. 3, the Elijah E. Cummings Lower Drug Costs Now Act bill due to the following reasons. First, the bill will make the work of nurses easy. Horvath and Anderson (2019) mention that a nurse has a responsibility of ensuring that his or her patient is given quality care. However, the current prices of prescription drugs prevent nurses from delivering on their mandates. The nurses find it hard to provide care because their patients do have access to prescription drugs due to the high prices.

Second, the bill will allow the reinvestment in researches and innovations for new treatments and cure. The savings that will be collected after reducing the prices of drugs will be used in supporting evidence-based innovations and researches to improve healthcare service delivery. The bill is in the favor of Americans. It will prevent the drug companies from raising the price of prescription drugs in the country will reducing the price in countries outside the us.

Persuading Opponents to Support a Bill

People in the house of representatives must on the same side for a bill to pass. Nurses are obligated to ethically lobby people opposing bills that can improve healthcare to support the laws. I will use my nursing communication skills to address the opponents to my position. First, I will talk to the opponents and highlight to them the importance of the bill to them and the people they represent.

Second, I will remind them of their manifesto of providing quality care for their constituents and tell them that this bill is one of the ways to fulfil the promise they made during campaigns. Third, I will take them for a walk-in medical facility so that they can see how people are suffering due to high prices of drugs. Lastly, I will ask them to think of their people before voting on the bill.

Using ACA to support the Bill 

The affordable care act is another amendment that can be used to argue for the H.R. 3, the Elijah E. Cummings Lower Drug Costs Now Act bill. The ACA aims at improving the healthcare system in the US by ensuring that all Americans get medical covers. Also, the act aims at supporting researches and innovations which will increase the quality of healthcare in the Us. The H.R. 3, the Elijah E. Cummings Lower Drug Costs Now Act can be used to achieve some of the objects of ACA. For instance, when the government buys drugs at low costs from pharmaceutical companies, it will save the extra money for researches.

References

Benen, S. (2019). Despite GOP opposition, Dems pass bill to lower prescription costs. MSNBC. Retrieved from http://www.msnbc.com/rachel-maddow-show/despite-gop-opposition-dems-pass-bill-lower-prescription-costs

Horvath, J. C., & Anderson, G. F. (2019). The states as important laboratories for federal prescription drug cost-containment efforts. Jama, 321(16), 1561-1562.

Pelosi, N. (n. d). H.R. 3 – The Lower Drug Costs Now Act. Retrieved from https://www.speaker.gov/LowerDrugCosts

Sterling, J. (2018). President Trump Reveals Plan to Cut Drug Prices. Genetic Engineering & Biotechnology News, 38(12), 1-30.

Zhou, L. (2019). The House just passed an ambitious bill to lower prescription drug prices: Progressives played a major role in shaping the final version of the legislation. Vox. Retrieved from https://www.vox.com/2019/12/12/21010905/house-democrats-pass-prescription-drug-price-bill

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safe and quality nursing care examples, nursing practice examples, 5 factors affecting nursing practice, nurses attitudes affecting patient care, the importance of quality nursing care

nurses role in environmental health, how do nurses promote patient safety and improve quality at your workplace, nursing practice definition

FAQs

Safe and quality nursing care examples

Safe and quality nursing care is essential for the well-being and recovery of patients. Here are some examples of safe and quality nursing care:

1. Medication administration: Nurses must ensure that medications are administered correctly and in the appropriate dose, and that the patient is closely monitored for any adverse reactions or side effects.
2. Patient assessment and monitoring: Nurses must conduct a thorough assessment of each patient to identify any potential health issues, and then regularly monitor the patient’s condition to ensure timely intervention and treatment.
3. Infection control: Nurses must follow strict infection control protocols to prevent the spread of infections in healthcare settings, such as hand hygiene, wearing personal protective equipment, and implementing isolation precautions as needed.
4. Communication with patients and families: Nurses must effectively communicate with patients and their families to ensure that they understand their diagnosis, treatment plan, and any potential risks or complications.
5. Patient education: Nurses must provide patient education on various topics, such as medication use, diet and nutrition, and disease management, to empower patients to take an active role in their own care.
6. Documentation: Nurses must document all aspects of patient care accurately and in a timely manner, including assessments, interventions, and patient outcomes.

5 factors affecting nursing practice

Nursing practice is affected by various factors that can influence the delivery of safe and quality patient care. Here are five factors affecting nursing practice:

1. Healthcare policies and regulations: Nursing practice is influenced by healthcare policies and regulations that govern the delivery of healthcare services. These policies and regulations can affect the scope of nursing practice, the type of care provided, and the resources available to nurses.
2. Workforce and staffing issues: Nursing practice can be affected by workforce and staffing issues, such as shortages of nurses, inadequate staffing levels, or burnout among nurses. These issues can affect the quality of patient care and the ability of nurses to provide safe and effective care.
3. Technological advancements: Advances in healthcare technology can affect nursing practice by changing the way patient care is delivered, such as the use of electronic health records, telehealth, and telemedicine. Nurses must stay up-to-date on these advancements and adapt their practice accordingly.
4. Patient demographics: The demographic characteristics of patients, such as age, ethnicity, and culture, can affect nursing practice. Nurses must be aware of these factors and provide culturally competent care that respects the patient’s values and beliefs.
5. Ethical and legal considerations: Nursing practice is also influenced by ethical and legal considerations, such as patient autonomy, informed consent, and privacy laws. Nurses must adhere to these considerations to ensure that patient rights are protected and that care is delivered in a safe and ethical manner.

The importance of quality nursing care

Quality nursing care is essential for the well-being of patients and the overall success of healthcare organizations. Here are some reasons why quality nursing care is important:

1. Improved patient outcomes: Quality nursing care can improve patient outcomes, such as reduced hospital readmissions, decreased length of stay, and improved patient satisfaction. Nurses who provide quality care are better able to identify and manage patient health issues, prevent complications, and promote healing.
2. Increased patient safety: Quality nursing care can help improve patient safety by ensuring that medications are administered correctly, infections are prevented, and patient falls are avoided. Nurses who provide quality care are trained to identify potential safety risks and take appropriate actions to prevent harm to patients.
3. Enhanced patient experience: Quality nursing care can also enhance the patient experience by ensuring that patients feel heard, respected, and cared for. Nurses who provide quality care communicate effectively with patients, involve them in decision-making, and provide emotional support as needed.
4. Cost savings: Quality nursing care can also result in cost savings for healthcare organizations. By preventing complications and improving patient outcomes, healthcare organizations can avoid additional costs associated with readmissions, extended hospital stays, and other adverse events.
5. Professional reputation: Quality nursing care can help enhance the reputation of healthcare organizations and the nursing profession. Organizations that provide quality care are more likely to attract and retain patients, while nurses who provide quality care are more likely to be respected and valued by their peers and the wider healthcare community.

Nurses role in environmental health

Nurses play an important role in promoting and maintaining environmental health. Environmental health refers to the study and management of environmental factors that affect human health, including air quality, water quality, food safety, and hazardous waste disposal. Here are some examples of how nurses can contribute to environmental health:

1. Patient education: Nurses can educate patients on environmental health risks and promote healthy behaviors, such as reducing exposure to pollutants, improving nutrition, and increasing physical activity.
2. Health assessments: Nurses can conduct health assessments that include environmental health factors, such as exposure to environmental pollutants, and make appropriate referrals to other healthcare professionals or community resources as needed.
3. Advocacy: Nurses can advocate for policies and practices that promote environmental health, such as air quality regulations, safe water supplies, and sustainable food systems.
4. Environmental health surveillance: Nurses can participate in environmental health surveillance programs that monitor and track environmental health hazards, such as disease outbreaks, chemical exposures, and natural disasters.
5. Hazardous waste management: Nurses can participate in hazardous waste management programs to ensure that waste is properly disposed of and that healthcare facilities are in compliance with regulations.
6. Workplace safety: Nurses can promote workplace safety by identifying and reporting environmental hazards, such as exposure to infectious agents, and implementing appropriate prevention measures.