Thank you for your post, LaShonda! When analyzing policies, what framing questions should you ask?
Dodson
THE POST TO repy TO
The Role of the RN/APRN in Policy Evaluation
The evaluation topic focuses on the effectiveness of expanding Medicaid under the Affordable Care Act. The expansion broadens Medicaid eligibility criteria, to extend coverage to low-income income individuals who were previously ineligible. Medicaid plays a significant role in providing healthcare coverage to vulnerable populations, particularly low-income Americans, pregnant women, children, and people with disabilities. The evaluation aims to assess the impact of Medicaid expansion on access to coverage, health outcomes, and equitable access to affordable, quality healthcare services.
Evaluation Criteria
The first criterion is increased access to health coverage. The program has improved coverage for low-income Americans, leading to a significant decline in uninsured individuals. According to Centers for Disease Control and Prevention (2018), the rate of uninsured adults decreased from 18.4% to 9.9% between 2013 and 2018 in Medicaid expansion states, while that of uninsured individuals declined from 22.7% in 2013 to 17.5% in 2015 in non-expansion states. The second criterion is improved access to care. Medicaid expansion has improved access to and affordability of quality healthcare services. Studies show that in states with Medicaid expansion, individuals have a high likelihood of having a personal doctor, access to regular care, and increased treatment of chronic conditions (Simon et l., 2017; Gosh et al., 2018). The third criterion is enhanced health outcomes. Studies show that expanding the Medicaid program has improved certain health outcomes, including self-reported health, and surgical outcomes, and reduced rates of preventable hospitalizations (Graves et al., 2020; Loehrer et al., 2018; Brown et al., 2021).
Social determinants of health, including income, education, and geographic disparities play a significant role in influencing the success of the expanded Medicaid program (Chisolm, 2019). Despite the expansion, income disparities still influence the ability of individuals to access care. Education levels determine individuals’ awareness of the benefits of Medicaid and eligibility criteria, influencing enrollment rates. In the same manner, geographic disparities in healthcare infrastructure affect the accessibility and delivery of services for the expanded Medicaid program.
References
Brown, E.A., White, B.M., Jones, W.J., Gebregziabher, M., and Simpson, K.N. (2021) Measuring the impact of the Affordable Care Act Medicaid expansion on access to primary care using an interrupted time series approach. Health Res Policy Sys19, 77. https://doi.org/10.1186/s12961-021-00730-0Links to an external site.
Chisolm, D. J., Brook, D. L., Applegate, M. S., & Kelleher, K. J. (2019). Social determinants of health priorities of state Medicaid programs. BMC Health Services Research, 19(1). doi:10.1186/s12913-019-3977-5
Graves, J., Hatfield, L., Blot, W., Keating, N., & McWilliams, J. M. (2020). Medicaid Expansion Slowed Rates of Health Decline for Low-Income Adults in Southern States. Health Affairs 39,(1), 67–76.
Loehrer, A., Chang, D., Scott, J., Hutter, M., Patel, V., Lee, J., & Sommers, B. (2018). Association of the Affordable Care Act Medicaid Expansion with Access to and Quality of Care for Surgical Conditions. JAMA Surgery, 153(3).
Simon, K., Soni, A., & Cawley, J. (2017). The Impact of Health Insurance on Preventive Care and Health Behaviors: Evidence from the First Two Years of the ACA Medicaid Expansions. Journal of policy analysis and management: [the journal of the Association for Public Policy Analysis and Management], 36(2), 390–417. https://doi.org/10.1002/pam.21972Links to an external site.
The Affordable Care Act (ACA) is a healthcare reform created to provide affordable health insurance to everyone. It also, “supports medical care delivery methods designed to lower the costs of health care†(Assistant Secretary for Public Affairs (ASPA), 2022).
Policy Evaluation
The ACA has protected more than 133 million people with pre-existing conditions, like cancer, asthma or diabetes, pregnancy, from being denied coverage for their pre-existing condition. It established the Substance Abuse and Mental Health Services Administration (SAMHSA) Office of Behavioral Health Equity, which coordinates efforts to reduce disparities in mental and substance use disorders across populations. It provided $50 million to support further development of the Aging and Disability Resource Center (ADRC) Program, which works to assist individuals in critical pathways, defined as times or places where people make important decisions about long-term care (Assistant Secretary for Public Affairs (ASPA), 2023).
The Criteria to Measure the Effectiveness
The criteria used to evaluate the effectiveness of the ACA includes: “increasing the number of the insured, improving the quality of care, and reducing the costs of health care. (Manchikanti, Helm Ii, Benyamin, & Hirsch, 2017). These three factors prove to display the positive effects of the healthcare program. It was created to give affordable healthcare to everyone at a lower cost.
The Social Determinants
The ACA includes provisions aimed at reducing racial and ethnic health disparities, including an additional $11 billion in funding for community health centers. Nearly two-thirds of the 20 million individuals receiving care at these community health centers are racial and ethnic minorities (Alliance for Health Policy, 2023). Social determinants of health such as poverty, unequal access to health care, lack of education, stigma, and racism are underlying, contributing factors of health inequities. The Centers for Disease Control and Prevention (CDC) is committed to achieving improvements in people’s lives by reducing health inequities (Centers for Disease Control and Prevention, 2019).
The main goal of a needle exchange program (NEP) is to prevent HIV and other blood-borne viruses such as Hepatitis B and C in the community by providing sterile syringes and needles to replace used ones. In this regard, the program aims to discourage the re-use of needles among drug users to prevent the spread of disease. Moreover, these infections can lead to costly clinical complications, such as perinatal and fetal problems, and reproductive health issues. In addition, substance abuse in the community is associated with the spread of sexually transmitted infections (STIs), largely due to the alteration in behavior that results from being under the influence. As a result, drug abuse is a public health and safety concern. According to Healthy People (2022), complications arising from STIs can be prevented through the promotion of healthy sexual behavior, community capacity building (CCB), and increased access to quality healthcare services. The objectives of Healthy People for preventing HIV include reducing the rate of HIV transmission and new HIV infections among the adult and adolescent population (Healthy People 2020, 2022). Hence, the NEP aims to reduce HIV and related STDs by increasing the disposal of used needles and syringes among adults and teenagers abusing drugs and allowing them to use sterile alternative injectables.
There are many NEP programs in the U.S. including the Kentucky Harm Reduction and Syringe Exchange (HRSEP) and Indiana Syringe Exchange Program (ISEP). The ISEP program was passed into law in 2015 to permit the creation of SEPs in Indiana communities (Mette et al. 2020). Moreover, non-profit organizations, municipalities, and local health departments operate the SEP program in Indiana. Additionally, the HRSEP allows the exchange of used syringes and hypodermic needles for sterile substitutes by providing guidelines to initiate this program within the Kentucky community. Evaluating the effectiveness of healthcare policies encompasses assessing the social and economic condition of the population including stakeholders (Milstead & Short, 2019). Hence, evaluating NEP programs is important since it helps to determine the health condition of drug users as well as STI transmission rates.
The criteria for measuring the effectiveness of needle exchange programs include monitoring the needle sharing patterns, frequency of needle-reuse, and disposal methods of needles. Moreover, assessing the NEP design features effects such as opening hours and the individual site characteristics. Assessing the rate of needle reuse is very relevant because it shows whether participants have access to clean injection equipment or if they are forced into resorting to using contaminated needles (Centers for Disease Control and Prevention, 2023). Safe needle disposal is another one of the practices that make NEPs effective because safe means for used needles reduce likelihoods such as accidental needle stick injuries or community encounters with discarded ones. Lastly, other methods of measuring the effect of NEP programs include assessing needle distribution and discard among drug users.
The NEP that focuses on STD prevention is affected by several social determinants associated with the policy. Social and economic factors become important because individuals with lower income cannot have easy access to healthcare services, such as needle exchange programs (Centers for Disease Control and Prevention, 2023). For example, individuals who do not possess sufficient funds cannot get harm reduction programs or acquire clean needles. What makes the Needle Exchange Program effective is the structural nature of stigmatization and discrimination. The stigmatization of the drug injectors may be affected by various social ethics relating to drug use and related behavior, which in turn can mediate their likelihood of participating in needle exchange programs (Earnshaw, 2020). Furthermore, the change of government priorities and funded objectives have also impacted on the coverage growth. However, perceptions of social ethics differ from one society to the next, and such differences may make drug injectors feel ashamed, which consequently lowers their willingness to participate in needle exchange programs. In this regard, changing governments’ priorities and goals has also influenced the expansion of topics associated with NEPs. Hence, when these socioeconomic factors are accounted for and addressed, NEPs that aim to prevent STIs and improve community health can work more effectively.
GLOBAL HEALTHCARE COMPARISON MATRIX AND NARRATIVE STATEMENT
Note: This Assignment (both Parts 1 & 2) is due on Day 5 of Week 11.
If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?
You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.
Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.
In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.
RESOURCES
Be sure to review the Learning Resources before completing this activity.Click the weekly resources link to access the resources.
Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
Select at least one additional country to compare to the U.S. for this Assignment.
Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
Review and download the Global Health Comparison Matrix provided in the Resources.
The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)
Part 1: Global Health Comparison Matrix
Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:
Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
Explain the strengths and weaknesses of each policy.
Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
Explain how the health policy you selected might impact the role of the nurse in each country.
Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.
Part 2: A Plan for Social Change
Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.
In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.
Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples
BY DAY 5 OF WEEK 11
Submit both Part 1 and Part 2 of your Assignment.
SUBMISSION INFORMATION
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
To submit your completed assignment, save your Assignment as WK11Assgn+LastName+Firstinitial
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select Submit Assignment for review.
Rubric
NURS_6050_Module06_Week11_Assignment_Rubric
NURS_6050_Module06_Week11_Assignment_Rubric
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeGlobal Healthcare Issues and PoliciesPart 1: Global Health Comparison MatrixFocusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:• Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
50 to >44.0 pts
Excellent
Response uses sufficient evidence and provides clear, accurate, and detailed explanation of: …-strengths and weaknesses of policies in the U.S. and another country …-how the social determinants of health impact the issue in the U.S. and in another country. Specific examples are provided. …-how the governments of the two countries address cost, quality, and access related to the issue. …-how the policy in each of the two countries impacts the health of the global population. Detailed and accurate supporting examples are provided. …-how the policies in each country impact the role of the nurse. …-how the global health issues impact local healthcare organizations and policies in each of the two countries.
44 to >39.0 pts
Good
Response uses sufficient evidence and provides an explanation of: …-the strengths and weaknesses of policies in the U.S. and another country. …-how the social determinants of health impact the issue in the U.S. and in another country. Specific examples may be provided. …-how the governments of the two countries address cost, quality, and access related to the issue. …-how the policy in each of the two countries impacts the health of the global population. Supporting examples may be provided. …-how the policies in each country impact the role of the nurse. …-how the global health issues impact local healthcare organizations and policies in each of the two countries.
39 to >34.0 pts
Fair
Explanation of the strengths and weaknesses of policies in the U.S. and another country is vague or inaccurate. …Explanation of how the social determinants of health impact the issue in the U.S. and another country, and/or the examples, are vague or inaccurate. …Explanation of how the governments of the two countries address cost, quality, and access related to the issue is vague or inaccurate. …Explanation of how the policy in each of the two countries impacts the health of the global population, and/or supporting examples, is vague or inaccurate. …Explanation of how the policies in each country impact the role of the nurse is vague or incomplete. …Explanation of how global health issues impact local healthcare organizations and policies in each of the two countries is vague or inaccurate.
34 to >0 pts
Poor
Explanation of the strengths and weaknesses of policies in the U.S. and another country is vague and inaccurate or is missing. …Explanation of how the social determinants of health impact the issue in the U.S. and in another country, and the examples, are vague and inaccurate, or is missing. …Explanation of how the governments of the two countries address cost, quality, and access related to the issue is vague and inaccurate or is missing. …Explanation of how the policy in each of the two countries impacts the global population, and supporting examples, is missing. …Explanation of how the policies in each country impact the role of the nurse is vague and inaccurate or is missing. …Explanation of how global health issues impact local healthcare organizations and policies in both countries is missing.
50 pts
This criterion is linked to a Learning OutcomeThe Nurse’s Role in Global HealthcarePart 2: A Plan for Social ChangeReflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment. In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.• Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.• Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.• Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples.
35 to >31.0 pts
Excellent
Using sufficient evidence, Response provides a clear and thorough explanation of how one would advocate for the incorporation of a global perspective or lens into his/her role as a nurse leader. …Response provides a clear and thorough explanation of how the incorporation of a global perspective or lens might impact local practice and the role as a nurse leader. …Response clearly and thoroughly explains in detail how the incorporation of a global perspective or lens in one’s role as a nurse represents and contributes to social change. Accurate And detailed supporting examples are provided.
31 to >27.0 pts
Good
Using sufficient evidence, Response provides an explanation of how one would advocate for the incorporation of a global perspective or lens into his/her role as a nurse leader. …Response provides an explanation of how the incorporation of a global perspective or lens might impact local practice and the role as a nurse leader. …Response explains how the incorporation of a global perspective or lens in one’s role as a nurse represents and contributes to social change. Some supporting examples are provided.
27 to >24.0 pts
Fair
Explanation of how one would advocate for the incorporation of a global perspective or lens into his/her role as a nurse leader is vague or incomplete. …Explanation of how the incorporation of a global perspective or lens might impact local practice and the role as a nurse leader is vague or incomplete. …Explanation of how the incorporation of a global perspective or lens in one’s role as a nurse represents and contributes to social change, and/or supporting examples provided, are vague or incomplete.
24 to >0 pts
Poor
Explanation of how one would advocate for the incorporation of a global perspective or lens into his/her role as a nurse leader is vague and incomplete or is missing. …Explanation of how the incorporation of a global perspective or lens might impact local practice and the role as a nurse leader is vague and incomplete or is missing. …Explanation of how the incorporation of a global perspective or lens in one’s role as a nurse represents and contributes to social change, and/or supporting examples, is missing.
35 pts
This criterion is linked to a Learning OutcomeWritten 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 to >4.0 pts
Excellent
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 to >3.0 pts
Good
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 to >2.0 pts
Fair
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.
2 to >0 pts
Poor
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.
5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English Writing Standards: Correct grammar, mechanics, and proper punctuation
5 to >4.0 pts
Excellent
Uses correct grammar, spelling, and punctuation with no errors.
4 to >3.0 pts
Good
Contains a few (1-2) grammar, spelling, and punctuation errors.
3 to >2.0 pts
Fair
Contains several (3-4) grammar, spelling, and punctuation errors.
2 to >0 pts
Poor
Contains many (≥5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting:The paper follows correct APA format for title page, font, spacing, parenthetical/in-text citations, and reference list).
Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.
Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.
RESOURCES
Be sure to review the Learning Resources before completing this activity.Click the weekly resources link to access the resources.
Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
Select an existing healthcare program or policy evaluation or choose one of interest to you.
Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.
The Assignment: (2–3 pages)
Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:
Describe the healthcare program or policy outcomes.
How was the success of the program or policy measured?
How many people were reached by the program or policy selected?
How much of an impact was realized with the program or policy selected?
At what point in program implementation was the program or policy evaluation conducted?
What data was used to conduct the program or policy evaluation?
What specific information on unintended consequences was identified?
What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
Did the program or policy meet the original intent and objectives? Why or why not?
Would you recommend implementing this program or policy in your place of work? Why or why not?
Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.
BY DAY 7 OF WEEK 10
Submit your completed healthcare program/policy evaluation analysis.
SUBMISSION INFORMATION
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
To submit your completed assignment, save your Assignment as WK10Assgn+LastName+Firstinitial
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select Submit Assignment for review.
Rubric
NURS_6050_Module05_Week10_Assignment_Rubric
NURS_6050_Module05_Week10_Assignment_Rubric
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeProgram/Policy EvaluationBased on the program or policy evaluation you seelcted, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:· Describe the healthcare program or policy outcomes.· How was the success of the program or policy measured?· How many people were reached by the program or policy selected? How much of an impact was realized with the program or policy selected?· At what point in time in program implementation was the program or policy evaluation conducted?
35 to >31.0 pts
Excellent
Using sufficient evidence, response clearly and accurately describes the healthcare program or policy outcomes. …Response accurately and clearly explains how the success of the program or policy was measured. …Response accurately and clearly describes how many people were reached by the program or policy and accurately describes the impact of the program or policy. …Response accurately and clearly indicates the point at which time the program or policy evaluation was conducted.
31 to >27.0 pts
Good
Using sufficient evidence, response accurately describes the healthcare program or policy outcomes. …Response accurately explains how the success of the program or policy was measured. …Response accurately describes how many people were reached by the program or policy and accurately describes the impact of the program or policy. …Response accurately indicates the point at which time the program or policy evaluation was conducted.
27 to >24.0 pts
Fair
Description of the healthcare program or policy outcomes is inaccurate or incomplete. …Explanation of how the success of the program or policy was measured is inaccurate or incomplete. …Description of how many people were reached by the program or policy and the impact is vague or inaccurate. …Response vaguely describes the point at which the program or policy evaluation was conducted.
24 to >0 pts
Poor
Description of the healthcare program or policy outcomes is inaccurate and incomplete or is missing. …Explanation of how the success of the program or policy was measured is inaccurate and incomplete or is missing. …Description of how many people were reached by the program or policy and the associated impacts is vague and inaccurate or is missing. …Response of the point at which time the program or policy was conducted is missing.
35 pts
This criterion is linked to a Learning OutcomeReporting of Program/Policy Evaluations· What data was used to conduct the program or policy evaluation?· What specific information on unintended consequences was identified?· What stakeholders were identified in the evaluation of the program or policy? Who would benefit the most from the results and reporting of the program or policy evaluation? Be specific and provide examples.· Did the program or policy meet the original intent and objectives? Why or why not?· Would you recommend implementing this program or policy in your place of work? Why or why not?· Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.
50 to >44.0 pts
Excellent
Response clearly and thoroughly explains in detail: -specific information on outcomes and unintended consequences identified through the program or policy evaluation. -the stakeholders involved in the program or policy evaluation. -who would benefit most from the results and reporting of the program or policy evaluation. -whether the program met the original intent and outcomes, including an accurate and detailed explanation of the reasons supporting why or why not. -whether the program should be implemented, including an accurate and detailed explanation of the reasons supporting why or why not. -at least two ways that the nurse advocate could become involved in the evaluation of the program or policy after 1 year of implementation.
44 to >39.0 pts
Good
Using sufficient evidence, response accurately identifies the data used to conduct the program or policy evaluation. Response explains in detail specific information on outcomes and unintended consequences identified through the program or policy evaluation. Response explains in detail the stakeholders involved in the program or policy evaluation. Response explains who would benefit most from the results and reporting of the program or policy evaluation. Response includes an accurate explanation of whether the program met the original intent and outcomes, including an accurate explanation of the reasons supporting why or why not. Response includes an accurate explanation of whether the program should be implemented, including an accurate explanation of the reasons supporting why or why not. Response includes an accurate explanation of two ways that the nurse advocate could become involved in the evaluation of the program or policy after 1 year of implementation.
39 to >34.0 pts
Fair
Response vaguely or inaccurately identifies the data used to conduct the program or policy evaluation. Explanation of specific information on outcomes and unintended consequences identified through the program or policy evaluation is vague or incomplete. Explanation of the stakeholders involved in the program or policy evaluation is vague or inaccurate. Explanation of who would benefit most from the results and reporting of the program or policy evaluation is vague or inaccurate. Explanation of whether the program/policy met the original intent and outcomes, and the reasons why or why not is incomplete or inaccurate. Explanation of whether the program or policy should be implemented, and the reasons why or why not, is incomplete or inaccurate. Explanation of ways that the nurse advocate could become involved in the evaluation or policy after 1 year of implementation is incomplete or inaccurate.
34 to >0 pts
Poor
Identification of the data used to conduct the program or policy evaluation is vague and inaccurate or is missing. Response includes vague and incomplete or is missing explanation of: -specific information on outcomes and unintended consequences identified through the program or policy evaluation. -the stakeholders involved in the program or policy evaluation. -who would benefit most from the results and reporting of the program or policy evaluation. -whether the program or policy met the original intent and outcomes, and the reasons why or why not. -whether the program or policy should be implemented, and the reasons why or why not. -ways that the nurse advocate could become involved in the evaluation or policy after 1 year of implementation.
50 pts
This criterion is linked to a Learning OutcomeWritten 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 to >4.0 pts
Excellent
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 to >3.0 pts
Good
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 to >2.0 pts
Fair
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.
2 to >0 pts
Poor
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.
5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English Writing Standards: Correct grammar, mechanics, and proper punctuation
5 to >4.0 pts
Excellent
Uses correct grammar, spelling, and punctuation with no errors.
4 to >3.0 pts
Good
Contains a few (1-2) grammar, spelling, and punctuation errors.
3 to >2.0 pts
Fair
Contains several (3-4) grammar, spelling, and punctuation errors.
2 to >0 pts
Poor
Contains many (≥5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting:The paper follows correct APA format for title page, font, spacing, parenthetical/in-text citations, and reference list).
5 to >4.0 pts
Excellent
Uses correct APA format with no errors.
4 to >3.0 pts
Good
Contains a few (1-2) APA format errors.
3 to >2.0 pts
Fair
Contains several (3-4) APA format errors.
2 to >0 pts
Poor
Contains many (≥5) APA format errors.
5 pts
Total Points: 100
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning.
Chapter 7, “Health Policy and Social Program Evaluation†(pp. 116–124 only)
