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NUR 508 Week 1 Discussion DQ 1
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What were the major causes of U.S. mortality in the last 100 years,
and what public health measures most contributed to improvements in
the health of the nation? Include at least two source citations from the
readings and/or additional sources to support your answer
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What are the major causes of disease and death in the 21st century
(e.g., chronic illnesses, communicable diseases, etc.) that continue to

affect U.S. citizens in spite of the achievements in public health in the
past century? What have been some of the strategies implemented to
combat these illnesses on the local and national levels? Have they
been successful? Include reference citations where appropriate.
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NUR 508 Week 2 Assignment
The IOM Future of Nursing report calls for an increase in leadership
from nurses at all levels. One way nurses demonstrate their role as a
leader, is through public policy change. A leader does not always
carry an official title or position, but demonstrates leadership through
the work and the stance he/she takes to make a change for the good of
others. Nurses have been noted by the Gallop poll year after year as
the most trusted professionals.
This assignment requires thought about a public policy that is needed
or needs to be changed that relates to nursing, healthcare, and/or the
public. Policy changes can occur by working with members of your
legislature, and state or national nurses associations, to introduce a
new bill and/or change to a current law in your state or federal
government.
Examples of public policy includes any component of the current
legislation governing health care, Medicare part D, Medicaid, nursing
regulation, medication technicians, etc.

In 750-1000 words, propose a health policy change (that is currently a
bill, a law, or may not exist at all) at the state or federal level that you
believe needs to change and why.
The policy must NOT be a clinical care policy for individual care.
The policy involved may include public or community health,
legislative or regulatory, professional organization (nursing-oriented),
advanced nursing practice, health plan, or hospital plan.
Include a specific section for the exact wording for the bill or change
in wording of the law.
Include the plan for the implementation of your policy development,
to lobbying for passage, to next steps after passage.
Discuss who would be the champion for the bill/law change from
your state advocates (legislators, federal legislators, local or national
state nursing organizations). Are these individuals also influential in
making changes occur? Did you vote for the individual in office that
you want to help you make this change?
Resources:
Review different pieces of legislation for ideas on wording.
Visit your state’s legislative governmental affairs website site to
understand the process your policy change could take if you wanted to
introduce to into legislation.
Refer to the Nursing Leadership Health Policy Presentation Rubric.
Submit the assignment to the instructor by the end of Topic 2.
Prepare this assignment according to the APA guidelines found in the
APA Style Guide, located in the Student Success Center. An abstract
is not required.
You are required to submit this assignment to Turnitin. Refer to the
directions in the Student Success Center.
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Select one of the United Nations’ (U.N.) Millennial Development
Goals (MDGs). Visit the website and report on the UN’s progress in
achieving this goal? How will meeting this goal positively impact the
health of the world? What suggestions would you make to help the
UN achieve this goal?
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Select a global health issue from the World Health Organization
(WHO) list of health topics available
athttp://www.who.int/topics/en/How has globalization influenced this
issue from a positive or negative perspective?
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Debate the various social factors associated with the situation of the
“underinsured.” Respond to two other classmates’ answers with solid
reasoning and support your opinions with appropriate reference
citations.
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Review the Agency for Healthcare Research and Quality (AHRQ)
report “Priority Populations”:
Select one of the “priority populations” and explain the disparities this
population faces. What strategies have been implemented to combat
these disparities on the local and national levels? Have they been
successful? Include reference citations where appropriate.
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Debate the efficacies of public versus private-based quality initiatives.
What roles do each play in the quality of U.S. health care? How
would the elimination of one aspect affect the other? Respond to two
other classmates and counter their answer, citing references as
appropriate.
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After reading the Kaiser Family Foundation summary on the Patient
Protection and Affordable Care Act, state why or why not you believe
the act should remain in law, or which pieces should be reversed.
Then describe two pieces of the act that you were unaware was part of
the act and how that may affect you as a citizen.
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NUR 508 week 5 Assignment
In a paper of 500-1,000 words, describe the relationship between
health care cost and quality. Address the following:

Select one public agency and one private agency and differentiate
their roles and major activities in addressing cost and quality in health
care. See Topic 4 Readings for sources regarding health care
agencies.
Analyze current and projected initiatives to improve quality while
simultaneously controlling costs. Describe any unintended
consequences.
Synthesize implications for staff nurses and advanced practice nurses,
including evidence-based practice, relative to cost and quality.
is not required.
This assignment uses a grading rubric. Instructors will be using the
rubric to grade the assignment; therefore, students should review the
rubric prior to beginning the assignment to become familiar with the
assignment criteria and expectations for successful completion of the
assignment.
You are required to submit this assignment to Turnitin. Refer to the
directions in the Student Success Center.
Resource 1: CLC Health Issue Analysis Overview
Group work has benefits and liabilities. EVERYONE assigned to a
CLC is expected to equally participate in the work in terms of time
and quality of effort. Each participant has strengths and it is
reasonable to apportion the work to make best use of this. Some are
natural leaders. Our strengths can be our greatest liabilities: No one
wants to be bossed around no matter how skilled the boss is. Honest
communication is critical to effective group work. The best way to
avoid conflict is to set very clear expectations up front. Then, if

someone does not do what is expected him/her, he/she can be referred
to the original agreement rather than have the confrontation become
personal.
Course instructors are able to observe the group process in the CLC
forum. If the work takes place outside the forum, this information will
be absent. Be certain (even if communicating via e-mail, phone, or
face-to-face) to record the communication in the CLC forum.
CLC Project Overview
The purpose of this assignment is to critically analyze a health care
issue through the focus of major concepts from each Topic. There are
six components to this assignment after the CLC agreement is signed
and the topic is identified. It is not expected that every member of the
CLC group will contribute to each assignment, but that assignments
will be divided fairly and equally among the group. Each of the
written components of the CLC project will be 500-1,000 words.
These papers should be in APA format with a title and a reference
page. An abstract is not required. An introduction is required ONLY
for Part 1 and is not required in any parts thereafter. It is the intention
that if one were to take the six parts of this assignment and put them
together, a comprehensive and cohesive analysis would be produced.
Part 1 is worth 3 points and each of the subsequent parts (2-6) are
worth 4 points each.
Topic 1 (10 points)

Check into the CLC group and provide contact information and
describe prior experience, if any, with health policy. Locate and read
the CLC Agreement provided by the instructor, located within the
Additional Resources Folder in Canyon Connect. Choose one member
to transfer the document to the CLC forum. Decide upon the process
needed to fill out the contract. Everyone should participate. Before
filling out the agreement, it may be helpful for each student to
describe the most difficult, frustrating, helpful, or beneficial apects of
working on a collaborative project. Getting this type of information
out in the open ahead of time may help to prevent conflict later on.
Since no one is angry yet, you can comfortably list what is likely to
make you angry and also what would make you satisfied.
Complete the CLC Agreement (except for the final block, which is
used at the end). Select someone to submit the CLC Agreement by the
end of Topic 1.
Topic 2 (10 points)
Initiate a conversation regarding potential topics of interest. This
should be a health issue with national and international relevance that
will be the basis for your final project. It may be helpful to identify a
number of topics of interest and have individual group members do a
quick survey of the literature to be sure that there is current
information available. Revise the CLC Agreement with the choice of
the topic identified in the title and re-submit the CLC
Agreement.There is no formal writing requirement for the topic
selection. It is merely a brief paragraph declaring your identified
topic.

Topic 3 – Part 1 (50 points)
Research and outline the history of the health issue. Write a formal
paper in APA format (500-1,000 words in length), describing the
history of the issue. A title, introduction, and a reference page are
required, but an abstract and conclusion are not. Include the
following:
1) Influences such as determinants of health and socioeconomic
status.
2) Past and present initiatives (private and public) to address the issue.
3) Outcomes that have been developed and utilized to measure
progress on the issue.
4) The current status of the health issue based on measured outcomes.
Describe the national and international implications of the health
issue. Write a formal paper (500-1,000 words in length), using APA
format. Include a title page and a reference page. An abstract,
introduction, and conclusion are not required. Include the following:
1) Scope and depth of the problem.
2) Countries that are faring better or worse than others.
3) How the U.S. ranks on this issue in relation to other countries.
4) Efforts of the World Health Organization and other agencies on
this issue.

5) Existing disparities (include race, age, and gender, as appropriate)
in relation to the issue – describe the populations that have emerged
as being disadvantaged and why.
Write a formal paper (500-1,000 words in length), using APA format.
Include a title and a reference page. An abstract, introduction, and
conclusion are not required. Include a title page and a reference page,
and the following:
1) Discuss past and present funding for initiatives that address the
health issue. Include both public and private sources.
2) Analyze past and present quality initiatives that address the health
issue. Include both public and private sources.
3) Differentiate how being insured versus uninsured impacts health
outcomes relative to this issue;
4) Compare health outcomes for the issue between the U.S. and a
country with universal health coverage.
A title page and a reference page are required, but an abstract,
introduction, and conclusion are not. Include the following:
1) Examine the previously addressed aspects of health policies,
finance, global/national prevention, and/or treatment initiatives
related to the health issue by identifying applicable ethics principles.
2) Differentiate how application of the identified ethics principles to
the health issue has resulted in population disparities.
3) Hypothesize how existing disparities might be eliminated using
alternate ethics principles.

4) Critique whether the applicable ethics principles are consistent with
the ANA’s Code of Ethics for Nurses.
A title page and a reference page are required, but an abstract,
introduction, and conclusion are not. Include the following:
1) Discuss cultural beliefs and influences relative to the health issue.
2) Differentiate any religious/spiritual beliefs and values relative to
the issue.
3) Appraise how religious/spiritual beliefs and values have influenced
progress in addressing the issue – either negatively or positively.
4) Compare differences in ideologies related to the issue across
political party lines, geographic regions, and countries of the world.
A title page, conclusion, and a reference page are required, but an
abstract and introduction are not. Include the following:
1) Assess the past and present impact nurses, including advanced
professional/ advanced practice nurses, have made in addressing this
health issue.
2) Describe how nurses can become more broadly involved with
influencing health policy related to this issue. Include available
resources.
3) Hypothesize how nurses can positively impact future outcomes
related to the provision of care for persons affected by the health
issue.

4) Synthesize all aspects of the health care issue through a summary
conclusion, concisely tying up Parts 1-8 of the CLC project.
This is a CLC assignment.
Check into your respective Collaborative Learning Community and
provide contact information. Describe your prior experience with
health policy.
Read “CLC Health Issue Analysis Overview.”
Read “CLC Group Project Agreement.”
Transfer “CLC Group Project Agreement” to your CLC team space,
come to a consensus on team responsibilities, and complete one copy
of the form.
APA format is not required, but solid academic writing is expected.
You are not required to submit this assignment to Turnitin.
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What are the eligibility requirements and coverage of Medicaid for
the categories of low-income adults, pregnant women, and the
aging/blind/disabled in the state where you live? Do you consider the
eligibility requirements reasonable or restrictive? Do you consider the
coverage reasonable or liberal? What are the benefits and drawbacks
to keeping these populations insured through Medicaid? Consider
both direct and indirect factors.
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Review the CMS.gov 30-Day Mortality and Readmission Data
website. Review at least two local hospitals and see how they
compare to state and national benchmarks. How and why may a
consumer or a health care professional use this data to make decision
about their next hospitalization? Will reporting this data have an
impact on hospitals bottom line in addition to financial penalties from
CMS? Give at least two examples of how this data may be used and
what type of impact if may have if at all on the hospitals.

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Debate the question: “Is health care a basic right in the United
States?” Answer this question through the lens of your role as RN.
Support your response utilizing ethical theories and principles.
Respond to two other classmates using respectful communication and
solid reasoning. Support your response with appropriate references.
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Select an ethical dilemma related to health policy from the categories
of moral values, professional regulation, health of individuals in
society, or distributive justice. What are the controversies surrounding
this issue? What are the opposing ethical principles? How has past or
current health policy addressed this dilemma? Support your reasoning
with reference citations.
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NUR 508 Week 7 Assignment
Write a paper of 750-1,000 words examining your personal values
and beliefs. Include the following:
Describe your personal values and spiritual beliefs.
Using the elements of cost, quality, and social issues to frame your
description, differentiate your beliefs and opinions about health care
policy. Give examples of relevant ethical principles, supported by
your values.

Analyze how factors such as your upbringing, spiritual or religious
beliefs/doctrine, personal and professional experiences, and political
ideology affect your current perspective on health care policy.
Examine any inconsistencies you discovered relative to the alignment
of your personal values and beliefs with those concerning health
policy. Discuss what insights this has given you.
is not required.
This assignment uses a grading rubric. Instructors will be using the
rubric to grade the assignment; therefore, students should review the
rubric prior to beginning the assignment to become familiar with the
assignment criteria and expectations for successful completion of the
assignment.
You are required to submit this assignment
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How do spiritual beliefs impact political ideologies and the policy
process? How have they affected the health policy reform process?
Using respectful communication, debate your response with two other
classmates. Give examples and support your reasoning with
appropriate references.
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What is the role of a religious ethic in public policy today? Should a
religious ethic and/or theistic worldview take priority over that of
others? How can religious policy decision makers remain true to their
personal values while respecting the views of individuals with
differing cultural and spiritual beliefs? Respond to two other
classmates and cite references as appropriate.
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Select an advanced professional or advanced practice nursing
specialty. How has past and current regulation/legislation affected the
role and scope of this nursing role? What, if any, discussions are
currently underway relative to the scope and role of this specialty?
What resources are available to assist nurses in advocating for these
roles?
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Select a professional or specialty nursing association. What impact
has this organization had on health care legislation in the past 2 years?
Respond to two other classmates and support your answer with
appropriate references and specific examples.
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