Future of Nursing Discussion

Question Description
Please also respond to the peers discussion APA with reference

DQ4

After reviewing the “Nursing and Health Reform” document I have noticed at least two standouts that have impacted me in some way whether it be indirect or directly. These two provisions being:

Section 5202 Nursing student loan program—Updates the loan amounts for the Nursing Student Loan program and after 2012 the Secretary (of the Department of Health and Human Services) has discretion to adjust this amount based on cost of attendance increases.

Section 5302 Training opportunities for direct care workers—Establishes a 3-year grant program under which an institution of higher education can subsidize training of individuals at that institution who are willing to serve as direct care workers in a long-term or chronic care setting for at least two years after completion of their training.

Future of Nursing Discussion

Both provisions have played a roll in how my place of employment has changed some of it’s business strategies. Now with that said first and foremost I am a new graduate nurse, have not been working for longer than a month, and I truly still have no idea how the PPACA works of influences healthcare corporations such as Banner Health.

What I can say that since the passing of this bill with it’s provisions I have just noticed a couple changes within Banner. When it comes to the first provision Section 5202. Banner Health has changed their school loan policies. Now to enroll it is a first come first serve waiting basis and it is dependent upon how many classes you are taking. Before at Banner you could just apply and receive aide I believe their may have been stipulations before but now everyone gets access but not everyone who applies will receive it.

The second provision I mentioned Section 5302 I believe is a great way to help new graduates become employed however, I know Banner Health no longer does these contracts. At least not at my facility. Now Banner has a whole new program one that is aimed at retention and still allows new nurses to receive training. I believe the issue with this provision that led to Banner changing their methods was this could lead to nurse burn out. While yes there is a contract to work for two years. These nurses may not have truly like their place of employment and by the time their two years were up they were just done with the nursing profession. Thus, I believe this is what lead Banner Health to create a new hire program that is aimed at helping train and retain nursing staff.

I feel as thought the PPACA has done a lot of good and has many provisions that I believe can help many. However, I believe there is a lot of wiggle room for corporations to continue to do what they want to either meet the provisions or amend them and make them better.

Reference:

https://c.ymcdn.com/sites/www.wocn.org/resource/re…

DQ5

Future of Nursing Discussion

The Affordable Care Act affects the field of nursing in various ways as it includes a number of ambitious reforms that are based on the employer-sponsored insurance system and establishes new requirements for employers, healthcare providers, insurance companies as well as the individual patients. It is anticipated to address three key areas of access to health insurance, delivery of care and healthcare costs. According to Blumenthal, Abrams, and Nuzum (2015), the introduction and adoption of the Patient Protection and Affordable Care Act was aimed at increasing access to nurses, improving the nursing workforce, providing financial assistance to health institution workers and education advancements and the underserved areas. Among the provisions, increasing the number of nurses within healthcare is a key provision which has had grant programs established for the health institutions as well as the training programs to address the various health care concerns. The grant health organizations and the training programs for physicians focus on providing personalized training to the nurses in order to enhance the delivery of health care to patients.

Further, to ensure that the number of nurses is sufficient, the federal loans have been increased whose target is the nursing students to aid them manage the education costs and successfully complete their nursing course without financial constraints. Another key provision is the expansion of public programs in that the ACA provides for the extension of Medicaid to all individuals with incomes that go up to 138% of the federal poverty-level as dictated by the regulated gross income (Frean, Gruber, & Sommers, 2017). This expansion establishes a new minimum Medicaid eligibility-criteria level for adults and gets rid of the program’s limitation that prohibits adults without dependent children from registering in the program. These provisions impact the nursing practice in a positive approach in that it enables for nurses to advance their education which subsequently results to decreased mortality rates and enhanced quality of care delivery.

Future of Nursing Discussion

Future of Nursing Discussion

References

Blumenthal, D., Abrams, M., & Nuzum, R. (2015). The affordable care act at 5 years.

Frean, M., Gruber, J., & Sommers, B. D. (2017). Premium subsidies, the mandate, and Medicaid expansion: Coverage effects of the Affordable Care Act. Journal of Health Economics, 53, 72-86.

DQ6

With the passage of the patient protection and affordable care act (PPACA) in 2010 by president Obama, a lot of transformation have been initiated into the healthcare system. The transformation brought by this new law will have an impact on providers, consumers, insurers, payment policy etc. The affordable care act created an influx of patients who where previously uninsured into the healthcare. The boom in patient activity has left many hospitals short staffed, forcing longer wait times for patients in need of care – a potentially dangerous problem, especially in the emergency departments where time is of essence.

With the estimated 30 million Americans that are expected to gain health insurance through the affordable care act (Anderson, 2014), there will be an imbalance between demand and supply. Bradley university (2016) estimated the supply and demand of physicians to patients around 46,100 to 90,400. With the increase demand of physicians and an already existing workforce shortage within the nursing community, the policy makers recognized the need for an increased workforce. This led to the development of provisions aimed at increasing the number of nurses in few years. According the article “Nursing and Health Reform”, Some of the provisions that have impacted or will impact my nursing practice are sections 5404 – student workforce diversity grant and 5310 – Loan repayment and scholarship program.

SECTION 5404 – STUDENT WORKFORCE DIVERSITY GRANT: This section approves the award of grant to eligible entities to meet the costs of special projects to increase nursing education opportunities for individuals who are from disadvantaged background by providing student scholarship or stipends; stipends for diploma or associate degree nurses to enter a bridge or degree completion program. This provision has impacted my nursing practice as I have received some grants for this RN-BSN program.

SECTION 5310 – LOAN REPAYMENT AND SCHOLARSHIP PROGRAM: This program offers registered nurses substantial assistance to repay educational loans in exchange for services in eligible facilities located in areas experiencing a shortage of nurses. Through this program, 60% of the participant’s total qualifying loan balance are paid for in two years and additional 25% of the original balance for an optional third year (Benefits.gov, 2017). It helps in recruitment and retention of professional nurses that are dedicated to providing healthcare to underserved populations. This provision will impact my nursing practice in the future.

Anderson, A. (2014). The Impact of the Affordable Care Act on the Health Care Workforce. Retrieved from https://www.heritage.org

Benefit.gov (2017). Nursing Education Loan Repayment Program. Retrieved from https://www.benefits.gov

Bradley University (2016). How the Affordable Care Act Affected Nursing retrieved from https://www.onlinedegrees.bradley.edu

Wound Ostomy and Incontinence Nurses Society. (2013). Nursing and Health Reform. Retrieved from https://c.ymcdn.com/sites/www.wocn.org/resource/re…

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.