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Importance of policies in nursing practice
Analysis of health care reform
What type of law regulates the practice of nursing
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Policy analysis encompasses the progress of ascertaining and evaluating alternative policies or program that intended to relieve or lessen economic, physical or social problems in the population (Patton, 2011). In determining the necessary steps of health care policy assessment that assist to shape the nursing practice environment, El-Jardali, et al., (2014) reported that policy analysis application offers results that are essential for the stakeholders and policymakers that can utilized in reviewing some of the laws in nursing laws in order to grasp an operative alternative that is feasible. Constructively, the aims of the policy analysis is to create a comprehensive vision on the process of making public policies, then recognize the issues
In 2011, Barbara Safriet published an article “Federal options for maximizing the value of Advanced Practice Nurses in providing quality, cost-effective health care” from a legal perspective. The article focused on the benefits of utilizing Advance Practice Nurses to the full extent of their abilities as well as the current barriers that APNs encounter in their practice. The aim of this paper is to discuss two regulatory provisions to full deployment of APNs in current health care system, as well as three principle causes of current barriers to removal of the restrictive provisions for the APN. Furthermore, I will discuss the critical knowledge presented in the article and how it relates the APN practice. This article was incorporated into a two-year initiative was launched Institute of Medicine (IOM) and by the Robert Wood Johnson Foundation (RWJF) in 2008 which addressed the urgency to assess and transform the nursing profession.
Both Nurse Practitioners and Nurse Practitioner-students work closely with patients to monitor their health and provide care for acute and chronic illnesses. However, in the academic-clinical setting, the NP-student may only perform this function at the discretion of the supervising NP. Although work environments and responsibilities bestowed upon these distinctive nurses can be quite different, Nurse Practitioners, Registered Nurses and students is bound to the same laws and regulations governed by all states and territories that have enacted a nurse practice act (NPA). The NPA itself is insufficient to provide the necessary guidance for the nursing profession, therefore each NPA establishes a state board of nursing (BON) that has the authority to develop administrative rules or regulations to clarify or make the governing practice law(s) more specific (NCSBN
The changes to health policy and the re-organisation of the NHS in recent years which has led to improve integrated governance, has all developed as a result of the catastrophic failings that occurred in Mid-Staffordshire healthcare Trust. The Secretary of State for health, Andrew Lansley, announced a full public inquiry to parliament on the 9th June 2009 into the role of the commissioning, supervisory and regulatory bodies in the monitoring of Mid-Staffordshire Foundation Trust (Midstaff inquiry online, 2013). This inquiry was led by Robert Francis QC, who proposed recommendations to ensure that similar events do not repeat in future. The Francis report made 290 recommendations which included improved support for compassionate, caring and committed care, as well as stronger healthcare leadership (Health Foundation Online, 2014).
Practically considering the difficulties involved in implementing the policy in nursing practice. Along with methods of delivery and evaluation.
Nurse Residency Programs are one way to make nursing practice safer for the patient and to keep nurses from leaving the practice. The Affordable Care Act will increase the number of patients receiving medical care over the next several years. We, as a nation, will need adequate numbers of nurses to fill the void. Many hospitals and universities are constructing nurse residency programs to meet that need. The designation of these programs is to increase knowledge, confidence and job satisfaction of new graduate nurses in their first year of practice. The AACN and University HealthSystem Consortium support the concept of nursing residencies. In 2004, an outline for nurse residency programs became available through their joint effort. Currently, 30 states are currently using the model successfully. The funding for nursing residencies is an area that needs addressing, federal funding for nursing education should include nursing residencies ("Nurse Residency Program," 2012). The purpose of this paper is to describe how this issue can move into a “policy window” using John Kingdon’s Policy Stream Model.
This week I have learned about the importance and nurse’s role in the healthcare policy making. Nurses provide essential services and knowledgeable about client needs. They interact with healthcare consumers in a wide variety of settings. This provide nurses a wide knowledge about patients health needs, an understanding of factors that affect the health of patient and their families and have insight into how people respond to various strategies and services. Nurses play a vital role in interpreting people's needs and expectations for healthcare. They also understand the expectations and needs of society's vulnerable groups. Therefore, they have an important role in the development and enactment of policies that promote health and wellness
The primary barrier to nurses being able to practice at their full potential is the states varied legislation (Fairman, Rowe, Hassmiller, & Shalala, 2011). The IOM (2011) report suggests that state scope of practice regulations should model the National Council of State Boards of Nursing Model Nursing Practice act and Administrative rules to provide legal authority to practice to the accomplished level of training. The IOM (2011) report also requested a review of states laws to identify potentially anticompetitive effects that do not protect the health and safety of the public. The new recommendations are to build a common ground with interdisciplinary groups and to include a diverse coalition for the Future of Nursing: Campaign for action (IOM,
Resource utilization is important in nursing care delivery. ANA standards of nursing providing some stratergeis regarding resource utilization. The responsibility of the public health nurse is to assess the availability of resource and individual health needs to complete the healthcare tasks. The public health nurse considering certain factors that belongs to health care cost , safety , effectiveness and impact on nursing care in the planning and nursing care delivery. Also public health nurses are evaluating as such factors are bringing the expected outcome and its effectiveness. By the help of public health nurse the client and family members can identify the health services appropriate for health care needs.
National Council for the State Boards of Nursing, APRN background, (2012). Report of the nursing policy and legislative efforts. Retrieved from https://www.ncsbn.org/428.htm#Nurse_Practitioner_Certification
The American Nurses Association (ANA) developed a foundation for which all nurses are expected to perform their basic duties in order to meet the needs of the society we serve. The ANA “has long been instrumental in the development of three foundational documents for professional nursing; its code of ethics, its scope and standards of practice, ands statement of social policy.” (ANA, 2010, p. 87) The ANA defined nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” and used to create the scope and standards of nursing practice. (ANA, 2010, p. 1) These “outline the steps that nurses must take to meet client healthcare needs.” () The nursing process, for example, is one of the things I use daily. Other examples include communicating and collaborating with my patient, their families, and my peers, and being a lifelong learner. I continually research new diagnoses, medications, and treatments for my patients. As a nurse of ...
Nurse to patient ratios are extremely paramount in assisting with overall patient mortality and wellness of our nurses. It is an issues which unfortunately affected by legislation of our government (which is affect specifically on a monetary basis). My research via Academic Search Complete allowed me to identify topics that assist my PICOT question, and enables me to further analyze and research to find out what issues directly affect is matter. Proper nurse to patient ratio, operational costs, government regulation, nurse work life and health, patient wellness, and nursing procedures and duration of those procedures are all affected by this topic and we must ensure that all are properly balanced.
Since the 1990’s, the interest in nursing and the profession as a whole has decreased dramatically and is still expected to do so over the next 10-15 years according to some researchers. With this nursing shortage, many factors are affected. Organizations have to face challenges of low staffing, higher costs for resources, recruiting and reserving of registered nurses, among liability issues as well. Some of the main issues arising from this nurse shortage are the impact of quality and continuity of care, organizational costs, the effect it has on nursing staff, and etc. However, this not only affects an organization and community, but affects the nurses the same. Nurses are becoming overwhelmed and are questioning the quality of care that each patient deserves. This shortage is not an issue that is to be taken lightly. The repercussions that are faced by both nurses and the organization are critical. Therefore, state funding should be implemented to private hospitals in order to resolve the shortage of nurses. State funds will therefore, relieve the overwhelming burdens on the staff, provide a safe and stress free environment for the patient, and allow appropriate funds needed to keep the facility and organization operational.
Health care policies are plans that intended to determine or influence decisions or actions that will help to achieve specific health care goals. Most of these policies are actions taken by the government to improve the American health care system. The purpose of this essay is to describe the process of how a topic eventually becomes a policy and tie to how the Affordable Health Care Act (ACA) policy process. This essay will include the formulation stage, legislative stage, and implementation stage of a complete policy process.
The roal of public health nursing is to promote and protect the health of the population. This proactive approach does not limit their scope of practice to health concerns of individuals but also to developing and implementing programs and policies that help enhance the health of populations. The role of public health nurses is to focus on population centered care with the outcome of promoting health, preventing disability and disease, and improving the quality of life. An effective public health nurse is able to evaluate assessment data to define population diagnoses and set priorities accordingly. They can also serve as advocates for individuals and families in the population to develop policies, access resources, and protect their dignity. Most importantly the nurse should be capable of providing care, respecting human dignity, be unbiased by concerns of social or economic status, personal attributes, or the nature of health problems.
To briefly summarize, the report identifies nurses as an important factor in enabling access to high quality, affordable health care. This was supported by the development of four fundamental recommendations. The first suggests that nurses be allowed to practice within the scope of their degree. This becomes evident in the differences in state laws that pertain to nurse’s who have acquired advanced degrees, such as the nurse practitioner.... ...