Discussion 2: The Roles of the RN/APRN in Policy-Making

Discussion 2: The Roles of the RN/APRN in Policy-Making

Discussion 2: The Roles of the RN/APRN in Policy-Making

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT: Discussion 2: The Roles of the RN/APRN in Policy-Making

I appreciate how your post touched on the value of nurses’ voices in workplace policies. I thought your suggestions of a suggestion box or policy-making team were incredibly insightful in supporting nurses and allowing them the opportunity to be heard. Nurse burnout is associated with nurses feeling unsupported, unheard, and disregarded, especially in developing and implementing workplace policies (Arynkhesal et al., 2019). Nurses need accessible avenues in the workplace to share their opinions, speak to policy issues that affect their positions and feel supported and satisfied in their jobs.

Examples of workplace policies that can improve nurse satisfaction and performance are restorative breaks and break room improvement for nurses during their shifts, allowing nurses to have occasional uninterrupted respite (Nejati et al., 2016). Unfortunately, nurses get used to working in specific conditions that result in feelings of being undervalued and overworked. The solution to improving nurse satisfaction is leadership’s ability to include nurses in workplace policy that creates a positive work environment where nurses feel their voices are valued and heard (Mudallal et al., 2017).

References

Aryankhesal, A., Mohammadibakhsh, R., Hamidi, Y., Alidoost, S., Behzadifar, M., Sohrabi, R., & Farrhadi, Z. (2019). Interventions on reducing burnout in physicians and nurses: A systematic review. Medical journal of the Islamic Republic of Iran, 33(77). https://doi.org/10.34171/mjiri.33.77

Mudallal, R. H., Othman, W. M., & Al Hassan, N. F. (2017). Nurse’s burnout: the influence of leader empowering behaviors, work conditions, and demographic traits. Inquiry: a journal of medical care organization, provision, and financing, 54. https://doi.org/10.1177/0046958017724944

Nejati, A., Shepley, M., & Rodiek, S. (2016). A review of design and policy intervention to promote nurses’ restorative breaks in health care workplaces. Workplace health & safety, 64(2), 70-77. https://doi.org/10.1177/21650799156

By Day 3 of Week 8

Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. 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 to participate in policy-making. Be specific and provide examples.

RE: Discussion – Week 8

     Health policy is a combination of decisions, plans, and actions taken with a common healthcare goal in society. One group of people and professionals that can influence health policy considerably are Registered Nurses and Advance Practice Registered Nurses. According to Arabi, Rafii, Cheraghi, and Ghiyasvandin, the influence Nurses have over health policy protects the quality of care through access to resources and opportunities presented (2014). One possibility that Registered Nurses and APRNs have to participate in policy-making actively is to be in touch with the police makers and educate them about the issues that need to be addressed and policies and regulations that will impact our practice (Laureate Education, 2018). One opportunity RN and APRNs have to participate in policy-making is being part of healthcare associations, where they can influence the politics and policy-making by engaging in the political process and making their ideas and voices heard (Laureate Education, 2018).

Challenges

Registered Nurses and APRNs can also have challenges that might prevent them in influencing policy-making. One significant challenge I believe these healthcare providers have is educating the policymakers and legislators about what needs to be changed to benefit patients and healthcare practice. According to Dr.Levi, politicians have a significant say on what happens in healthcare and on the policies that influence healthcare (Laureate Education, 2018). The lack of involvement of nurses in the policy-making process is another challenge they can have. Registered Nurses and APRNs can see themselves as lacking the opportunity to participate in these decisions at various levels (Shariffi, 2014). Not having enough experience and knowledge can be barriers in engaging with associations and organizations that influence legislators to make policies change positively.

Strategies and Solutions

These challenges need to be surpassed by implementing some modifications. One of the most prominent strategies a nurse can have is to be knowledgeable and skilled to participate in the health policy process. Knowing the issues that need attention will help them educate legislators and lay down the benefits and factors to increase patient safety and quality of care (Arabi, Rafii, Cheraghi, & Ghiyasvandin, 2014). Another strategy that can be used is the support nurses have from role models, mentors, and networks, so their knowledge and expertise can influence legislators and policies (Shariffi, 2014). One example of this was the support my colleagues and I had at our place of work had from our Manager in advocating for a security presence in our unit at all times to decrease assaults, improving this way patient and staff safety. Her support was essential for the implementation of this new policy. I believe that as a healthcare provider, our voices need to be heard, and working side by side with policymakers will impact our healthcare system significantly, benefiting our patient population.

References

Arabi, A., Rafii, F., Cheraghi, M., & Ghiyasvandin, S. (2014). Nurse’s policy influence: A concept analysis. Retrieved on April 11, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4061635/

Shariff, N. (2014). Factors that act as facilitators and barriers to nurse leaders’ participation in health policy development. Retrieved on April 11, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4105513/

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

By Day 6 of Week 8

Respond to at least two of your colleagues’* posts 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.

Hello M,

Thanks for participating in this week’s discussion. Like you truly stated, the influence nurses have over health policies protect the quality of care. Nurse have the experience, knowledge, and expertise to shape health policies that could impact patients. Because nurses spend more time with patients, policy makers needs to hear from us in other to make informed decisions (Oestberg, 2013). I agree with you that nurse’s lack of involvement in policy-making process is a challenge. In other to connect with policy makers, nurses need to understand the power of their personal experience with patients. When nurses speak to policy-makers about patients personal stories, it will help put a face and a story to an issue.

In addition to the opportunities that exist for RNs and APRNs to actively participate in policy-making that you already pointed out, I suggest that nurses can undertake internships with elected officials to work on matters affecting healthcare or even run for office. Nurses can also write their state representative regarding healthcare policy (Brokaw, J. 2016).

References

Brokaw, J. (2016). The nursing profession’s potential impact on policy and politics. Retrieved from

https://www.myamericannurse.com/nursing-professions-potential-impact-policy-politics/

Oestberg, F. (2012). Getting involved on policy and politics. Retrieved from

https://journals.www.com/nursingcriticalcare/fulltext/2013/05000/Getting_involved_in_policy_and_politics.10.aspx

Hi Amber McCarter

Nurses have an important role in policy advocacy. They have the knowledge and skills that can help to push legislative agendas. Through professional associations such as American Nurses Association, nurses can come together and advocate for implementing policies that will better the nursing profession (Morin, 2021). I have noticed that you have not discussed challenges they can face in policy evaluation in professional nurses associations. One of such challenges is the complex registration processes. Can you read on it and expound it further?

References

Morin, K. H. (2021). Editorial: Contributions of professional nursing organizations. Journal of Advanced Nursing77(6).

I enjoyed reading your post, and I agree that nurses are advocates; therefore, holding leadership positions can help nurses become more politically involved. Nurses are at the forefront of healthcare, and they need to work with leadership to help gather and disseminate information to enhance the quality of care patients receive. Nurses can do this by attending meetings at work and bringing the patient experience to the table. The patient experience is a critical component in attracting and retaining patients (Hays, Elliott & Cefalu, 2021), so having first-hand knowledge and anecdotes would be beneficial not only to leadership but also to enhancing the patient experience. When patients form a positive relationship and begin to earn trust, they become more engaged in their own care and develop loyalty to the organization (Holt, 2018). Having a positive nurse-patient relationship is the key to overall health and well-being.

Hays, R., Elliott, M., & Cefalu, M. (2021). Adjustment of patient experience surveys for how people respond. Medical Care, 59(3), 202–205. https://doi.org/doi: 10.1097/MLR.0000000000001489Holt, J. M. (2018). An evolutionary view of patient experience in primary care: A concept analysis. Nursing Forum, 53(4), 555–566. https://doi.org/10.1111/nuf.12286

Name: NURS_6050_Module04_Week08_Discussion_Rubric

Excellent Good Fair Poor
Main Posting
Points Range: 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.

Points Range: 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.

Points Range: 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.

Points Range: 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
Points Range: 10 (10%) – 10 (10%)
Posts main post by day 3.
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Does not post by day 3.
First Response
Points Range: 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.

Points Range: 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.

Points Range: 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.

Points Range: 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
Points Range: 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.

Points Range: 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.

Points Range: 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.

Points Range: 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
Points Range: 5 (5%) – 5 (5%)
Meets requirements for participation by posting on three different days.
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days.
Total Points: 100