course material

1. Discussion: 2010 ACA Legislation
Discussion: 2010 ACA LegislationORDER HERE FOR ORIGINAL, PLAGIARISM-FREE PAPERS
ON Discussion: 2010 ACA LegislationInstructions sent in the file make sure to respond to
the 2 students discussion sent to you. Tutor should be an expert in MSN in the topic of Acute
Nurse Practitioner Nursing. Discussion: 2010 ACA LegislationNURS 6052 Essesnse of
Evidence –Based Practice WEEK 1TUTOR WILL RESPOND TO THESE 2 STUDENTS’
DISCUSSIONSDiscussion: Where in the World Is Evidence-Based Practice?March 21, 2010,
was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to
take on the world.When the Affordable Care Act was passed, it came with a requirement of
empirical evidence. Research on EBP increased significantly. Application of EBP spread to
allied health professions, education, healthcare technology, and more. Health organizations
began to adopt and promote EBP.In this Discussion, you will consider this adoption. You
will examine healthcare organization websites and analyze to what extent these
organizations use EBP.By Day X of Week XRespond to at least two of your colleagues on two
different days by visiting the websites they shared and offering additional examples of EBP
or alternative views/interpretations to those shared in your colleagues’ posts. Student #1
MGEvidence-based practice is a problem-solving approach to the delivery of health care
that incorporates the best evidence from studies and patient care data with clinician
proficiency and patient preferences and values. When delivered in a context of caring and in
a supportive organizational culture, the highest quality of care and best patient outcomes
can be reached. (Ellen Fineout-Overholt, 2010) I decided to choose The Centers for Disease
Control and Prevention as an example of evidence-based practice. This organization’s
history began in July 1946, occupying a small building floor in the city of Atlanta. His first
mission was simple but extremely challenging: stop malaria from spreading across the
country. They had fewer than 400 employees at the time and a budget of $ 10
million. (Centers for Disease Control and Prevention.) But that was only the beginning; his
Founder Dr. Joseph Mountin continued to advocate for public health issues and push for
CDC to expand its responsibilities to other infectious diseases. The CDC is currently a great
resource available to federal, state, or private agencies, employers, public health officials,
communities, and even for us as health care professionals. The organization provides up-to-
date disease information and relies on evidence to create guidelines and act under these
guidelines to prevent the spread of infectious diseases. The most recent case is the current
COVID-19 pandemic. The CDC confirmed the person-to-person spread of the new
coronavirus in the United States. (Sencer, n.d.) The CDC has created evidence-based

2. guidelines from clinical experience and research evidence-based on the incubation period
and mode of transmission of the virus.Using CDC’s strategies derived from evidence-based
practice, health care providers can translate research findings into clinical practice that lead
to a safe work environment and improved infectious disease eradication. (Melnyk,
2018)References Centers for Disease Control and Prevention. (2020, December). Retrieved
from Our History – Our Story: https://www.cdc.gov/about/history/index.htmlEllen
Fineout-Overholt, B. M. (2010, November). American Journal of Nursing. Evidence-based
practice, step by step: Critical appraisal of the evidence., 43-51. doi:DOI:
10.1097/01.NAJ.0000390523.99066.b5Melnyk, B. M. (2018, October 26). American
Association of Nurse Practitioners. Retrieved from Why Choose Evidence-based Practice?:
https://www.aanp.org/news-feed/why-choose-evidence-based-practiceSencer, D. J.
(n.d.). Centers for Disease and Control and Prevention . Retrieved from CDC Timeline:
https://www.cdc.gov/museum/timeline/index.html Student #2 EC The National
Council for State Board of Nursing (NCSBN) founded in 1978 is a mission-driven
organization protecting public safety supports and empowers nursing regulators. NCSBN
members are the Boards of Nursing (BON) that regulates the nursing practice and aligns
with the Nurse Practice Act. Navigating the website under “Research” mentioned evidenced-
base regulatory decisions for public protection and patient safety (National Council for State
Board of Nursing, 2010).The Organization’s work is grounded in EBP, by reputation, NCSBN
is the leading regulatory body that certifies the entire workforce of nurses in the US. They
have their research team and at the same time provide funding and grants for scientific
research and establish an evidenced-base program (EBP) that will promote the science of
nursing policy and prepare future leaders for the regulatory experience. Since NCSBN is one
of the entities that regulate the nursing practice, recent EBP supporting the Clinical
Judgement Model will introduce by NCSBN for the next generation National Council
Licensure Exam (NCLEX) encouraging educators to start preparing the nursing students
understanding clinical judgment (Sherrill,2020). Taxonomy of Error, Root Cause Analysis
and Practice Responsibility (TERCAP) was initiated by NCSBN in response to Institute of
Medicine consultation to design a standardized process nationwide on human error
discerning willful negligence and intentional misconduct. The TERCAP protects patient
health and safety by structured tracking and evaluation of the cause of adverse events from
the system and individual perspective (Missouri State Board of Nursing Newsletter,2015).I
have a high expectation with regards to NCSBN and navigating its website does not change
my perception. As the leading regulator of the nursing practice, this organization holds a
high standard of practice maintaining the integration of EBP in every policy and initiative
being applied. Nurses are one of the largest workforces nationwide that even before the
Affordable Care Act of 2010 had been guided by EBP. One example is the guidelines for the
nursing education program, NCSBN had conducted guidelines and evidenced-based quality
indicator for the Board of Nursing to follow in approving the program in their states
(Journal of Nursing Regulation,2020). This creates a ripple effect on how nurses are being
prepared for their profession starting from the approval of nursing school through the
Board of Nursing guided by NCSBN grounded in EBP. ReferencesJournal of Nursing
Regulation. (2020). NCSBN Regulatory Guidelines and Evidence-Based Quality Indicators

3. for Nursing Education Programs. Journal of Nursing Regulation, 11(2), S1–
S64. https://doi.org/10.1016/s2155-8256(20)30075-2Missouri State Board of Nursing
Newsletter. (2015). Ten Years After the Institute of Medicine (IOM) Recommendation to
NCSBN: Highlights of the Findings from the NCSBN National Nursing Adverse Event
Reporting System – TERCAP®. MO STATE BOARD NURS NEWSL.National Council for State
Board of Nursing. (2010). About NCSBN | NCSBN.
NCSBN. https://www.ncsbn.org/about.htmSherrill, K. J. (2020). Clinical Judgement and
Next Generation NCLEX® – A Positive Direction for Nursing Education! Teaching and
Learning in Nursing, 15(1), 82–85. https://doi.org/10.1016/j.teln.2019.08.009 Rubric
DetailFirst Response 17 (17%) – 18 (18%)Response exhibits synthesis, critical thinking,
and application to practice settings. Responds fully to questions posed by faculty. Provides
clear, concise opinions and ideas that are supported by at least two scholarly
sources. Demonstrates synthesis and understanding of learning objectives. Communication
is professional and respectful to colleagues. Responses to faculty questions are fully
answered, if posed. Response is effectively written in standard, edited English.
sources are cited. 0 (0%) – 12 (12%)Response may not be on topic and lacks
depth. Responses posted in the discussion lack effective professional
communication. Responses to faculty questions are missing. No credible sources are
cited.Second Response16 (16%) – 17 (17%)Response exhibits synthesis, critical thinking,
and application to practice settings. Responds fully to questions posed by faculty. Provides
clear, concise opinions and ideas that are supported by at least two scholarly
sources. Demonstrates synthesis and understanding of learning objectives. Communication
is professional and respectful to colleagues. Responses to faculty questions are fully
answered, if posed. Response is effectively written in standard, edited English.
0 (0%) – 11 (11%)Response may not be on topic and lacks depth. Responses posted
in the discussion lack effective professional communication. Responses to faculty questions
are missing. No credible sources are cited.Participation 5 (5%) – 5 (5%)Meets
requirements for participation by posting on three different days. Discussion: 2010 ACA
Legislation 0 (0%) – 0 (0%)Does not meet requirements for
participation by posting on 3 different days.Total Points: 100
Learning ResourcesNote: To access this module’s required library resources, please
click on the link to the Course Readings List, found in the Course Materials section of your
Syllabus.Required ReadingsMelnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based
practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA:
Wolters Kluwer.Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a
Spirit of Inquiry” (pp. 7–32)Boller, J. (2017). Nurse educators: Leading health care to the
quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708.
doi:10.3928/01484834-20171120-01Note: You will access this article from the Walden
Library databases. Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient
care through nursing engagement in evidence-based practice. Worldviews on Evidence-
Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126Note: You will access this article
from the Walden Library databases. Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-
M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job

4. satisfaction, and group cohesion among regional fellowship program participants.
Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171Note: You
will access this article from the Walden Library databases. Melnyk, B. M., Fineout-Overholt,
E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The
seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53.
doi:10.1097/01.NAJ.0000366056.06605.d2Note: You will access this article from the
Walden Library databases. Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt,
E. (2014). The establishment of evidence-based practice competencies for practicing
registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies
to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on
Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021Note: You will access this
article from the Walden Library databases. Sikka, R., Morath, J. M., & Leape, L. (2015). The
Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610.
doi:10.1136/bmjqs-2015-004160Note: You will access this article from the Walden Library
databases.Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September
6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981 Required
MediaLaureate Education (Producer). (2018). Introduction to Evidence-Based Practice and
Research [Video file]. Baltimore, MD: Author.Bottom of FormBottom of FormDiscussion:
2010 ACA Legislation