Week 7 Discussion 1"Health Reform" Please respond to the following:Examine two (2) efforts at health reform in the United States that occurred during the 1900s. Determine the major political and social factors that influenced the outcomes for each. Support your rationale with specific examples of such influence.From the e-Activity, compare and contrast at least two (2) pros and cons of developing a state health insurance exchange. Speculate on which exchange you believe would be most beneficial for the majority of the insured in your state. Provide support for your rationale.

In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

What is the main issue for your Nursing organization in addressing a solution to evidence-based nursing practice? Discuss what might be the first step in addressing and resolving this issue.