Chapter 1 for action in policy and politics
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Questions and Answers

What impact do social determinants of health have on different populations?

  • They have no significant influence on healthcare outcomes.
  • They equally affect all individuals regardless of socioeconomic status.
  • They primarily benefit wealthy populations.
  • They create greater health inequities in disadvantaged communities. (correct)

    • How does the Affordable Care Act (ACA) address social determinants of health?

  • By focusing only on improving individual health outcomes.
  • By eliminating any mention of social determinants in health policies.
  • By providing free healthcare services to all individuals.
  • By requiring nonprofit hospitals to conduct community health assessments. (correct)

    • What role do nurses play in transforming healthcare according to the content?

  • They have no influence on healthcare delivery systems.
  • They solely focus on administering medication.
  • They are critical in preventing illnesses and promoting health. (correct)
  • They primarily conduct research without patient interaction.

    • What initiative identified innovative nursing models of care?

    <p>American Academy of Nursing's Raise the Voice Campaign.</p> Signup and view all the answers

    What does the evidence production cycle consist of?

    <p>Evidence production, policy development, implementation, and evaluation.</p> Signup and view all the answers

    What is one of the primary focuses of improving U.S. population health?

    <p>Enhancing health promotion and wellness initiatives.</p> Signup and view all the answers

    What are 'Edge Runners' in the context of healthcare?

    <p>Models of care developed by identified nurses addressing social determinants.</p> Signup and view all the answers

    Which program mentioned was included to scale up under the ACA?

    <p>Transitional care and home visitation programs.</p> Signup and view all the answers

    What is the focus of the Quadruple Aim framework?

    <p>Enhancing patient experience and clinician satisfaction</p> Signup and view all the answers

    Which component is NOT part of the approach to achieving the Triple Aim?

    <p>Increased use of acute care funding</p> Signup and view all the answers

    What does the term 'health in all policies' imply?

    <p>Social and economic policies directly influence health outcomes</p> Signup and view all the answers

    What is one primary goal of nursing to address within the Quadruple Aim?

    <p>Engage more creatively with patients and communities</p> Signup and view all the answers

    How many NMHCs are there in the United States as mentioned?

    <p>Over 200</p> Signup and view all the answers

    Which of the following describes a primary focus of nurses in relation to community health?

    <p>Raising questions about public policies affecting health</p> Signup and view all the answers

    What major challenge is highlighted for the nursing profession's future evolution?

    <p>Addressing the Quadruple Aim effectively</p> Signup and view all the answers

    What aspect is emphasized as essential for healthcare organizations within the Quadruple Aim framework?

    <p>Identifying and resolving systemic problems</p> Signup and view all the answers

    What was a primary limitation of the Affordable Care Act (ACA) mentioned?

    <p>It did not sufficiently promote community health</p> Signup and view all the answers

    What is one of the critical components for creating a high-performing healthcare system?

    <p>Cost-control platforms and population health management</p> Signup and view all the answers

    What is a key competency expected of DNP graduates in nursing?

    <p>Design and advocate for health policies</p> Signup and view all the answers

    What can help nursing students develop critical thinking and problem-solving skills?

    <p>Engagement in public policy learning activities</p> Signup and view all the answers

    What is a major limitation to the full practice authority for APRNs as mentioned in the Future of Nursing report?

    <p>State laws and regulations</p> Signup and view all the answers

    Why is knowledge considered an asset for nurses in policy-making?

    <p>It fosters effective use of power and humility</p> Signup and view all the answers

    According to a study, what is a common issue among undergraduate nursing students?

    <p>Unawareness of the significance of political activity</p> Signup and view all the answers

    What role does the government play in healthcare as mentioned?

    <p>It provides significant funding and regulation.</p> Signup and view all the answers

    Which group lobbies for federal funding for nursing education?

    <p>The Congressional Nursing Caucus.</p> Signup and view all the answers

    In what settings do nurses typically work?

    <p>Various environments including government agencies.</p> Signup and view all the answers

    What does the Affordable Care Act (ACA) aim to achieve regarding nursing education?

    <p>Increase funding for nursing scholarships and loans.</p> Signup and view all the answers

    Which of the following is NOT a form of influence nurses can exert in policymaking?

    <p>Ignoring internal organizational policies.</p> Signup and view all the answers

    How do state governments affect nursing practice?

    <p>They regulate licensure and determine professional scope.</p> Signup and view all the answers

    What is one effect of federal and state policies on nursing?

    <p>They guide important nursing activities and patient care.</p> Signup and view all the answers

    Which of the following best Describe directive influences of government on healthcare?

    <p>Government action regulates various aspects of healthcare.</p> Signup and view all the answers

    What aspect of the nursing practice is significantly influenced by policy?

    <p>Staffing ratios in hospitals.</p> Signup and view all the answers

    What common misconception exists about the government's role in nursing?

    <p>Government plays a vital role in shaping nursing scope and education.</p> Signup and view all the answers

    What is one significant impact of health policy on nursing practice?

    <p>It determines the types of healthcare nurses can provide.</p> Signup and view all the answers

    What factor contributes to the visibility issues of nurses in health news stories?

    <p>Nurses' reluctance to engage with journalists.</p> Signup and view all the answers

    According to the Institute of Medicine's report, what role should nurses play in the health care system?

    <p>Be leaders in redesigning health care.</p> Signup and view all the answers

    What type of policy is created by governments to influence health behaviors among citizens?

    <p>Public policy</p> Signup and view all the answers

    Which movement is suggested to potentially help reveal and mitigate biases against nurses?

    <p>#MeToo Movement</p> Signup and view all the answers

    What societal challenges affect nurses' representation and authority in health care?

    <p>Societal inaccuracies about nurses' roles.</p> Signup and view all the answers

    What is a common underpinning of both social and private policies?

    <p>They identify courses of action to address specific concerns.</p> Signup and view all the answers

    What percentage of health news stories listed nurses as sources according to a 2018 study?

    <p>2%</p> Signup and view all the answers

    What aspect of policy can be defined as a stable, purposive course of action by actors?

    <p>Public policy</p> Signup and view all the answers

    What has been noted as a need for nursing development according to the interim evaluation of the IOM report?

    <p>More emphasis on developing leadership skills.</p> Signup and view all the answers

    Study Notes

    Understanding Social Determinants of Health

    • Social determinants of health are crucial in determining individual and population health, contributing to significant health inequities.
    • Disadvantaged groups face worse health outcomes, less access to care, and shorter life expectancies compared to wealthier individuals.
    • Measurement and description of social determinants provide critical evidence for political action and policy development.

    Affordable Care Act (ACA) Initiatives

    • The ACA underscores the healthcare system's responsibility in addressing upstream factors, such as community health.
    • Nonprofit hospitals must conduct community health assessments and create improvement plans, fostering population health focus.
    • Emphasis on social determinants is needed for better health promotion, wellness, and chronic care management.

    Role of Nurses in Healthcare Transformation

    • Nurses are pivotal in shifting from a disease-oriented care model to a preventive health care model.
    • A 2017 report advocates for utilizing registered nurses as leaders in primary care systems to enhance healthcare delivery.
    • Innovative nurse-led models, termed "Edge Runners," demonstrate how to transform health care by addressing social determinants.

    Innovative Models and Programs

    • Notable nurse-led programs under the ACA involve transitional care, home visitation for high-risk pregnant women, and nurse-managed health centers (NMHCs).
    • 11th Street Family Health Services in North Philadelphia exemplifies a successful NMHC, improving outcomes in underserved areas.

    Health in All Policies Approach

    • "Health in all policies" integrates health considerations into broader social and economic policies beyond healthcare, which includes education and housing.
    • Nurses have the potential to influence policy by highlighting health implications across various sectors.

    The Quadruple Aim Framework

    • The Quadruple Aim prioritizes improving population health, enhancing patient experience, reducing costs, and increasing clinician and staff satisfaction.
    • By examining healthcare issues through this lens, organizations can identify systemic problems and better allocate resources.

    Importance of Leadership in Nursing

    • Progress in nursing hinges on proactive leadership roles, breaking down silos, and centering care around patients and families.
    • Health policy initiatives significantly affect nursing practice, access to healthcare, and overall healthcare delivery systems.

    Policy and its Impact on Health

    • Policy is defined as authoritative decisions made by governments influencing citizen behaviors; public policy specifically pertains to health sectors.
    • The government plays a vital role across the lifespan, from health care funding to establishing regulations affecting nursing practice.

    Nursing's Influence on Policy

    • Nurses can shape health policy at various government levels through advocacy, legislative service, testimonies, and grassroots movements.
    • The Congressional Nursing Caucus supports federal funding for nursing education and broader participation in health policy discussions.

    Workforce Dynamics and Policies

    • Nurses work in diverse settings, governed by both internal and external policies affecting their roles.
    • The ACA has increased funding for nursing education, promoting workforce development and capacity building.

    Nursing Curriculum and Policy Competency

    • The American Association of Colleges of Nursing emphasizes policy competency in nursing curricula to ensure well-rounded graduates.
    • Engaging nursing students in public policy activities enhances necessary skills like critical thinking and political competence.

    Conclusion: The Power of Nursing Engagement

    • Engaging with professional organizations and promoting policy awareness can harness the potential of 4 million registered nurses in the U.S.
    • The Future of Nursing report calls for expanding APRN practice authority and fostering a health-focused culture at community and national levels.
    • Effective nurse engagement requires knowledge, humility, and problem-solving abilities to inspire systemic healthcare improvement.

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    Description

    This quiz explores the impact of social determinants on health outcomes and the initiatives under the Affordable Care Act (ACA). It highlights the role of healthcare professionals, especially nurses, in promoting health equity and community wellness. Test your knowledge on how these factors influence individual and population health.

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