Replies for peers. Need ONE Response Per Each Discussion Total 4 Responses. Attached Are The Discussions And Rubric Please Follow Them. Posts Will Be A Minimum Of 100 Words, APA Format.One Reference Per Each Discussion

Mileidys Martinez
 – Wednesday, August 10, 2022, 8:32 PM

Number of replies: 4

In order for the population of the United States to benefit from optimal quality health care, it must effectively have certain policies that are strongly coordinated within a public health system, considering the role of the health care sector in ensuring the nation’s health.

Health care policy and systems refer to the set of objectives, decisions, and implementation actions that determine the mode of administration and access to health care. Health policy is always subject to change, for this reason, nurses should always have representation in Congress to also advocate for their own needs. (Bartmess et al., 2021).

All professional groups and different private and public purchasing health organizations should act together and work on the same purpose of decreasing the burden of disease, slowing disability statistics, and improving the health system in the United States. On the other hand, when policy objectives are focused on ensuring equitable coverage of all people with chronic diseases, injuries and disabilities leads to compromising access to health care services and proper management.

The nursing staff plays a critical role in performing different functions to ensure that there is a healthier audience and that the cost of health care is reduced. A nurse can be a great health promoter, she can be an educator, and at the same time a caregiver. An advanced nurse can drive and lead policy reforms to achieve a health system that is more equitable and provides a higher quality of care. Nurses have an important and innovative role in health clinics by encouraging the development of home visiting programs for low-income mothers and avoiding repeated hospitalizations, at a lower cost as well as access to rural areas. (Teuteberg et al., 2019). The emphasis should be on quality and safety, evidence-based practice, research, leadership, teamwork, and collaboration, critical to seamless high-quality care and the involvement of policymakers and stakeholders.

All nurses must maintain up-to-date training to provide culturally competent care. The development of nursing research contributes to the construction of the scientific bases for clinical practice, preventive actions, and obtaining better results in the recovery of patients’ health. The use of modern medical technology should establish electronic documentation systems to improve the quality of services. (Mason et al., 2020).

By working with physicians, nurses can provide cost-effective care and help minimize the shortage of medical staff in primary care and together as members of a health team advocate for patients, families, caregivers, and communities.

This course has allowed us to deepen and enrich our knowledge about the formation and structure of health care policy and the role of politics in the provision of health services based on ethical and legal principles by examining their levels of development, as well as the impact of economic and political issues, established in health care reform. As future nurse practitioners, it has provided us with new knowledge as well as visualizing ourselves more clearly in the management of patients and their environment in the community.



         Bartmess, M., Myers, C. R., & Thomas, S. P. (2021, July). Nurse staffing legislation: Empirical evidence and policy analysis. In Nursing Forum (Vol. 56, No. 3, pp. 660-675). John Wiley & Sons, Ltd

        Teuteberg, D., Newcomb, P., & Sosa, S. (2019). Nurse practitioner management of uninsured, rural adults with chronic illness. The Journal for Nurse Practitioners15(4), e77–e79.

        Mason, D. J., Perez, A., McLemore, M. R., & Dickson, E. (2020). Policy & Politics in Nursing and Health Care-E-Book. Elsevier Health Sciences.




iscussion Week 15

by Yarida Montejo Napoles – Saturday, August 13, 2022, 9:09 AM

Number of replies: 4

The course enhanced my understanding of health policy, especially for nurses. I learned that policy work allows nurses to influence healthcare for patients and the broader community in the present and future. For instance, nurses can advocate for patient data to be in an appropriate language to enable healthcare consumers to participate in decision-making. Advocacy is a nursing responsibility because it results in policies that eliminate healthcare disparities, promoting patients’ welfare and medical outcomes (Nsiah et al., 2019). At the same time, nursing advocacy creates a safe and clean environment for patients and safeguards the human rights of all. This understanding has altered my perception of the healthcare profession. I thought becoming a nurse only involved taking care of patients and families. As a result, I focused on acquiring clinical knowledge and skills at the start of the course. However, my approach changed when I learned the role of nursing in policy formulation. I developed the competencies needed to participate in formulating clinical regulations and other political issues, including strong communication capabilities and empathy. Therefore, the information and competencies I obtained from the course place me in an excellent position to participate in nursing policy formulation.

            My mentor also played a critical role in my experiences and the skills I learned during the course. Even though I enrolled in the mentorship to strengthen my understanding of the course concepts, the program boosted my communication, interpersonal, and communication skills. The mentor taught me the right engagement and messaging strategies to utilize in political courses. As a result, I believe I can contribute to nursing policies comfortably and promote patients’ and families’ well-being. Likewise, the mentorship strengthened my confidence and self-awareness, which enabled me to execute my nursing and advocacy roles competently. Thus, the mentorship strengthened my interpersonal and professional skills, equipping me with competencies to be an effective nurse and advocator.



Nsiah, C., Siakwa, M., & Ninnoni, J. (2019). Registered Nurses’ description of patient advocacy in the clinical setting. Nursing Open6(3), 1124–1132.



Student’s Name: Leydis Dominguez.

Institution Affiliation: Miami Regional University.

Course Name: Healthcare Policy and Delivery Systems

Professor Name: Julette Anderson.



Healthcare is one of today’s most dynamic, decisive, and frequently polarizing political issues. From the hospital to the courtroom, our ability to maintain good health and make informed decisions about our care is impacted by the policies passed during legislative sessions. Those issues that pertain to health care coverage and those that pertain to the underlying cost of health care make up the two main areas of health care policy concerns. Comparatively, underlying cost policies aim to reduce overall health care spending by lowering either the price or consumption of health care, whereas coverage policies focus on where and how Americans receive health insurance and how it is paid for, and what it covers (Mason, et al., 2020).

Disputes over healthcare coverage and the true cost of care are frequent political issues in the United States. Protecting individuals from catastrophic medical bills and expanding access to medical treatment are two primary goals of health insurance. How Americans can get health insurance, how much it will cost, and whose costs will be covered are all set by coverage policies. Reducing the number of uninsured people, whether or not Americans should continue to receive coverage via their workplace if health insurance deductibles are too expensive, and adjusting the rates required under federal coverage programs are all part of this subject (Mason, et al., 2020). The percentage of healthcare costs covered by various government programs and the redistribution of costs among those with differing degrees of need are two ways in which many coverage plans affect the number of money households must spend out of pocket for medical care. However, other proposals would reduce expenditures by reducing demand for health care services or by decreasing the cost of delivery. While such measures might theoretically reduce health care costs across the board, in practice they are typically easier conceived than implemented.


Impact of Mentors 

Many healthcare organizations have adopted mentoring programs to address a wide range of human resource issues, and this trend is expected to continue. Mentorship is widely acknowledged to be an essential part of medical education. It’s an excellent tool for fostering interdisciplinary teamwork, expanding educational possibilities, and increasing employee engagement and productivity. In addition to helping mentees advance in their careers, mentors also stand to gain personally from experience. In recent years, mentorship has emerged as a crucial element in the medical sphere (Wellmon, et al., 2017). Mentorship is one method that might be used to help members of these groups better grasp the fundamentals of their work. A mentor acts as a coach and a teacher, devoting time and energy to another person while imparting knowledge and encouraging them to grow. It calls for a certain level of selflessness and a love of helping others. It is widely considered that having a mentor has a significant impact on one’s personal growth, career direction, and ultimate profession choice. Conflict of interest, power imbalances, and excessive expectations are potential ethical dilemmas and challenges in mentoring relationships.



Mason, D. J., Perez, A., McLemore, M. R., & Dickson, E. (2020). Policy & Politics in Nursing and Health Care-E-Book. Elsevier Health Sciences.

Wellmon, R., Baumberger-Henry, M., Colby, N., Knauss, L., & Fletcher, P. (2017). Changing student attitudes toward interprofessional learning and collaboration: Evidence for the effectiveness of partnering with healthcare mentors in the academic setting. Journal of allied health46(4), 205-212.

583 words



Jean-Pierre Aubourg


MSN5400 – Healthcare Policy and Delivery System

Dr. Julette Anderson

August 17, 2022


The topics covered in this class over the last 15 weeks has opened my eyes and have showed me that healthcare goes beyond taking care of sick people in a hospital. We have to take into account the social, economic, environmental, cultural and political aspect of healthcare promotion, policy and delivery systems. For instance, before taking this class I never heard about the notion of “Healthy People 2020 and 2030” for instance, among many other concepts that I learnt during this semester. Until now, I was not aware how important is health literacy/education in reducing disparities and achieving health equity and accessibility.

Proponents of public health and public authorities often present healthcare as an imperative value to be defended for its own sake. As a result of this legitimacy in principle, healthcare has become a priority that would impose itself on public action and political decision-makers. In fact, Healthcare is a powerful factor of political legitimacy for government whether we judge by the interest they give to the growth of life expectancy or to the performance of health systems. The discourse on the imperative value tends to place healthcare beyond the reach of politics and have led authorities to adopt public health policies and to justify political intervention in healthcare.

Health is more than the absence of disease, especially when this is perceived as an individual phenomenon, attributable exclusively to a physiological disorder. The understanding of healthcare cannot be ensured by medicine alone, even with the help of epidemiology; humanities and social sciences play an important role in this understanding. This class has taught me that healthcare is a social phenomenon as well as an individual one. In fact, all society gives shape and content to illness, whether through representations of individuals or the conceptions developed by certain groups or by society as a whole. They do that through institutions of care or support systems and through the state and development of medical, scientific and technical knowledge under the influence social norms and values. These considerations involve seeing healthcare, sickness and diseases not only as the condition of an individual body but as a phenomenon inscribed in the practices and discourses of the entire society. Illness is also what threatens or alters personal life, social integration and   collective balance.  Healthcare is a dynamic reality that is part of a process starting in utero.


Throughout the semester I was exposed to, almost if not all, the major topics and tenets of healthcare policy and politic, from access to delivery/outcome of healthcare system. I have learnt so much and understand better the healthcare system in the United States, and the crucial and pivotal role nursing play in achieving and maintaining this healthcare system at the federal, state and local level. Indeed, I came to realize there is no healthcare system without nurses as the biggest professional group in healthcare; and I’m so proud and grateful to be part of such a noble profession. Finally, I did not really feel the impact of other mentors in this course except for tremendous help, guidance and advices that I receive from my professor, Dr Anderson.




1. Anders R L. Engaging nurses in health policy in the era of COVID‐19. Nurs Forum. 2021 Jan-              Mar; 56(1): 89–94. Published online 2020 Oct 6. doi: 10.1111/nuf.12514

2. Artiga, S, Hinton E.  Beyond Health Care: The Role of Social Determinants in Promoting Health     and Health Equity. Kaiser Family Foundation. Published: May 10, 2018. 1.        [PubMed]

3. Levine, L L. Healthy People 2030: A Beacon for Addressing Health Disparities and Health               Equity. Journal of Public Health Management and Practice: November/December 2021 –     Volume 27 – Issue – p S220-S221, doi: 10.1097/PHH.0000000000001409

4. McCartney G, Hearty W, Arnot J et al. Impact of Political Economy on Population Health: A           Systematic Review of Reviews. American Journal of Public Health (AJPH), Accepted:              December 27, 2018, Published Online: May 08, 2019.

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