NURS 6050 Discussion The Role of the RN APRN in Policy Evaluation Sample

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NURS 6050 Discussion The Role of the RN APRN in Policy Evaluation Sample

NURS 6050 Discussion The Role of the RN APRN in Policy Evaluation Sample

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RE: Discussion – Week 9

Evaluation is a term that is well-known in the nursing profession. The nursing process, which includes assessment, planning, implementation, and evaluation, is one of the first things that a nurse is taught. Evaluation of programs or policies is no different; the same theory is used to determine the effectiveness of a particular program or policy (Milstead & Short, 2019). This evaluation is critical for policy development because it identifies the long-term effects of policies on populations, but it is frequently overlooked (Laureate Education, 2018).

RNs and APRNs have a professional obligation to advocate for health policy (Laureate Education, 2018). They can get involved in health policy evaluation by developing relationships with and educating political leaders about the wealth of knowledge that an RN or APRN possesses regarding health policy. “The difficult task of the NP political advocate is to educate and convince powerful policymakers that supporting and advancing policies that promote improved health and health care is in the larger community’s best interest” (Kostas-Polston, Thanavaro, Arvidson, & Taub, 2015). Acquiring the trust of a political leader enables one to gain access to policy evaluation. As the nurse advocate’s relationship with the political leader develops, the nurse will be recognized as a reliable source of objective information and evaluation (Kostas-Polston et al., 2015).

Another way to get involved in policy evaluation is to join a professional organization like the American Nurses Association (ANA). Numerous professional organizations, such as the ANA, are involved in providing data to legislators during the process of policy evaluation (Milstead & Short, 2019). Nurse advocates frequently serve as the spokesperson for these healthcare reforms. Maintaining current knowledge of health care policies and issues enables the nurse to advocate for the nursing profession, as well as patient safety and access to care. Discussion of NURS 6050 The RN APRN’s Role in Policy Evaluation

Nurses must be prepared for challenges that exist with policy evaluation. One challenge could be gaining access to political leaders, as they have busy schedules. When requesting to meet with a legislator, it is possible that the nurse would be meeting with the legislative staff member. However, the legislative staff member is still influential and their job is to advise the legislator on research and issues (Kostas-Polston et al., 2015). The nurse should present her evaluation of the health policy to the legislative staff member and have a written evaluation to leave with them. An additional challenge to policy evaluation is sparking community comment on the results of the evaluation. Sometimes evaluations can bring to light other issues that will need to be addressed, changing the direction of the political agenda.

One strategy that I would recommend is incorporating health policy into all nursing education. Currently health policy is not part of

NURS 6050 Discussion The Role of the RN APRN in Policy Evaluation Sample

the ADN curricula, however I believe that the foundation should be started here. Another strategy to enlighten nurses on involvement in health policy would be for nursing leaders to take initiative with their employees and teach them about health policy and advocacy. Health care organizations could make it part of a clinical ladder program or a yearly education requirement. Knowledgeable nurses need to promote the existence of political advocacy. Nurses should be involved in all stages of health care policy and are urged to use their expertise and their critical thinking to evaluate health policy for the betterment of society. NURS 6050 Discussion The Role of the RN APRN in Policy Evaluation Sample.

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References

Kostas-Polston, E. A., Thanavaro, J., Arvidson, C., & Taub, L.-F. M. (2015). Advanced practice nursing: shaping health through policy. Journal of the American Association of Nurse Practitioners, 27(1), 11–20. https://doi-org.ezp.waldenulibrary.org/10.1002/2327-6924.12192

Laureate Education (Producer). (2018). The Importance of Program Evaluation[Video file]. Baltimore, MD: Author.

Milstead, J. A. & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6^thed.). Burlington, MA: Jones & Bartlett Learning.

RE: Discussion – Week 9

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Good job on your post. Being a member of a professional organization is a great place to have a voice in policy making and evaluation since there is strength in number. This means that from now on, we must strive to be voices that will be counted in and join as dues paying members of these organizations. The evaluation process begins as the policy is been crafted as the efficiency and effectiveness of the policy must be measured (Laureate education, 2018). NURS 6050 Discussion The Role of the RN APRN in Policy Evaluation Sample

Challenges are part of any task that we embark on in real life. It is not different on a professional platform. Apart from challenges with political leaders, we may also face challenges with other professionals as noted with some states restricting APRNs’. To overcome such challenges, nurses must always remember that we are all fighting for a common purpose and remain focused on the goal.

Charity they say begins at home. Not many nurses advance to graduate program and not many nursing programs either at associate or bachelor degree level lay strong emphasis on advocacy thereby loosing a significant number of nurses who desire to but do not have the educational background and insight as to what to do. Nursing advocacy I believe starts with us and our nursing schools. Not surprisingly, literature is scanty on teaching advocacy in nursing school.

Referenceshttps://nursingassignmentcrackers.com/nurs-6050-discussion-the-role-of-the-rn-aprn-in-policy-evaluation-sample/

Abood, S. (2007, Jan. 31). “Influencing Health Care in the Legislative Arena”. OJIN: The Online Journal of Issues in Nursing. 12(1), Manuscript 2. https://doi.org/10.3912/OJIN.Vol12No01Man02

Laureate Education (Producer). (2018). The Importance of Program Evaluation [Video file]. Baltimore, MD: Author.

NURS 6050 Discussion The Role of the RN APRN in Policy Evaluation Sample

RE: Discussion – Week 9

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Hello (colleague).

I agree nurses must be prepared for challenges that exist with policy evaluation. That is why I feel it is important for nurses to understand how the policy process works first in order to be effective in the political arena.

To influence health care policy, we must start with a basic understanding of the legislative process. How can one play a part in any process without understanding how the process works?

Before introducing a bill, a member of Congress will do research to collect facts and send draft versions to different organizations for their input on how it will affect their members (AACN, 2003). This is the first opportunity for citizens as well as nurses to influence a bill (AACN, 2003). Members of nursing organizations will be called upon to provide feedback. This is a nursing organization’s advantage and opportunity to influence a bill at this stage of development. Bills start with ideas. The best bills are the ones that are easy to explain and positively affect many people (AACN, 2003). One best way to get involved in the process of policy making is through nursing organizations. NURS 6050 Discussion The Role of the RN APRN in Policy Evaluation Sample

Nursing organizations can be beneficial to all nurses. The American Nurse Association (ANA, 2020). Advocates on the nurse’s behalf, educating and forging relationships with members of the Congress and congressional staff on both sides of the aisle and lobbying to advance ANA’s policy agenda in support of nurses and patients (ANA, 2020).

When Congress passes laws, they rarely contain enough specific language to guide their implementation completely (ANA, 2020). It is the responsibility of the federal administrative agencies to fill in the details of new or amended laws with rules and regulations and it is important that the voice of United States nurses is heard during this process (ANA, 2020).

I feel getting involved in a Nursing organization at a state and federal level is a great opportunity for nurses to get involved in the political arena. Nurses cannot afford to remain in the background or added as an afterthought to the policy and legislative arenas. As the single largest single group of health care providers, nurses have the potential to successfully advocate from a diverse power base; and they have a unique perspective on health care policies and expertise to share with power brokers (Abood, 2007).

Nurses need to be a strong voice actively advocating for positive change. Nurses strengthen their power base when they network with nursing colleagues and other supporters to build consensus on important issues, and a Nursing organization is one excellent way to network with other professionals and to become involved in the politics of health care.

REFERENCES

Sheila Abood, S. (January 32, 2007). Influencing Health Care in the Legislative Arena. OJIN: The Online Journal of Issues in Nursing. Vol. 12 No. 1, Manuscript 2. Retrieved April 25, 2020, from

https://NursingWorld.org>ojin

American Nurses Association (ANA, 2020). Health Policy. Retrieved April 25, 2020, from

https://NursingWorld>practice-policy>health

American Academy of Ambulatory Care Nursing. How a bill becomes a law. Retrieved April 22, 2020, fro

https://www.aaacn.org>legislative

Discussion: The Role of the RN/APRN in Policy Evaluation

In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making. A critical component of any policy design is evaluation of the results. How comfortable are you with the thought of becoming involved with such matters?

Some nurses may be hesitant to get involved with policy evaluation. The preference may be to focus on the care and well-being of their patients; some nurses may feel ill-equipped to enter the realm of policy and political activities. However, as you have examined previously, who better to advocate for patients and effective programs and polices than nurses? Already patient advocates in interactions with doctors and leadership, why not with government and regulatory agencies?

In this Discussion, you will reflect on the role of professional nurses in policy evaluation.

To Prepare:

In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making.
Review the Resources and reflect on the role of professional nurses in policy evaluation.

By Day 3 of Week 9

Post an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in policy review. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities. Be specific and provide examples.

By Day 6 of Week 9

Respond to at least two of your colleagues* on two different days by suggesting additional opportunities or recommendations for overcoming the challenges described by your colleagues.

*Note: Throughout this program, your fellow students are referred to as colleagues.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 9 Discussion Rubric

Post by Day 3 and Respond by Day 6 of Week 9

To participate in this Discussion:

Week 9 Discussion

Name: NURS_6050_Module05_Week09_Discussion_Rubric

	Excellent	Good	Fair	Poor
Main Posting	45 (45%) – 50 (50%) Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. Supported by at least three current, credible sources. Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.	40 (40%) – 44 (44%) Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. At least 75% of post has exceptional depth and breadth. Supported by at least three credible sources. Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.	35 (35%) – 39 (39%) Responds to some of the discussion question(s). One or two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Post is cited with two credible sources. Written somewhat concisely; may contain more than two spelling or grammatical errors. Contains some APA formatting errors.	0 (0%) – 34 (34%) Does not respond to the discussion question(s) adequately. Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible sources. Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style.
Main Post: Timeliness	10 (10%) – 10 (10%) Posts main post by day 3.	0 (0%) – 0 (0%)	0 (0%) – 0 (0%)	0 (0%) – 0 (0%) Does not post by day 3.
First Response	17 (17%) – 18 (18%) Response exhibits synthesis, critical thinking, and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Response is effectively written in standard, edited English.	15 (15%) – 16 (16%) Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English.	13 (13%) – 14 (14%) Response is on topic and may have some depth. Responses posted in the discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.	0 (0%) – 12 (12%) Response may not be on topic and lacks depth. Responses posted in the discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited.
Second Response	16 (16%) – 17 (17%) Response exhibits synthesis, critical thinking, and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Response is effectively written in standard, edited English.	14 (14%) – 15 (15%) Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English.	12 (12%) – 13 (13%) Response is on topic and may have some depth. Responses posted in the discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.	0 (0%) – 11 (11%) Response may not be on topic and lacks depth. Responses posted in the discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited.
Participation	5 (5%) – 5 (5%) Meets requirements for participation by posting on three different days.	0 (0%) – 0 (0%)	0 (0%) – 0 (0%)	0 (0%) – 0 (0%) Does not meet requirements for participation by posting on 3 different days.

Total Points: 100

Name: NURS_6050_Module05_Week09_Discussion_Rubric

Much like policy making, opportunities that exist for RNs and APRNs to actively participate in policy review are by participating in disease advocacy/special interest groups and through personal experience. According to the American Nurses Association (n.d.), advocacy is a pillar of nursing. Thousands of nurses across the country have a chosen specialty that is considered their “niche.” For example, mine is psychiatry and I am a huge mental health advocate. RNs and APRNs can participate in policy review dealing with their chosen specialty, as they know about those fields at an in-depth level and can bring their knowledge to the table when a policy is being reviewed to become a bill. It is important that lawmakers have an in-depth understanding of why a presented policy is needed; getting information straight from the source, or in this case, from frontline workers, is imperative in their decision process. Personal experience brings another opportunity for RNs and APRNs to participate in policy review, as experience allows one to bring to examples encountered. Lawmakers are sometimes encouraged to act based on their own personal experiences/what they are passionate about; hearing personal experiences from frontline workers could potentially encourage them to become interested in the presented policy.

The challenge a special interest group may present could be how congress would decide which advocated disease would deserve special recognition by receiving a policy review. There are so many catastrophic diseases it would be difficult to choose which one or in what order in which to move forward. The challenge for those with personal experience could be that the issues a group of nurses is having may be facility-specific problems, not a nationwide common issue, which may cause the policy proposal to be thrown out. A way these challenges could be overcome would be to ensure that the policy being reviewed does indeed span a range of diseases/ensure that the problem presented is common. This could be done beforehand with a poll or small research study to be used as a starting point for writing the proposal.

I believe the same strategies used for policy making would apply to policy review: approaching the policy review in a systemic way and building relationships to support the policy. We respond to problems on a disease-by-disease basis instead of systemically (Health Policy and Politics, 2018). In other words, when issues in healthcare arise, they are usually only addressed according to how they affect a certain disease progression. For example, someone diagnosed with dementia is often not eligible for certain resources until their disease progression has worsened and they need to be institutionalized (Health Policy and Politics, 2018). At this point what good has the system really done for them? Mental health resources that could be used by dementia patients can also be used by someone with anxiety and depression. Approaching issues in a way that covers more than just one disease at a time could make policies so much more effective. Building relationships with media, consumer groups, and businesses to help bring light to issues needing to be addressed in healthcare would be a great way to better advocate the existence of these opportunities for RNs and APRNs (Getting Your Program Designed and Implemented, 2018). The more individuals advocating for change, the better chance a proposed policy has of becoming a reality.

American Nurses Association. (n.d.). Advocacy. ANA. Retrieved October 20, 2021, from https://www.nursingworld.org/practice-policy/advocacy/

Laureate Education (Producer). (2018). Getting your Program Designed and Implemented

[Video file]. Baltimore, MD: Author.

Laureate Education (Producer). (2018). Health policy and politics [Video file]. Baltimore, MD:

The Role of the RNs and APRNs in Policy Evaluation

Nurses are the backbones of the medical system. The nursing profession is the largest in the U.S. healthcare industry. For seventeen consecutive years, nursing ranked the most trusted job in Gallop’s ethic survey (For the 17th Year in a Row, Nurses Top Gallup’s Poll of Most Trusted Profession | AHA News, 2019). With so many responsibilities in nursing, it is an obligation that nurses actively participate in the policy review. By involving in policy review, nurses draft and analyze policies to be in a better position to advocate for their patients. This post will discuss the opportunities that currently exist for RNs and APRNs to actively participate in policymaking.

One opportunity for RNs and APRNs to actively participate in policymaking is policy draft. Through policy drafts, nurses will be able to identify topics that will be critical for the next few years in healthcare. For example, Covid-19 pandemic really took a toll in U.S. healthcare industry. As of date, over 700,000 people have died from Covid-19 infection in America (CDC, 2020). Nurses played a significant role in the fight against Covid-19 and continue in the path to defeat this deadly virus. Professional experiences of the nurses who worked with Covid-19 infected patients speak volumes about how exhausted the healthcare system is. During the rollout of the Covid-19 vaccines, professional nurses were argued to engage in the vaccine advocacy campaign. Advocacy is a skill that nurses often use in their career; therefore, pairing that skill with a policy draft will enable nurses to organize the policy document with operational benefits properly. A well-drafted document will be easier to administer, maintain and enforce. Likewise, Rasheed et al. (2020, P 447, Para 2) stress the importance that “due to their close interactions with individuals and communities across the healthcare system, nurses can offer greater direct insights concerning the effect of healthcare policies on individuals and communities.” So, nurses need to be the drafters of the policies because it will reduce the overall amount of time an organization needs to spend on those activities, for example, vaccine advocacy programs. Appropriate content and specific knowledge and skills are essential in the policy document to avoid valuable time being wasted editing, discussing, and rewording statements that do not belong in the policy in the first place.

After completing a well-drafted policy document, nurses can participate in policy analysis and evaluate the current policy. They can make a judgment about what went well and what did not, “whom to involve in future efforts, whom to trust, what the most effective timing is, how to create more powerful coalitions, and so forth” (Yoder‐Wise, 2019, p 52). The evaluation step is crucial because it allows the group to determine how to protect the current success and strategies needed to succeed. However, there are challenges to these opportunities.

Policy drafting and analysis opportunities may present challenges because of poor technical knowledge and clinical skills and a lack of exposure to federal and state government involvement (Scott and Scott, 2020). These current opportunities present challenges that can be overcome by proper training regarding policy draft and analysis during undergraduate nursing level and, of course, at the graduate level, encouraging students and faculty to participate in politics for policymaking and visiting the state and federal policy places. Scott and Scott (2020) argue that establishing relationships with policymakers is one of the best methods to get your issue on their agenda; it is about who you know and how you can influence them to listen to you. Therefore, nurses must visit their local representatives to understand their stand on specific issues. For example, if the nurse advocates for Covid-19 vaccines, they need to know how their local representative feels about the mass vaccination because if the representative does not fully support the vaccines, then the nurses will lose the support for publicizing the importance of the vaccines. The representative can lobby against it because it is not profitable for them, challenging the nurses to prove their support and decisions. If that becomes the case, nurses can use irrefutable evidence and knowledge more clearly and justifiably to publicize their support for the policy.

The strategies for better advocating are training and education programs for the nurses. Nurses already understand that they are the largest number of healthcare professionals in the healthcare industry, and therefore, their voices and suggestions are essential. Advocating for patients at the bedside is as important as advocating for them at the state or federal government. Nurses must understand that what they want for their patients, only they can deliver, and so, therefore, no one else can provide that on their behalf (Scott and Scott 2020). Suggestions from nurses will ensure safe and quality care through policymaking.

References

CDC. (2020, March 28). COVID Data Tracker. Centers for Disease Control and Prevention. https://covid.cdc.gov/covid-data-tracker/#datatracker-home

For the 17th year in a row, nurses top Gallup’s poll of most trusted profession | AHA News. (2019, January 9). American Hospital Association | AHA News. https://www.aha.org/news/insights-and-analysis/2019-01-09-17th-year-row-nurses-top-gallups-poll-most-trusted-profession

Rasheed, S. P., Younas, A., & Mehdi, F. (2020). Challenges, Extent of Involvement, and the Impact of Nurses’ Involvement in Politics and Policy Making in in Last Two Decades: An Integrative Review. Journal of Nursing Scholarship, 52(4), 446–455. https://doi.org/10.1111/jnu.12567

Scott, S. M., & Scott, P. A. (2020). Nursing, advocacy and public policy. Nursing Ethics, 28(5), 723–733. https://doi.org/10.1177/0969733020961823

Yoder‐Wise, P. S. (2019). A framework for planned policy change. Nursing Forum, 55(1), 45–53. https://doi.org/10.1111/nuf.12381

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