Learning Objectives
• Analyze health policies
• Analyze opportunities for RNs and APRNs to participate in policy-making
• Analyze strategies for overcoming challenges for participating in policy-making
• Recommend strategies to improve the advocacy and communication of policy-making opportunities
• Analyze healthcare programs
• Analyze the role of the nurse in healthcare program design
• Analyze the role of the nurse as advocates for target populations of healthcare programs
• Analyze the role of the nurse in healthcare program implementation
• Analyze healthcare teams necessary for implementing healthcare programs
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Required Readings
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
• Chapter 5, “Public Policy Design” (pp. 87–95 only)
• Chapter 8, “The Impact of EHRs, Big Data, and Evidence-Informed Practice” (pp. 137–146)
• Chapter 9, “Interprofessional Practice” (pp. 152–160 only)
• Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 183–191 only)
American Nurses Association (ANA). (n.d.). Advocacy. Retrieved September 20, 2018, from https://www.nursingworld.org/practice-policy/advocacy/
Centers for Disease Control and Prevention (CDC). (n.d.). Step by step: Evaluating violence and injury prevention policies: Brief 4: Evaluating policy implementation. Retrieved from https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf
Congress.gov. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/
Sacristán, J., & Dilla, T. D. (2015). No big data without small data: Learning health care systems begin and end with the individual patient. Journal of Evaluation in Clinical Practice, 21(6), 1014–1017. doi:10.1111/jep.12350
Tummers, L., & Bekkers, V. (2014). Policy implementation, street level bureaucracy, and the importance of discretion. Public Management Review, 16(4), 527–547. doi:10.1080/14719037.2013.841978.
Note: You will access this article from the Walden Library databases.
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Discussion 1: Evidence Base in Design
When politics and medical science intersect, there can be much debate. Sometimes anecdotes or hearsay are misused as evidence to support a particular point. Despite these and other challenges, however, evidence-based approaches are increasingly used to inform health policy decision-making regarding causes of disease, intervention strategies, and issues impacting society. One example is the introduction of childhood vaccinations and the use of evidence-based arguments surrounding their safety.
In this Discussion, you will identify a recently proposed health policy and share your analysis of the evidence in support of this policy.
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To Prepare:
• Review the Congress website provided in the Resources and identify one recent (within the past 5 years) proposed health policy.
• Review the health policy you identified and reflect on the background and development of this health policy.
• Post a description of the health policy you selected and a brief background for the problem or issue being addressed. Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples
MODEL ASNSWER
The involvement of nurses in the creation of healthcare policies is paramount to ensuring that the policies and strategies politicians come up with will help achieve a healthier community. RNs and APRNs have the opportunity to contribute to policymaking in two | PLACE YOUR ORDER NOW AT writtask.com | available to the nurses is the joining of a professional nursing organization that has access to | PLACE YOUR ORDER NOW AT writtask.com | can listen to the nurses and pass any recommendations they may have to the legislature at the local, state, and federal levels of government. The second opportunity for involvement in policymaking is by writing to the state representatives about healthcare policy and strategies
Despite the availability of these opportunities, there are some challenges associated with them. For instance, when dealing with a lobbyist, the nurse cannot focus primarily on the need of the patient. Instead, when creating their policy, they need to actively outline how that particular policy will be beneficial for those in | PLACE YOUR ORDER NOW AT writtask.com | of information means that the lobbyist may not pass on the idea, no matter how beneficial it would be for the public. It is a challenge that can be resolved by nurses ensuring that every plan they propose outlines the effect and benefit that the policy will have not only to people but to the government as well. Another possible challenge is that the representatives may ignore or be too busy to read, respond to, or even consider any of the letters sent to them by the | PLACE YOUR ORDER NOW AT writtask.com | remedy for this problem is continued persistence from the nurses. They should insist on the government making the changes needed to better the community’s health.
One way to better communica | PLACE YOUR ORDER NOW AT writtask.com | them (Milstead & Short, 2019). Teaching them about their role in policymaking will make them more likely to seek out chances that allow them to affect the government. Another way to communicate this is by holding regular meetings that address the need for nurses to be involved in healthcare | PLACE YOUR ORDER NOW AT writtask.com | reminded of its importance, the more they will take the initiative to make a difference.
References
Klein, K. J., & Sorra, J. S. (1996). The challenge of innovation implementation. Academy of Management Review, 21(4), 1055–1080. doi:10.5465/AMR.1996.9704071863
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
Tummers, L., & Bekkers, V. (2014). Policy implementation, street-level bureaucracy, and the importance of discretion. Public Management Review, 16(4), 527–547. doi:10.1080/14719037.2013.841978.