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The Role of the RN/APRN in Policy Evaluation

Thread: Discussion – Week 9

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2 years ago
Discussion – Week 9
The Role of the RN/APRN in Policy
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.

Click on the Reply button below to reveal the textbox for entering your message. Then click on
the Submit button to post your message.
*Note: Throughout this program, your fellow students are referred to as colleagues.
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1 year ago
Lawren Sah
RE: Discussion – Week 9 – initial post

The Role of the RN/APRN in Policy Evaluation

Notably, RNs and APRNs have the capacity and the responsibility of influencing the
future of healthcare delivery systems. Both RNs and APRNs operate in a framework that
holistically values people and creates the need to include them as participants in the policy
review. RNs and APRNs are to influence the processes and practice standards that assure the
quality of care. For instance, nurses influence a policy that shapes the care effectively in
providing care today and in the future (Turale & Kunaviktikul, 2019). The first opportunity for
RNs and APRNs to actively participate in a policy review is for nurses to volunteer their time if
they are part of members. Secondly, they can run for an office position and internship with the
elected officials at a federal, state, or local level.

The challenges that the opportunity may present include a lack of involvement,
knowledge, and skill relating to the policy review. Notably, lack of opportunity such as input
upon an Adhoc at the various levels includes the lack of experience and poor planning on the

process of problem identification (Shariff, 2014). Additionally, the lack of poor enough
resources enables the structure to enhance easy participation in the policy review. The lack of
enabling structure is considered a barrier in that limited nurse participation in health policy can
lead to inadequate representation of nurse leaders.

The two strategies that can help communicate and ensure existence include implementing
effective communication that would aid in enhancing knowledge and skill that relates to the
policy review. Additionally, implementing good leadership would help ensure effective
communication; they will play a role in addressing the issue of lack of opportunity and managing
an effective plan that will make the process successful (Hudson et al., 2019). For instance, good
leadership will ensure that the RNs and APRNs are experienced in helping the policy review a



Hudson, B., Hunter, D., & Peckham, S. (2019). Policy failure and the policy-implementation
gap: can policy support programs help? Policy Design and Practice, 2(1), 1-14.

Shariff, N. (2014). Factors that act as facilitators and barriers to nurse leaders’ participation in
health policy development. BMC Nursing, 13(1), 1-13.

Turale, S., & Kunaviktikul, W. (2019). The contribution of nurses to health policy and advocacy
requires leaders to provide training and mentorship. International Nursing Review, 66(3),
302-304. https://onlinelibrary.wiley.com/doi/abs/10.1111/inr.12550


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1 year ago
Quincie Finney
RE: Discussion – Week 9 – initial post

Great post, Lawren! “Assessing impact, effectiveness, and value in improving the health, social,
and economic conditions of various stakeholders and determining the need for enhancement or
improvement are essential aspects of quality healthcare policy and programing” (Milstead &
Short, 2019, 116). Nurses assess, diagnose, plan, implement, and evaluate as part of their duties.
Nurses and advance practice registered nurses (APRNs) are perfect to evaluate polices
implemented in healthcare settings. Policy evaluations is important as it investigates the quality
of care, efficiency, availability, and effect on health disparities of new legislation (Ellenbecker &
Edward, 2017). Joining the American Nurses Association (ANA) could be one way to get
involved in policy evaluation. The ANA helps to develop and evaluate policies that influence the
betterment of healthcare (American Nurses Association, n.d.). Thank you for your post, Lawren!

American Nurses Association. (n.d.). Expert policy analysis.
Ellenbecker, C.H. & Edward, J. (2017). Conducting nursing research to advance and inform
health policy. Osage Journals, 17(4), 208-217.
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.).
Burlington, MA: Jones & Bartlett Learning.

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