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Website Comparison Healthcare policy is quickly becoming one of the most important aspects of medical care in an evolving political climate. Nurses are beginning to realize the importance of policy in their work environments and may see how changes in policy can affect the health of their patients and even their own job satisfaction. Previously policy was left to lawmakers, but those in the trenches are speaking out and advocating for their own rights and the rights of their patients. There are several websites dedicated to health care policy, evidence based practice, and research towards finding better ways to eliminate public health disparities and prevent many of the major health care problems the United States faces as a nation. This …show more content…
Their goal is to create healthy communities and influence health policy to “achieve measurably better outcomes for all” (Robert Wood Johnson Foundation, 2017, n.p.). They further consider health as an indicator for how successful the nation is (Robert Wood Johnson Foundation, 2017). The foundation focuses on disease prevention and promotion, health disparities and social determinates for health, as well as mounting health issues like child obesity. The website offers ways to earn grants or funding, as well as briefs, blog posts, and info-graphics regarding the research they have conducted. The foundation evaluates all of the programs for which they provide funding, which allows researchers to determine the best methods and potential policies changes. The focus is not necessary on specific policies, but on how current policies or prospective policies may shape the health care …show more content…
While both discuss current and prospective policy, CF focuses on easy to read fact sheets, question and answer formats, as well as briefs. The information is geared towards public knowledge and is narrowed down by topic, which makes the site easier to navigate. If the consumer is looking for current information regarding a health trend in the United States or current political approaches towards equity in health care RWJF is more conducive to this type of research. For example, the RWJF recently funded a campaign through Vanderbilt University to determine if recent civil rights changes for Lesbian/Gay/Bisexual and Transgender persons may help eliminate current disparities in access to healthcare by providing healthcare coverage through marriage (Entman, 2016). This type of specific endeavor is better understood through RWJF, while overall coverage information is better explained using the CF
Access to quality healthcare is a growing concern in the United States especially in light of healthcare reform coverage expansions made possible by the Patient Protection and Affordable Care Act of 2010. It is estimated that 94% of all Americans will acquire healthcare coverage under the law, an increase of nearly 30 million people (King, 2011). This dramatic influx of patients into the healthcare system has projected to cause an immediate increase in added pressure on an already challenged healthcare workforce (King, 2011). Notably, at a time when healthcare demands are growing, graduate rates from medical schools remain unchanged while advanced practice registered nurse (APRN) graduate rates are rising (Cipher, Hooker, Guerra, 2006). The increased availability of APRNs, along with enhanced delivery of healthcare skills, gives the role a unique advantage in the current state of healthcare. These specialized advanced practice nurses provide services often at a patient’s first (and in some cases, primary) point of contact into the healthcare system (Brassard, 2013). Due to this, many states have started to take action to mitigate the increased healthcare system burden by enhancing the APRN’s scope of practice by broadening prescriptive authority. This has been shown to be one of the fundamental ethical avenues of increasing not only access to healthcare, but also efficiency and quality of care (Ross, 2012).
Large disparities exist between minorities and the rest of Americans in major areas of health. Even though the overall health of the nation is improving, minorities suffer from certain diseases up to five times more than the rest of the nation. President Clinton has committed the nation to eliminating the disparities in six areas of health by the Year 2010, and the Department of Health and Human Services (HHS) will be jumping in on this huge battle. The six areas are: Infant Mortality, Cancer Screening and Management, Cardiovascular Disease, Diabetes, HIV Infection and AIDS, and Child and Adult Immunizations.
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.
The 2010 Institute of Medicine (IOM) Report- The Future of Nursing described the role that nurses have in the current and future US health care environment (IOM, 2011). This report was completed at a time when the Affordable Care Act had been passed and a new emphasis was being put on interdisciplinary healthcare teams, care coordination, value-based payment systems, and preventative care (IOM, 2011). Nursing is the largest profession in health care and with an aging baby boomer populace, the expanded role of nurses will be critical in meeting the growing healthcare burdens (Sisko et al., 2014).
According to the federal Agency for Healthcare Research and Quality, they have assessed the nation’s health system annually since 2003, reported that, in 2015 the health care delivery system has made progress to achieve the three aims of better care, smarter spending, and healthier people (City of White Plains Health Equity Report, 2017). However, they continue to promote health equality and reach the goal of New York State being the healthiest. But most importantly aiming to reduce or eliminate racial, ethnic, and socioeconomic health
Healthy People 2020 is a program for the promotion of health and the prevention of diseases, launched by the Department of Health and Human Services in December 2010. According to healthypeople.gov, this program has four overarching goals which are first to achieve healthy, longer lives free of preventable diseases, injuries, and premature deaths; to achieve health fairness, eliminate differences, and improve all groups’ health; also to produce social and physical environments that encourage good health; and last but not least to promote life’s quality, healthy development, and healthy behaviors through all life stages. This program has a vision of a community where people live long, healthy lives. Healthy People 2020 offers a comprehensive set of 10 years of nationwide goals and objectives that is meant to improve the health of the American population. Healthy People 2020 covers 42 topic areas with approximately 600 objectives, which include 1,200 measures. A smaller set of Healthy People 2020 objectives, has been designated to communicate high-priority health issues and actions that can be taken to address them, this objectives are called Leading Health Indicators. The program goes above and beyond these health indicators in order to provide the best care for the people of this country. These indictors cover from the access of health service, nutrition, physical activity, and obesity to substance abuse, environmental quality, injury and violence.
Health care reform has been a major issue over the past decade. The Nursing industry has in particular experienced a period of unpredictable change. On Dec 24, 2009, a landmark measure was passed in the senate by a vote of 60 to 39. This decision to pass the health care reform will change America forever. Nurses will constitute the largest single group of health care professionals. They will have a huge impact on quality and effectiveness in health care. The nursing industry will help hold this new program together by acting as the glue (The nursing industry will be the glue holding the new health care in tact.) It is estimated that by 2015 the number of nurses will need to increase to over 4 million. Nurses are the backbone of the health care industry thus creating better polices for this profession will help ease the workload and high demand. A nurse’s main concern is always to insure quality care and the safety of their patients. Under the new health care reform several new measures have been set into place to ease the transition and improve the quality of care for all patients. One program is designed to fund scholarships and loan programs to offset the high costs of education. Nursing shortages and the high turnover has become a serious epidemic. Health care reform is supposed going to solve many of these problems.
Stokowski, L RN, MS (2010) Healthcare Reform and Nurses: Challenges and Opportunities; Medscape News; Nursing Perspective. Retrieved September 16, 2011 from: http://www.medscape.com/viewarticle/721049
Healthcare is viewed in an unrealistic way by most individuals. Many people view a physician as the only means to find a solution to their problem. Nurses are still seen by some as simply “the person who does what the doctor says.” This is frustrating in today’s time when nurses are required to spend years on their education to help care for their patients. In many situations nurses are the only advocate that some patients’ have.
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 ...
To reach a state of complete physical, mental and social wellbeing, an individual or group must be able to identify and to realize aspirations, to satisfy needs, and to change or cope with the environment. Health is, therefore, seen as a resource for everyday life, not the objective of living. Health is a positive concept emphasizing social and personal resources, as well as physical capacities. Therefore, health promotion is not just the responsibility of the health sector, but goes beyond healthy life-styles to wellbeing. Health promotion goes beyond health care. It puts health on the agenda of policy makers in all sectors and at all levels. It directs policy makers to be aware of the health consequences of their decisions and accept their responsibilities for
Health care policy targets the organization, financing, and delivery of health care services. The reason for targeting these areas is for the licensing of health care professionals and facilities, to make sure there is protection of patients’ private health information, and there are measures of quality care, mistakes, malpractice, and efforts to control of health care cost (Acuff, 2010). There are several stages that one must take when creating a policy (see figure 1). The figure below shows the critical steps in the policy process. First, the problem must be identified, once the problem is identified potential policy solutions must be formulated, then the policy is adopted, and then implemented. After the policy is in place, an evaluation of the policy has to take place (This Nation, 2013).
Improving population health necessitates a variety of the contributions from health entities. These health entities can be state, local governments, hospitals, health centers, and community organizations. Unfortunately, these contributions and services are not equally distributed throughout the population. Lack of a supermarket in a neighborhood limits residents’ access to healthy food and other resources. Furthermore, ethnic minority and/or low-income communities are burdened with several health disparities such as greater risk for diseases, or limited access to healthcare services (Jackson, 2014). The National Cancer Institute reported that individuals from medically underserved population are more likely to be diagnosed with late-stage diseases because they have inadequate resources to education, or health insurance. When an individual does not have adequate access to healthcare services, healthy disparity grows larger in the overall health of a
Being a registered nurse affords one the option of working in many diverse healthcare settings. In any practice setting the climate of health care change is evident. There are diverse entities involved in the implementation and recommendation of these practice changes. These are led by the Robert Wood Johnson Foundation (RWJF), the Institute of Medicine (IOM), nursing campaign for action initiatives, as well as individual state-based action coalitions. Nurses need to be prepared and cognizant of the transformations occurring in health care settings as well as the plans that put them at the forefront of the future.
Encouraging nurses to maintain a watchful eye on the current on health care policies and trends that may affect practice presents a challenge to the profession. As the workload for the average nurse increases it becomes difficult to dedicate time to policies. However, this is a fault that many must overcome and put forth effort as not being current on trends and policies may result missing a change leading to poor outcomes and patient harm. Facilities may have committees or groups that focus keeping up with current trends then must rely on the group to disperse information to the rest of the staff. Nurses that continually keep surveillance on the community and legislative changes bridge the gap between patient and the needs of the community