two questions 250 words each / 2 references
1. Choose a nursing theory. Using the nursing theory and the change management theory, you selected, describe how you will formulate a strategy for leading, managing, stewarding, and collaborating within the context of your DPI Project. How will your strategy support coalition building and health advocacy?
(DPI project) : implementing the ABCDEF bundle in a long-term acute care hospital to reduce the length of stay
2. Discuss a health care policy or practice that has been advanced through lobbying efforts at the national level. Describe how this has changed health care delivery during the course of your career or within the last decade.
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Introduction:
As a medical professor, it is important to equip nursing students with the knowledge and skills required for effective healthcare management. In this paper, we will analyze a nursing theory and a change management theory that can be used to formulate a strategy for leading, managing, stewarding, and collaborating within the context of the DPI Project. We will also discuss a healthcare policy or practice that has been advanced through lobbying efforts at the national level and how it has changed healthcare delivery during the course of my career or within the last decade.
Question 1:
The nursing theory that we will use for this project is the Roy Adaptation Model, and the change management theory will be Lewin’s Change Management Theory. The Roy Adaptation Model is a problem-solving model that helps nurses to assess and meet the basic survival needs of individuals through adaptation. The model has four major components: the person, the environment, the health, and nursing. On the other hand, Lewin’s Change Management Theory has three stages: Unfreeze, Change, and Refreeze, which can be utilized to plan, implement and maintain changes in a healthcare organization.
Using these theories, our strategy for leading, managing, stewarding, and collaborating within the context of the DPI Project will involve effective communication and teamwork among the healthcare team members. We will ensure that all team members receive proper training on the ABCDEF Bundle, and we will also provide ongoing feedback and support. Additionally, we will create a positive work environment that encourages innovative ideas and a commitment to improving patient outcomes.
To support coalition building and health advocacy, we will involve all relevant stakeholders in the implementation process. This includes clinicians, patients, families, healthcare administrators, and organizations that support health advocacy. We will provide frequent updates to all stakeholders about the progress of the project and its impact on patient outcomes.
Reference:
McEwen, M., & Wills, E. (2019). Theoretical Basis for Nursing. Lippincott Williams & Wilkins.
Question 2:
Due to the lobbying efforts at the national level, the Affordable Care Act (ACA) was signed into law in March 2010. The ACA aimed to increase the access to affordable healthcare for everyone, including uninsured Americans, and improve the overall quality of healthcare delivery.
The ACA has had a significant impact on healthcare delivery during the last decade. For instance, the law allowed for the expansion of Medicaid, which increased the number of Americans eligible for health insurance. Additionally, the ACA implemented various policies such as the Consumer Operated and Oriented Plans, which enhanced competition among insurance providers, resulting in lower insurance premiums for American citizens.
As a healthcare provider, the ACA has positively impacted my career by providing access to subsidized healthcare coverage for previously uninsured patients, enabling more people to access the care they need. These patients can seek medical attention earlier, which usually results in a better prognosis and improved health outcomes. Additionally, the ACA has led to increased funding for preventive care services, such as cancer screening, which can diagnose conditions early and reduce overall health care costs.
Reference:
The Patient Protection and Affordable Care Act, 42 U.S.C. §§ 18001 (2010).