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Describe how health care is organized and financed, including the implications of business principles, such as patient and system cost factors

Course Reflection

Guidelines

Purpose

The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the NUR4636 course.

Course Outcomes

This assignment provides documentation of student ability to meet the following course outcomes:

  • The students will be able to recognize the different level of prevention and apply them in the community (ACCN Essential I, II, IV, V, VII; QSEN: safety, evidence-based practice, teamwork and collaboration, quality improvement, informatics, and patient-centered care).
  • This course will enable the student to place in practice methods of health prevention, promotion and restoration in the communities (ACCN Essential I, II, IV, V, VII; QSEN: safety, evidence-based practice, and teamwork and collaboration, quality improvement, informatics, and patient.
  • The students will be able to educate the communities about the different ways to prevent illness and promote health (ACCN Essential I, II, IV, V, VII; QSEN: safety, evidence-based practice, teamwork, and collaboration, quality improvement, informatics, and patient-centered care).
  • The student will understand the different tools available to put in place and in the hands of the communities in order to keep them healthy (ACCN Essential I, II, IV, V, VII; QSEN: safety, evidence-based practice, teamwork and collaboration, quality improvement, informatics, and patient-centered care).

Points

This assignment is worth a total of 100 points (10%).

Due Date

Submit your completed assignment under the Assignment tab by Sunday 11:59 p.m. EST of Week 15 as directed.

Requirements

  1. The Course Reflection is worth 100 points (10%) and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.
  2. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q & A forum under the Discussions tab.
  3. The length of the reflection is to be within three to six pages excluding title page and reference pages.
  4. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered):

Note: Introduction – Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63).

  1. Course Reflection
  2. Conclusion

Preparing Your Reflection

The BSN Essentials (AACN, 2008) outline a number of healthcare policy and advocacy competencies for the BSN-prepared nurse. Reflect on the NUR4636 course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to:

  1. “Demonstrate basic knowledge of healthcare policy, finance, and regulatory environments, including local, state, national, and global healthcare trends.
  2. Describe how health care is organized and financed, including the implications of business principles, such as patient and system cost factors.
  3. Compare the benefits and limitations of the major forms of reimbursement on the delivery of healthcare services.
  4. Examine legislative and regulatory processes relevant to the provision of health care.
  5. Describe state and national statutes, rules, and regulations that authorize and define professional nursing practice.
  6. Explore the impact of socio­cultural, economic, legal, and political factors influencing healthcare delivery and practice.
  7. Examine the roles and responsibilities of the regulatory agencies and their effect on patient care quality, workplace safety, and the scope of nursing and other health professionals’ practice.
  8. Discuss the implications of healthcare policy on issues of access, equity, affordability, and social justice in healthcare delivery.
  9. Use an ethical framework to evaluate the impact of social policies on health care, especially for vulnerable populations.
  10. Articulate, through a nursing perspective, issues concerning healthcare delivery to decision makers within healthcare organizations and other policy arenas.
  11. Participate as a nursing professional in political processes and grassroots legislative efforts to influence healthcare policy.
  12. Advocate for consumers and the nursing profession.
  13. Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations.
  14. Conduct a health history, including environmental exposure and a family history that recognizes genetic risks, to identify current and future health problems.
  15. Assess health/illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations.
  16. Use behavioral change techniques to promote health and manage illness.
  17. Use evidence­ based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan.
  18. Use information and communication technologies in preventive care.
  19. Collaborate with other healthcare professionals and patients to provide spiritually and culturally appropriate health promotion and disease and injury prevention interventions.
  20. Assess the health, healthcare, and emergency preparedness needs of a defined population.
  21. Use clinical judgment and decision-making skills in appropriate, timely nursing care during disaster, mass casualty, and other emergency situations.
  22. Collaborate with others to develop an intervention plan that takes into account determinants of health, available resources, and the range of activities that contribute to health and the prevention of illness, injury, disability, and premature death.
  23. Participate in clinical prevention and population ­focused interventions with attention to effectiveness, efficiency, cost-effectiveness, and equity.
  24. Advocate for social justice, including a commitment to the health of vulnerable populations and the elimination of health disparities.
  25. Use evaluation results to influence the delivery of care, deployment of resources, and to provide input into the development of policies to promote health and prevent disease.” (pp. 20-21, 24-25).

Reference:

American Association of Colleges of Nursing [AACN]. (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: Author.

Directions and Grading Criteria

Category Points % Description
(Introduction – see note under requirement #4 above) 8 8 Introduces the purpose of the reflection and addresses BSN Essentials (AACN, 2008) pertinent to healthcare policy and advocacy.
You Decide Reflection 80 80 Include a self-assessment regarding learning that you believe represents your skills, knowledge, and integrative abilities to meet the pertinent BSN Essential and sub-competencies (AACN, 2008) as a result of active learning throughout this course. Be sure to use examples from selected readings, threaded discussions, and/or applications to support your assertions to address each of the following sub-competencies:

(a)   “Demonstrate basic knowledge of healthcare policy, finance, and regulatory environments, including local, state, national, and global healthcare trends.

(b)   Describe how health care is organized and financed, including the implications of business principles, such as patient and system cost factors.

(c)   Compare the benefits and limitations of the major forms of reimbursement on the delivery of healthcare services.

(d)   Examine legislative and regulatory processes relevant to the provision of health care.

(e)   Describe state and national statutes, rules, and regulations that authorize and define professional nursing practice.

(f)    Explore the impact of socio­cultural, economic, legal, and political factors influencing healthcare delivery and practice.

(g)   Examine the roles and responsibilities of the regulatory agencies and their effect on patient care quality, workplace safety, and the scope of nursing and other health professionals’ practice.

(h)   Discuss the implications of healthcare policy on issues of access, equity, affordability, and social justice in healthcare delivery.

(i)    Use an ethical framework to evaluate the impact of social policies on health care, especially for vulnerable populations.

(j)    Articulate, through a nursing perspective, issues concerning healthcare delivery to decision makers within healthcare organizations and other policy arenas.

(k)   Participate as a nursing professional in political processes and grassroots legislative efforts to influence healthcare policy.

(l)    Advocate for consumers and the nursing profession.

(m)  Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations.

(n)   Conduct a health history, including environmental exposure and a family history that recognizes genetic risks, to identify current and future health problems.

(o)   Assess health/illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations.

(p)   Use behavioral change techniques to promote health and manage illness.

(q)   Use evidence­ based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan.

(r)    Use information and communication technologies in preventive care.

(s)   Collaborate with other healthcare professionals and patients to provide spiritually and culturally appropriate health promotion and disease and injury prevention interventions.

(t)    Assess the health, healthcare, and emergency preparedness needs of a defined population.

(u)   Use clinical judgment and decision-making skills in appropriate, timely nursing care during disaster, mass casualty, and other emergency situations.

(v)   Collaborate with others to develop an intervention plan that takes into account determinants of health, available resources, and the range of activities that contribute to health and the prevention of illness, injury, disability, and premature death.

(w)  Participate in clinical prevention and population ­focused interventions with attention to effectiveness, efficiency, cost-effectiveness, and equity.

(x)   Advocate for social justice, including a commitment to the health of vulnerable populations and the elimination of health disparities.

(y)   Use evaluation results to influence the delivery of care, deployment of resources, and to provide input into the development of policies to promote health and prevent disease.” (pp. 20-21, 24-25).

Conclusion 4 4 An effective conclusion identifies the main ideas and major conclusions from the body of your essay. Minor details are left out. Summarize the benefits of the pertinent BSN Essential and sub-competencies (AACN, 2008) pertaining to scholarship for evidence-based practice.
Clarity of writing 6 6 Use of standard English grammar and sentence structure. No spelling errors or typographical errors. Organized around the required components using appropriate headers. Writing should demonstrate original thought without an over-reliance on the works of others.
APA format 2 2 All information taken from another source, even if summarized, must be appropriately cited in the manuscript and listed in the references using APA (6th ed.) format:

1.   Document setup

2.   Title and reference pages

3.   Citations in the text and references.

Total: 100 100 A quality essay will meet or exceed all of the above requirements.

Grading Rubric

Assignment Criteria Meets Criteria Partially Meets Criteria Does Not Meet Criteria
(Introduction – see note under requirement #4 above)

 

 

 

 

 

(8 pts)

Short introduction of selected BSN sub-competencies (AACN, 2008) pertinent to scholarship for evidence-based practice. Rationale is well presented, and purpose fully developed.

 

7 – 8 points

Basic understanding and/or limited use of original explanation and/or inappropriate emphasis on an area.

 

 

 

 

5 – 6 points

Little or very general introduction of selected BSN sub-competencies (AACN, 2008). Little to no original explanation; inappropriate emphasis on an area.

 

 

0 – 4 points

You Decide Reflection

 

 

 

 

 

 

 

 

 

 

(80 pts)

Excellent self-assessment of skills, knowledge, and integrative abilities pertinent to healthcare policy and advocacy. Reflection on pertinent BSN sub-competencies (AACN, 2008) supported with examples.

 

 

 

70 – 80 points

Basic self-assessment of skills, knowledge, and integrative abilities pertinent to healthcare policy and advocacy. Reflection on pertinent BSN sub-competencies (AACN, 2008) not supported with examples.

 

 

 

59 – 69 points

Little or very general self-assessment of skills, knowledge, and integrative abilities pertinent to healthcare policy and advocacy. Little or no reflection on pertinent BSN sub-competencies (AACN, 2008) or reflection not supported with examples.

 

0 – 58 points

Conclusion

 

 

 

 

 

 

(4 pts)

Excellent understanding of pertinent BSN sub- competencies (AACN, 2008). Conclusions are well evidenced and fully developed.

 

3 – 4 points

Basic understanding and/or limited use of original explanation and/or inappropriate emphasis on an area.

 

2 points

Little understanding of pertinent BSN sub-competencies (AACN, 2008). Little to no original explanation; inappropriate emphasis on an area.

 

0 1 point

Clarity of writing

 

 

 

 

 

 

 

 

(6 pts)

Excellent use of standard English showing original thought with minimal reliance on the works of others. No spelling or grammar errors. Well organized with proper flow of meaning.

 

5 – 6 points

Some evidence of own expression and competent use of language. No more than three spelling or grammar errors. Well organized thoughts and concepts.

 

 

3 – 4 points

Language needs development or there is an over-reliance on the works of others. Four or more spelling and/or grammar errors. Poorly organized thoughts and concepts.

 

0 – 2 points

APA format

 

 

 

 

(2 pts)

APA format correct with no more than 1-2 minor errors.

 

 

2 points

3-5 errors in APA format and/or 1-2 citations are missing.

 

 

1 point

APA formatting contains multiple errors and/or several citations are missing.

 

0 points

Total Points Possible =  100  points    

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