NR 506 Week 1 Discussion: discuss the four spheres of political action in nursing -

NR 506 Week 1 Discussion: discuss the four spheres of political action in nursing

Sample Answer for NR 506 Week 1 Discussion: discuss the four spheres of political action in nursing Included After Question

Please discuss the four spheres of political action in nursing. In addition, please develop a brief argument sharing how these spheres are interconnected and overlapping by applying an example from your practice. What are some ethical considerations here?

Week 1- The Four Spheres of Political Action in Nursing

A Sample Answer For the Assignment: NR 506 Week 1 Discussion: discuss the four spheres of political action in nursing

Title: NR 506 Week 1 Discussion: discuss the four spheres of political action in nursing

The four spheres of political actions in nursing are the workplace, government, community and professional organizations (Mason et al, 2012). Each one of the spheres has it’s own separate functions such as: the workplace focuses on issue, which affect jobs and patient care. Government addresses rules, laws, and manages regulations in nursing practice. Community involves issues that affect community well-being and lastly organizations which address concerns related to shaping nursing practice (Mason et al, 2012). Together the spheres can create change. Nurses are able to change policy making and improve issues in the community health systems (Mason et al, 2012).

When you start out in your new nursing career, it is vital to review the political policies and nursing policies in your organizations. Nurses don’t realize that we are already political our nursing practice is molded around governing bodies, ethical, professional, governmental standards, and healthcare itself (Bjornsdottir, 2009).

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I believe in centered family care in our organization. Especially when a trauma has occurred and the outcome doesn’t look good. It is important for family to see that you have done everything you can to help their loved one. Nursing has the greatest power in this situation (Parker, 2013). We are responsible for being the patient’s advocate. In the workplace it is vital for the patient’s family to be at their child’s bedside when something critical is taking place. If not then the family is wondering what is being done on their child (Parker, 2013) when a family member becomes involved they know you have done your best even if the outcome is not good. We have an ethical responsibility to do everything we can to save someone’s life. Nurses have to remind surgeons and other physicians that families have a right to be with their loved ones (Parker, 2013). Physicians see families as a distraction and that they will be in the way, instead of seeing them as a positive and realizing the family needs to believe that we tried everything to save their child’s life. If not allowed in the room they decide what they think or don’t think you did for their loved one (Parker, 2013).

Some ethical problems one may face with not allowing patient centered care in your organization can be wait times in the emergency room. These extended wait times puts a patient and their families at risk for harm (CDC, 2014). The main reason for this is boarding of patient’s for lack of nurses to take care of patient’s inpatient. When boarded patient’s take up Ed resources which makes waiting times in the Ed waiting room increase to unsafe levels (CDC, 2014).

Bjornsdottir, K. (2009). The ethics and politics of home care. International journal of nursing studies, 46, 732-736. Retrieved from

http://nursingandpolitics.blogspot.com/2012/12/asyou-are-learning-this-week-about.html (Links to an external site.)

Centers for Disease Control. (2014). Emergency department visits. Retrieved from http://www.cdc.gov/nchs/fastats/emergency-department.html (Links to an external site.)

Mason, D.J., Leavitt, J.K., & Chaffee, M.W. (2012). Policy and politics in nursing and health care. Retrieved from http://nursingandpolitics.blogspot.com/2012/12/asyou-are-learning-this-week-about.html (Links to an external site.)

McClelland, M., (March 6, 2015) “Ethics: Harm in the Emergency Department – Ethical Drivers for Change”: The Online Journal of Issues in Nursing 20, (2).

doi: 10.3912/OJIN.Vol20No02EthCol0

Parler, L. (2013). Family centered care: Aiming fro excellence exploring the past, present, and future. Vancouver general hospital. Retrieved from

www.caccn.ca/en/files/Dyn14 9B Family Centered

Edited by Henny Breen on Feb 27 at 9:07am

Feb 27, 2018Feb 27 at 9:10am

Manage Discussion Entry

Judith, I erased all the extra space after your post. You presented an important example that nurses impact – family centered care especially in the event of trauma. Is this hospital policy? If so, how are the four spheres connected in relation to this policy?

A Sample Answer 2 For the Assignment: NR 506 Week 1 Discussion: discuss the four spheres of political action in nursing

Title: NR 506 Week 1 Discussion: discuss the four spheres of political action in nursing

Thank you. I tried to edit it but couldn’t once a posted it. Thanks again.

It actually is a standard of practice where I work. The nurses fought hard to make it a policy within our organization. Physicians were very reluctant and still need reminders at time to allow parents to be with their child when a tragedy occurs. The organization in which I work is a pediatric emergency room setting. We realized when the family was involved in an event that had a poor outcome family presence made a world of difference (ENA, 2010). The family that is involved in the decision making as much as they can be are more understanding when we can’t save their loved ones compared to ones that are outside our trauma room while their loved ones are being worked on (ENA, 2010). It makes a considerable amount of difference if they are watching you work on their child trying to save their life. When family is outside the room they seem to imagine what is going on and sometimes have doubts if the physician and nurses did everything possible. I believe in family presence and feel as though this may help with the loss of a loved one especially if there is extenuating circumstances.

Emergency Nurses Association. (2010). Position statement: Family presence at the bedside during invasive procedures and/or resuscitation. Retrieved from www.ena.org/SiteCollectionDocuments/Position%20Statements/Archived/FamilyPresence.pdf (Links to an external site.)

A Sample Answer 3 For the Assignment: NR 506 Week 1 Discussion: discuss the four spheres of political action in nursing

Title: NR 506 Week 1 Discussion: discuss the four spheres of political action in nursing

Judith, you need to delete the extra space before you post as you are right, you are not able to edit once posted. There is good reasons for your hospital policy (workplace). I was wondering how this policy is connected to the other 3 spheres. It is important to think of the connection between the 4 spheres. Does a professional organization like the ANA support and advocate for this kind of policy? Is there legislation that protects parents rights during the kind of situation you described. You said it was a standard of care – is this supported by your state nurse practice act, which would make it a legislative issue. Is the community aware? These are the kinds of things you want to explore as the 4 spheres working together.

The organization has a standard of care for their organization of how patients and their families are to be treated and the fact that we now practice family centered care. We actually have a parent based counsel that meets once a month and discusses family centered care in our organization and what is working well and what we can focus on making better. Healthcare workers from each division are on that group also. I know that we take government insurance and with that we must provide great care and allow convenient access to quality and safe care (CQC, 2016). The government expects that you will be given good care and be able to be involved in the decision making of the care every step of the way (CQC, 2016). The government tracks hospital organization trough a website at www.cqc.org.uk , this website publishes details of how the hospital services regulates and meets government standards of quality and safety (CQC, 2016). In giving this care the community is aware and through thus we get more referrals. If for some reason we do not provide the quality of care and safest care required we could lose our funding (Hughes, 2011). The four spheres relate to each other and are intwined. We need all four spheres to work together to be complete and produce change (Hughes, 2011).

Hughes, R., (May 31, 2011) “Overview and Summary: Patient-Centered Care: Challenges and Rewards” . The Online Journal of Issues in Nursing, 16 (2).

doi: 10.3912/OJIN.Vol16No02ManOS

Care Quality Commission. (2016). Retrieved from https://www.gwh.nhs.uk/media/147361/6436_cqc_hospitals.pdf (Links to an external site.)

A Sample Answer 4 For the Assignment: NR 506 Week 1 Discussion: discuss the four spheres of political action in nursing

Title: NR 506 Week 1 Discussion: discuss the four spheres of political action in nursing

When looking at the big picture in how the four spheres are connected in relation to this policy, depends on if we always follow through with following the policy set forth. On occasion when we don’t comply with the organizations policy in regards to family centered care cam become a big problem. The family has rights and when we don’t allow them access to being involved in their child’s care , legally we become responsible for our actions. When we change the policy to make the physician feel more comfortable and don’t think about the patient or parents rights this becomes an immediate ethical issue and may put yourself in a legal position. Thinking about the community we serve may become a problem also. Patient’s families like to talk and when they have a bad experience or don’t believe their child was treated fairly they seem to spread that all over. This could affect the organization negatively and patient’s families may choose to go else where for care. This not only affects the organization financially but legally also. If this should involve the government it may affect any funding the organization can ultimately receive. Insurance carriers may not want to continue contracts with this organization

A Sample Answer 5 For the Assignment: NR 506 Week 1 Discussion: discuss the four spheres of political action in nursing

Title: NR 506 Week 1 Discussion: discuss the four spheres of political action in nursing

The four spheres of action can be linked to the idea of family centered care. The government is the ones who set the universal standards of healthcare. They are the ones who are in control of programs like Medicare, Medicaid, and WIC just to name a few. Since they are providing for these programs, they are going to set the expectation for what care is appropriate; if they do not think something is correct, then they will simply not pay. Hospitals are always having to keep this concept in mind, which is where the workplace comes into play. If a patient receives a pressure ulcer while in the hospital, the government will not pay for that treatment. They say the hospital is the cause, thus making the hospital be at a loss for that treatment. Interest groups for the medical professionals and for the organizations are also behind these movements because they want to help prevent these issues from arising. Lastly, the community has to do with the patients themselves. The government makes information about healthcare providing systems available to the patient from things like the rate of hospital inquired infections, amount of pressure ulcers, and success rates. The patient can then make their own decision on where to receive care. All four of these spheres do intertwine with one another.

I completely agree with your comment of the importance of having families involved in the patient’s care. Yes sometimes, in the moment, having families present can make our job more complicated, but ultimately it can be a very large help to us. We are strangers to the patient and only interact with them for a short time. The family members are the ones who are with the patient day in and day out; they are the ones who really know the patient. When the patient is not in our care, the families are the ones who are helping the patient maintain their health. They are the ones who know how a patient acts when they are really hurting or do not feel good. All healthcare workers need to keep in mind that the family can be one of our biggest supporters and helpers in caring for the patient. We, as the nurse, are usually going to be the middle man between the patient and family and the other healthcare workers. Even if it would be easier during a situation for the patient’s family to not be in the room, we must be an advocate for our patient and know that it is best for their own interest and the families.

A Sample Answer 6 For the Assignment: NR 506 Week 1 Discussion: discuss the four spheres of political action in nursing

Title: NR 506 Week 1 Discussion: discuss the four spheres of political action in nursing

I enjoyed reading your discussion post for this week. Your example of family centered care was presented well. It reminded me of my own workplace including our multidisciplinary rounds each morning. We encourage family members of our patients to be present for our rounds that take place each day. I work with four different intensivists, each of them having a different take on what family

centered care means. It makes things difficult for some of our patients families who are there for more than one week when a new physician cares for them each week, there can be discrepancy in the way that family centered care is provided. Family centered care in intensive care units is something that although is beneficial for family members can also be frustrating for the nursing and physicians caring for those patents. We have struggled in my organization to make it a nice balance to include family members and involve them in care and decision making but also ensuring that the nurse and physicians are able to focus on the patient. Of Course, some families and patients this come easily and others there is not a happy medium to be found. When you speak of caring for pediatric patients I feel that the urgency for family centered care is greater

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