Federalism Essay Example | Topics and Well Written Essays - 250 words - 2

Federalism - Essay Example As Washington D.C. continues to come up with laws and regulations to guide the entire nation without engaging in much consultation with the states governments, the state legislators have voiced their disappointed for failing to be included in the process and have done this by introducing bills that seek to nullify some of the national government’s laws and regulations. State regulators claim that the national government has engaged in overregulation and have decided not to sit back and watch. The year 2014 marks the period when there has been an explosion of bills and this has aggravated the conflict between the national government and state governments further (Wheeler, â€Å"States Rise Up†). Due to the fact that federalism involves a nation being ruled by two forms of government or there being power sharing, conflicts are bound to emerge. In the second article, conflict between the national government and state governments over the issue of drug approval is discussed. An example of two terminally ill patients from the state of Massachusetts and who are brothers is given (Ollove, â€Å"Right-To-Try†). The boys suffer from a disease known as Duchenne muscular dystrophy. Due to lack of proper medication, the boys’ conditions have continued to deteriorate. This is despite the fact that the right medication can be made available, if the national government revised its drug approval process. In the United States, it takes approximately 5.5 to 10.5 years for a drug to be approved by the FDA (Ollove, â€Å"Right-To-Try†). This is rather long especially given that the period is long enough for the health conditions of patients to deteriorate further and for the unfortunate ones, to never make it to receive the medication. This is the reason behind the conflict over right-to-try between state governments and the national government. States

Professional Practice Model in Military Nursing Essay

Professional Practice Model in Military Nursing - Essay Example The term â€Å"nursing practice model† refers to operational models for redesigning nursing practice for the provision of patient care in organizational settings, primarily hospitals and long term care facilities ("Professional nursing practice," 2011). Professional practice model (PPM)/Professional nursing model has five subsystems: values, professional relationships, a patient care delivery model, a management approach, and compensation and rewards. Analysis of five PPMs showed that the professional values addressed most often are nurse autonomy, nurse accountability, professional development, and emphasis on high-quality care (Buttell, Hendler, & Daley, 2007). Teamwork, collaboration, and consultation consistently appeared as approaches to enhance professional relationships. Primary nursing and case management are the care delivery systems most often used in the models. Decentralizing decision making, expanding the scope and type of unit nurse manager responsibilities, and instituting structural changes to support professional practice were common activities in the management subsystem. Compensation and reward systems generally recognized professional achievement and contribution toward organizational goals. Recommendations for implementing and evaluating PPMs are offered (Hoffart, & Woods, 1996). For recognition of nurses department there are different designation such as the Magnet designation is the highest level of recognition the American Nurses Credentialing Centre (ANCC) accords to organized nursing services. The award recognizes health care organizations exhibiting excellence in nursing services to patients, the existence of an environment that supports professional nursing practice and growth and development of nursing staff. Magnet institutions act as "magnets" by attracting and retaining outstanding nurses and creating a work environment ("High point regional," ). Influence of professional practice model on change in health care organizatio ns: This model can be implemented organization-wide, they typically redesign nursing practice at the point of patient care delivery, that is, at the nursing unit level. Thus the models are distinguished from such organization that do not specifically address care delivery (Weisman). Nursing practice model are innovative practice arrangement because of the following influential aspects on change in health care. The degree to which the practice of individual nurses is differentiated according to education level or performance competencies so that the competition among the nurses will be established and they will try to improve their educational level as well as expertise in the field. The degree to which nursing practice at the unit level is self-managed, rather than managed by traditional supervisors(Weisman), they need to be in charge of work design and work flow, since they are the professionals involved in the majority of patient care. It is important they have input into the desi gn of the unit or workplace, for instance being on a committee that buys equipment for effective care in order to achieve