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[SOLVED] How should nurses assure policy change for advanced practice registered nurses?” What role does the Affordable Care Act (ACA) play in addressing workforce shortages in rural communities?

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   How should nurses assure policy change for advanced practice registered nurses?” What role does the Affordable Care Act (ACA) play in addressing workforce shortages in rural communities?

I just attached two discussions to make a reply to each one. Each reply should include 200 words and a minimum of two references in APA 7 format within the last 5 years.

Plagiarism must be less than 15 % 

Peer 1, Denisse:


Nurses are the most significant human group in the health workforce and are empowered to understand how health policy influences patients and communities. As professionals, they are impacted daily by politics in general and politics in the health area. Any member of nursing can advocate for needed changes in their workplace, within nursing organizations, with government agencies, or even with legislators. The American Academy of Nursing uses the knowledge and influence of its members to improve individual and community health, influencing US national health policy with a population-centered focus on nursing actions. (Kuehnert, P., et al., 2022) Every nurse can have a voice in creating and enforcing health policy and pursue a political career by focusing their work on improving health policy. The topics of action can be varied. Initially, individual health, considering socioeconomic and cultural factors of the individual, helps to break down barriers to accessing the health system Nurses can also act in favor of the population’s health, focusing efforts on community activities through resources, services, and education for the community specific. Finally, they can act to benefit the health of the professional team, improving working conditions and personal well-being of nurses, seeking quality of life and safety.

Nurses have unique training and experience to help with public health policies. Seeking to meet the needs of various patients, nurses are essential to reporting personal experiences of how health policy affects patient care. A topic of significant importance for nursing is facing the shortage of professionals in rural areas. The Affordable Care Act (ACA) is a reform act of 2010 that increases health insurance coverage for the uninsured and encourages reforms in the health insurance market. In this way, the ACA assisted rural communities by facilitating access to health care through Medicaid and affordable insurance options for this population. These measures also support rural hospitals, preventing closure due to unpaid care. (Behr, C.L., et al., 2022)

Even with the improvements offered by legislation through the ACA, residents of rural communities may face some barriers to accessing coverage. Promoting adequate transport and service availability with physicians and nurses in the region is essential. These factors can be the front of the struggle for nurses in defense of good services for rural communities. Also, the availability of telemedicine health services, for example, for patients in rural communities, can help to reach the population covered by health care, avoiding difficulties in accessing professionals. Nurse leaders should use their leverage to adjust healthcare policy within their organization and encourage more nursing staff to be involved.

Peers 2, Alejandro O.


Assuring policy change for advanced practice registered nurses (APRNs) requires advocacy efforts from nurses and nursing organizations. Here are some steps nurses can take to promote policy change for APRNs:

*Educate policymakers: Nurses can engage with policymakers to educate them about the importance of APRNs in healthcare delivery, the role they play in providing high-quality care, and the barriers that prevent them from practicing to the full extent of their education and training.

*Collaborate with other healthcare professionals: Nurses can work collaboratively with other healthcare professionals, such as physicians and pharmacists, to promote policy change that supports the expanded role of APRNs in healthcare delivery.

*Participate in professional organizations: Nurses can join professional organizations that advocate for the interests of APRNs and work to promote policy change at the local, state, and national levels. (Cramer, et al,.2021)

The Affordable Care Act (ACA) has several provisions that address workforce shortages in rural communities, including:

*Expanding access to primary care: The ACA provides funding for the National Health Service Corps, which places primary care providers, including APRNs, in underserved communities.

*Supporting telehealth: The ACA supports the use of telehealth, which can help bridge the gap in access to healthcare services in rural communities.

*Investing in healthcare workforce development: The ACA provides funding for healthcare workforce development programs that support the training and education of healthcare professionals, including APRNs, in rural areas. (Lee et al,.2021)

Overall, the ACA plays a significant role in addressing workforce shortages in rural communities by promoting policies that support the expanded role of APRNs and increase access to healthcare services. Nurses can leverage the provisions of the ACA to promote policy change and advocate for the interests of APRNs in rural communities.

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