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- QUESTION
Write two short term goals for each of the clients. What do you think needs to be done for the client's problems? What does the client want done? What does the client agree to? Are you goals measurable? Are your goals realistic? Are your goals supported by your assessment data?
Assessment dataTin Man
In the film, The Wizard of Oz, the client appears pale and rusty. His skin colour is greyish. He is alert and oriented. After being rained on, his joints became stuck from rust, and stiff due to prolonged immobility. He says he cannot move since he got rusted long time while cutting trees with axe. His voice was muffled until his mouth was lubricated. He is bald. He walks stiffly since there is limited joint movement. His was in an upright position. However, he felt better after oil was used to mobilize these joints. According to this client, he states that he has a problem since he does not have a heart. That is why when his chest is banged, it echoes inside. He believes that once he gets a heart, he will be able to act more like a human and be kind and caring to those he likes (Treas et al., 2018). Therefore, not having a heart seems to be a problem that is currently impacting his wellbeing.
The Scarecrow
The Scarecrow is a character whose skin is white in color and rugged. His nose is red, which is what makes him appear more like a clown. He has a clear voice but seem confused. He makes uncoordinated movement. He rarely concentrates. He walks with his back bent forward, and makes sudden movements, unlike a normal human being. Client does not seem to be totally aware of his surrounding therefore, questions everything which is why he never seems to understand anything that is communicated to him (Treas et al., 2018). Client cannot give definite answers. His hair is mostly hidden under the cap that he has on. However, from the part that is visible, one can easily tell that it is unkempt as it sticks to his head. It does not seem like any other human hair. According to this character, client states that he needs brains to become perfect. That is why he is on the journey to seek the Wizard of Oz.
The Lion
In the Wizard of Oz, the Lion is a hairy being that walks on two legs unlike other Lions. His skin color is brown even tone, including the face. Client is alert and oriented. With paws instead of palms and legs, one can easily tell what creature it represents. Instead of walking like other human beings, the Lion hops from one place to the other. From the hair on his body, it is difficult to see his joints, but he has normal movement of joints. However, the face has whiskers and the ears are located at the top of his head. He has no mobility issues. Character states he lacks courage which would make him function properly as a lion (Treas et al., 2018). He is easily scared, even by his own imagination. He exhibits signs of anxiety.
The Wicked Witch of the West
In the movie, the wicked witch’s face and body is green in color. The posture is a bit crooked and she does not walk straight. She is alert and oriented. She has a normal joint movement. This character’s face is creepy since the eyes wink at different times. The fingers are curved, and longer than expected. She has an angry voice with a clear tone. She seems unpleasant and always angry. She has dry cracked hair. This character got killed by Dorothy unexpectedly when she poured water on her. This makes her melt just as she was planning to kill Dorothy and her friends.Rubic grading
Planning
54.0 pts
Level 4
Two short term goals listed, clear concise and measurable.
Grammar and Scholarly Composition
6.0 pts
Level 4
Assignment is well written and flows well. No grammatical errors.Reference
Treas, L. S., Wilkinson, J. M., Barnett, K. L., & Smith, M. H. (2018). Basic Nursing: Thinking, Doing, and Caring(2nd ed.).Please follow the assessment data i provided. Thank you
| Subject | Nursing | Pages | 2 | Style | APA |
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Answer
The Role of RNs and APRNs in Policy-Making
Nurses have a depth of skills such as problem solving and communication, which increases their health policy competence, making it essential to incorporate them in the quest for successful policymaking. Their ability to gather data with more accuracy and rapidly, daily experiences with patients, connection with people, and ability to mobilize groups remains a vital boost on the nurses' efficiency in policy making (Congress.gov, 2020). Furthermore, since all nursing education programs have incorporated health policy education in their curricula and the nursing organizations' advocacy roles across the world, nurses can cooperate with lawmakers to assist in formulating viable health policies. Therefore, to be influential, nurses must consider themselves professionals with the responsibility and capacity of influencing both current and future healthcare delivery systems through policymaking. Although opportunities exist to help in policymaking, challenges also create a significant hindrance toward that development.
Nurses have an incredible opportunity for actively participating in policymaking through professional organizations. It is often difficult to let every RN and APRN participate in legislation at their levels (Mason et al., 2020). However, through a professional organization, they have a collective opportunity to voice in the legislation process. In most cases, the organizations consult the members' interests, which then translates to their stand during the policymaking process. Such professional organizations include the American Nurses Association, Emergency Nurses Association, and the American Academy of Nursing, among others, which nurses have used in the policy review (Congress.gov, 2020). These organizations work closely with the legislative houses to formulate policies that can propel the American health sector to be a benchmark. Furthermore, the organizations ensure that implemented policies are in favor of the nurses and practical.
The second opportunity that RNs and APRNs have to participate in policymaking is through their workplace. The quality of service delivery and outcome depend on how effective policies are in meeting patients' needs. Therefore, at the workplace level, the nurses must advocate for the patients to champion effective and suitable policies that are patient-centered (Patton et al., 2018). This is because the nurses have a primary role in promoting quality care. Therefore, the nurses can appeal for review of policies that they feel do not meet the threshold to propel the healthcare sector to the best level possible. This becomes possible since it is the nurses who know policies that can work and those that cannot, which makes them an essential aspect of the policymaking process.
Considering the opportunity to participate in policymaking through professional organizations, the primary challenge with this approach concerns membership. Nurses can only participate in this approach when they are members of particular organizations. However, the membership is often full of challenges, which has made a significant number of RNs and APRNs stay away from the organizations. Despite their usefulness in a nurse's life, the complexity of joining them has kept several nurses away, which means that they cannot participate in policymaking (Patton et al., 2018). Besides, the organizations are also facing significant leadership challenges that greatly hinder their efficiency. For effectiveness going forward, the organizations can improve member involvement through reformed leadership and development of a well-structured approach in the registration of new members. The nurses should then engage the professional organizations where they have membership to boost their aggression in policymaking and advocacy.
Engaging in policy making through the workplace also presents its share of challenges for the RNs and APRNs. In some cases, nurses remain oblivious of the proposed policies or even the updated policies that directly affect their scope of practice (Mason et al., 2020). This scenario creates an urgent need for the nurses to embrace an evidence-based practice that encourages life-long learning and the need to remain updated in all developments across the sector. They should then be informed of the policy changes, and the trending polices awaiting implementation such that they have an opportunity to criticize and do reviews. Besides, the lack of unity within the workplace because of poor leadership also makes it difficult for the nurses to cooperate and deliver feasible policy recommendations, which have the primary interest of the patients while also favoring the nurses. This calls for an expansion of leadership skills in nursing and remaining inclusive in policy formulations.
The nurses should make proper use of these opportunities, especially the professional organizations that highly uphold advocacy roles and policymaking. However, this can only be possible if the nurses remain cognizant of these opportunities to participate in policymaking. To make it better, there should be an improvement in leadership training so that nurses can better understand their roles, particularly in policymaking (Patton et al., 2018). Good leadership is essential in enhancing effective communication and creating an environment where everyone feels appreciated. The leaders also allow the nurses to engage in advocacy and policymaking since they can champion such rights with the legislative houses. The experience that nurses have in understanding the dynamics of healthcare should influence the law-making process, legislations, and regulations of the entire healthcare system for the incorporation of feasible policies that focus on the patient and the wellbeing of the nurses.
References
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Congress.gov. (2020). Current Legislative Activities. https://www.congress.gov/ Mason, D. J., Gardner, D. B., Outlaw, F. H., & O'Grady, E. T. (2020). Policy & Politics in Nursing and Health Care-E-Book. Elsevier Health Sciences. Patton, R. M., Zalon, M. L., & Ludwick, R. (Eds.). (2018). Nurses making policy: From bedside to boardroom. Springer Publishing Company.
Appendix
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