Discussion Study on Health Care Decision-Making
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages
Discussion Study on Health Care Decision-Making
APA format with intext citation
Word count minimum of 150 words per post
References at least one high-level scholarly reference per post within the last 5 years in APA format.
DISCUSSION POST # 1 Hona
It is important that advanced practice nurses have knowledge of their scope of practice in their own state to determine their limitations because some state may have their own restrictions. In many states, advanced practice nurses are able to practice to their full extent (which are green) without collaboration or under the supervision of an onsite physician, whereas, others are considered as a restricted state (red) because an advanced practice nurse is unable to independently work without a physician present. California is one of the many states that are considered restricted and are in red. Being an APN in a restricted state meant that some of an advanced practice nurse’s ability are restricted by state law and regulations.
According to Chaunie Brusie (2020), Full Practice Authority (FPA) meant that advanced practice nurse is able to work to the full extent of their practice without the need of a physician present or oversight. Furthermore, some California Standardized Procedure requirements for nurse practitioners are to be knowledgeable and experienced to perform certain functions or procedures. APN is required to provide satisfactory evidence that these requirements are met through either education, training, or experience. Although California is one of the restricted states, the proposed law AB 890 (which will take effect in 2023) will allow nurse practitioners to independently practice only after working under a physician for at least three years and completing residential hours (Reynolds, 2020). As a result, this will help many people to have access to healthcare providers and for rural and underserved places to have provider primary care providers available.
DISCUSSION POST # 2 Gita
I live in the state of Texas where I will be practicing as an APRN/NP. Unfortunately, my home state falls under the red zone on the state practice environment which means Texas is a restricted practice state. State practice and licensure laws restrict the ability of NP to practice independently instead state law requires career-long supervision, delegation, or team management by another health care provider in order for the NP to provide patient care.
Despite attempts from nursing organizations to advocate for independent practice laws, nurse practitioners in Texas must work under physician supervision. In 2009 and 2011, the nursing organization proposed to change these laws but were not successful. Nurse practitioners must practice within 75 miles of the supervising physician. Physicians may not supervise more than four nurse practitioners at one time. The supervising physician must also randomly review at least 10 percent of the nurse practitioner’s patient charts each month.
Nurse practitioners are only allowed to prescribe under physician supervision. They may only prescribe a 30-day supply of medications and are not allowed to prescribe schedule 2 drugs. All prescriptions written by the nurse practitioner must include the supervising physician’s name, address, DEA number, and phone number. Physicians may also delegate ordering and prescribing schedule III-V controlled substances subject to four limitations; duration of prescription may not exceed 90 days, requires consultation with a physician to continue the same drug after 90 days, prescribing for a controlled substance for a child under age 2 requires prior consultation with the delegation physician and consultation with the physician must be noted in the patients’ medical record (Texas Medical Association, 2021).
Although APRNs are highly trained and able to provide a variety of services, they are prevented from doing so because of barriers like state laws, federal policies, outdated insurance reimbursement models, and institutional practices and culture. APRN role not well understood and lack of professional recognition is another barrier to practice (Schirle et. al., 2018). As an individual nurse, we have the most direct contact with patients which allows guidance and confidence to patients and their families. It is unfortunate that we must depend on political decisions to have health care decision-making.
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper.
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