Policies affect the nursing world Explain the below R
Consider the process of policy change from the perspective of both the bedside nurse and the advanced practice nurse. Consider your readings from this week that discuss what the healthcare workforce looks like, the role of information technology in healthcare and the role of board members and managers within the context of your current workplace environment. Choose a policy or practice within your current workplace environment (or if not actively practicing consider one that you have encountered while practicing at the bedside) that you wish to advocate for policy change. Describe your rationale for choosing this specific issue using supporting evidence as to why a change needs or should be made (make sure to support this response with evidence and your own insight as a practicing nurse)
Using the Framework for Planned Policy Change (as outlined in the Anders et al., 2021article) & the Health Policy Toolkit (outlined in the Kostas-Polstonet al, 2014 article; and I also included a section on Legislative Resources in this week’s Blackboard Module that can assist with this process) describe the specific steps and/or processes (in detail) you would use to make a policy change to your chosen topic at both the local (hospital or organizational level) and also at the state or national level (note that not all the steps in the Framework or the Toolkit will apply so focus on those steps and processes that do apply to your topic).
Describe how the process of this selected policy change would differ from the perspective of the bedside nurse versus that of an advanced practice nurse. Essentially this question is asking you to consider the difference in policy change engagement from the perspective of the bedside nurse compared to that of an advanced practice nurse level?
Discuss barriers and reasons nurses (at least 2 barriers) fail to participate in policy change and describe how these barriers can be addressed.
What are your personal thoughts about being involved in policy change whether at a local or state/national level. Have you been involved in policy change at any level? Why or why not? If so, describe your involvement. If not, describe why you may not have personally been involved in policy change up to this point. This is genuinely an opportunity. 2 apa citations
Policies have a significant impact on the nursing world, influencing the delivery of healthcare, patient outcomes, and the nursing profession as a whole. They shape the practice environment, determine standards of care, allocate resources, and regulate the roles and responsibilities of nurses. Both bedside nurses and advanced practice nurses play crucial roles in policy change, although their perspectives and levels of engagement may differ.
From the perspective of a bedside nurse, policy change often begins with identifying a specific issue or practice within their workplace that requires improvement or modification. This issue may be related to patient safety, workflow efficiency, staffing ratios, or the utilization of technology, among other areas. The bedside nurse, supported by evidence and personal insight gained from their practice, advocates for policy change by engaging in various activities, such as collaborating with colleagues, collecting data, conducting research, and presenting their case to relevant stakeholders within the organization. They may participate in quality improvement initiatives, join committees, and communicate their concerns and proposed solutions to nursing managers and board members.
On the other hand, an advanced practice nurse (APN), due to their advanced knowledge, expertise, and often broader scope of practice, may have a more active role in policy change. APNs are equipped with advanced clinical skills and a deep understanding of healthcare systems, making them well-suited to identify policy gaps and advocate for change. They may engage in policy development, research, and analysis, and leverage their leadership positions to influence decision-making processes. APNs can collaborate with other healthcare professionals, professional organizations, and legislative bodies to drive policy change at the local, state, and national levels. They may testify in legislative hearings, develop position statements, participate in lobbying efforts, and build coalitions to amplify their voices and advocate for evidence-based policy reforms.
The process of policy change at the local (hospital or organizational) level involves several steps. Firstly, the bedside nurse or APN needs to conduct a thorough assessment of the current policy or practice and identify its shortcomings or areas for improvement. This assessment should be supported by evidence, such as research studies, clinical guidelines, and benchmarking data. The nurse should then develop a well-defined policy proposal that outlines the rationale, objectives, and expected outcomes of the change. This proposal should be presented to key stakeholders, including nursing managers, administrators, and board members, who have the authority to initiate and implement policy changes within the organization. Collaboration, effective communication, and building alliances with colleagues and nursing leaders are essential to garner support for the proposed change.
At the state or national level, the policy change process involves additional steps and stakeholders. The nurse advocating for change should research the relevant laws, regulations, and policies at the state or national level that pertain to their chosen issue. They can use legislative resources, such as bill tracking systems and policy databases, to understand the existing landscape and identify opportunities for change. Engaging with professional nursing organizations, which often have policy advocacy initiatives, can provide valuable guidance and support. The nurse should consider forming alliances with other stakeholders, including legislators, policy experts, and advocacy groups, to increase the chances of success. They may participate in public hearings, submit written testimony, or meet with legislators to present their case for policy change. Collaboration and effective communication skills are crucial at this level as well, along with persistence and a commitment to long-term advocacy efforts.
Barriers to nurse participation in policy change can hinder their engagement and advocacy. Two common barriers are lack of time and limited knowledge about the policy-making process. Nurses often have demanding workloads, leaving little time for engaging in policy change activities. Additionally, they may have limited understanding of how policies are developed, implemented, and revised, which can make them feel hesitant or unsure about getting involved. These barriers can be addressed through education and training initiatives that equip nurses with the necessary knowledge and skills to