Health Care Policy-DAX-DL01 Diane Gullett
Week 3 Discussion Topic
This week I want you to consider your role in policy change and advocacy. We have been talking about this over the past few weeks; however, how do you see your role as a bedside nurse (as many of your are not yet advanced practice nurses)? I know for a long time I did not see the point in becoming involved in policy making as a bedside nurse but as I started to practice more and more I realized as the old adage goes, “don’t complain if you don’t have a plan to fix it!!!” That very much applies, as you practice for a few years you recognize and start to question or see how a change is needed and how something might be done a different and/or a better way. Yet, to affect any ‘real’ change you need to get involved in how a policy or practice is currently in place.
I suppose this week I want each of you to consider how policy truly influences what you do as a nurse both from the perspective of where you are now and where you will potentially be as an advanced practice nurse. What role can you realistically play as an advocate for policy change, what does this process really look like not as an idea but as a reality. On that note, read the assigned articles provided this week and discuss the following
Consider the process of policy change from the perspective of both the bedside nurse and the advanced practice nurse. Consider your readings from this week that discuss what the healthcare workforce looks like, the role of information technology in healthcare and the role of board members and managers within the context of your current workplace environment. Choose a policy or practice within your current workplace environment (or if not actively practicing consider one that you have encountered while practicing at the bedside) that you wish to advocate for policy change. Describe your rationale for choosing this specific issue using supporting evidence as to why a change needs or should be made (make sure to support this response with evidence and your own insight as a practicing nurse)
Using the Framework for Planned Policy Change (as outlined in the Anders et al., 2021article) & the Health Policy Toolkit (outlined in the Kostas-Polstonet al, 2014 article; and I also included a section on Legislative Resources in this week’s Blackboard Module that can assist with this process) describe the specific steps and/or processes (in detail) you would use to make a policy change to your chosen topic at both the local (hospital or organizational level) and also at the state or national level (note that not all the steps in the Framework or the Toolkit will apply so focus on those steps and processes that do apply to your topic).
Describe how the process of this selected policy change would differ from the perspective of the bedside nurse versus that of an advanced practice nurse. Essentially this question is asking you to consider the difference in policy change engagement from the perspective of the bedside nurse compared to that of an advanced practice nurse level?
Discuss barriers and reasons nurses (at least 2 barriers) fail to participate in policy change and describe how these barriers can be addressed.
What are your personal thoughts about being involved in policy change whether at a local or state/national level. Have you been involved in policy change at any level? Why or why not? If so, describe your involvement. If not, describe why you may not have personally been involved in policy change up to this point. This is genuinely an opportunity
Please be sure to adhere to the following when posting your weekly discussions:
1. Students are to write their name and the appropriate discussion number/discussion title in the title bar for each discussion. For example Discussion 1: Micheal Cabrera or Discussion 3: Sheila Smith. This is important in identifying that students are submitting original posts as well as response posts as required. REMEMBER ALL COMPONENTS OF THE DISCUSSION QUESTION MUST BE ADDRESSED TO RECEIVE FULL CREDIT.
3. As a reminder, all discussion posts must be minimum 250 words, references must be cited in APA format 7th Edition, and must include minimum of 2 scholarly resources published within the past 5-7 years. Students must respond at least to 2 different posts on 2 separate days. Response posts must be minimum 150 words each.
Jonas & Kovner’s Health Care Delivery in the United States, 12th Edition
Edited by: Knickman, James R., PhD, | Elbel, Brian, PhD, MPH,
Published: December 2018