Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points.

See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.

Peer 1

Topic 1

From the chapter “The Changing United States Health Care System” in your course textbook, using either the story of Wald’s efforts to improve the health status of impoverished immigrant communities or the story of how advanced practice registered nurses have struggled with their legitimacy within the health care delivery system, compare your own experience in nursing.

  • Have there been challenges you have faced? If so, what strategies did you employ to overcome these challenges?
  • How do you envision your career moving forward in advocating for your patients? Your community? Yourself?

The struggle with legitimacy within the health care system still continues today. The stories of nurse practitioners and public health nurses are also connected by the ability to thrive and continue negotiations within a slow and subtle policy process (Mason 2016). I have seen that many nurse practitioners continue to find their way. I have seen where the nurse practitioners on a patient’s team may make an independent decision and the primary physician may come and discontinue the order. This can be very discouraging for up and coming nurse practitioner because they have the patient’s best interest at heart. Often times to overcome the challenges, we find it best to come together and discuss the patient’s treatment plan to make the best decision for the patient’s diagnosis and  still continue to be an advocate for the patient.

As I envision my career, I know that there will continue to be many obstacles that come may way. I have always tried to  be an advocate for all my patients and sometimes the nurse is the only person that the patient can depend on. When patients come to the hospital, they voice their concerns to us with hope that we will communicate with the physician. Because we are our patient’s advocates, our advocacy will resonate throughout the community because they will brag on the treatment they received when we cared for them. As a nurse, it brings me great joy when I know that I have made a difference in someone’s life during my 12 hour shift. Many times,  this joy may be the only motivation that I have to go back and conquer the next shift. I have seen so many things change, but many still remain the same.

D. Mason, D. Gardener, F. Outlaw, E. O’Grady. Policy & Politics in Nursing and Health Care. 2016 7th edition. Elsevier Inc.


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