Feb 23, 2024 ADVOCATING THROUGH POLICY NURS 8100
A Sample Answer For the Assignment: ADVOCATING THROUGH POLICY NURS 8100
The nursing profession is the largest segment of the nation’s health care workforce. Several barriers prevent nurses from responding effectively to rapidly changing healthcare settings and an evolving healthcare system. Although more than a quarter-million nurses are advanced practice registered nurses (APRNs), who have master’s or doctoral degrees and pass national certification exams, they are limited in their exercise to practice. Regulations regarding the scope of practice vary and effects different types of nurses from state to state.
Most states do not have rules that allow nurse practitioners to see patients and prescribe medications without a physician’s supervision (American Association of Nurse Practitioners, 2019). States that restrict APRNs’ ability to practice according to their licensure authority are associated with geographic health care disparities, higher chronic disease burden, primary care shortages, higher costs of care, and lower standing on national health rankings (American Association of Nurse Practitioners, 2013).
A major influence that full practice authority is the decrease in the unnecessary repetition of orders, office visits, and care services. Greater use of NPs projects over $16 billion in immediate savings would increase over time (American Association of Nurse Practitioners, 2013). Overall, the recommendations are geared toward advancing the nursing profession and are focused on actions required to meet best long-term future needs rather than needs in the short term.
Reference
American Association of Nurse Practitioners. (2013). Nurse practitioner cost effectiveness. https://www.aanp.org/advocacy/advocacy-resource/position-statements/nurse-practitioner-cost-effectiveness
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American Association of Nurse Practitioners. (2019). Scope of practice for Nurse Practitioners. https://www.aanp.org/advocacy/advocacy-resource/position-statements/scope-of-practice-for-nurse-practitioners
Each day, problems emerge in health care settings and communities to the extent of deterring the achievement of health care goal. The work environment might be unaccommodating and communities could be experiencing challenges out of denial of basic health care needs.
In such cases, nurses should play an advocacy role. Their voice is instrumental in promoting positive change, and I advocate for the nursing profession by championing for better patient care and community services.
Patient advocacy has been an essential part of nursing. Indeed, nursing is incomplete without patient advocacy, which involves helping patients to get the information and resources needed to make health care decisions (Murray, 2017). As a patient advocate, my role is to speak on behalf of the voiceless as my role necessitates.
My areas of concern include activism towards patient protection from harm, ensuring that patients access the right materials that enable them to make accurate health care decision, and communicating patient preferences whenever an opportunity emerges.
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Nurses advocate for their communities to ensure that the health needs of the broader society are met. Doing so is critical for the success of nursing since a highly resourced community is convenient for a nurse to serve. As Buckley (2018) suggested, advocacy at the community level is mainly concerned with policy changes and resources.
ADVOCATING THROUGH POLICY NURS 8100
In supporting this view, I try as much as possible to communicate with community leaders and show them how to empower the community through health care resources. In public forums and schools, I take any available opportunity to emphasize the need for advanced health care infrastructure. The goal is to improve access to health regardless of where a person lives.
Overall, advocating for the nursing profession follows the premise that some needs of selected groups are not addressed. Next, a nurse decides to become the voice of such groups. Advocacy for patients and communities shows that nurses can do more than medical assistance at health care facilities. They can help to champion the needs of others to improve the general health care situation in hospitals, communities, and nations at large.
References
Buckley, S. (2018, May 7). Advocacy strategies and approaches: Overview. Association for Progresive Communications. https://www.apc.org/en/advocacy-strategies-and-approaches-overview
Murray, E. (2017). Nursing leadership and management: for patient safety and quality care. FA Davis.
Discussion 2: Advocating Through Policy
As noted by Dr. Stanley and Dr. White in this week’s media presentation, professional nurses should be engaging in advocacy efforts to improve health and nursing practice through involvement in the policy process at the institutional, local, state, or federal levels. This array of possibilities for involvement provides opportunities for all nurses, regardless of time, or other possible constraints.
Successful policy making is a collaborative effort, and one that commands mutual respect from all involved. Your involvement in policy making can lead to expanded opportunities as both a nurse leader and as a respected member of an interprofessional health care team.
Note: This Discussion provides a forum for discussing advocacy opportunities and honing your presentation skills in a small group setting.
To prepare:
Reflect on the insights offered by Dr. Stanley and Dr. White on engaging in advocacy through the policy process.
Identify a practice issue that is of interest to you and that could benefit from advocacy efforts through the policy process.
Consider the stakeholders and any special interest or professional organizations that would support your issue.
Develop a short, yet persuasive PowerPoint (up to 3 slides) as follows:Identify the practice issue that would benefit from being addressed through the policy processRepresent the key stakeholders (i.e. use graphical images when possible)
Propose one strategy for how a nurse could advocate for this issue
The PowerPoint should be succinct, visually appealing, and effective.
By Day 4
Post your PowerPoint presentation.
Read a selection of your colleagues’ postings.
By Day 6
Review each group member’s PowerPoint presentation and offer constructive feedback on:
Style and quality of the PowerPoint
Persuasiveness
Clarity
Representation of stakeholders, such as additional individuals/groups that could be included
Strategy proposal
Return to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.
Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.
Nurse-Led Discharge planning to Reduce Readmissions
The nurse-led discharge planning is a process that can benefit from advocacy in healthcare settings. The process support the reduction of readmission policy and comprises of different interventions (Qui et al, 2021).
Key among them include having daily rounds to identity those to be discharged next and any potential difficulties that they may have, provision of written instruction on discharge and providing pre-scheduled follow up visits to the outpatient unit and the physicians in-charge (Chaka et al., 2019).
The process also entails involvement of patients and caregivers in planning and decision-making that comprise of patient education and a better understanding of the discharge process.
Stakeholders
The stakeholders in this process include the patients and their families or caregivers, nurses, physicians and pharmacists. The case manager, the nutritionists and even the healthcare organization and its management are also critical stakeholders in this process. Through them, it is possible to advocate for changes in policy processes to improve the Readmission Reduction policy’s outcomes.
Nurse-Led Discharge Process
The multidisciplinary team will comprise of different professionals with well-documented roles and responsibilities. The team will conduct discharge planning with the patient and family through educating them using layman’s language (Vernon et al., 2019).
For instance, the physician will discuss the management of the disease and prognosis while the nurse will offer education on medication and administration of medicines (Mabire et al., 2018).
The pharmacist will review medications before discharge while the case manager will ensure that all home needs that the patient requires are available. The nutritionist or dietitian will discuss effective and appropriate food options for the patients.
The use of multidisciplinary approach in rounds on a constant basis improve the ability of the facility to address barriers to effective patient management. Secondly, it improves patient compliance to treatment upon discharge and reduces readmissions that are costly, especially when not done sufficiently. The process reduces the cost of care and improves clinical outcomes. The implication is that advocating for this process imprpvement allows the facility to attain the goals of its Readmission Reduction policy.
The policy I addressed was the Title VIII Nursing Workforce Reauthorization Act of 2019. This policy/bill expands and empowers nursing workforce development programs through FY2024 (Congress, n.d.). This bill builds on the Institute of Medicine (IOM) (2010) report that recommends nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progress. This policy/bill was first passed in 2017 and has required significant nursing leadership advocation. I utilized a framework by Fawcette and Russell (2001) to look at social, ethical, legal, and financial impacts of the policy.
Numerous options/solutions for addressing the policy were addressed including no change, partial change, and a radical change. A partial solution to the barrier of nursing education funding would be the proposal of the Title VIII Nursing Workforce Reauthorization Act. This could encourage the standardization of nursing programs and create one uniform degree requirement for entry level nursing. Nurses could also access clear instructions on how to advance their degree with various clinical pathways outlined. This solution requires nursing leaders to be a strong advocate both in policy reform and nursing organizations to fill the gap until a more radical solution could be proposed.
This can positively impact the nursing practice as it increases nurse education dollars and could improve staff to patient radios for improved patient outcomes. A radical change to address the nursing education pipeline would be providing free four-year education at a public university. This would take significant funding from taxpayers and bipartisan support. This radical solution would require nursing leaders to be highly involved in nursing legislature to ensure the solution was implemented.
The cost of this radical option could be exorbitant and would require significant dedication, consensus, and support to obtain. The impact to the nursing profession as a result of this solution is unknown but one can posit that it would increase the number of healthcare professionals entering the field, improve staffing ratios and ultimately positively impact patient and organizational outcomes.
References
Congress. (n.d.). H.R. 728 Title VIII Nursing Workforce Reauthorization Act of 2019. https://www.congress.gov/bill/116th-congress/house-bill/728
Fawcette, J., & Russell, G. (2001). A conceptual model of nursing and health policy. Policy, Politics, & Nursing, 2(2), 108-116. https://doi.org/10.1177/152715440100200205
Institute of Medicine (2010). The future of nursing: Leading change, advancing health.
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