Question 2704

Question Answered step-by-step Looking for a scholarly response to the statement below with 2… Looking for a scholarly response to the statement below with 2 references to support the 3 statements. 1Candy1Discuss two bills or laws that influence nursing practice, one at the federal level and one at the state level. Provide context for how these bills or laws influence nursing practice within your organization or DPI Project.   The Coronavirus Aid, Relief, and Economic Security (CARES) Act of 2020 gave the finances to protect nursing staff through funds available for personal protective items like gowns, gloves, N95 masks. This made a huge impact on all the nursing staff as it provided a means of protection from the virus. The Families First Coronavirus Response Act of 2020 provided a way for nursing staff to be able to take leave if they or a family member had the virus and the nurse needed to recover or care for a family member. This was very helpful for nurses affected personally by the virus (Stone, 2020).   In the organization where I work at, the hiring of Nursing staff was increased and nurses were hired on a temporary COVD hire basis, for eighteen months. These nurses bypassed the normal process of hire and were expedited (they received a substantial salary). The unfortunate piece is they did not get boarded. So some of them once the eighteen-month period was over, now, had to go through the normal boarding process for salary determination based on education and experience.   The state of Colorado has Sunset Nurse Practice Act originally passed in 2019. The act basically gives the state board authority for nurse discipline, substance abuse issues, the requirement to report misconduct or discipline. It also changed APN to APRN. Interestingly, it removed the retirement age for the nurse to get a volunteer license. This was especially helpful as my facility rehired ten retired RN’s to help with the pandemic. These nurses were quite skilled covered a wide variety of functions from screening to COVID contact tracers and now immunizing staff (HB10-16 Sunset continue nurse practice act, 2020). ReferencesHB10-16 Sunset continue nurse practice act. (2020) Colorado General Assembly.   https://leg.colorado.gov/bills/hb20-1216Stone, A. (2020). How the CARES Act and other COVID-19 laws affect nursing and health care. Oncology   Nursing Service Voice.   https://voice.ons.org/advocacy/how-the-cares-act-and-other-covid-19-laws-affect-nursing-   and-health-care2ogo 1The Nursing Practice Act (NPA) is the law for governing nursing practice in each state and is used for guidance to action. The NPA is the enacted regulations with full force and effect of law that mandates the Board to set out the scope of practice and responsibilities for registered nurses. (Huynh & Haddad, 2020). Each state or territory has its own version of NPA, and they vary geographically at state lines. In general, the NPA provides guiding principles for the scope of nursing regulation to include defining phrases and terms for the intent of the law, defining the composition of the board members, defining nursing school educational program standards, defining the scope of nursing practice, overseeing licensure processes, protecting titles, and providing grounds for disciplinary actions for violations (Huynh & Haddad, 2020).Patient Protection and Affordable Care Act (ACA) at the federal level compels nurses to continue innovation, transformational leadership, and care coordination as major stakeholders in provision of the next generation of cost containment, quality advances, and patient access improvements (Poghosyan & Carthon, 2017). The ACA highlights the priorities of nurses and identified three aims of reform: reduced healthcare expenses, elevated quality of care, and increased access for all Americans. The ACA provides financial support and workforce education to expand and enhance nurses to consistently advocate for and provide lifesaving and life sustaining care for vulnerable and fragile populations (Poghosyan & Carthon, 2017). For my DPI Project and within my organization, these acts help me to foster high standards of nursing practice, promote patient safety, improve quality of health care given to patients, ensure ethical considerations are followed and advocating on health care issues that affect nurses and the public.                                                                              ReferencesHuynh, A. P., & Haddad, L. M. (2020, July 25). Nursing Practice Act. Retrieved from Nursing Practice Act: https://www.ncbi.nlm.nih.gov/books/NBK559012/Poghosyan, L., & Carthon, J. M. (2017). The Untapped Potential of the Nurse Practitioner Workforce in Reducing Health Disparities. SAGE, 18(2), 1-10. Retrieved from https://doi.org/10.1177/15271544177211893cand 2Select one bill from DQ 1 and discuss how it aligns with quality, safety, experience, or financial metrics in your organization. Analyze how the alignment of the bill affects the quality of care delivery in your organization. As a doctorally prepared nurse, describe how you can influence change in the bills or laws shared in DQ1 to improve nursing practice.    The CARES Act had an immense impact on my facility for quality of care. The staff was fearful of the pandemic due to a lack of protective equipment like gowns, gloves, N 95, PAPR, and CAPR. Supplies were initially limited and COVID numbers were rising. Staff also felt a knowledge deficit, in regards to what was known and how to protect yourself and your family while trying to care for patients. Quality and safety go hand in hand with this bill. The financial matrix of the facility increased with the CARES Act which provided equipment to protect the staff in a safe way while they could offer quality care. Experts were consulted and brought to the facility to train staff. All staff was educated in every department on what, when, and how to protect themselves and continue to care for patients. The CARES Act also provided new telehealth equipment to send employees home that could perform their duties in that way (Stone, 2020).   The facility where I work is now equipped to care for patients in a pandemic and telehealth has increased patient access to care, and, is here to stay. The facility where I am employed covers thousands of miles. Telehealth saves money on travel for patients and staff and is convenient and cost-effective for the facility to provide care. Mental health counseling visits have increased because of the convenience of telehealth (Franco et al., 2020)   The DNP can influence change by lobbying and providing evidence to support the greater good. The DNP is equipped with the knowledge and expertise to influence local, state, or congressional decisions. DNP’s can work together for even greater influence. The DNP can offer statistical analysis, best practice, and research in any health care arena to improve nursing and health care.ReferenceFranco, M.A., Hauke, L., Bradner, R. H. & Jorgensen-Earp, E. (2020) Coronavirus response   CARES Act summary. Holland & Knight Healthcare Blog.   https://www.hklaw.com/en/insights/publications/2020/03/coronavirus-response-cares-act-summaryStone, A. (2020). How the CARES Act and other COVID-19 laws affect nursing and health care.   Oncology Nursing Service Voice.   https://voice.ons.org/advocacy/how-the-cares-act-and-other-covid-19-laws-affect-nursing-   and-health-care  Health Science Science Nursing NURSING DNP 840 Share QuestionEmailCopy link Comments (0)

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