The Role of RNs and APRNs in Policy-Making Essay.

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The Role of RNs and APRNs in Policy-Making Essay.

 

The Role of RNs and APRNs in policy-making

Opportunities that exist for RNs and APRNs to actively participate in policy-making

Lobbying and joining a professional nursing organization are two opportunities that exist for RNs and APRNs to actively engage in policymaking. Lobbying involves seeking to influence the views of a legislator. Knowing local legislators, enlightening them on health care issues, and informing them on the needs of their voters is a key way nurses become involved in policy decision making. Lawmakers are influenced by the information they receive along with sources of the information (Dames et al., 2020).The Role of RNs and APRNs in Policy-Making Essay.

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RNs and APRNs seeking to influence policy must join a professional nursing organization. According to Cherry and Jacob (2018),   since nursing organizations are involved in the monitoring public policy and providing training opportunities to enable their members to learn about the policymaking process,  they act as very useful resources for trustworthy information about policy issues. Being a member of an organization that has a political action committee, for example, the American Nurses Association can assist nurses to develop the skills to take part in political issues. The Role of RNs and APRNs in Policy-Making Essay.

The challenges that these opportunities may present and how I might overcome these challenges

Although opportunities exist for nurses to participate in policy-making, several challenges prevent them from active participation in the policy-making process. According to Safari et al. (2020), nurses do not adequately involve in policymaking due to lack of time to modify, formulate or implement policies as a result of heavy workloads as a result of adequate staffing.  Additionally, nurses do not have adequate policy development and political skills. I can overcome these barriers by regularly participating in formal, short-term programs in bureaucratic agencies and with elected officials.  Through these programs,  I will learn how to handle the concerns of constituents, how to argue with opponents, how to write to legislations and the way to maneuver via the bureaucracy. The Role of RNs and APRNs in Policy-Making Essay.

Two strategies I might make to better communicate the existence of these opportunities to participate in policy-making

Developing ongoing relationships with legislators and gaining the confidence of legislators are two strategies I might make to better communicate opportunities that exist for RNs and APRNs to take part in policy-making Milstead and Short (2017) indicate that nurses who engage in political activity recognize that establishing contacts with agency directors and legislators is to form ongoing relationships with appointed and elected officials and their staffs.  Also, nurses have learned that by utilizing nursing skills and knowledge, they can get the confidence of government officials. Personal stories that nurses draw from their nursing experience anchor altruistic discussions with lawmakers, creating a significant emotional link that can affect policy design.The Role of RNs and APRNs in Policy-Making Essay.

  • Clinical Inquiry & Systematic Reviews: Handwashing & Healthcare-Associated Infections (HAIs)
  • Karen Boone 1/03/21
  • Introduction
  • EBP
  • Clinical inquiry
  • Clinical issue of interest
  • Importance to nursing practice
  • The PICOT Question
  • Development of the PICOT question
  • The PICOT question
  • Literature support
  • Rationale
  • Research Databases
  • Medline
  • EBSCO
  • CINAHL
  • Cochrane Database of Systematic Reviews (Melnyk & Fineout-Overholt, 2019)
  • Four Peer-Reviewed Articles

Andriani, Y., & Nadjib, M. (2018). The importance of implementation of hand hygiene practice in reducing healthcare-associated infections: A systematic review. The 2nd International Conference on Hospital Administration (KnE Life Sciences),135–145. https://doi.org/10.18502/kls.v4i9.3565

Borren, N.Z., Ghadermarzi, S., Hutfless, S., & Ananthakrishnan, A.N. (2017). The emergence of Clostridium difficile infection in Asia: A systematic review and meta-analysis of incidence and impact. PLOS ONE, 12(5), 1-16. https:// doi.org/10.1371/journal.pone.0176797 

Freeman, M.C., Stocks, M.E., Cumming, O., Jeandron, A., Higgins, J.P.T., Wolf, J., Prüss-Ustün, A., Bonjour, S., Hunter, P.R., Fewtrell, L., & Curtis, V. (2014). Hygiene and health: Systematic review of handwashing practices worldwide and update of health effects. Tropical Medicine & International Health, 19(8), 906–916. https://doi.org/10.1111/tmi.12339

Gerding, D.N., Muto, C.A., & Owens Jr, R.C. (2008). Measures to control and prevent Clostridium difficile infection. Clinical Infectious Diseases, 46(Supplement 1), S43-S49. http://dx.doi.org/10.1086/521861

  • Place in the Hierarchy of Evidence
  • Andriani & Nadjib (2018) – Level of evidence (LOE) I
  • Borren et al. (2017) – LOE I
  • Freeman et al. (2014) – LOE I
  • Gerding et al. (2008) – LOE II
  • Conclusion
  • EBP and best practice
  • Place of clinical inquiry
  • Handwashing
  • HAIs

´Introduction

´Assess topic: The effectiveness of the Prolonged Use of the Continuous Passive Motion (CPM), as an Adjunct to Physiotherapy after Total Knee Arthroplasty (TKA).The Role of RNs and APRNs in Policy-Making Essay.

´Explore development of PICOT question.

´Evaluate the various research levels and the articles selected.

´General results from the research process.

´Clinical Issue of Interest

´The effectiveness of the Prolonged Use of the Continuous Passive Motion (CPM), as an Adjunct to Physiotherapy after Total Knee Arthroplasty (TKA).

´TKA is knee replacement surgery for those with knee damage.

´CPM is therapy using machine for joint motion.

´Developing PICOT Question

´PICOT Question: – What is the effectiveness of the Prolonged Use of the Continuous Passive Motion (CPM), as an Adjunct to Physiotherapy after Total Knee Arthroplasty (TKA)?The Role of RNs and APRNs in Policy-Making Essay.

´CPM is an alternative to physiotherapy in helping the patients move the joints.

´CPM mostly used on knee joints.

´Goal is to assess whether they are an effective supplementary for patients with TKA to enhance patient outcomes.

´Level I Research Database

´Cochrane Database of Systematic Reviews database.

´Used CPM as search term.

´Yielded 5 relevant sources.

´Harvey et al. (2014) article selected.

´Contends that effectiveness of CPM as treatment is unclear.

´

´Level II Research Database

´Used critically appraised topics.

´Used the National Guideline Clearinghouse database

´Used total knee replacement as key term.

´Yielded 27 relevant results.

´Evidence supports that CPM after TKA does not improve patient outcomes.

´Initializing rehabilitation measures early helps improve patient outcomes.

´Level III and IV Research Databases

´Level III Critically- Appraised Individual Articles

´Used evidence-based nursing database and total knee replacement as search term.

´Erduran et al. (2017) contend that AROM is better than CPM for TKA in reducing pain severity.

´Level IV- Randomized Controlled Trial

´Used search term CPM or early mobilization and total knee replacement.

´Boese et al. (2014) contend that CPM is not beneficial especially in early mobility after TKA.

´Conclusion

´Topic: The effectiveness of the Prolonged Use of the Continuous Passive Motion (CPM), as an Adjunct to Physiotherapy after Total Knee Arthroplasty (TKA).

´Level I research contends that effectiveness of CPM as treatment is unclear.

´Level II research from National Guideline Clearinghouse database has evidence that CPM after TKA does not improve patient outcomes.

´Level III research contend that AROM is better than CPM for TKA in reducing pain severity.The Role of RNs and APRNs in Policy-Making Essay.

´Level IV research shows that CPM is not beneficial especially in early mobility after TKA.