Feb 23, 2024 NURS 8100 Week 4 Discussion: Selecting a Policy Analysis Framework
A Sample Answer For the Assignment: NURS 8100 Week 4 Discussion: Selecting a Policy Analysis Framework
The policy I have selected for this week’s discussion is the policy surrounding Genetic Data Privacy. In Colorado, this is one of the top 10 policies that will be focused on by legislators even though the top priority for the state remains economic recovery after the Covid-19 pandemic. This policy looks at the rights and obligations from two different perspectives; business obligations and consumer rights. Regulations need to be adhered to by businesses to prevent security breaches of the data they collect. Consumers have the right to access the data that has been collected and request it be deleted (Fording, 2021).
The right to have an individual’s personal genetic data protected is not only important in the health care sector but is also emerging as a new issue in the public arena because of corporations like 23andMe and Ancestory.com. Like the bill that passed in California (senate bill 980) which required policies be developed to ensure private genetic information be kept from insurance companies which in turn would prevent denials of insurance, Colorado similarly is looking to ensure that genetic information is kept private.
The framework that applies to this particular issue is outlined in Fawcett and Russell’s (2001), Conceptual Model of Nursing and Health Policy. The model is divided into five levels of focus and outcomes. In this case, I believe that level five is the level that deals with the privacy of genetic information. The fifth level examines health from a global perspective, taking into consideration “social justice, the meaning of health, and a fair distribution of nursing and health resources” (p. 112). As mentioned earlier the need to keep genetic results private so insurance companies cannot use that information to deny coverage is a fair distribution issue.
The other stages of this conceptual model could guide healthcare institutions, specifically at the department level, by using levels two and level three. In these levels, the development of policy that guides healthcare practice and the study of its effectiveness is the primary focus. Frameworks like this simplify the concept of policy development for those individuals who do not have a high degree of comfort with this type of work. Nurses are not usually found on the legislative floor discussing policy development so frameworks like this can assist in becoming part of policy development and revision a much more enticing proposition.
Struggling to Meet Your Deadline?
Get your assignment on NURS 8100 Week 4 Discussion: Selecting a Policy Analysis Framework done on time by medical experts. Don’t wait – ORDER NOW!
Meet my deadline
References
Fawcett, J., & Russell, G. (2001). A conceptual model of Nursing and health policy. Policy, Politics, & Nursing Practice, 2(2), 108–116. https://doi.org/10.1177/152715440100200205
Fording, A. (2021, February 25). Consumer Data Privacy Laws:2021 State Trends. Fiscal Note Blog. https://fiscalnote.com/blog/2021-state-trends-the-rise-of-consumer-data-protection
A major element of a reliable policy analysis entails utilizing an analytical framework founded on one or more policy-making theories and models. The frameworks assist in identifying and interpreting the connection between crucial variables pertinent to the policy issue of interest (Sheldon, 2018). Medicaid is an example 0f a health policy in the US that led to establishing a health insurance program that covers low-income individuals and families (Maddox et al., 2020).
The policy directs that the insurance program be funded jointly by the federal and individual state governments. Besides, the policy mandates that the eligibility to the program be determined by an individual relative to the federal poverty level.
Lowry’s Dimensions of Federalism framework would be used for this issue. I would use this framework since it offers a relevant analytical lens to examine the influences of state policy responses. The framework hypothesizes that there is a direct connection between the severity of a problem and state policy response (Sheldon, 2018).
Besides, the framework proposes that the strength of this connection is influenced by some variables, the most noteworthy of which are the extent of federal involvement (extent of regulatory policy-making) and degree of interstate competition for business (Sheldon, 2018). Based on the framework, we can conclude that a high level of federal involvement improves communication and coordination of policy implementation across states since the federal government uses the state exemplars to cause change across states.
An analysis framework can be used to provide guidance when establishing a policy’s status, that is, whether it is a consultation document or parliamentary bill. The framework can also be used to establish a policy’s relationship with other previous and more recent policy initiatives (Hewison, 2007). In addition, it can be used to identify the themes that the policy addresses.
Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS NURS 8100 Week 4 Discussion: Selecting a Policy Analysis Framework:
References
Hewison, A. (2007). Policy analysis: a framework for nurse managers. Journal of Nursing Management, 15(7), 693–699. https://doi.org/10.1111/j.1365-2934.2006.00731.x
Maddox, K. E. J., Bauchner, H., & Fontanarosa, P. B. (2019). US health policy—2020 and beyond: introducing a new JAMA series. JAMA, 321(17), 1670-1672. https://doi.org/10.1001/jama.2019.3451
Sheldon, M. R. (2018). Policy-making theory as an analytical framework in policy analysis: implications for research design and professional advocacy. Physical Therapy, 96(1), 101-110. https://doi.org/10.2522/ptj.20150032
The goal of policy analysis is to provide in-depth, relevant, and evaluative information about a policy. Using a framework as a guideline for the analysis provides scaffolding for logically and carefully considering the policy issue.
To select a framework, one should consider the focus of the policy being analyzed and whether the policy is intended to be predictive or prescriptive. For this Discussion, you will choose a policy issue that is important to you and after evaluating the frameworks described in the Learning Resources, select the framework most appropriate for analyzing the issue.
The selected policy is the implementation of state agency worksite wellness programs, as directed by Texas Government Code, Section 664.053. The health of state employees affects the state’s healthcare expenditures and the productivity of state agencies. For example, obese individuals cost employers an average of $5,555 per year in covered medical, sick days, short-term disability, and workers’ compensation claims combined, whereas the average cost for an employee of recommended weight is $3,839 per year (Texas Department of State Health Services, 2020).
NURS 8100 Week 4 Discussion Selecting a Policy Analysis Framework
Texas Government Code, Section 664.053 requires the Texas Department of State Health Services (DSHS) to designate a statewide wellness coordinator to create and promote a model wellness program for state agencies. The statute also directs DSHS to study the implementation and participation rates of state agency worksite wellness programs and report the findings to the Legislature biennially.
In 2020, DSHS conducted two surveys, one asking agency wellness liaisons from across Texas state agencies about wellness programs at their respective worksites, and a second asking state employees about their use of wellness-related resources. Of the wellness liaisons surveyed, 65 out of 188 responded to the survey (a 35 percent response rate).
Of the responding wellness liaisons, 99 percent reported that their agency has a wellness policy and 55 percent reported a wellness plan that involved implementing activities. However, 46 percent of liaisons reported their agency did not have a wellness budget. Most wellness activities implemented among state agencies required minimal resources so as to work within limited funds, time, agency size, and space.
A total of 5,840 state employees out of 145,645 responded to the survey (a 4 percent response rate). A majority of respondents found wellness services and benefits useful but are not aware of the breadth of opportunities available. This indicates more work is needed to raise awareness of these benefits.
DSHS leadership and the Statewide Wellness Coordinator will continue to provide technical assistance to wellness liaisons as they implement wellness programs at their agencies. They will also carry out statewide initiatives that align with the objectives of the model wellness program, Work Well Texas (Texas Department of State Health Services, 2020).
The framework is John Kingdon’s multiple streams theory. John Kingdon’s Agendas, Alternatives, and Public Policies advance theoretically by proposing a differentiation between the concepts of governmental agendas and decision agendas. The agenda is the list of subjects or problems to which governmental officials, and people outside of government closely associated with those officials, are paying some serious attention at any given time.
For the author, an issue is placed on the governmental agenda when it catches the attention and the interest of policymakers. Kingdon expands the set of actors related to agenda-setting, considering not only decision-makers within the state but also individuals and groups related to them. In addition, given the complexity and the volume of questions facing policymakers, Kingdon reminds us that only a few issues are seriously considered within the governmental agenda at any given time.
These issues correspond to the decision agenda: a subset of the governmental agenda where issues are ready for an active decision (Capella, 2020). In the highly competitive agenda-setting process, few issues move from the government agenda to the decision agenda. In his words, we should also distinguish the governmental agenda, the list of subjects that are getting attention, and the decision agenda, or the list of subjects within the governmental agenda that are up for an active decision.
Kingdon explains how agendas change from time to time, proposing an explanatory model organized around three streams, the problems stream, the policy stream, and the political stream. The multiple streams model proposed by the author seeks to analyze the pre-decisional stages of the policy process by explaining policy formulation through three streams connected by a public policy entrepreneur who plays an important role when windows of opportunity make changes possible (Capella, 2020).
The policy is in the implementation stage. DSHS will focus on implementing statewide initiatives that align with the objectives of the model wellness program and will continue to support wellness liaisons as they implement related activities in their agencies. Additionally, DSHS plans to initiate demonstration projects at state agencies that currently do not participate in wellness programming.
Such projects may include promoting lactation support policies, partnering with cafeteria/vending operators to increase healthy food options in state buildings, and maintaining annual initiatives such as the fitness challenge and wellness conference. Evidence-based, ready-to-implement activities will decrease the time and effort other agencies need to spend developing their own activities.
State agencies would only need to make minor logistical changes to integrate activities into their system. Finally, through ongoing collaboration with the Employees Retirement System of Texas (ERS), DSHS will continue to address state-level issues related to improving employee health, raising awareness of available benefits, building wellness infrastructure across all agencies, and providing resources and technical assistance.
References
Capella, A. C. N. (2020). Policy agenda-setting studies: an overview of Brazilian research. Revista de Administração Pública, 54, 1498-1512.
Texas Department of State Health Services (2020). Implementation and Participation in State Agency Worksite Wellness
The policy I have selected for this week’s discussion is the policy surrounding Genetic Data Privacy. In Colorado, this is one of the top 10 policies that will be focused on by legislators even though the top priority for the state remains economic recovery after the Covid-19 pandemic. This policy looks at the rights and obligations from two different perspectives; business obligations and consumer rights.
Regulations need to be adhered to by businesses to prevent security breaches of the data they collect. Consumers have the right to access the data that has been collected and request it be deleted (Fording, 2021). The right to have an individual’s personal genetic data protected is not only important in the health care sector but is also emerging as a new issue in the public arena because of corporations like 23andMe and Ancestory.com.
Like the bill that passed in California (senate bill 980) which required policies be developed to ensure private genetic information be kept from insurance companies which in turn would prevent denials of insurance, Colorado similarly is looking to ensure that genetic information is kept private.
The framework that applies to this particular issue is outlined in Fawcett and Russell’s (2001), Conceptual Model of Nursing and Health Policy. The model is divided into five levels of focus and outcomes. In this case, I believe that level five is the level that deals with the privacy of genetic information.
The fifth level examines health from a global perspective, taking into consideration “social justice, the meaning of health, and a fair distribution of nursing and health resources” (p. 112). As mentioned earlier the need to keep genetic results private so insurance companies cannot use that information to deny coverage is a fair distribution issue.
The other stages of this conceptual model could guide healthcare institutions, specifically at the department level, by using levels two and level three. In these levels, the development of policy that guides healthcare practice and the study of its effectiveness is the primary focus.
Frameworks like this simplify the concept of policy development for those individuals who do not have a high degree of comfort with this type of work. Nurses are not usually found on the legislative floor discussing policy development so frameworks like this can assist in becoming part of policy development and revision a much more enticing proposition.
References
Fawcett, J., & Russell, G. (2001). A conceptual model of Nursing and health policy. Policy, Politics, & Nursing Practice, 2(2), 108–116. https://doi.org/10.1177/152715440100200205
Fording, A. (2021, February 25). Consumer Data Privacy Laws:2021 State Trends. Fiscal Note Blog. https://fiscalnote.com/blog/2021-state-trends-the-rise-of-consumer-data-protection
To prepare for Selecting a Policy Analysis Framework:
Reflect on your understanding of the policy process: how policy is formulated, adopted, implemented, and evaluated.
Review the various frameworks presented in this week’s Learning Resources and consider how they are applied to nursing and health policies. How do they assist you in understanding and shaping policy?
Brainstorm a list of the issues that are most important to your practice (these can be issues at the institutional, local, state, national, or international level). Then identify a specific nursing or health care policy related to one key issue, and consider which of the frameworks you would use to examine the issue.
Note: You may not select the Patient Protection and Affordable Care Act for this analysis.
By Day 3 of Selecting a Policy Analysis Framework
Post a cohesive response that addresses the following:
Identify the policy you have selected.
Describe the framework that you would use for this particular issue, and provide your rationale.
At what other stages in the policy process might an analysis framework provide guidance?
Read a selection of your colleagues’ postings.
By Day 6 of Selecting a Policy Analysis Framework
Respond to at least two of your colleagues selecting postings for which you have an alternative framework suggestion and explain how that framework might affect the analysis.
Note: Please see the Syllabus and Discussion Rubric for formal Discussion question posting and response evaluation criteria.
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. Selecting a Policy Analysis Framework
This is insightful Ola, there are a number of factors that need to be considered when implementing a state agency worksite wellness program policy, including the following: the size of the agency and its workforce, the type of work performed by agency employees, the availability of resources to support the program, including funding and staffing, the willingness of agency employees to participate in the program, and the ability of the agency to collect data on employee health and wellness outcomes (Texas Department of State Health Services, 2020).
Besides, John Kingdom’s multiple streams theory, Casey’s Model of Nursing can also be applied in the implementation of state agency worksite wellness programs. Casey’s Model of Nursing, focuses on the nurse-patient relationship and the role of the nurse as a care coordinator (Dolk et al., 2020). Nurses play a critical role in healthcare policy implementation, as they are often the ones who interface directly with patients and caregivers.
They are valuable members of interdisciplinary care teams, and can help to ensure that patients receive continuity of care across settings. Nurses also play an important role in health promotion and disease prevention (Solnet et al., 2020). In short, nurses are essential to healthcare policy implementation, and their unique perspective is invaluable in ensuring that policies are effectively translated into practice.
References
Dolk, H., McCullough, N., Callaghan, S., Casey, F., Craig, B., Given, J., … & Dabir, T. (2020). Risk factors for congenital heart disease: The Baby Hearts Study, a population-based case-control study. PLoS One, 15(2), e0227908. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0227908
Solnet, D., Subramony, M., Golubovskaya, M., Snyder, H., Gray, W., Liberman, O., & Verma, R. (2020). Employee wellness on the frontline: an interactional psychology perspective. Journal of Service Management. https://www.emerald.com/insight/content/doi/10.1108/JOSM-12-2019-0377/full/html
Texas Department of State Health Services (2020). Implementation and Participation in State Agency Worksite Wellness. https://link.springer.com/article/10.1186/s12889-020-09551-2
Rubric Detail : NURS 8100 Week 4 Discussion: Selecting a Policy Analysis Framework
Select Grid View or List View to change the rubric’s layout.
Name: NURS_8100_Week4_Discussion_Rubric
Excellent
Good
Fair
Poor
RESPONSIVENESS TO DISCUSSION QUESTION
Discussion post minimum requirements:
*The original posting must be completed by Wednesday, Day 3, at 11:59pm MST. Two response postings to two different peer original posts, on two different days, are required by Saturday, Day 6, at 11:59pm MST. Faculty member inquiries require responses, which are not included in the minimum number of posts. Your Discussion Board postings should be written in standard edited English and follow APA style for format and grammar as closely as possible given the constraints of the online platform. Be sure to support the postings with specific citations from this week’s Learning Resources as well as resources available through the Walden University online databases. Refer to the Essential Guide to APA Style for Walden Students to ensure your in-text citations and reference list are correct.
8 (26.67%) – 8 (26.67%)
Discussion postings and responses exceed the requirements of the Discussion instructions. They: Respond to the question being asked or the prompt provided; – Go beyond what is required in some meaningful way (e.g., the post contributes a new dimension, unearths something unanticipated); -Are substantive, reflective, with critical analysis and synthesis representative of knowledge gained from the course readings and current credible evidence. – Demonstrate significant ability to generalize and extend thinking and evaluate theories or concepts within the topic or context of the discussion. -Demonstrate that the student has read, viewed, and considered the Learning -Resources as well as additional resources and has read, viewed, or considered a sampling of colleagues’ postings; -Exceed the minimum requirements for discussion posts*. NURS 8100 Week 4 Discussion: Selecting a Policy Analysis Framework
7 (23.33%) – 7 (23.33%)
Discussion postings and responses meet the requirements of the Discussion instructions. They: -Respond to the question being asked or the prompt provided; -Are substantive, reflective, with critical analysis and synthesis representative of knowledge gained from the course readings and current credible evidence.re -Demonstrate ability to generalize and extend thinking and evaluate theories or concepts within the topic or context of the discussion. -Demonstrate that the student has read, viewed, and considered the Learning Resources and has read, viewed, or considered a sampling of colleagues’ postings -Meet the minimum requirements for discussion posts*.
6 (20%) – 6 (20%)
Discussion postings and responses are minimally responsive to the requirements of the Discussion instructions. They: – do not clearly address the objectives of the discussion or the question or prompt; and/or -May (lack) lack in depth, reflection, analysis, or synthesis but rely more on anecdotal than scholarly evidence; and/or -Do not adequately demonstrate that the student has read, viewed, and considered the Learning -Resources and/or a sampling of colleagues’ postings; and/or has posted by the due date at least in part. – Lack ability to generalize and extend thinking and evaluate theories or concepts within the topic or context of the discussion. -Do not meet the minimum requirements for discussion posts*. NURS 8100 Week 4 Discussion: Selecting a Policy Analysis Framework
0 (0%) – 5 (16.67%)
Discussion postings and responses are unresponsive to the requirements of the Discussion instructions. They: – do not clearly address the objectives of the discussion or the question or prompt; and/or – Lack in substance, reflection, analysis, or synthesis but rely more on anecdotal than scholarly evidence. – Lack ability to generalize and extend thinking and evaluate theories or concepts within the topic or context of the discussion. -Do not demonstrate that the student has read, viewed, and considered the Learning Resources and/or a sampling of colleagues’ postings; and/or does not meet the minimum requirements for discussion posts*. NURS 8100 Week 4 Discussion: Selecting a Policy Analysis Framework
CONTENT KNOWLEDGE
Order a similar assignment, and have writers from our team of experts write it for you, guaranteeing you an A
