NRS-440VN – Trends and Issues in Today’s Health Care Course Syllabus
Version 12.1
Trends and Issues in Today’s Health Care
| Course Code Type Duration Credit Hours
NRS-440VN v Credit Based 35 Days 3.0 :12.1 |
Course Description
This course explores the impact of numerous professional and societal forces on health care policy and practice. Content includes an analysis of current studies; nursing care policy and position statements; political, environmental, and cultural issues; and changing nursing roles. The study of these issues examines the impact on health care delivery systems in today’s society.
Pre-Requisites
None
Co-Requisites
None
NRS-440VN
Course Materials
Topic 1: The Future of Nursing in an Evolving Health Care System
Description
Objectives:
- Discuss the influence of the IOM Report, “The Future of Nursing: Leading Change, Advancing Health,” on the nursing
- Discuss the role of state-based action coalitions in advancing the goals of IOM Report, “The Future of Nursing: Leading Change, Advancing Health,” for
- Explain how nursing advocates overcome barriers to
Study Materials
Tasks
IOM Future of Nursing Report and Nursing
Description:
Review the IOM report, “The Future of Nursing: Leading Change, Advancing Health,” and explore the “Campaign for Action: State Action Coalition” website. In a 1,000-1,250 word paper, discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.
Include the following:
- Describe the work of the Robert Wood Johnson Foundation Committee Initiative that led to the IOM report, “Future of Nursing: Leading Change, Advancing “
- Outline the four “Key Messages” that structure the IOM Report Explain how these have transformed or influenced nursing practice, nursing education and training, nursing leadership, and nursing workforce development. Provide examples.
- Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the IOM report, “Future of Nursing: Leading Change, Advancing “
- Research the initiatives on which your state’s action coalition is Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.
- Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these
You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to theLopesWrite Technical Support articles for assistance.
Topic 1 DQ 1
Description:
Discuss the events that have contributed (or will continue to contribute) to the nursing shortage, or that contribute to a shortage in a region or specialty. Discuss at least one way that the nursing profession is currently working toward a resolution of this problem. In replies to peers, offer different examples of how the nursing shortage has been addressed in your state, community, or specialty area.
Topic 2: Current Trends in Nursing Practice
Description
Objectives:
- Examine the role of nursing in the reformation or restructuring of the health care delivery
- Predict how the nursing profession will grow or transform to respond to emerging
Study Materials
Read “Health Reform Act: New Models of Care and Delivery Systems,” by Haas, from AAACN Viewpoint (2011).
Summary of the Affordable Care Act (ACA)
Description:
Read “Summary of the Affordable Care Act,” by the Henry J. Kaiser Family Foundation (2017), located at the HealthCare.gov website.
The Health Care and Education Reconciliation Act
Description:
Read “The Health Care and Education Reconciliation Act,” located on the Senate Democratic Leadership website.
What Is Pay for Performance in Healthcare?
Description:
Read “What Is Pay for Performance in Healthcare?” located on the NEJM Catalyst website.
Nurse and Health Care Worker Protection Act
Description:
Read “Nurse and Health Care Worker Protection Act,” located on the American Nurses Association (ANA) website.
Promoting Prevention Under the Affordable Care Act
Description:
Read “Promoting Prevention Under the Affordable Care Act,” by Chait and Glied, from Annual Review of Public Health
(2018).
Implementation of the Provision of the Comprehensive Addiction and Recovery Act of 2016 Relating to the Dispensing of Narcotic Drugs for Opioid Use Disorder
Description:
Read “Implementation of the Provision of the Comprehensive Addiction and Recovery Act of 2016 Relating to the Dispensing of Narcotic Drugs for Opioid Use Disorder,” from Rules – 2018 of Federal Register Notes (2018), located on the U.S. Department of Justice Drug Enforcement Administration (DEA) website.
What Is the U.S. Opioid Epidemic?
Description:
Read “What Is the U.S. Opioid Epidemic?” located on the U.S. Department of Health and Human Services website.
HCAHPS: Patients’ Perspectives of Care Survey
Description:
Read “HCAHPS: Patients’ Perspectives of Care Survey,” located on the Centers for Medicare and Medicaid Services (CMS) website.
Tasks
Health Care Delivery Models and Nursing Practice
Description:
Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.
Include the following:
- Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and
- Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
- Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
- Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.
You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to theLopesWrite Technical Support articles for assistance.
Topic 2 DQ 1
Description:
Explain how interprofessional collaboration will help reduce errors, provide higher-quality care, and increase safety. Provide an example of a current or emerging trend that will require more, or change the nature of, interprofessional collaboration.
Topic 2 DQ 2
Description:
Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team. Explain how this model is advantageous to patient outcomes.
Topic 2 Participation
Description:
Topic 3: Professional Development in Nursing
Description
Objectives:
- Discuss the importance of advanced nursing education and lifelong learning to the nursing profession.
- Evaluate the correlation between continued education and competency, attitudes, and knowledge in the nursing
Study Materials
Trends in Health Care: A Nursing Perspective
Description:
Read Chapter 3 in Trends in Health Care: A Nursing Perspective.
The Future of Nursing: Leading Change, Advancing Health
Description:
Refer to “The Future of Nursing: Leading Change, Advancing Health,” located on the National Academies of Sciences Engineering Medicine website, as needed to complete your assignment.
Exploring the Value of Continuing Education Mandates
Description:
Read “Exploring the Value of Continuing Education Mandates,” by Smith (2003), located on the National Council of State Boards of Nursing website.
Continuing Competency
Description:
Read “Continuing Competency,” located on the Washington State Nurses Association website.
Fact Sheet: The Doctor of Nursing Practice (DNP)
Description:
Read “DNP Fact Sheet: The Doctor of Nursing Practice (DNP).” Download the PDF of this document from the DNP Fact Sheet page of the American Association of Colleges of Nursing website.
Scope of Practice
Description:
Read “Scope of Practice,” located on the American Nurses Association (ANA) website.
Transforming Nursing Education
Description:
Tasks
Reflection Paper
Description:
The IOM published report, “Future of Nursing: Leading Change, Advancing Health,” makes recommendations for lifelong learning and achieving higher levels of education.
In 1,000-1,250 words, examine the importance of nursing education and discuss your overall educational goals. Include the following:
- Discuss your options in the job market based on your educational level.
- Review the IOM Future of Nursing Recommendations for achieving higher levels of education. Describe what professional certification and advanced degrees (MSN, DNP, etc.) you want to pursue and explain your reasons for wanting to attain the education. Discuss your timeline for accomplishing these goals.
- Discuss how increasing your level of education would affect how your competitiveness in the current job market and your role in the future of nursing.
- Discuss the relationship of continuing nursing education to competency, attitudes, knowledge, and the ANA Scope and Standards for Practice and Code of Ethics.
- Discuss whether continuing nursing education should be mandatory. Provide support for your response.
You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to theLopesWrite Technical Support articles for assistance.
Topic 3 DQ 1
Description:
Discuss the correlation between nursing education and positive patient outcomes. Include current research that links patient safety outcomes to advanced degrees in nursing. Based on some real-life experiences, explain whether you agree or disagree with this research.
Topic 4: Influencing Health Care Through Advocacy
Description
Objectives:
- Discuss the nurse’s role in the reformation of the health care system through
- Evaluate an issue for a legislative
Study Materials
Description:
View “How a Bill Becomes a Law.” This video will assist you in completing the topic assignment.
How to Write Your Legislator
Description:
Read “How to Write Your Legislator,” by Teresag (2009), located on the allnurses.com website.
Federal Issues (ANA)
Description:
Read “Federal Issues,” located on the American Nurses Association (ANA) website.
Proposed Federal RN Ratios – What You Can Do About It
Description:
Read “Proposed Federal RN Ratios – What You Can Do About It,” located on the Nurse.org website.
Advocacy: Take Action
Description:
Read “Advocacy: Take Action,” located on the Academy of Medical-Surgical Nurses (AMSN) website.
State
Description:
Explore the “State” page located on the American Nurses Association (ANA) website.
Nurses Serving in Congress
Description:
Explore the “Nurses Serving in Congress” page located on the American Nurses Association (ANA) website.
Advocacy Through Legislation
Description:
Tasks
Topic 5: Every Nurse Is a Leader
Description
Objectives:
- Evaluate personal leadership style, traits, and
- Examine the importance of servant leadership in
- Discuss the importance of interprofessional communication as a nursing
Study Materials
Description:
Read Chapter 5 in Trends in Health Care: A Nursing Perspective.
The Future of Nursing: Leading Change, Advancing Health
Description:
Refer to “The Future of Nursing: Leading Change, Advancing Health,” located on the National Academies of Sciences Engineering Medicine website, as needed to complete your assignment.
ANA Leadership: Competency Model
Description:
Read “ANA Leadership: Competency Model,” located on the American Nurses Association (ANA) website.
Nursing Leadership Thought Leaders
Description:
View the “Nursing Leadership Thought Leaders” videos, located on the American Organization for Nursing Leadership (AONL) website.
10 Tips to Boost Employee Engagement
Description:
Read “10 Tips to Boost Employee Engagement,” by Clark, from American Nurse Today (2018).
Growing Diverse Nurse Leaders: The Current Progress of the Future of Nursing Campaign for Action
Description:
Read “Growing Diverse Nurse Leaders: The Current Progress of the Future of Nursing Campaign for Action,” by Perez, Nichols, and Quinn, from Nurse Leader (2018).
Leadership Skills for Nurses
Description:
Read “Leadership Skills for Nurses,” from Nursing Times (2011)
Transformational Leadership
Description:
Read “Transformational Leadership,” by Cherry (2019), located on the Very Well Mind website.
What Is Transactional Leadership and Why It Matters
Description:
Read “What Is Transactional Leadership and Why It Matters” (2018), located on the blog page of the Mindvalley website.
How Great Leaders Inspire Action
Description:
View “How Great Leaders Inspire Action,” by Sinek (2010), located on the YouTube website.
Nine Behaviors of Servant Leaders
Description:
View “Nine Behaviors of Servant Leaders,” by Servant Leadership Institute (2017), located on the YouTube website.
How Emotionally Intelligent Are You?
Description:
Read “How Emotionally Intelligent Are You?” located on the Mind Tools website. Complete the assessment prior to reading the “Score Interpretation” and “Characteristics of Emotional Intelligence” sections.
What’s Your Leadership Style?
Description:
Read “What’s Your Leadership Style?” located on the Mind Tools website. Complete the assessment prior to reading the “Score Interpretation” section.
Leadership Trait Questionnaire (LQT)
Description:
Complete the, “Leadership Trait Questionnaire (LQT),” from Leadership: Theory and Practice,located on the Watson College of Education of the University of North Carolina Wilmington website.
Leadership Skills Test
Description:
Complete the “Leadership Skills Test,” located on Psychtests.
American Organization for Nursing Leadership
Description:
Explore the American Organization for Nursing Leadership (AONL) website.
American Nurses Association
Description:
Explore the American Nurses Association (ANA) website.
Tasks
CLC – Leadership Styles and Nursing
Description:
This is a Collaborative Learning Community (CLC) assignment.
The purpose of this assignment is to assess leadership styles, traits, and practices as a nursing professional, establish the importance of effective interprofessional communication as a leader in nursing, and to explore the role of servant leadership in nursing practice.
Read the study materials on leadership and complete the topic quiz activities to better understand your leadership qualities.
Upon completion, summarize and share with your group what you learned about your specific leadership qualities, so you can become familiar with how you are similar and different from your peers when it comes to being a leader.
As a group, review the study materials related to servant leadership. Using what you have learned about the tenets of servant leadership and traits and practices of successful leaders, create a 10-12 slide PowerPoint presentation with speaker notes. Add an additional slide for references at the end of your presentation.
Include the following in your presentation:
- Each group member: Create a slide that summarizes your leadership style, traits, and practices.
- Compare the personal leadership styles of your group members, including commonalities between group members’ strengths and weaknesses.
- Explain why it is important for nursing professionals to be aware of their personal leadership style, traits, and
- Discuss what leadership traits and styles are necessary to be an effective communicator. Explain the importance of leaders adapting communication approaches when working interprofessionally (across ancillary departments, vendors, community members).
- Discuss how nursing professionals can benefit from integrating the tenets of servant leadership to empower and influence others as they lead.
- Discuss how leaders who practice servant leadership and have a strong understanding of their personal leadership traits can successfully lead others and navigate the unique challenges that are part of nursing and health care. Provide two examples that illustrate your main ideas.
You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to theLopesWrite Technical Support articles for assistance.
Topic 5 DQ 1
Description:
Discuss a formal role where a nurse is in a position of leadership. Outline the essential responsibilities of that role and the educational preparation required. Explain what leadership traits, styles, or qualities are required to be successful in this role and why.
Topic 5 DQ 2
Description:
Grade Scale
Final Grade Column
| Letter Grade | GPA Value | Minimum (%) | Maximum (%) |
| A | 4.0 | 95.0 | 100.0 |
| A- | 3.7 | 92.0 | 94.99 |
| B+ | 3.3 | 90.0 | 91.99 |
| B | 3.0 | 87.0 | 89.99 |
| B- | 2.7 | 84.0 | 86.99 |
| C+ | 2.3 | 80.0 | 83.99 |
| C | 2.0 | 76.0 | 79.99 |
| D | 1.0 | 72.0 | 75.99 |
| F | 0.0 | 0.02 | 71.99 |
| I | 0.0 | 0.0 | 0.01 |
Grade Categories
| Assignments (%) | Points | Percentile |
| Health Care Delivery Models and Nursing Practice | 165.0 | — |
| Reflection Paper | 125.0 | — |
| CLC – Leadership Styles and Nursing | 150.0 | — |
| IOM Future of Nursing Report and Nursing | 165.0 | — |
| Advocacy Through Legislation | 155.0 | — |
| Discussion Question (%) | Points | Percentile |
| Topic 3 DQ 1 | 8.0 | — |
| Topic 3 DQ 2 | 8.0 | — |
| Topic 2 DQ 2 | 8.0 | — |
| Topic 1 DQ 1 | 8.0 | — |
| Topic 1 DQ 2 | 8.0 | — |
| Topic 4 DQ 2 | 8.0 | — |
| Topic 2 DQ 1 | 8.0 | — |
| Topic 5 DQ 1 | 8.0 | — |
| Topic 4 DQ 1 | 8.0 | — |
| Topic 5 DQ 2 | 8.0 | — |
| Participation (%) | Points | Percentile |
| Topic 5 Participation | 32.0 | — |
| Participation (%) | Points | Percentile |
| Topic 2 Participation | 32.0 | — |
| Participation (%) | Points | Percentile |
| Topic 4 Participation | 32.0 | — |
| Participation (%) | Points | Percentile |
| Topic 1 Participation | 32.0 | — |
| Participation (%) | Points | Percentile |
| Topic 3 Participation | 32.0 | — |
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