In a formal paper of 1,000-1,250 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?
Explore the Campaign for Action webpage (you may need to research your state’s website independently if it is not active on this site): http://campaignforaction.org/states
Review your state’s progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.
In a paper of 1,000-1,250 words:
1. Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
2. Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.
3. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?
 
Summarize two initiatives spearheaded by your state’s action coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?
A minimum of FOUR scholarly references are required for this assignment. CITE WEBSITE SOURCE Prepare this assignment according to the APA STYLE, an abstract is not required.

                                  Discussion: Nurses as Health Advocates
What does it take to be an effective health advocate? As a nurse, you have many opportunities to advocate for patients and populations, whether formally or informally. Being an advocate involves more than knowing how to lobby or to whom to write letters. It requires passion and compassion, commitment and courage.
In this Discussion, you will consider the attributes of an effective advocate for population health and/or the nursing profession. You will analyze those attributes that help nurses be a powerful force in improving the quality of health care and in this case especially, the needs of returning veterans and their families.
                                                     To prepare:
Review the article “On Being a Good Nurse: Reflections on the Past and Preparing for the Future” and “War, its aftermath, and U.S. health policy: Toward a comprehensive health program for America’s military personnel, veterans, and their families” found in this week’s Learning Resources.
    Consider the multiple health care needs of returning veterans and their families.
Post two types of health needs returning veterans and their families might need. How might you advocate for the needs of this population. What type of advocacy skills would you need and how could you develop them. What responsibility does a nurse have to be an advocate? Give specific examples.
CITE AT LEAST 3 REFERENCES
CHECK THE DOCUMENY ATTACHED BELLOW TO COMPLETE THE DISCUSSION QUESTION

 
Dilemma is the word I have chosen to describe this situation. Unfortunately, I think this is a very common occurrence within this setting for nurse practitioners. The practitioner in this scenario is faced with having integrity in treating the patient properly and seeing other patients and maintaining volume in order to be compensated financially. When it comes to nurse staffing to patient ratio, one article says that it is important to have a balance in order to provide the best patient outcomes (Clarke & Donaldson, 2008). Another article talked about how healthcare has incongruent goals. These goals include improving patient outcomes while providing patient-centered care and keeping costs down (Judge-Ellis & Wilson, 2017). This is exactly what this scenario shows.
My Experience with this Situation
       I have felt in a similar situation on a smaller scale. When our unit became increasingly busy and our staffing was down I had to take on an additional patient and,at the time, I was not comfortable with the load. I felt that I was not equipped to give the patients the best care and safety required. Unfortunately, our unit was not in a position to get additional help, especially so quickly, and I had to figure it out. I was able to care for the patients as needed and got some help. The amount of stress and even fear this added to my work was worrisome. This is not a position that was comfortable and I would think being in this given scenario would be worse. I would hate to have my work integrity and my finances go head to head. I would like to think I would care for the patients and I am sure at times I would and at others the financial aspect would guide my decision making.
Reference
Clarke, S. & Donaldson, N. (2008). Nurse staffing and patient care quality and safety. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK2676/ (Links to an external site.)Links to an external site.
Judge-Ellis, T. & Wilson, T. (2017). Time and NP practice: naming, claiming, and explaining the role of nurse practitioners. Retrieved from https://www.npjournal.org/article/S1555-4155(17)30602-5/pdf
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The word metaphor I chose for this scenario is “actuality”, because a similar scenario likely unfolds in primary care offices around the country on a daily basis. During my most recent clinical rotation, it was expected that all providers schedule a patient every 15 minutes, and remain timely. This is common practice throughout primary care in the United States. Primary care institutions across the U.S strive to create value for their consumers (Budrevičiūtė et al, 2018), but at what cost? During my rotation, I struggled to identify what needs of the patient were most important to them. Often, I felt as though the patients could benefit from a little extra time with the provider.
            As nurses, it is engrained in our being to put the patient first, and address all needs. Being a nurse practitioner does not change our inherent desire to fix all of our patient’s problems. However, this does set us aside from other providers such as MDs, DOs, and PAs. From the time we are in nursing school to now – we are taught to address the whole patient. So, how I would address this issue? I would prioritize the patient’s most pressing health-care needs. I would follow this patient on a regular basis, even weekly if needed to put him on the right track.
Budrevičiūtė, A., ⨯ Ramunė Kalėdienė, & Petrauskienė, J. (2018). Priorities in effective management of primary health care institutions in lithuania: Perspectives of managers of public and private primary health care institutions.PLoS One, 13(12) doi:http://dx.doi.org/10.1371/journal.pone.0209816
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