Assignment: Health Care Delivery Models and Nursing Practice

Assessment Description

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.

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Include the following:

Outline a current or emerging health care law or federal regulation introduced within the last 5 years to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.

Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.

Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.

Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years in response to upcoming trends or predicted issues in health care.

You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

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Health Care Delivery Models and Nursing Practice – Rubric

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Rubric Criteria

Total165 points

Criterion	1. Unsatisfactory	2. Insufficient	3. Approaching	4. Acceptable	5. Target
Current or Emerging Health Care Law or Federal Regulation and Effect on Nursing Practice, Role and R An outline of emerging health care law or federal regulation and a description of the effect on nursing practice and the nurse role, and responsibility.	0 points An outline of an emerging health care law or federal regulation and a description of the effect on nursing practice and the nurse role, and responsibility is omitted or inaccurate.	18.56 points An outline of an emerging health care law or federal regulation and a description of the effect on nursing practice and the nurse role, and responsibility lacks detail or is incomplete.	19.55 points An outline of an emerging health care law or federal regulation and a description of the effect on nursing practice and the nurse role, and responsibility is present.	22.03 points A detailed outline of an emerging health care law or federal regulation and a detailed description of the effect on nursing practice and the nurse role, and responsibility is present.	24.75 points A clear and accurate outline of an emerging health care law or federal regulation and a clear and accurate description of the effect on nursing practice and the nurse role, and responsibility is present.
Quality Measures Pay for Performance, Patient Outcomes, and Effect on Nursing Practice A discussion on how quality measures and pay for performance affect patient outcomes, and how they affect nursing practice, expectations, and responsibilities of the nursing role.	0 points A discussion on how quality measures and pay for performance affect patient outcomes, how they affect nursing practice, expectations, and responsibilities of the nursing role is omitted or inaccurate.	24.75 points A discussion on how quality measures and pay for performance affect patient outcomes, how they affect nursing practice, expectations, and responsibilities of the nursing role lacks detail or is incomplete.	26.07 points A discussion on how quality measures and pay for performance affect patient outcomes, how they affect nursing practice, expectations, and responsibilities of the nursing role, is presented.	29.37 points A detailed discussion on how quality measures and pay for performance affect patient outcomes, how they affect nursing practice, expectations, and responsibilities of the nursing role, is presented.	33 points A clear and accurate discussion on how quality measures and pay for performance affect patient outcomes, how they affect nursing practice, expectations, and responsibilities of the nursing role is presented.
Professional Nursing Leadership and Management Roles A discussion of professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.	0 points A discussion of professional nursing leadership and management roles that have arisen, how they are important in responding to emerging trends, and in the promotion of patient safety and quality care in diverse health care settings is omitted or inaccurate.	24.75 points A discussion of professional nursing leadership and management roles that have arisen, how they are important in responding to emerging trends and in the promotion of patient safety, and quality care in diverse health care settings lacks detail or is incomplete.	26.07 points A discussion of professional nursing leadership and management roles that have arisen, how they are important in responding to emerging trends and in the promotion of patient safety, and quality care in diverse health care settings is present.	29.37 points A detailed discussion of professional nursing leadership and management roles that have arisen, how they are important in responding to emerging trends, and in the promotion of patient safety and quality care in diverse health care settings is present.	33 points A clear and accurate discussion of professional nursing leadership and management roles that have arisen, how they are important in responding to emerging trends, and in the promotion of patient safety and quality care in diverse health care settings is present.
Predict Change in Nursing Roles and Nursing Practice Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years in response to upcoming trends or predicted issues in health care.	0 points Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years in response to upcoming trends or predicted issues in health care are omitted or inaccurate.	18.56 points Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years in response to upcoming trends or predicted issues in health care lack detail or are incomplete.	19.55 points Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years in response to upcoming trends or predicted issues in health care are discussed.	22.03 points Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years in response to upcoming trends or predicted issues in health care are discussed in detail.	24.75 points Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years in response to upcoming trends or predicted issues in health care are thoroughly and insightfully discussed.
Thesis, Position, or Purpose Communicates reason for writing and demonstrates awareness of audience.	0 points The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident.	8.66 points The thesis, position, or purpose is unfocused or confused. There is very little awareness of the intended audience.	9.12 points The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience.	10.28 points The thesis, position, or purpose is adequately presented. An awareness of the appropriate audience is demonstrated.	11.55 points The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience.
Development, Structure, and Conclusion Advances position or purpose throughout writing; conclusion aligns to and evolves from development.	0 points No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered.	8.66 points Writing lacks logical progression of the thesis, position, or purpose. Some organization is attempted, but ideas are disconnected. Conclusion is unclear and not supported by the overall development of the purpose.	9.12 points Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose.	10.28 points The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose.	11.55 points The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and logical conclusion aligns to the development of the purpose.
Evidence Selects and integrates evidence to support and advance position/purpose; considers other perspectives.	0 points Evidence to support the thesis, position, or purpose is absent. The writing relies entirely on the perspective of the writer.	7.43 points Evidence is limited or irrelevant. The interpretation of other perspectives is superficial or incorrect.	7.82 points Evidence is used but is insufficient or of limited relevance. Simplistic explanation or integration of other perspectives is present.	8.81 points Relevant evidence that includes other perspectives is used.	9.9 points Specific and appropriate evidence is included. Relevant perspectives of others are clearly considered.
Mechanics of Writing Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.	0 points Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.	7.43 points Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.	7.82 points Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.	8.81 points Few mechanical errors are present. Suitable language choice and sentence structure are used.	9.9 points No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.
Format/Documentation Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.	0 points Appropriate format is not used. No documentation of sources is provided.	4.95 points Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.	5.21 points Appropriate format and documentation are used, although there are some obvious errors.	5.87 points Appropriate format and documentation are used with only minor errors.	6.6 points No errors in formatting or documentation are present.

Criterion

1. Unsatisfactory

2. Insufficient

3. Approaching

4. Acceptable

5. Target

Current or Emerging Health Care Law or Federal Regulation and Effect on Nursing Practice, Role and R

An outline of emerging health care law or federal regulation and a description of the effect on nursing practice and the nurse role, and responsibility.

0 points

An outline of an emerging health care law or federal regulation and a description of the effect on nursing practice and the nurse role, and responsibility is omitted or inaccurate.

18.56 points

An outline of an emerging health care law or federal regulation and a description of the effect on nursing practice and the nurse role, and responsibility lacks detail or is incomplete.

19.55 points

An outline of an emerging health care law or federal regulation and a description of the effect on nursing practice and the nurse role, and responsibility is present.

22.03 points

A detailed outline of an emerging health care law or federal regulation and a detailed description of the effect on nursing practice and the nurse role, and responsibility is present.

24.75 points

A clear and accurate outline of an emerging health care law or federal regulation and a clear and accurate description of the effect on nursing practice and the nurse role, and responsibility is present.

Quality Measures Pay for Performance, Patient Outcomes, and Effect on Nursing Practice

A discussion on how quality measures and pay for performance affect patient outcomes, and how they affect nursing practice, expectations, and responsibilities of the nursing role.

0 points

A discussion on how quality measures and pay for performance affect patient outcomes, how they affect nursing practice, expectations, and responsibilities of the nursing role is omitted or inaccurate.

24.75 points

26.07 points

A discussion on how quality measures and pay for performance affect patient outcomes, how they affect nursing practice, expectations, and responsibilities of the nursing role, is presented.

29.37 points

A detailed discussion on how quality measures and pay for performance affect patient outcomes, how they affect nursing practice, expectations, and responsibilities of the nursing role, is presented.

33 points

A clear and accurate discussion on how quality measures and pay for performance affect patient outcomes, how they affect nursing practice, expectations, and responsibilities of the nursing role is presented.

Professional Nursing Leadership and Management Roles

A discussion of professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.

0 points

A discussion of professional nursing leadership and management roles that have arisen, how they are important in responding to emerging trends, and in the promotion of patient safety and quality care in diverse health care settings is omitted or inaccurate.

24.75 points

A discussion of professional nursing leadership and management roles that have arisen, how they are important in responding to emerging trends and in the promotion of patient safety, and quality care in diverse health care settings lacks detail or is incomplete.

26.07 points

29.37 points

A detailed discussion of professional nursing leadership and management roles that have arisen, how they are important in responding to emerging trends, and in the promotion of patient safety and quality care in diverse health care settings is present.

33 points

A clear and accurate discussion of professional nursing leadership and management roles that have arisen, how they are important in responding to emerging trends, and in the promotion of patient safety and quality care in diverse health care settings is present.

Predict Change in Nursing Roles and Nursing Practice

Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years in response to upcoming trends or predicted issues in health care.

0 points

Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years in response to upcoming trends or predicted issues in health care are omitted or inaccurate.

18.56 points

Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years in response to upcoming trends or predicted issues in health care lack detail or are incomplete.

19.55 points

Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years in response to upcoming trends or predicted issues in health care are discussed.

22.03 points

Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years in response to upcoming trends or predicted issues in health care are discussed in detail.

24.75 points

Predictions for how the practice of nursing and nursing roles will grow or transform within the next 5 years in response to upcoming trends or predicted issues in health care are thoroughly and insightfully discussed.

Thesis, Position, or Purpose

Communicates reason for writing and demonstrates awareness of audience.

0 points

The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident.

8.66 points

The thesis, position, or purpose is unfocused or confused. There is very little awareness of the intended audience.

9.12 points

The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience.

10.28 points

The thesis, position, or purpose is adequately presented. An awareness of the appropriate audience is demonstrated.

11.55 points

The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience.

Development, Structure, and Conclusion

Advances position or purpose throughout writing; conclusion aligns to and evolves from development.

0 points

No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered.

8.66 points

Writing lacks logical progression of the thesis, position, or purpose. Some organization is attempted, but ideas are disconnected. Conclusion is unclear and not supported by the overall development of the purpose.

9.12 points

Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose.

10.28 points

The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose.

11.55 points

The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and logical conclusion aligns to the development of the purpose.

Evidence

Selects and integrates evidence to support and advance position/purpose; considers other perspectives.

0 points

Evidence to support the thesis, position, or purpose is absent. The writing relies entirely on the perspective of the writer.

7.43 points

Evidence is limited or irrelevant. The interpretation of other perspectives is superficial or incorrect.

7.82 points

Evidence is used but is insufficient or of limited relevance. Simplistic explanation or integration of other perspectives is present.

8.81 points

Relevant evidence that includes other perspectives is used.

9.9 points

Specific and appropriate evidence is included. Relevant perspectives of others are clearly considered.

Mechanics of Writing

Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.

0 points

Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.

7.43 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.

7.82 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.

8.81 points

Few mechanical errors are present. Suitable language choice and sentence structure are used.

9.9 points

No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.

Format/Documentation

Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.

0 points

Appropriate format is not used. No documentation of sources is provided.

4.95 points

Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.

5.21 points

Appropriate format and documentation are used, although there are some obvious errors.

5.87 points

Appropriate format and documentation are used with only minor errors.

6.6 points

No errors in formatting or documentation are present.