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State your reasons for wanting to pursue graduate study, and the relationship of this study to your career goal 
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My aspiration to pursue nursing anesthesia as a career goal, came about during my last semester of my ADN studies, while doing a clinical rotation in the PACU. Prior to my PACU clinical rotation, I had very little knowledge on the roles and responsibilities of a nurse anesthetist, beside the fact that they administer anesthesia in the OR. During my clinical rotation, I developed an interest in learning about the different medications that are used during surgery, the mechanisms of action and the different procedures that were performed. This interest gave way to great learning opportunities With different CRNAs and a brief shadow experience in the OR where I was able to see a carpal tunnel release procedure. Since then, I knew I wanted to become a nurse anesthetist. 
To kickstart my career goals, I obtained a position as a new graduate nurse in the intensive care unit at Ellis Hospital where I worked for two years. I was able to learn hemodynamic management of critically ill patients, teamwork, leadership, communication, and improvement in my critical thinking skills. During my career as an ICU nurse, I have taken care of patients that are intubated, on pressors and sedation, such as norepinephrine, phenylephrine, vasopressin, propofol, midazolam, etc. On a regular basis, I assist with the insertion of endotracheal tubes, arterial and central lines, chest tubes, etc. I provide care to a diverse population of patients, including those in diabetic acidosis, requiring insulin drip, sepsis, renal failure requiring CRRT, cardiac arrest, post op surgical patient such as bowel resection and more. I was able to share my knowledge as an ICU nurse by precepting, new nurses and travelers as well as work as the Charge nurse to ensure nurses and patients were properly taken care of, during this time, I also worked on my bachelor degree where I was able to graduate summa cum laude in 2022 and in 2023 earned my certification as a critical care registered nurse. I was also able to complete 20 hours of shadow experience with a CRNA in the OR, where I was able observe the following procedures; left total shoulder replacement, carpal tunnel release and arthroscopic meniscus repair.
In 2022 I continued my ICU career at Glens Falls Hospital, where I was able to assume similar critical care responsibilities, including leadership. To foster appropriate nursing and patient care, I became an active member in the ICU based committee, where we work to address concerns of nurses and the multidisciplinary team such as staffing, improve patient care and satisfaction and discuss evidence based interventions to improve patient care. I am also an active member of Glens Falls hospital safe patient committee where we also discussed different strategies to ensure patient safety, such as the use bed alarms, bedside reports and double checking orders to ensure the proper care is being administered. I also became a member of Diversity Anesthesia Mentorship program that focuses on informing, empowering and mentoring aspiring CRNAs in preparation for career in anesthesia. 
Outside of work and school. I enjoy volunteering at a local shelter called open door mission, by providing services such cooking, serving and distributing meals, participated in different fundraisers, and events to raise funds to support community members in need and nutrition, health and created and presenting information on health and wellness to community members. I am also a mother to a beautiful and smart eight year old daughter name London. We enjoy swimming in art and craft projects. I also like to travel to different countries and learn about their cultures. This summer I will be going to England and France where I plan on visiting some historical sites. 
I would be honored to be a part of the anesthesia nursing program at Albany Medical College. I would be a great addition to the program as I am hard working, enjoy learning about anesthesia, enjoy learning new things and possess the qualities of leadership, EVIDENCED-BASED, collaborative, adaptive, flexible and resilience which are necessary qualities of a nurse anesthetist. 

Please respond to this discussion post
“The analysis of the cost-benefit implications associated with legislators’ initiatives to seek reelection and the potential repeal of the Affordable Care Act necessitates careful consideration of the possible consequences of these actions. Advocates and opponents of the ACA have engaged in extensive debates, with supporters emphasizing the advantages of expanding healthcare coverage and alleviating financial strain on Americans. Simultaneously, critics have raised concerns about costs and government overreach (Robertson‐Preidler & al., 2020).  
Legislators must weigh the potential political gains from supporting an ACA repeal against its impact on their constituents. Conducting a thorough assessment of financial costs, benefits, and societal consequences can provide valuable insights into the complex relationship between political decision making and public welfare (Gruber & Sommers, 2019). This study examines the economic implications, such as healthcare expenditures, insurance coverage, and broader impacts on public health, which could result from a potential repeal of ACA. The aim is to provide a comprehensive cost-benefit analysis that can offer valuable perspectives for policymakers and citizens alike (ACA Repeal Would Mean Massive Cuts to Public Health, Leaving Cities and States at Risk, 2017). 
Understanding their constituents’ opinions on critical issues can offer valuable insights for lawmakers. By considering the public’s viewpoint, legislators can assess the potential consequences of their choices on the electorate. Suppose that many voters strongly favor ACA and depend on its benefits. In such cases, lawmakers may need to cautiously evaluate the effects of supporting the repeal and balance this against potential advantages in future election efforts. Additionally, conducting comprehensive evaluations of voters’ sentiments enables legislative leaders to understand the societal implications of their policy actions better. This awareness can assist in aligning their proposals with society’s long-term interests and welfare. Moreover, if public opinion strongly opposes overturning the ACA, legislative leaders may be inclined to shape national policies that mirror the wishes of their constituents.  
In summary, interpretations of voters’ views are pivotal for guiding legislative leaders’ recommendations and positioning national policies. The insights gained from these analyses inform decision-making processes, while ensuring that they carefully consider the electorate’s interests and concerns. Voter advice should be given adequate consideration. (Wall & al., 2014) (Crisp & al., 2014) 
References 
A year after Obamacare repeal vote, every GOP race we targeted has a credible Democratic challenger. (2018, May 4). https://www.dailykos.com/stories/2018/5/4/1762009/-A-year-after-Obamacare-repeal-vote-every-GOP-race-we-targeted-has-a-credible-Democratic-challengerLinks to an external site. 
ACA Repeal Would Mean Massive Cuts to Public Health, Leaving Cities and States at Risk. (2017, March 7). https://doi.org/10.1377/forefront.20170307.059053Links to an external site. 
Crisp, B F., Olivella, S., Potter, J D., & Mishler, W. (2014, June 1). Elections as instruments for punishing bad representatives and selecting good ones. https://doi.org/10.1016/j.electstud.2013.08.017Links to an external site. 
Gruber, J., & Sommers, B D. (2019, June 1). The Affordable Care Act’s Effects on Patients, Providers and the Economy: What We’ve Learned So Far. https://doi.org/10.3386/w25932Links to an external site. 
No Change in Views of the Affordable Care Act and Its Future. (2014, May 5). https://www.pewresearch.org/politics/2014/05/05/views-of-the-affordable-care-act-and-its-future/Links to an external site. 
Robertson‐Preidler, J., Trachsel, M., Johnson, T J., & Biller‐Andorno, N. (2020, February 26). The Affordable Care Act and Recent Reforms: Policy Implications for Equitable Mental Health Care Delivery. https://doi.org/10.1007/s10728-020-00391-0Links to an external site. 
Short, N. M. (2022). Milstead’s health policy and politics: A nurse’s guide (7th ed.). Jones & Bartlett Learning 
Wall, M., Krouwel, A., & Vitiello, T. (2014, May 8). Voters can be influenced by voter advice websites, but they do not follow the guidance blindly. https://eprints.lse.ac.uk/81540/Links to an external site. ”
Thank you.