Fluent Essays

3 pages (900 words) due midnight or 1am A discussion needs to be written. Instructions and rubric are attached. Instructions Each student will submit an initial discussion post of approximately 750-1000 words in the discussion.  Support your discussion with at least 5 references, the majority of which should be peer-reviewed. Primary references should be published within the last five (5) years. No title page is required. /3  Describe how barring APRNs from full practice authority affects (a) healthcare costs, (b) access to and/or delivery of care, and (c) quality of care.  Discuss each required factor individually and support your conclusions with current research data and examples.  /3  Discuss several ways that the Nurse Licensure Compact (NLC) increases access to care while promoting public safety.  (The connections you include are up to you, but since we deal with natural disaster often on the gulf coast, you may consider addressing this in your discussion or our current global health crisis.)  Based on your research of both  the NLC and APRN compact licensure, what impact can we anticipate APRN compact licensure to make?  This may include client care, education, or administrative perspectives.    /2  Discuss the status of implementation of the APRN Consensus Model in your home state or the state where you currently reside.  This section should include all of the following:  · What titles are used for APRNs?  Are all four APRN roles recognized in your state?  If not, which roles are not recognized?  · Is the term "licensure" used for APRN roles in your state?  If not, what term(s) are used? · Is a graduate or post graduate degree required in your state to practice in an advanced practice role?  · Is national certification required in your state to practice in an advanced practice role?  · Do APRN roles allow for independent practice in your state?  Not independent?  No authority?  · Do the APRN roles allow for independent prescribing in your state?  Not independent?  No authority?  /2 If you were responsible for evaluating positive change regarding the full realization of the APRN role, what outcomes would signify progression in the resolution of APRN barriers?  To answer this question develop a (a) patient-based, (b) system-based, and (c) policy-based outcome that would guide your evaluation into your discussion.  Provide support from the literature for each.  See diagram in Required Resources for examples of each type of outcome.  /1.5  Identify and discuss legislation in your state legislature regarding the APRN role. Include the bill number and title as applicable.  · Is there legislation currently being proposed in your state legislature regarding the APRN role?  Has there been previous state legislation that has failed?  To find out, go to  LegiScan (Links to an external site.)  and search for current state legislation.  Use search terms such as "nurse", "nursing", "APRN," etc. Discuss your findings. RUBRIC Consensus Model Discussion Consensus Model Discussion Criteria Ratings Pts This criterion is linked to a Learning Outcome Full Practice Authority 1. Discussion regarding the implications of barring APRNs from full-practice authority. 2. Addresses (a) healthcare costs, (b) access to and/or delivery of care, and (c) quality of care. 3.0 pts Fully Met The discussion is well developed and clearly describes how each of the following factors are affected by allowing APRNs to have full practice authority: (a) healthcare costs, (b) access to care, (c) delivery of care, and (d) quality of care. Each component of the discussion is supported with peer-reviewed literature. 2.0 pts Partially Met The discussion is missing a factor or requires additional development, as evidenced by only addressing that the mentioned factors are affected by barring full practice authority but not describing how. Additional support required for conclusions. 1.0 pts Minimally Met Two (2) or more of the required factors are missing or support for the factors is absent or minimal. 0.0 pts Not Met The section is absent, minimally developed, or addresses material other than what was required. 3.0 pts This criterion is linked to a Learning Outcome Nurse Licensure Compact 1. Discuss the impact of the NLC on access and safety. 2. Make inferences about the outcomes of an APRN compact. 3.0 pts Fully Met The discussion addresses how the NLC affects multiple aspects of access to care and safety. The student uses available evidence to make educated predictions about the impact of an APRN compact. Support from the evidence for conclusions is provided. 2.0 pts Partially Met The student addresses each of the posed questions. Connections between the provided evidence and the student's conclusions are unclear or support from the evidence could be improved. Alternatively, although sufficiently developed and supported, the student only addresses one of the required questions. 1.0 pts Minimally Met The student addresses one of the posed questions but not the other: NLC or APRN compact. In addition, support provided is inadequately developed or unclear in its relationship to the task. 0.0 pts Not Met The section is absent, minimally developed, or addresses material other than what was required. 3.0 pts This criterion is linked to a Learning Outcome State Implementation 1. Discussion of implementation of the consensus model in their home or current state. 2. Addresses titles, licensure, degree requirements, certification, independent practice, and prescription authority. 2.0 pts Fully Met The discussion completely meets the requirements by clearly including statements to address each question posed in all six (6) of the bullets for the corresponding section of the rubric. 1.5 pts Partially Met One (1) of the bullet points is not addressed or one (1) to two (2) of the questions posed in the bulleted list have been excluded from the discussion. 1.0 pts Minimally Met Three (3) of the bullets are not addressed or more than 2 of the posed questions are excluded from the discussion. 0.0 pts Not Met The section is absent, minimally developed, or addresses material other than what was required. 2.0 pts This criterion is linked to a Learning Outcome Outcome Development 1. Develops a patient, system, and policy-based outcome signifying progression of the APRN role. 2. Support is provided from the literature. 2.0 pts Fully Met Section includes the development of an outcome statement for all three required categories: policy, system, and patient. The validity of each is supported with evidence from the literature. 1.5 pts Partially Met The student address all three of the outcome types as required but displays some misunderstanding about the type of support that is appropriate for each. 0.5 pts Minimally Met The section does not clearly include a statement for each of the assigned categories and/or support is absent or minimal. 0.0 pts Not Met The section is absent, minimally developed, or addresses material other than what was required. 2.0 pts This criterion is linked to a Learning Outcome Current APRN Legislation 1. Identifies and describes state-level legislation. 2. Includes the bill number and title as applicable. 1.5 pts Proficient Legislation related to the APRN role from the student’s current state is identified using the bill number and/or title as appropriate. The purpose of the legislation and the ultimate outcome are discussed. 1.0 pts Partially Met Legislation related to the APRN role from the student’s current state is identified using the bill number and/or title as appropriate. The discussion of the purpose of the legislation and/or the ultimate outcome are inadequately addressed. 0.5 pts Minimally Met Legislation related to the APRN role from the student’s current state is identified using the bill number and/or title as appropriate. The discussion of the purpose of the legislation and/or the ultimate outcome are absent. 0.0 pts Not Met The section is absent, minimally developed, or addresses material other than what was required. 1.5 pts