Discussion: Role of the RN APRN in Policy Evaluation Essay

Discussion: Role of the RN APRN in Policy Evaluation Essay

Discussion: Role of the RN APRN in Policy Evaluation Essay

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Primary opportunities for RNs and APRNs to effectively participate in policy review are through professional associations and the work place. RNs and APRNs belong to a variety of professional organizations such as the American Nurses Association (ANA), Emergency Nurses Association and the American Academy of Nursing. These organizations work as a support system for nurses and they make sure that the policies enforced are beneficial for the nurses.

Secondly, through the workplace RNs and APRNs as professionals have the responsibility and opportunity to influence policies that would enable them promote quality patient care. RNs and APRNs are professionals who can influence policies that would be effective in their work environments.They can provide a written request for a policy to be reevaluated if a policy does not promote quality patient care.

Some challenges that these opportunities may present are RNs and APRNs not being knowledgeable and updated about implemented policies, not being part of any professional organization due to the complexity of registration and lack of unity, initiative and leadership (American Nurses Association, 2010).

A strategy to better advocate for or communicate the existence of these opportunities are informing RNs and APRNS in a timely manner about policy changes, nurses need to work together, be united in order for their voices to be heard. Nurses should be provided adequate training to understand their roles, responsibilities and work environment in order to be effective professionals.

Opportunities should be provided for all RNs and APRNs to develop their leadership skills and involving them in the policy review process and professional organizations having a well-defined, simple registration system for nurses to follow when joining professional organizations.

Also Read: Discussion 2: The Role of the RN/APRN in Policy-Making

References

American Nurses Association. (2010). Nursing’s social policy statement: The essence of the profession. Nursesbooks. org.

Milstead, J.A & Short, N.M. (2019). Health policy and politics: A nurse’s guide. (6th ed.). Burlington, MA: Jones & Barlett learning

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The Role of the RN/APRN in Policy Evaluation

There are many ways in which nurses can be involved in policy evaluation. The two ways are collaborating with elected officials and joining professional associations. Nurses can gather data and information that can help policy evaluation (Milstead & Short, 2017). Nurses can reach out to local and federal legislators. They can work with their elected representatives to advocate for a review of policies that will help better the nursing profession and patient care. They can share their experiences and evidence, assisting in policy evaluation by checking impact and effectiveness (Scott & Scott, 2020). Challenges that nurses may meet may be their inability to contact legislators and different opinions that may arise. If they cannot contact their elected representatives, nurses can form a relationship with policymakers who can help set up meetings.

Nurses also have opportunities for policy evaluation by joining professional nursing associations at the state and national levels. By joining professional associations, nurses can have the opportunity to learn policy making and evaluation. They can attend conferences, network with other members and lobby on behalf of nurses (Morin, 2021). Even though professional nursing associations have benefits, they also present challenges. One challenge of this route is the complex registration process and high membership fees required to join these organizations.

There are several strategies to communicate these opportunities for nurses. The first strategy is to have meetings with healthcare professionals and educate them on the importance of nurses in policy advocacy and policy review. Nurses can also be educated that joining professional organizations may have additional benefits. They can also be taught how they can be involved in these organizations.

References

Milstead, J. A., & Short, N. M. (2017). Health policy and politics. Jones & Bartlett Learning.

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

Scott, S. M., & Scott, P. A. (2020). Nursing, advocacy and public policy. Nursing Ethics28(5), 723-733.  

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.

    Evaluation is a familiar term to the nursing profession. One of the first things that a nurse is taught is the nursing process which includes assessment, planning, implementation, and evaluation. Program or policy evaluation is no different, the same theory applies to assess the effectiveness of a specific program or policy (Milstead & Short, 2019). This evaluation is a vital part of policy development to determine the long-term effects of policy on populations, however it is sometimes overlooked (Laureate Education, 2018).

RN’s and APRN’s have a responsibility to their profession to advocate for health policy (Laureate Education, 2018). One way for them to become involved in evaluation of health policy is to form relationships with and educate political leaders so they understand the wealth of knowledge that an RN or APRN holds related to health policy. “The challenging work of the NP political advocate is to educate and demonstrate to powerful policy makers that supporting and advancing policies that promote better health and health care is in the best interest of the larger community” (Kostas-Polston, Thanavaro, Arvidson, & Taub, 2015).Gaining the trust of a political leader can help one gain access to become involved in policy evaluation. As the relationship grows between the nursing advocate and the political leader, the nurse will be recognized as a trusted source of impartial information and evaluation (Kostas-Polston et al., 2015).

Another way to get involved in policy evaluation is to join a professional organization, such as the American Nurses Association (ANA). During policy evaluation processes, many professional organizations, such as the ANA, are involved in providing data to lawmakers (Milstead & Short, 2019). Nurse advocates are frequently the voice of these healthcare reforms. Staying current on health-care policies and issues will allow the nurse to step in and advocate for the nursing profession, as well as patient safety and access to care.

Nurses must be prepared for the difficulties that come with policy evaluation. Accessing political leaders may be difficult due to their hectic schedules. When requesting a meeting with a legislator, the nurse may be meeting with a legislative staff member. However, legislative staff members continue to wield power, and their job is to advise legislators 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 provide them with a written evaluation. An additional challenge for policy evaluation is eliciting community feedback on the evaluation’s findings. Evaluations can sometimes bring to light additional issues that must be addressed, altering the course of the political agenda.

Incorporating health policy into all nursing education is one strategy I would recommend. Currently, health policy is not included in the ADN curriculum; however, I believe that the groundwork should be laid here. Another strategy for educating nurses about health policy and advocacy would be for nursing leaders to take the initiative with their employees and teach them about health policy and advocacy. It could be part of a clinical ladder program or a yearly education requirement for health care organizations. Political advocacy must be promoted by knowledgeable nurses. Nurses should be involved in all stages of health care policy development, and they should be encouraged to use their expertise and critical thinking to evaluate health policy for the benefit of society.

Reference

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 Practitioners27(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 (6thed.). Burlington, MA: Jones & Bartlett Learning.

Good job on your post!

The American Association of Colleges of Nursing (AACN) mandates that policy is part of baccalaureate, masters, and doctoral nursing programs. Baccalaureate nursing programs usually focus on a basic understanding of how policy affects health care (Staebler, Campbell, Cornelius, Fallin-Bennet, Fry-Bowers, Kung, LaFevers, & Miller, 2017).  My undergraduate program incorporated policy into its curriculum, but it was not a separate class. The class combined ethics, law, economics, and health policy, so you can imagine how much focus was on health policy. Nursing education is vital to develop a nurse’s political understanding and to promote political advocacy (Pery & Emory, 2017). I agree with you that health policy should start at the ADN level. Perhaps if a solid foundation was built in my lower-level courses, then some assignments in this class wouldn’t have seemed so overwhelming.

References

Perry, C., & Emory, J. (2017). Advocacy through education. Policy, Politics, & Nursing Practice, 18(3), 158-165. doi: 10.1177/1527154417734382

Staebler, S., Campbell, J., Cornelius, P., Fallin-Bennet, A., Fry-Bowers, E., Kung, Y., LaFevers, D., & Miller, J. (2017). Policy and political advocacy: Comparison study of nursing faculty to determine current practices, perceptions, and barriers to teaching health policy. Journal of Professional Nursing, (33)5, 350-355. doi: 10.1016/j.profnurs.2017.04.001

SAMPLE 2

RE: Discussion – Week 9

Collapse

Primary opportunities for RNs and APRNs to effectively participate in policy review are through professional associations and the work place. RNs and APRNs belong to a variety of professional organizations such as the American Nurses Association (ANA), Emergency Nurses Association and the American Academy of Nursing. These organizations work as a support system for nurses and they make sure that the policies enforced are beneficial for the nurses.

Secondly, through the workplace RNs and APRNs as professionals have the responsibility and opportunity to influence policies that would enable them promote quality patient care. RNs and APRNs are professionals who can influence policies that would be effective in their work environments.They can provide a written request for a policy to be reevaluated if a policy does not promote quality patient care.

Some challenges that these opportunities may present are RNs and APRNs not being knowledgeable and updated about implemented policies, not being part of any professional organization due to the complexity of registration and lack of unity, initiative and leadership (American Nurses Association, 2010).

A strategy to better advocate for or communicate the existence of these opportunities are informing RNs and APRNS in a timely manner about policy changes, nurses need to work together, be united in order for their voices to be heard. Nurses should be provided adequate training to understand their roles, responsibilities and work environment in order to be effective professionals.

Opportunities should be provided for all RNs and APRNs to develop their leadership skills and involving them in the policy review process and professional organizations having a well-defined, simple registration system for nurses to follow when joining professional organizations.

References

American Nurses Association. (2010). Nursing’s social policy statement: The essence of the profession. Nursesbooks. org.

Milstead, J.A & Short, N.M. (2019). Health policy and politics: A nurse’s guide. (6th ed.). Burlington, MA: Jones & Barlett learning

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.

RE: Discussion – Week 9

T

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).

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.

References

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.

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

RE: Discussion – Week 9

Collapse

Primary opportunities for RNs and APRNs to effectively participate in policy review are through professional associations and the work place. RNs and APRNs belong to a variety of professional organizations such as the American Nurses Association (ANA), Emergency Nurses Association and the American Academy of Nursing. These organizations work as a support system for nurses and they make sure that the policies enforced are beneficial for the nurses.

Secondly, through the workplace RNs and APRNs as professionals have the responsibility and opportunity to influence policies that would enable them promote quality patient care. RNs and APRNs are professionals who can influence policies that would be effective in their work environments.They can provide a written request for a policy to be reevaluated if a policy does not promote quality patient care.

Some challenges that these opportunities may present are RNs and APRNs not being knowledgeable and updated about implemented policies, not being part of any professional organization due to the complexity of registration and lack of unity, initiative and leadership (American Nurses Association, 2010).

A strategy to better advocate for or communicate the existence of these opportunities are informing RNs and APRNS in a timely manner about policy changes, nurses need to work together, be united in order for their voices to be heard. Nurses should be provided adequate training to understand their roles, responsibilities and work environment in order to be effective professionals.

Opportunities should be provided for all RNs and APRNs to develop their leadership skills and involving them in the policy review process and professional organizations having a well-defined, simple registration system for nurses to follow when joining professional organizations.

References

American Nurses Association. (2010). Nursing’s social policy statement: The essence of the profession. Nursesbooks. org.

Milstead, J.A & Short, N.M. (2019). Health policy and politics: A nurse’s guide. (6th ed.). Burlington, MA: Jones & Barlett learning

The Role of the RN/APRN in Policy Evaluation.

Evaluation of a process or policies helps hold nurses and politicians accountable (Laureate Education (Producer, 2018). Without evaluating a process, it’s difficult to tell if its effective or not for the intended use. During evaluation, it gives opportunity us the opportunity to go back to the drawing board to know why a process failed or what need to be added to make it work.

Nurses influence on health policy through policy evaluation, protects the quality of care by access to required resources. Access to healthcare policy helps nurses to be aware of the happenings in healthcare policy including within their State (Laureate Education, 2018). This kind of knowledge will help nurses to provide effective feedback to employers or Government to help provide good shape for health policies and programs. For example, a nurse can book appointment with their local legislators to present an evaluation report on a program/policy with a focus on measurable outcomes and the policies effectiveness while offering their expert opinion on the policy.

While these opportunities give nurses upper hand in policy review, they can present challenges to the nurses. Some of the challenges faced during the process on policy review are to a large extent under the control of researchers, reviewers, and funding organizations (Glasgow R. et.all 2003). For example, the RN’S/APRN’s may find it difficult to obtain required or comparative resources for a policy or program that has been implemented, particularly when it’s a new policy that lack appropriate data for comparison (Milstead & Short, 2019). Nurses also face challenges of limited resources to complete the evaluation of a program/ Policy. These challenges can make it difficult to evaluate the outcome and impact of a policy or program.

Nurses can try to find evidence-based data and information related to policy or conduct new studies to combat such lack of Data. The nurse can also request for funding / scholarship to enable them to get enough resources to conduct policy evaluation.

As an RN, I will recommend the incorporation of health policy advocacy/evaluation as a course in the nursing curriculum that nursing students should complete before getting their licenses.

Secondly, I may consider using social media platforms to run the campaign on the opportunities available on the opportunities available for nurses to participate in policy evaluation. Campaigns and advertisements can be carried out on social media platforms such as twitter, Instagram, Facebook, LinkedIn, YouTube and blogs. Additionally, nursing associations and organizations can also use their websites, online-chat platforms or webinars to advocate for these opportunities among nurses and inform nurses of the policies and programs that need to be evaluated so that nurses can provide the individual expert opinion on the policies and programs.

References

Laureate Education (Producer). (2018). Program Policy and Evaluation [Video file]. Baltimore, MD: Author.

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

Glasgow, R. E., Lichtenstein, E., & Marcus, A. C. (2003). Why Don’t We See More Translation of Health Promotion Research to Practice? Rethinking the Efficacy-to-Effectiveness Transition. American Journal of Public Health93(8), 1261–1267. https://doi-org.ezp.waldenulibrary.org/10.2105/AJPH.93.8.1261

Holly , I am in agreement with you that Advocacy for nurses, and also campaigning. I never thought of  campaigning. Great recommendation.

Nurses can be advocates to inform, educate citizens  how to be proactive in their communities. Many organizations are strengthening internal multiple disciplines/departments, and external nontraditional partners, community-based organizations  partnerships to identify social needs and invest in communities (Byhoff et al., 2017).

Identifying, and recognizing key factors to inform how policy process are crucial for nurses, and APRN’s. According to  World Health Organization.

An important landmark document for the future planning for nursing will be the release of the 2020 State World’s Nursing report by  the World Health Organization. This report will describe how nurses can contribute to the achievements of the Sustainable Development Goals and Universal Health Coverage and will be a seminal document for policy development for the next  three to five years. (WHO 2019)

References

Byhoff, E., Cohen, E., Hamati, M.C., Tatko, J., Davis, M.M., & Tipirneni, R. (2017). Screening for social determinants of health in Michigan health centers. Journal of the American Board of Family Medicine, 30(4), 418-427. doi:10.3122/jabfm.2017.04.170079

World Health Organization (2019State of the World’s Nursing and State of the World’s Midwifery. WHO: Geneva. Available at: https://www.who.int/hrh/nursing_midwifery/state-of-the-worlds-nursing-and-midwifery-2020-get-engaged.pdf (accessed 10 July 2019)

Hi Sasha

The community of nurses is so vast and powerful we as nurses can do a lot when it comes to policy making. Nurses can participate in policy reviews by attending policy conferences, and organized policy meetings. Nurses can also attend meetings specifically for policy change directed at health care. Nurses can also plan and organize their own meetings and rallies and open invite members of policy boards to get the purpose of policy change and agenda heard. Joining professional organization would be a good start to a nurse that is new to the idea of policy making. Nursing organizations can provide insight and direction and help improve idea outcomes of nursing policy change. According to Myers (2020) Nurses need to actively embrace strategies to improve population health outcomes and reduce health and other disparities. As a main component in health care, nurses provide the most direct level of care. Nurses are able to see the patient whole level of care therefore are the best advocates for the patient. As stated by Wichaikhum et al. (2020) Nurses’ participation in public health policy development is essential to developing and maintain an efficient, high-quality healthcare system.

References

Myers, R.C. (2020). Promoting population health: nurse advocacy, policy making, and use

of media. Pub Med.Gov, 55(1), 11-20. http://doi.org 10.1016/j.cnur.2019.11.001

Wichaikhum, O., Abhicharttiburta, K., Nantsupawat, A., Kowitlawakul, Y., & Kunavikitkul, W.

(2020). Dweveloping a strategic model of participation in policy development for nurses.

Pub Med. Gov, 67(1), 11-18. http://doi.org10.1111/inr.12571

Name: NURS_6050_Module05_Week09_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