SYLLABUSCOURSE NUMBER NGR 5891COURSE TITLE Health Care.docx

SYLLABUS
COURSE NUMBER: NGR 5891
COURSE TITLE: Health Care Policy COURSE CREDITS: 3
credits
PREREQUISITES: SEE STUDENT HANDBOOK
SEMESTER: Summer, 2020
PROFESSOR: Claudia Davis, PhD. RN-BC (Please state name
and course with contact).
PROFESSOR’S EMAIL: [email protected]; virtual meetings by
appointment only, Wednesday evenings between 6-7 PM. No
exception.
· Required Text and Materials:
Mason, D. J., Leavitt, J.K., Chaffee, M.W. (2016). Policy and
Politics: In Nursing and Health Care. (7th• Ed) St. Louis,
Missouri: Elsevier, Saunders. ISBN-13: 9780323299886
Publication Manual American Psychological Association (APA)
(6th ed.). 2009 ISBN: 978-1-4338-0561-5 (Required).
Recommended Text and Readings:
Milstead, A. J. (2016). Health Policy and Politics: A Nurse’s
Guide. (7th. Ed) Burlington, MA: Jones & Bartlett Learning.
ISBN: 978-1-284-06824-5
· Course Description: This course focuses on providing the
nurse leaders with an understanding of health policy, finance,
and legislation on health care. Political advocacy and the health

policy change process will be explored.
· Learning Outcomes:
Upon successful completion of this course, the MSN student
will be able to:
2
· Analyze the history, structure, and process of health care
policy and politics in nursing and in health care delivery
systems in the United States. (AACN Essentials III, IV, VI,
VIII; QSEN: QI, Safety, & EBP).
· Critically appraise health policy proposals and policies that
encompass the ethical dimensions of policy and politics, global
health, health care disparities, uninsured, underinsured,
complex health care financing issues, and the health care reform
(Affordable Care Act). (AACN Essentials III, IV, VI, VIII;
QSEN: QI, Safety, & EBP).
· Translate health services research, evidence-based practice
policy and politics for implementation at multiple systems’
levels, such as institutional, local, state, and federal. (AACN
Essentials III, IV, VI, VIII; QSEN: QI, Safety, & EBP).
· Advocate for social justice, health equity, and new policies to
improve health care delivery, patient outcomes, and the
profession of nursing. (AACN Essentials III, IV, VI, VIII;
QSEN: QI, Safety, & EBP).
· Apply leadership skills in the development and
implementation of policies and politics in the four spheres
where nurses are politically active: the workplace, government,
professional organizations, and the community. (AACN
Essentials III, IV, VI, VIII; QSEN: QI, Safety, & EBP).
· Learning Objectives: The MSN student will be able to:
· Demonstrate understanding of health care delivery and
financing.

· Participate in health services research and policy and
economic analysis.
· Discuss strategies to influence Policy and Politics in the
workplace, workforce, associations, interest groups,
communities, and the Government.
· Demonstrate knowledge of Policy and Politics in Research and
Nursing Science using evidence-based health care practice.
· Identify a policy for health system improvement addressing
health care disparities, ethics, dilemma, financing issues, and
the health care reform. (Affordable Care Act/American Care
Act)
· Demonstrate understanding of Policy and Politics in Nursing
and Health Care through discussion and forum groups.
· Identify key policy issues in contemporary health systems that
affect nursing and patient care outcomes.
· Compare and contrast cost, quality, and access issues across
health care sectors in the United States and globally.
Course Outline
Date
Module/Topic
Assigned Readings
Assignments
WEEK 1:

05/03/2020
Unit 1 Introduction to Policy and Politics in Nursing and Health
Care
Chapters 1-4, 7,8
Frameworks, Historical Perspectives, Advocacy &
Research
Introduction on blackboard.
Due 5/11/2020 by 11:59 PM
WEEK 2:
05/10/2020
Unit 1 Introduction to Policy and Politics in Nursing and Health
Care
Chapters 9,11,14,15
Political Analysis, Research, Professional Ethics and Power of
Media to Influence Health Policy
Online Discussion 1: Media Influence on Health Policy
WEEK 3:
05/17/2020
Unit 2 Health Care Delivery and Financing
Chapters 16,18,19,20
The Changing Health Care System, Financing Health Care & the
Affordable Health Care Act

Online Discussion 2: National Healthcare System &UK Health
System
WEEK 4:
05/24/2020
Chapters 23,25,27, 89
Policy Approaches to Health
Disparities, Women’s Benefit and
Reproductive Health Policies
Online Discussion 3: Women’s Health Policies
WEEK 5:
05/31/2020
Emergency Preparedness,
Medical Homes & Nurse- Managed Health
Online Discussion 4:
Community Health Issues
WEEK 6:
06/07/2020

Unit 3
Policy and Politics in the
Government
Chapters 39-43
Veterans’ Admin., Nurses in
Congress & Legislation/Regulation
States Strategies DUE
6/13/2020 by 11:59 PM
Reflection Post #1
WEEK 7:
06/14/2020
Unit 3
Policy and Politics in the Government
Lobbying & Elss
Online Discussion 5: Nurses Politics
WEEK 8:
06/21/2020
Unit 4
Policy and Politics in The Workplace

Nursing and the Courts, Licensure, Regulation & Safety
Online Discussion 6: Quality & Safety Policy Issues
WEEK 9:
06/28/2020
Unit 4
Policy and Politics in The Workplace
Chapters 59, 60, 64, 66, 68
EBP, Politics, The Nursing
Workforce & APRN Practice
Online Discussion 7: APRN Advocacy
WEEK 10:
07/05/2020
Unit 5
Policy and Politics in The Government
Chapters 70,72,74
Interest Group & Nursing Associations
Interest Group Presentation due7/05/2020 by 11:59 PM
Reflection Post #2

WEEK 11:
07/12/2020
Unit 5
Policy and Politics in The Government
Chapters 75,76,78
Coalitions as a Powerful Strategy, Nursing as a Unified
Voice & LGBTQ Health
Online Discussion 8: LGBTQ Health Concerns
WEEK 12:
07/19/2020
Unit 6 Policy and Politics in Associations and Interest Groups
Community Issues, Big Tobacco & Activism
Online Discussion 9: Community Activism & Big Tobacco
WEEK 13:
07/26/2020
Unit 6
Policy and Politics in Associations and Interest Groups
Taking action on Community
Health

Online Discussion 10: Medicinal Marijuana
Prepare Policy Analysis Paper due next week
WEEK 14:
08/02/2020
Unit 7
Policy and Politics in
the Communities
Chapters 86, 87
Sexual Violence & Human
Trafficking
Reflection Post #3
WEEK 15:
08/09/2020
Unit 7
Policy and Politics in
the Communities
Chapters 91, 92 International Nursing Policy & Infectious
Diseases
Online Discussion 11: Global Perspectives on Infectious
Diseases

Policy Analysis Paper DUE
08/15/2020 BY 11:59 PM
WEEK 16:
6
08/16/2020
FINAL WEEK
FINAL WEEK
NO ASSIGNMENT
***Course Outline is subject to changes at faculty’s discretion.
In addition, special attention should be paid to all starred,
bolded, and underlined information.
Submitted PapersAll paper submitted must be in APA format
according to Publication Manual American Psychological
Association (APA) (6th ed.). 2009 ISBN: 978-1-4338-0561-5
This course will use a variety of learning experiences to attain
the course objectives, including but not limited to lecture,
discussion, case study, assessment strategies, group and or
individual exercises, team, and individual
presentation.Discussions:
Each student must be actively engaged in course discussions.
Each student must respond to the discussion questions weekly
with a minimum of 250 words addressing the assigned question
or topic of the week. Postings must be original, clear, and
relevant to weekly assigned course topic. Weekly postings must

also contain two peer-reviewed reference articles/sources to
support posting. Students must also create a relevant response
post with a minimum of 150 words that addresses peers’ initial
posts regarding the specified discussion topic. A rule of thumb
for all DQ responses is the 3-3 rule: 3 paragraphs minimum, 3
sentences per paragraph minimum. Responses to peers cannot be
posted on the same day. Thus, in total students should post at
twice weekly; one original post and one response. Each week
thread opens from Sunday at 12 midnight to Saturday at 11:59
PM. Students should post original responses to the discussion
question by Wednesday 11:59 PM and all responses to peers by
Saturday 11:59 PM. Please refer to the late submission policy
outlined in the syllabus.Discussion Question (DQ) Submission
Guidelines
Students must submit their initial, weekly DQ post in two
separate areas. First, the student will submit
their initial response via that week’s assignment link provided
under the assignments tab as a Word
document. Once this is done, the student will then copy and
paste their answer onto that week’s DQ
thread under the Discussions tab. Thereafter, all discussions and
peer replies will be conducted via the
DQ board. Failure to submit your initial DQ response to BOTH
the assignments tab and the DQ thread
will result in a “0” for that week’s DQ. Note: All DQ
submissions will be monitored for plagiarism.
Assignments
Specific assignments, their due dates, and grading criteria are
listed in this syllabus. You are accountable for both individual
assignments and for providing a significant contribution toward
your learning team's collaborative assignments. Your course
grade includes scores from both your individual and group
assignments. You are also responsible for completing all
assignments including readings, written papers,
presentations, and class discussions. You will be graded on the
achievement of the objectives, not on the

effort you put into your assignments. All online discussions,
written assignments, and documentation of
others' ideas and words in presentations must be in APA 6th
edition format. You have one opportunity
to complete each assignment. Papers cannot be rewritten, and
presentations cannot be re-submitted in an
attempt to obtain a higher grade. All written assignments should
be completed according to the rubric and
guidelines provided in the course syllabus.
Late Assignments:
Due dates are established for reasons of equity. It is not fair to
peers who complete assignments on time if other classmates
have extra time to work on their assignments. It is also not fair
to the professor who must grade assignments in a timely
fashion. Late discussion posts will NOT be accepted and will be
graded a zero. Late assignments will receive 10% deduction of
the assignment points (i.e., 2 out of 20, 2.5 out of 25, 10 out of
100) deduction each day past the deadline for late submissions.
Late assignments will not be accepted past 48 hours after the
previously established deadline listed on the syllabus.
Submissions past the 48hr mark will be graded as zero. For
exceptions to this rule,
students must make prior arrangements with course instructor as
needed in cases of extenuating circumstances like illness and/or
emergencies.
8. Class Policies: All students are responsible for reviewing the
School Catalog
POLICIES
http://www.fnu.edu/publications/Cataloggeneral.pdf
STUDENT CODE OF ETHICS

students must make prior arrangements with course instructor as
needed in cases of extenuating circumstances like illness and/or
emergencies.
7. Class Policies: All students are responsible for reviewing the
School Catalog
POLICIES
http://www.fnu.edu/publications/Cataloggeneral.pdf
STUDENT CODE OF ETHICS
Cheating or plagiarism is dishonest, undermines the necessary
trust upon which relations between students and faculty are
based, and is unacceptable conduct. Students who engage in
cheating or plagiarism will be subject to academic sanctions,
including a lowered or failing grade in a course; and the
possibility of an additional administrative sanction, including
probation, suspension, or expulsion. Cheating is the act of
obtaining or attempting to obtain credit for academic work by
using dishonest means. Cheating at FNU includes but is not
limited to: Copying, in part or whole from another's
examination, paper, mathematical analysis, research or creative
project, or the like; Submitting as one's own work an
examination, paper, mathematical analysis, research or creative
project, or the like which has been purchased, borrowed, or
stolen; or fabricating data; Consulting notes, sources, or
materials not specifically authorized by the instructor during an
examination; Employing a surrogate to take an examination,
write a paper, do mathematical analysis, or complete, in part or
wholly, an evaluation instrument; Aiding or abetting any act
that a reasonable person would conclude, when informed of the
evidence, to be a dishonest means of obtaining or attempting to
obtain credit for academic work; and committing any act that a
reasonable person would conclude, when informed of the
evidence, to be a dishonest means of obtaining or attempting to
obtain credit for academic work. Plagiarism is the act of
obtaining or attempting to obtain credit for academic work by

representing the work of another as one's own without the
necessary and appropriate acknowledgment. More specifically,
plagiarism is: The act of incorporating the ideas, words of
sentences, paragraphs, or parts thereof without appropriate
acknowledgment and representing the product as one's own
work; and the act of representing another's intellectual work
such as musical composition, computer program, photographs,
painting, drawing, sculpture, or research or the like as one's
own. If a student is in doubt about the nature of plagiarism,
he/she should discuss the matter with the course instructor. All
written assignments submitted via TurnitIn should have limited
similarity indexes. Similarity index of greater than 20% is not
acceptable and is viewed as an indication of high plagiarism
content. Papers containing higher indexes can and will be
considered as plagiarism and will receive a grade of zero.
Theft - Copying computer programs owned, leased, or rented by
the College for use by the student in his or her course of studies
is considered theft and will be dealt with according to the laws
covering such actions and to the College norms for disciplinary
actions. In cases like these, the Campus Dean will convene a
Hearing Committee which will hear, investigate, and render a
report to the Campus Dean. This Committee will be composed
of three members from the faculty or staff. According to the
findings, the Campus Dean has the choice to decide. If this
decision is not acceptable to those involved, a petition to the
Dean to appoint an Honor Court must be signed by at least three
people. The Honor Court procedure is explained in the Student
Handbook.Religious Holidays
Religious holidays are an excused absence, but not beyond the
day for the holiday itself Students should make their requests
known at the beginning of the semester and arrangements must
be made with the faculty member for missed work.Students with
Disabilities
Students with disabilities who may need special
accommodations must register with the Office of Disability
Services. In addition, students must contact the instructor so

that arrangements can be made to accommodate their
needs.Americans with Disability Act(ADA) Statement
FNU is committed to offering accessible courses to all students,
in full compliance with the Americans with Disabilities Act
(ADA) Amendments Act of 2008 (ADAAA), Titles I and II of
the ADA of 1990, and Sections 503 & 504 of the Rehabilitation
Act of 1973. If you require special accommodations, you have
the right to receive services including but not limited to
customized assessments, individualized tutorial services, and
other accommodations provided to you by faculty and staff.
Please do not hesitate to contact our Student Services Office or
Distance Learning department if you require any special
accommodations.
8. Grading Criteria and Percentage
State Strategies
20%
Interest Group Presentation
20%
Discussions/Reflections (total of 15)
30%
Policy Analysis Paper
30%
Total
100%
9. Academic Requirements
1. Students are required to obtain a grade of B in all classes and
a satisfactory “S” grade in lab,
and practicum. The letter grade “C” is a failing grade.
The minimum GPA at the end of each
semester should always be a 3.0. numeric point of 85 – 92.

For further information, please
see the FNU catalog.
2. Students will be allowed to repeat a course only once. Two
(2) failing grades will result in termination from the program.
10. FNU Graduate Nursing Grading System
Letter Grade
Numeric Points
Quality Points
A
93-100
4.0
B
85-92
3.0
C
77-84
Unsatisfactory/Failure

I
Incomplete
State Strategies (20 points)
***Refer to Syllabus for due date
The purpose of this assignment is to familiarize students with
health reform strategies adopted by states. Students will select a
state health policy reform innovation and describe the rationale,
how it was adopted (e.g., federal waivers, passage by state
legislature), the funding structure, and (to the extent statistical
data are available) its impact. Students should summarize their
findings in a 1-2-pages, single-spaced memo.
A few examples of state innovations include Vermont’s single
payer system, Massachusetts’ health reforms and Kentucky’s
Medicaid healthcare program.
Assignment Grading Criteria
Rationale/Adoption
30 points
Funding Structure
30 points
Impact on Healthcare
30 points
APA Format
10 points

Interest Group Presentation (20 points)
***Refer to Syllabus for due date
Presentations must be submitted via BB Assignments drop box.
No Exceptions!
Students select one interest group from the following groups
provided:(e.g., Children’s Health Fund, National Rural Health
Association, Coalition for Health Services Research, Global
AIDS Alliance, National Nurses United, National Breast Cancer
Coalition) and investigate the group’s key issues; what is their
mission; what is their legislative agenda; how is the agenda
developed; how is it communicated to members; how is their
agenda pushed and promoted (i.e., mechanisms used to
engage/attract and
influence policy makers); what are the group’s current lobbying
efforts; key partner coalitions; do their partnerships influence
policies at the local, state or national level; key obstacles; and
spending allocations (consult the Center for Responsible
Politics, www.opensecrets.org).
In addition to investigating the interest group’s website and
reviewing position statements and testimony, students should
consult media reports to obtain more information on the group’s
current lobbying efforts.
Students should summarize their findings in a 1-2-pages, single-
spaced memo. Students are also to submit a 15-20 slide
PowerPoint presentation that addresses all the key questions
listed in the first section of this page. Presentation is to be done

in APA format and to include both learning objectives and a
reference page. Both presentations and written memos must be
submitted via BB.Each group should submit ONLY one
presentation and memo.
1-2 pages, single-spaced
Learning objectives
5 points
Introduction
10 points
Investigate the group’s key issues
5 points
The group’s mission
5 points
Legislative agenda
5 points
Mechanisms used to engage/attract and influence
policy makers
5 points
Current lobbying efforts
5 points
Key partner coalitions
5 points
Do their partnerships influence policies at the
local, state, or national level: key obstacles
5 points
Spending allocations (consult the Center for Responsible
Politics, www.opensecrets.org).
10 points
Conclusion
5 points
APA References
10 points
Slide PowerPoint presentation
25 points

Policy Analysis Paper
*Refer to Syllabus for due date
Policy Analysis Paper Guidelines
Purpose: To investigate & integrate knowledge of advanced
nursing practice, scholarly inquiry, & leadership by examining a
policy at the level of clinical practice, health care systems, or
public/social health policy. Students are to submit a paper
between 5-8 pages long excluding title page and reference
pages. Paper must be organized according to the guidelines
below and should include all the identified sections as required.
Paper must be completed in APA format and contain current
scholarly sources dated from 2014 until current.
Introduction:10 points
- Generally, define and describe the policy issue to be
addressed.
- Identify the purpose of analysis, the targeted level of policy
(i.e.,
clinical practice, health care systems, or public/social health)
&
significance of topic.
-Identify questions the policy analysis is intended to address.
Background: 10 points
- Provide details of the issue or problem, including its
nature/scope,
relevant literature & history, & the context within which the
issue
exists.
- Describe existing policy addressing the issue, if any.
- Discuss strengths and shortcomings in existing policy.

-Identify & describe key stakeholders (individuals & groups)
that are or
will be affected by the policy and why.
Analysis:15 points
-Identify alternative policies to achieve objectives.
- Establish/identify criteria that will be used for selection of
“best”
policy.
- Evaluate each alternative & its potential impact relative to
the
healthcare and patient outcomes.
-Assess the trade-offs between alternatives.
Recommendations:
15 points
-Based on the analysis, identify the “best” alternative to
address the
current issue & policy situation.
-Provide rationale for selection.
-Describe possible strategies to implement selected alternative.
-Identify barriers to implementation of selected alternative.
- Describe methods to evaluate policy implementation.
Discussion: 20 points
-Discuss analysis & recommendations relative to the original
questions
identified, and the level of policy it is intended to address
(i.e., clinical
practice, health care systems, or public).
- Identify limitations of analysis.

-Discuss implications for practice, education, research, &
policy-
making.
Conclusion:15 points
-Summarize findings & recommendations of analysis.
- Identify questions to be addressed in future studies or policy
analyses.
References:15 points
-List all references cited in paper. Must be completed in APA
format.
Acknowledgement of Syllabus Content
“Ihave read and understand the syllabus, course calendar, and
have examined the tabs within Blackboard to find the discussion
board, assignments, calendar, gradebook, and course materials”
Signature:Date:
Student must upload this document signed on Blackboard by
clicking on Assignments tab and then submitting via the link
provided named Syllabus Receipts.

SYLLABUSCOURSE NUMBER NGR 5891COURSE TITLE Health Care.docx

SYLLABUSCOURSE NUMBER NGR 5891COURSE TITLE Health Care.docx

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