NURS 6050 Week 8 Assignment Advocating For The Nursing Role In Program Design And Implementation

Osteoporosis and low bone density affect approximately 54 million Americans making it a growing health issue in the United States. Osteoporosis affects a significant proportion of the aged American population, according to statistics. The implication is that a sizable proportion of the population is predisposed to increased rate of bone fractures and breakage that might not be easy to heal. Osteoporosis prevention and reduction programs have been implemented in the United States (Lieberman et al., n.d.). This paper aims at looking in nursing role in osteoporosis reduction program implemented in my practice.

What is the Cost and Projected Outcome of the Program?

The Osteoporosis Prevention Program is a program that has been implemented in my practice to address high incidences of post knee and hip bone surgeries. The Texas government created the OPP program with the goal of preventing and reducing osteoporosis rates in the state. Implementation of the OPP program was necessitated by the fact that close to one-third of the population in Texas was suffering from recurrent bone fractures in 2015. This program is guided by a number of principles. They include addressing the social determinants of health that contribute to osteoporosis, increasing resource availability, and transforming environments to promote physical activity and healthy eating.

In order to meet the program’s objectives, a number of activities have been implemented.

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They include expanding possibilities for healthy eating, encouraging active living through the construction of healthy settings, and providing community and clinical preventive interventions for people who are at risk of becoming bone fractures. The initiative also improves the chances of children and elderly populations at risk having a healthy lifestyle, as well as public health efforts aimed at preventing osteoporosis (Osteoporosis Treatment & Prevention in Houston, Texas, n.d.). The program’s implementation costs are paid for with public funds. Projected outcomes include a decrease in the state’s bone fracture rate, a decrease in morbidity and mortality rates, and increased access to healthy foods and environments for the population (des Bordes et al., 2020). It is also expected to improve Texans’ health and well-being, as evidenced by increased awareness, lifestyle, and behavioral changes on health-related issues.

What is the target Population?

According to the research, the program targets all of the populations in Texas that are at risk of or affected by osteoporosis and low bone density associated with post knee and hip bone surgeries. The state’s population includes children, adults, and the elderly. The program addresses the social inequalities that contribute to the state’s osteoporosis problem. It also broadens the population’s access to healthy living options, regardless of background.

What is the role of the nurse in providing input for the design of this healthcare program? What are the examples?

My experience and research have taught me that nurses play a variety of roles in providing input for the design of the OPP program. The first role they play is to ensure that the program’s strategies align with the expected goals and objectives. They ensure, for example, that the strategies adopted are relevant to the needs of the populations affected and at risk of bone fractures and osteoporosis. The nurses’ other role in contributing to the design of OPP is to ensure that the needs of the target population are incorporated into the program.

For example, they conduct needs assessments to identify health-related aspects that should be prioritized in the project, thereby increasing the project’s relevance to the population (Curry et al., 2018). Another way nurses influence the design process is by assisting in determining the program’s resource requirements. Adequate resources, such as financial and human resources, are required for the program’s successful implementation. As a result of their experience with public health programs, nurses can contribute insights into the resources that are required.

What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?

My responsibilities as an advocate for populations at risk of or affected by the OPP program are diverse. One of them is to ensure that adequate public awareness of the program’s importance and use of its strategies is generated. Health education is required to ensure that those at risk of or affected by osteoporosis understand the lifestyle and behavioral interventions required for their health and well-being. My other role as an advocate is to ensure that all members of the community have equal access to and use of the program initiatives. I ensure that all affected and at-risk populations have improved access to program resources to promote their health. I address issues such as costs associated with the population’s use of the program. I also connect people with the resources they require. For example, I assist them in gaining access to community support groups where they can obtain the assistance, they require in managing and preventing osteoporosis and bone fractures. I had a say in the design. I collaborate with other program stakeholders to define the program’s goals, strategies, and objectives. In addition, I help to determine the program’s resource requirements.

What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?

Nurses play a variety of roles in healthcare program implementation. One of the roles of nurses in the implementation of healthcare programs is that of implementers. Nurses help to carry out the program’s strategies. They put the strategies developed to bring the program to life into action. Another role of nurses in program implementation is to coordinate the process. Nurses can help ensure that the program’s strategies are followed as planned. They also make certain that the allocated resources are used to their full potential in order to achieve the program’s objectives. Working with the project management team to evaluate resource utilization versus plan to identify any deviations and implement changes is one example (Pinheiro et al., 2020). However, the roles differ in program design and implementation. Nurses are involved in the development of program plans. During the implementation phase, they carry out the plans.

The design phase is also hands-off because it includes strategy development, whereas the implementation phase is hands-on because it includes the actual use of strategies in practice.

Who are the members of a healthcare team that you believe are the most needed to implement a program? Can you explain why?

Registered nurses, dieticians, and physicians are the members of the healthcare team I believe are most needed to implement the OPP program. Registered nurses perform tasks such as screening, health education, and follow-up on patients. Dieticians perform tasks such as nutritional assessment and counseling for the at-risk patients. Finally, doctors diagnose and treat these patients.

Conclusion

The osteoporosis prevention program is a successful one to help curb the increased incidences of post knee and hip bone surgeries. The program aims to educate those who are impacted by osteoporosis and those who are at risk of developing the condition in future life about how to live a better lifestyle. Nurses are vital in the planning and implementation of programs. All stakeholders involvement is crucial to the success of the program.

References

Curry, S. J., Krist, A. H., Owens, D. K., Barry, M. J., Caughey, A. B., Davidson, K. W., Doubeni, C. A., Epling, J. W., Kemper, A. R., Kubik, M., Landefeld, C. S., Mangione, C. M., Phipps, M. G., Pignone, M., Silverstein, M., Simon, M. A., Tseng, C.-W., & Wong, J. B. (2018). Screening for Osteoporosis to Prevent Fractures. JAMA, 319(24), 2521. https://doi.org/10.1001/jama.2018.7498

des Bordes, J., Prasad, S., Pratt, G., Suarez-Almazor, M. E., & Lopez-Olivo, M. A. (2020). Knowledge, beliefs, and concerns about bone health from a systematic review and metasynthesis of qualitative studies. PLOS ONE, 15(1), e0227765. https://doi.org/10.1371/journal.pone.0227765

Lieberman, I. H., MD, MBA, & FRCSC. (n.d.). Osteoporosis Prevention Plan. SpineUniverse. https://www.spineuniverse.com/conditions/osteoporosis/how-start-your-osteoporosis-prevention-plan-today

Osteoporosis Treatment & Prevention in Houston, Texas. (n.d.). Texas Endocrinology Group. Retrieved October 24, 2021, from https://www.txendocrine.com/services/osteoporosis/

Pinheiro, M. B., Oliveira, J., Bauman, A., Fairhall, N., Kwok, W., & Sherrington, C. (2020). Evidence on physical activity and osteoporosis prevention for people aged 65+ years: a systematic review to inform the WHO guidelines on physical activity and sedentary behaviour. International Journal of Behavioral Nutrition and Physical Activity, 17(1). https://doi.org/10.1186/s12966-020-01040-4

Question 1

One of the most frequently handled infections in the nursing home is UTI. This infection poses problems regarding its proper treatment administration. I work for an organization with 36 long-term care facilities, all under the same upper corporate management, although they function differently. I have been in charge of my facilities’ infection control for the last three years, and in this period, I have witnessed the outrageous number of UTI infections reported. About 70% of all the total reported infection cases in my facility are UTI cases.

We are looking to develop a health care program that will ensure that there is a reduction of inappropriate antibiotics used to deal with these cases. This initiative achieved quite remarkable success when rolled out in my facility, significantly reducing the infections rates. Therefore, I am looking to have it rolled out in the rest of our facilities. The primary focus of this initiative is to ensure patients with UTI are prescribed the appropriate antibiotics as we rid the non-effective ones to decrease the number of UTI cases.

The costs projected in this project are traveling and training material costs as I will have to travel to all our 36 facilities and train all the nursing practitioners and staff.

Question 2

The program targets the elderly in our long-term care facilities. Several research studies indicate that they are the most at-risk populations to contracting urinary tract infections.

Question 3 &4

We, as nurses, will conduct assessment and Request (SBAR) for the patients with symptoms of UTI rather than randomly requesting physicians to provide urinalysis on the patient’s samples. In essence, the program will ensure that inappropriate antibiotics used to treat UTIs are disposed of, which will improve the effectiveness of the appropriate antibiotics among patients. In addition, nurses will work with other professionals in the healthcare facilities to prescribe the right antibiotics to UTI patients.

A design example is as follows:

All the nursing staff at each of our training facilities will be acquainted with UTI classic symptoms and told to watch out for any of these symptoms inpatient analysis.

100or 2.4 increase above baseline
New delirium onset
Rigors
New Flank tenderness/pain

All NPs will submit their forms to me since I am the infection control nurse. I will ensure all criteria are adequately satisfied, after which the nurses can now notify the respective clinicians.

Question 5

As previously stated, my target population includes the older adults who are accommodated in nursing homes since these facilities top the list for harmful antibiotics resistant infection strain breeding grounds. We will eliminate the unneeded antibiotics that might become resistant and provide new and appropriate antibiotics for UTI.

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Nursing professionals in today’s healthcare systems are on the front line making new important policies and decisions. Specifically, RNs (Registered Nurses) and APRNs (Advanced Practice Registered Nurses) can proactively participate in policy-making processes within their practice settings (Barzegar et al., 2020). For instance, they can join professional nursing organizations such as the American Nurses Association to lobby and advocate for important changes (American Nurses Association). The discussion seeks to explore and understand some challenges and opportunities for nursing professionals participating in policy-making.

Opportunities that exist for RNs and APRNs to participate in policy-making

The RN and APRN have numerous opportunities and options to participate in policy-making. For instance, they can participate in direct patient care and advocacy by joining professional nursing organizations (Milstead & Short, 2019). These professional nursing organizations can influence the development and implementation of essential health policies in favor of nurses and patients. Nurses can advocate for change through these professional nursing organizations (Milstead & Short, 2019). They can also use this opportunity to bring social issues in healthcare to policymakers’ attention.

RNs and APRNs also have the opportunity to push for the formulation and implementation of important policies suitable for their practice settings. For instance, they can request a review of inappropriate or ineffective workplace policies. They can also engage in evidence-based research to help policymakers identify possible problems, estimate the cost of the targeted changes, and help with the cost-benefit analysis (Milstead & Short, 2019). Most organizations consider nurses professional experts when formulating policy decisions or drafting new legislation to attain the best patient outcomes for the community being served. Finally, nurses can participate in policy-making by engaging in education (Milstead & Short, 2019). Specifically, they can educate policymakers and elected representatives on important trends and issues in healthcare.

Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges

The stipulated opportunities also present numerous challenges for APRNs and RNs. Budgetary constraints and inadequate knowledge or education on specific regulations are some of the common challenges. For instance, nurses must interrogate the monetary cost of a policy change and the impact on how the hospital functions or spend on other important activities (Milstead & Short, 2019). Government agencies and policymakers may need to understand how the new proposed policy will likely impact healthcare systems and residents (Barzegar et al., 2020). Another challenge is that most lawmakers do not fully comprehend the nursing profession or appreciate the implications of certain health policies.

Therefore, nurses should conduct comprehensive health research to establish the most cost-effective way of implementing a policy change within their practice settings. They should also educate themselves on the proposed policies through in-depth, evidence-based research (Barzegar et al., 2020). Specifically, continuing education will allow nurses to update their skills and knowledge on different important topics (Milstead & Short, 2019). Finally, nurses should also make appointments with their representatives to discuss important issues and trends in nursing to encourage them to support a specific policy position or bill.

Two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making

The first strategy I will use to advocate better for these opportunities to participate in policy-making is to obtain membership in a professional nursing organization. As members of the professional organization, nurses can educate fellow professionals on the current legislation or lobby for the ratification and support of a bill in Congress (Milstead & Short, 2019). They can also contribute funds to professional organizations to help support lobbyists determined to shape healthcare. For example, the Nurse and Healthcare Worker Protection Act was successfully lobbied and completed by nurses through the American Nurses Association (Congress.gov. n.d.).

The final strategy is to get involved in the practice facility’s committees to help influence important policy-making processes within the hospital. I can shape policies and review evidence-based practices through the organization’s committees. For example, by joining the organization’s safety committee, I will be able to examine and understand safety issues in the facility and determine ways to prevent the problems from re-occurring through policy changes.

In conclusion, decision-makers should encourage nurses to participate in policy-making because they spend more time with patients than other healthcare professionals. Nurses can inform policymakers about important issues regarding patients. Nurses have the moral and professional obligation to get involved in important legislation that affects them and their patients.

References

American Nurses Association (ANA). (n.d.). Advocacy. Retrieved July 19, 2023, from https://www.nursingworld.org/practice-policy/advocacy/

Barzegar Safari, M., Bahadori, M., & Alimohammadzadeh, K. (2020). The related factors of nurses’ participation and perceived benefits and barriers in health policy making. The Journal of Nursing Research : JNR, 28(4), e103. https://doi-org.ezp.waldenulibrary.org/10.1097/jnr.0000000000000385

Congress.gov. (n.d.). Retrieved July 19, 2023 from https://www.congress.gov/

Milstead, J. A., & Short, N.M. (2019). Health policy and politics: A nurse’s guide (6^th ed.). Jones Bartlett Learning.

Question 6

All tool kit forms for any potential UTI cases will be forwarded to me, after which my and health team members and I will discuss the appropriate follow-up for the cases.

I will ensure that every UTI case suspect will be properly and adequately assessed, after which the appropriate implementation will follow. For instance, if the resident exhibits behavior not linked or related to UTI, they will be thoroughly assessed, and possible implementation procedures identified before contacting the physicians.

Question 7

The essential team members are the practitioners who prescribe the UTI antibiotics. We will email each practitioner to inform them that “based on recent clinical guidelines developed with the nursing home, some modifications will be made on the protocols around urinalysis for optimal antibiotic use in treating UTI. Nurses will be provided with a toolkit SBAR that will be followed before contacting clinicians.”

The nursing care team, Nursing Directors, registered nurses, nursing assistants, and licensed practical nurses are the target healthcare members involved in the program.

Question 8, 9 &10

The nurse will be tasked with coming up with a program that focuses on identifying the inappropriate antibiotics to which the patient can develop resistance and getting rid of them.

We will achieve it by working with other health care professionals to prescribe the correct antibiotic treatment to each UTI patient.

Question 11&12

Nursing staff will have to follow and implement the Suspected UTI SBAR toolkit. This toolkit form will include the initiated antibiotic’s minimum criteria. For example, if a patient does not show indwelling catheter signs, we will look at fever or at least one of the following new or worsening symptoms; costovertebral angle tenderness, suprapubic gross hematuria, and urinary incontinence. If the patient shows Indwelling catheters, we will look for fever, or at least one of the following; rigors, new costovertebral tenderness, new delirium onset. Resistant antibiotics can become harmful to a patient.

Finally, Strong leadership plays a critical role in transforming the health care system. In the nursing field, leaders need to perform and develop excellent and efficient health care programs. Leadership varies from the boardroom to bedside care. Therefore, Nurses should partner with health professionals with high-quality care delivery

Nurses Need to Be More Involved in Creating Health Policy

Given that there are more nurses than any other profession in healthcare, it is only natural that nurses should play a larger role in creating healthcare policy. Key organizations are articulating the need for nurses to become more involved in leadership, advocacy and policymaking. Consequently, the need for nurses to receive more training about leadership in connection to their role for influencing health policies is emphasized. There also needs to be a greater effort to grow a cadre of health policy nurses and help everyone in the nursing profession understand how nurses can effectively impact health policy.

According to Sigma Theta Tau International Honor Society of Nursing, more than ever, nurses are present in every healthcare setting and possess a unique role in formulating policy. The Institute of Medicine’s 2010 report, The Future of Nursing: Leading Change, Advancing Health, recognized the importance of involving nurses in healthcare policy creation and called for nurses to take leadership in improving the quality of healthcare. Being actively involved in policy formulation is something that most leading nursing organizations advocate. Sigma also provides the examples of how the American Association of Colleges of Nursing emphasizes the role of nursing in policy and identifies, in its “Essentials” documents, the expected policy involvement that should be addressed in educational programs at the baccalaureate, master’s, and doctoral levels of professional nursing, including advanced practice.

That being said, nurses nevertheless play an important role in health policy making. Nurses can use their local and state resources or national nursing advocacy groups to gain an understanding of current issues and learn how they can become involved. Many specialty nursing organizations have policy experts available as resources to beginning nurse advocates. They can help with preparing written or oral statements for hearings and may accompany nurses to hearings at the local state house or even on Capitol Hill.

Nurses are encouraged to participate in health policy for three reasons. First, nurses closely deal with patients and their families in a variety of settings; therefore, their comments can be considered as valuable sources for policy development. Second, different health policies have direct effects on nurses. Thus, policies should ensure a supportive work setting. Third, nurses play key role in professional development and can highly contributed to the formation of appropriate and efficient health policies.

References

Boschma G. International nursing history: the International Council of Nurses history collective and beyond. Nurs Hist Rev. 2014;22(1):114–8. https://doi.org/10.1891/1062-8061.22.114.

Robinson J. Nursing and health policy perspectives: is it time for nurses to write from their anger? Int Nurs Rev. 2013;60(2):147. https://doi.org/10.1111/inr.12030.

Benner P. Educating nurses: a call for radical transformation—how far have we come? J Nurs Educ. 2012;51(4):183–4. https://doi.org/10.3928/01484834-20120402-01.

Interviewer: What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?

Interviewee: Nurses play a critical role in the design of healthcare programs, as they have the clinical expertise and firsthand experience in patient care (Mathose & Mash, 2023). In the diabetes management program, nurses can provide valuable input on the educational content, resources, and support services needed to effectively manage diabetes. For example, a nurse may suggest incorporating interactive workshops on insulin administration, or recommending resources for managing stress and mental health challenges associated with diabetes.

Interviewer: What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?

Interviewee: As a nurse, my role as an advocate for the target population involves ensuring that the needs and preferences of patients with diabetes are considered during the program’s design and implementation (Mathose & Mash, 2023). I have input into design decisions by collaborating with other healthcare professionals and providing feedback on proposed plans. Additionally, I impact the design by promoting evidence-based practices and advocating for resources and support that will benefit the patients we serve (Jarab et al., 2023).

Interviewer: What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?

Interviewee: During the implementation of a healthcare program, nurses play a crucial role in delivering program services, monitoring patient progress, and adjusting the program as needed based on patient outcomes (Mathose & Mash, 2023). This role differs from the design phase in that nurses are actively engaged in providing patient care and support. For example, in the diabetes management program, nurses may lead educational workshops, provide one-on-one counseling and support, and coordinate care with other healthcare providers to ensure patients receive comprehensive diabetes management (Silva-Tinoco et al., 2020).

Interviewer: Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

Interviewee: To effectively implement a healthcare program, a multidisciplinary team is essential. Key members of this team may include:

Nurses: They provide direct patient care, monitor progress, and make necessary adjustments to the program based on patient outcomes (Mathose & Mash, 2023).
Physicians: They diagnose, treat, and manage the medical aspects of a patient’s condition and provide guidance on the overall program (Jarab et al., 2023).
Dietitians: They provide personalized nutrition counseling and education to help patients manage their dietary needs (Jarab et al., 2023).
Pharmacists: They ensure appropriate medication management, including medication therapy reviews and patient education on proper medication usage (Tanaka et al., 2020).
Mental health professionals: They address the emotional and psychological aspects of managing a chronic condition, such as stress, anxiety, and depression (Silva-Tinoco et al., 2020).
Social workers: They assist patients with accessing resources and support for financial, housing, or transportation needs that may impact their ability to manage their condition (Mathose & Mash, 2023).

The collaboration of these team members allows for a comprehensive and effective healthcare program that addresses the diverse needs of patients and promotes optimal health outcomes (Jarab et al., 2023). By working together, each team member contributes their expertise and skills, ensuring the successful implementation of the healthcare program and ultimately improving the quality of life for patients with diabetes.

Conclusion

The interview provides valuable insights into the various aspects of a comprehensive diabetes management program, emphasizing the importance of multidisciplinary collaboration and the role of nurses in different stages of the program. Such programs have the potential to improve blood sugar control, reduce complications, increase patient adherence, and enhance patients’ quality of life. By working together, healthcare professionals can effectively address the diverse needs of patients and promote optimal health outcomes.

Rubric Detail

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Name: NURS_6050_Module04_Week08_Assignment_Rubric

	Excellent	Good	Fair	Poor
Program DesignIn a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions. · Tell us about a healthcare program within your practice. What are the costs and projected outcomes of this program?· Who is your target population? · What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples? · What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?	41 (41%) – 45 (45%) Response provides a clear and complete summary of the healthcare program, including an accurate and detailed description of the costs and projected outcomes of the program. Response provides a clear and accurate description that fully describes the target population. Response provides a clear and accurate explanation of the role of the nurse in providing input for the design of the program, including specific examples. Response provides an accurate and detailed description of the role of the nurse advocate for the target population for the healthcare program selected. Response provides an accurate and detailed explanation of how the advocate’s role influences design decisions as well as fully explaining impacts to program design.	36 (36%) – 40 (40%) Response provides a summary of the healthcare program, including a description of the costs and project outcomes of the program. Response provides an accurate description of the target population. Response provides an accurate explanation of the role of the nurse in providing input for the design of the program, including some examples. Response provides an accurate description of the role of the nurse advocate for the target population for the healthcare program selected. Response provides an accurate explanation of how the advocate’s role influences design decisions and somewhat explains impacts to program design.	32 (32%) – 35 (35%) Response provides a summary of the healthcare program that is vague or incomplete or does not include costs or projected outcomes of the program. Description of the target population is vague or inaccurate. Explanation of the role of the nurse in providing input for the design of the program is vague, inaccurate, or does not include specific examples. Description of the role of the nurse advocate for the target population for the healthcare program selected is vague or inaccurate. Explanation of how the advocate’s role influences design decisions and impacts to program design is vague or inaccurate.	0 (0%) – 31 (31%) Response provides a summary of the healthcare program that is vague and inaccurate, does not include costs or projected outcomes of the program, or is missing. Description of the target population is vague and inaccurate or is missing. Explanation of the role of the nurse in providing input for the design of the program, and specific examples is vague and inaccurate, or is missing. Description of the role of the nurse advocate for the target population for the healthcare program selected is vague and inaccurate or is missing. Explanation of how the advocate’s role influences design decisions and impacts to program design is vague and inaccurate, or is missing.
Program Implementation · What is the role of the nurse in healthcare program implementation? How does this role vary between design and implantation of healthcare programs? Can you provide examples?· Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why you think this?	36 (36%) – 40 (40%) Response provides a clear, accurate, and complete explanation of the role of the nurse in healthcare program implementation. Response provides an accurate and detailed explanation of how the role of the nurse is different between design and implementation of healthcare programs, including specific examples. Response provides an accurate and detailed description of the members of a healthcare team needed to implement the program selected.	32 (32%) – 35 (35%) Response provides an accurate explanation of the role of the nurse in healthcare program implementation. Response provides an accurate explanation of how the role of the nurse is different between design and implementation of healthcare programs and may include some specific examples. Response provides and accurate description of the members of a healthcare team needed to implement the program selected.	28 (28%) – 31 (31%) Explanation of the role of the nurse in healthcare program implementation is vague, inaccurate, and/or incomplete. Explanation of how the role of the nurse is different between design and implementation of healthcare programs is vague or inaccurate and/or does not include specific examples. Description of the members of a healthcare team needed to implement the program selected is inaccurate or incomplete.	0 (0%) – 27 (27%) Explanation of the role of the nurse in healthcare program implementation is vague and inaccurate or is missing. Explanation of how the role of the nurse is different between design and implementation of healthcare programs is vague and inaccurate or is missing. Description of the members of a healthcare team needed to implement the program selected is vague and inaccurate, incomplete, or is missing.
Written Expression and Formatting – Paragraph Development and Organization:Paragraphs make clear points that support well developed ideas, low logically, and demonstrate continuity of ideas. Sentences are carefully focused– neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.	5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.	4 (4%) – 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.	3 (3%) – 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time. Purpose, introduction, and conclusion of the assignment is vague or off topic.	0 (0%) – 2 (2%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. Purpose, introduction, and conclusion of the assignment is incomplete or missing.
Written Expression and Formatting – English Writing Standards:Correct grammar, mechanics, and proper punctuation	5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors.	4 (4%) – 4 (4%) Contains a few (1-2) grammar, spelling, and punctuation errors.	3 (3%) – 3 (3%) Contains several (3-4) grammar, spelling, and punctuation errors.	0 (0%) – 2 (2%) Contains many (≥5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting:The paper follows correct APA format for title page, font, spacing, margins, indentations, parenthetical/in-text citations, and reference list (if sources are cited).	5 (5%) – 5 (5%) Uses correct APA format with no errors.	4 (4%) – 4 (4%) Contains a few (1-2) APA format errors.	3 (3%) – 3 (3%) Contains several (3-4) APA format errors.	0 (0%) – 2 (2%) Contains many (≥5) APA format errors.

Total Points: 100

NURS 6050 Week 8 Assignment Advocating for the Nursing Role in Program Design and Implementation