· Develop a 3–5-page position about a specific health care issue as it relates to a target vulnerable population. Include an analysis of existing evidence and position papers to help support your position

· Develop a 3–5-page position about a specific health care issue as it relates to a target vulnerable population. Include an analysis of existing evidence and position papers to help support your position. Your analysis should also present and respond to one or more opposing viewpoints.

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

Position papers are a method to evaluate the most current evidence and policies related to health care issues. They offer a way for researchers to explore the views of any number of organizations around a topic. This can help you to develop your own position and approach to care around a topic or issue.

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Context

Position papers are a way for individuals, groups, and organizations to express their views and intentions toward a specific issue. In health care, many position papers address specific policies, regulations, or other approaches to care. As a master’s-prepared nurse, you should feel empowered to express and advocate for your own views on policy and care matters. This is especially important when it comes to populations you or your organization cares for that are not receiving the quality, type, or amount of care that they require.

An important skill in creating a position paper or policy proposal is the ability to analyze and synthesize others’ views about the population or issue of interest to you. By synthesizing the positive and negative views of an issue, you can become better equipped to strengthen your own arguments and to respond to opposing views in an informed and convincing way.

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Questions to Consider

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

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Assessment 1 will be based on an analysis of position papers that are relevant to a health care issue related to a vulnerable population. Think about your experience working with vulnerable populations, and the issues related to health care you have observed for those populations, or reflect on the two Vila Health simulations in the Resources.

· What is the vulnerable population that most interests you?

1. What is the health issue that is most prevalent or severe in the population?

1. How does the health issue impact the daily lives of members of the population?

1. How does the care environment in your chosen context impact both the population and the level of care related to the health issue?

1. What are the biggest challenges that you would need to overcome to improve the outcomes for the population related to the health issue?

. What is your position on how to best work to improve the care and outcomes that the population is receiving?

2. What previously published position papers support your position, or the need to work to improve care and outcomes in general for the population?

1. How do these position papers support your assertions?

1. How could one or more of the position papers help you to form a treatment plan?

. What previously published position papers contradict your position?

2. What, if any, of these differences would make your position stronger if you incorporated them?

2. How could you respond to any irreconcilable differences in such a way as to encourage buy-in for your position from those opposed?

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Resources

MSN Program Journey

The following is a useful map that will guide you as you continue your MSN program. This map gives you an overview of all the steps required to prepare for your practicum and to complete your degree. It also outlines the support that will be available to you along the way.

· MSN Program Journey | Transcript.

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Suggested Resources

The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN-FP6026 – Biopsychosocial Concepts for Advanced Nursing Practice II Library Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you.

Assessment

· Centers for Disease Control and Prevention. (2013). Community health assessment for population health improvement [PDF]. Retrieved from https://stacks.cdc.gov/view/cdc/20707

· Vila Health: Resources for Topical Research | Transcript.

. This interactive simulation will make the most sense if you view it after Vila Health: Health Challenges in Different Populations (listed under Pathophysiology, below).

Genetics and Genomics

· Haeusermann, T., Greshake, B., Blasimme, A., Irdam, D., Richards, M., & Vayena, E. (2017). Open sharing of genomic data: Who does it and why? Plos ONE, 12(5), 1–15.

· Wolf, S. M. (2017). The continuing evolution of ethical standards for genomic sequencing in clinical care: Restoring patient choice. Journal of Law, Medicine & Ethics, 45(3), 333–340.

· Cheek, D. J., & Howington, L. (2017). Patient care in the dawn of the genomic age. American Nurse Today12(3) 16–22.

· Lea, D. H. (2009). Basic genetics and genomics: A primer for nurses. The Online Journal of Issues in Nursing14(2). Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol142009/No2May09/Articles-Previous-Topics/Basic-Genetics-and-Genomics.html

Pathophysiology

· Vila Health: Health Challenges in Different Populations  | Transcript.

. This media piece should be viewed before Vila Health: Resources for Topical Research (listed under Assessment, above).

Population and Public Health

· Edmonds, J. K., Campbell, L. A., & Gilder, R. E. (2016). Public health nursing practice in the Affordable Care Act era: A national survey. Public Health Nursing, 34(1), 50–58. Retrieved from http://onlinelibrary.wiley.com/doi/10.1111/phn.12286/full

· Thew, J. (2016). What a nurse knows about population health. Retrieved from http://www.healthleadersmedia.com/nurse-leaders/what-nurse-knows-about-population-health

Course Resources and Templates

· APA Style Paper Template [DOCX].

· APA Style Paper Tutorial [DOCX].

· APA Module

· Guiding Questions: Analysis of Position Papers for Vulnerable Populations [DOC].

· Nursing Masters (MSN) Research Guide.

Optional Resources

Position Papers

· The following are examples of position papers. You may find these helpful throughout this assessment. Even if you are not writing on one of these topics, the following are good examples of the types of resources you should be looking for to support your work in this assessment.

. Bryant, R., Porter, J. S., & Sobota, A. (2015). APHON/ASPHO policy statement for the transition of patients with sickle cell disease from pediatric to adult health care. Journal of Pediatric Oncology Nursing32(6), 355–359.

. Chiang, J. L., Kirkman, M. S., Laffel, L. M. B., & Peters, A. L. (2014). Type 1 diabetes through the life span: A position statement of the American Diabetes Association. Diabetes Care, 37(7), 2034–2054. Retrieved from http://care.diabetesjournals.org/content/37/7/2034

. The Society for Adolescent Health and Medicine. (2015). Position paper of the Society for Adolescent Health and Medicine: Medical management of restrictive eating disorders in adolescents and young adults. The Journal of Adolescent Health56(1), 121–125.

. Jacobs, M., Alonso, A. M., Sherin, K. M., Koh, Y., Dhamija, A., & Lowe, A. L. (2013). Policies to restrict secondhand smoke exposure: American College of Preventive Medicine position statement. American Journal of Preventive Medicine, 45(3), 360–367.

· Assessment Instructions

Scenario

Pretend you are a member of an interprofessional team that is attempting to improve the quality of health care and the outcomes in a vulnerable population. For the first step in your team’s work, you have decided to conduct an analysis of current position papers that address the issue and population you are considering.

In your analysis you will note the team’s initial views on the issue in the population as well as the views across a variety of relevant position papers. You have been tasked with finding the most current standard of care or evidenced-based practice and evaluating both the pros and cons of the issue. For the opposing viewpoints, it is important to discuss how the team could respond to encourage support. This paper will be presented to a committee of relevant stakeholders from your care setting and the community. If it receives enough support, you will be asked to create a new policy that could be enacted to improve the outcomes related to your chosen issue and target population.

The care setting, population, and health care issue that you use for this assessment will be used in the other assessments in this course. Consider your choice carefully. There are two main approaches for you to take in selecting the scenario for this assessment:

· You may use one of the issues and populations presented in the Vila Health: Health Challenges in Different Populations and Vila Health: Resources for Topical Research media pieces. For this approach, you may consider the population in the context of the Vila Health care setting, or translate it into the context in which you currently practice or have had recent experience.

· You may select a population and issue that is of interest to you and set them in the context of your current or desired future care setting. While you are free to choose any population of interest, the issue you choose should fall within one of the following broad categories:

· Genetics and genomics.

. Sickle cell, asthma, multiple sclerosis, myasthenia gravis.

· Immunity.

. Type 1 diabetes, systemic lupus erythematosus (SLE), congenital neutropenia syndrome.

· Chronicity.

. Arthritis, any type of cancer or lung or heart disease, obesity.

· Addiction.

. Abuse of alcohol, prescription drugs, tobacco, illegal substances.

· Emotion and mental health.

. Post-traumatic stress disorder (PTSD), depression, eating disorders, psychosis.

Note: If you choose the second option, contact the FlexPath faculty for your section to make sure that your chosen issue and population will fit within the topic areas for this course.

Instructions

For this assessment you will develop a position summary and an analysis of relevant position papers on a health care issue in a chosen population. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your submission addresses all of them. You may also want to read the Analysis of Position Papers for Vulnerable Populations Scoring Guide and Guiding Questions: Analysis of Position Papers for Vulnerable Populations to better understand how each grading criterion will be assessed.

· Explain a position with regard to health outcomes for a specific issue in a target population.

· Explain the role of the interprofessional team in facilitating improvements for a specific issue in a target population.

· Evaluate the evidence and positions of others that could support a team’s approach to improving the quality and outcomes of care for a specific issue in a target population.

· Evaluate the evidence and positions of others that are contrary to a team’s approach to improving the quality and outcomes of care for a specific issue in a target population.

· Communicate an initial viewpoint regarding a specific issue in a target population and a synthesis of existing positions in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling.

· Integrate relevant sources to support assertions, correctly formatting citations and references using APA style.

Additional Requirements

· Length of submission: 3–5 double-spaced, typed pages, not including the title and reference pages. Your plan should be succinct yet substantive. No abstract is required.

· Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that support your initial position on the issue, as well as a minimum of 2–3 sources of scholarly or professional evidence that express contrary views or opinions. Resources should be no more than five years old.

· APA formatting: Use the APA Style Paper Template linked in the Resources. An APA Style Paper Tutorial is also provided to help you in writing and formatting your analysis.

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