Nursing, Health, Policy Essay

Nursing, Health, Policy Essay

ou will respond individually to the following two presentations by using references and addressing the following:

First Video (Robert): https://youtu.be/wD41ROKTvz4

Second Video (Mathew): https://youtu.be/KM2Kc7nxhQ8

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– Identify one question you have for each presentations and then find an article in the Google Scholar that uses the group research method (a different research article from what that group included in their presentation) and briefly summarize how it incorporates that research method.Nursing, Health, Policy Essay

Describe the question and how you went about answering it, i.e., where you found the answer.

Provide the complete APA reference for the articles in both of your replies, as well as use proper APA citations.

The role of a nurse in health care and health policy
The legislative process is a pivotal process that shapes the health care policy within the country. The US healthcare system requires a lot of influencing and lobbying in order to adopt or to implement the necessary health care reform policies. The nurses are the relevant people to push for these reforms through their associations or alliances e.g. The Nursing Organizations Alliance (NOA).

The nurses hold the most influential position in driving for the necessary healthcare reforms; this is because of their numbers, expertise and also their positions. The evidence of these numbers is demonstrated by a statistical report which shows that in every 44 female voters in the US there is one nurse. Secondly, in every 100 voters there is one nurse. Finally, there is evidence that there are 100,000 nurses in every congressional district (source: Leavitt, 2003).

Given the position and the well earned respect for nurses by the American public (The Gallup poll has shown that nurses are top ranking when it comes to ‘Honesty and Ethics in profession’).All these factors are evidence that the nurses can indeed influence the healthcare policy and the policy makers. There is need for nurses to develop an interest and an understanding in the legislative process if they are to be knowledgeable of the political environment, which is a determinant in the making of the health care policies.Nursing, Health, Policy Essay

Nurses play a very important role in advocating for the rights of their patients, this is so because they are at the best position of understanding the healthcare needs of the patients and this therefore gives them the authority to advocate for better health care reform policies for these patients.

Nurses must therefore move from the reactive response approach to a more strategically planned approach with regard to the changing healthcare policies. Another role of a nurse in health policy is to understand these policies; this directly implies that nurses must know the people to influence, how to influence these people and the right time to influence these people. A nurse also needs to be politically aware in order to stay abreast with the changing issues in the political environment and this is done through a network of nursing organization that keeps the nurses informed of the changing political affairs.Nursing, Health, Policy Essay

The nurses must also form strategic alliances with other organization in order for them to remain influential and to have a stronger voice in advocating for reforms. The alliances create or result to the creation of a bigger impact. Nurses must be very decisive in their approach to health care policies and this can be done through them taking an active role in making recommendations to health care bills when they are brought to the public for consultations. The nurses also have a responsibility in being or holding positions where they can be consulted with regard to health care policy issues e.g. there are three nurses in the US congress namely Eddie Bernice Johnson, Carolyn McCarthy, and Lois Capps.

The current issues and problems
The American healthcare system has been facing numerous challenges. The sudden paradigm shift from a healthcare system based on provision of quality care to one that is guided by the market based economic models, has led to the urgent need for the health care reforms. One of the major problems that were faced by the US healthcare system was the increasing customer demand for reduced healthcare costs and the adoption of a structured business plan, played a role in the erosion of the public’s concept of an ideal healthcare as that of humanitarian service.Nursing, Health, Policy Essay

This particular flawed model led to increased nursing malpractice law suits and even patient errors (This was described by the American Hospital Association as the ‘worst disaster to hit the American hospitals’, and this was in the year 1995.There have been many institutions taking the fore front in looking at the American healthcare flawed system and these include the Health Research and Service Administration (HRSA) and the Institute Of Medicine (IOM).Another problem is the increased number of American deaths due to avoidable medical errors and these numbers are estimated to stand at a staggering 98,000.

It can be argued that the current healthcare system is on the brink of collapse and all the positive aspects of this system maintained. It is also undeniable that the registered nurses (RN) are the key ingredient to a better health care policy. They also form the largest number of healthcare professionals (are about 2.4 million).There is a developing trend in terms of shortage in the number of qualified nurses; this has tampered with the efficient access to safe and quality health care. The supply of new nurses getting into the healthcare system is incomparable to the number of RNs demanded by the healthcare system (There are fewer RNs compared to the new ones getting into the market)Nursing, Health, Policy Essay

It would be too general and maybe inaccurate to claim that the health care system is in need of more nurses but it would be accurate to point out the fact that the healthcare system is in need of highly educated and very professional nurses who are in tune with the ever changing health care industry (the technology, advanced medical practices et cetra).

The projection made by the US bureau of labour Statistics Statistics has estimated that there will be an increased need of more than one million new and replacement nurses by the year 2016. (This increase will help deal with the increased demand for the nurses within the healthcare system. The other problem is the Nurse faculty Shortage, , the nursing educational system is also equally strained, and this is mainly due to the limitations in capacity within this learning institutions. Last year alone there were 40,285 qualified applicants who were denied student positions within the baccalaureate and nursing programmes. The reason for this is because of limited faculty positions of about 7.6% (source: Special Survey on Vacant Faculty Positions by AACN in July 2008)Nursing, Health, Policy Essay

Ways of solving these problems
The problem of the nursing shortage can be resolved through the following measures

Increasing the number of qualified and highly educated nurses (specifically those with a baccalaureate degree or possible higher) ); the reason for this recommendation is because of the increase in acute patients who suffer from multiple health complications e.g. (diabetes, obesity) and therefore demand more independent nursing personnel who are more critical in their decision making, take the place of traditional care givers and also train patients on ways of maintaining good health.
Recommendations have also been made by the National Advisory Council on Nurse Education and Practice, the US Secretary for Health and Human Services and also by the policy advisors to the congress on the need for About two thirds of the practicing nurses to hold a baccalaureate degree or higher (in the nursing profession) by the year 2010.Only 47.2 % of nurses are holders of degrees at the baccalaureate level or above. There are also efforts from the AACN, ANA (American nursing association) and also the American Organization of Nurse Executives to have the RNS to get education at the baccalaureate level or even more.Nursing, Health, Policy Essay

The second solution is to Reauthorizing the Title VIII Nursing Work force Development Programmes (they are authorized under the Public Health Service Act (42 U.S.C.296 et Seq).The Nursing Workforce Development programs have in the past addressed various issues of nursing shortages which range from retention, recruitment to education. The Title VIII program usually Award education grants to schools of nursing and also more direct support to nursing students through loans, scholarships, and traineeships. This ensures that qualified nurses are available to give qualified health care.

The role of a nurse in health care and health policy
The legislative process is a pivotal process that shapes the health care policy within the country. The US healthcare system requires a lot of influencing and lobbying in order to adopt or to implement the necessary health care reform policies. The nurses are the relevant people to push for these reforms through their associations or alliances e.g. The Nursing Organizations Alliance (NOA).Nursing, Health, Policy Essay

The nurses hold the most influential position in driving for the necessary healthcare reforms; this is because of their numbers, expertise and also their positions. The evidence of these numbers is demonstrated by a statistical report which shows that in every 44 female voters in the US there is one nurse. Secondly, in every 100 voters there is one nurse. Finally, there is evidence that there are 100,000 nurses in every congressional district (source: Leavitt, 2003).

Given the position and the well earned respect for nurses by the American public (The Gallup poll has shown that nurses are top ranking when it comes to ‘Honesty and Ethics in profession’).All these factors are evidence that the nurses can indeed influence the healthcare policy and the policy makers. There is need for nurses to develop an interest and an understanding in the legislative process if they are to be knowledgeable of the political environment, which is a determinant in the making of the health care policies.

Nurses play a very important role in advocating for the rights of their patients, this is so because they are at the best position of understanding the healthcare needs of the patients and this therefore gives them the authority to advocate for better health care reform policies for these patients.

Nurses must therefore move from the reactive response approach to a more strategically planned approach with regard to the changing healthcare policies. Another role of a nurse in health policy is to understand these policies; this directly implies that nurses must know the people to influence, how to influence these people and the right time to influence these people. A nurse also needs to be politically aware in order to stay abreast with the changing issues in the political environment and this is done through a network of nursing organization that keeps the nurses informed of the changing political affairs.Nursing, Health, Policy Essay

The nurses must also form strategic alliances with other organization in order for them to remain influential and to have a stronger voice in advocating for reforms. The alliances create or result to the creation of a bigger impact. Nurses must be very decisive in their approach to health care policies and this can be done through them taking an active role in making recommendations to health care bills when they are brought to the public for consultations. The nurses also have a responsibility in being or holding positions where they can be consulted with regard to health care policy issues e.g. there are three nurses in the US congress namely Eddie Bernice Johnson, Carolyn McCarthy, and Lois Capps.

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The current issues and problems
The American healthcare system has been facing numerous challenges. The sudden paradigm shift from a healthcare system based on provision of quality care to one that is guided by the market based economic models, has led to the urgent need for the health care reforms. One of the major problems that were faced by the US healthcare system was the increasing customer demand for reduced healthcare costs and the adoption of a structured business plan, played a role in the erosion of the public’s concept of an ideal healthcare as that of humanitarian service.Nursing, Health, Policy Essay

This particular flawed model led to increased nursing malpractice law suits and even patient errors (This was described by the American Hospital Association as the ‘worst disaster to hit the American hospitals’, and this was in the year 1995.There have been many institutions taking the fore front in looking at the American healthcare flawed system and these include the Health Research and Service Administration (HRSA) and the Institute Of Medicine (IOM).Another problem is the increased number of American deaths due to avoidable medical errors and these numbers are estimated to stand at a staggering 98,000.

It can be argued that the current healthcare system is on the brink of collapse and all the positive aspects of this system maintained. It is also undeniable that the registered nurses (RN) are the key ingredient to a better health care policy. They also form the largest number of healthcare professionals (are about 2.4 million).There is a developing trend in terms of shortage in the number of qualified nurses; this has tampered with the efficient access to safe and quality health care. The supply of new nurses getting into the healthcare system is incomparable to the number of RNs demanded by the healthcare system (There are fewer RNs compared to the new ones getting into the market)Nursing, Health, Policy Essay

It would be too general and maybe inaccurate to claim that the health care system is in need of more nurses but it would be accurate to point out the fact that the healthcare system is in need of highly educated and very professional nurses who are in tune with the ever changing health care industry (the technology, advanced medical practices et cetra).

The projection made by the US bureau of labour Statistics Statistics has estimated that there will be an increased need of more than one million new and replacement nurses by the year 2016. (This increase will help deal with the increased demand for the nurses within the healthcare system. The other problem is the Nurse faculty Shortage, , the nursing educational system is also equally strained, and this is mainly due to the limitations in capacity within this learning institutions. Last year alone there were 40,285 qualified applicants who were denied student positions within the baccalaureate and nursing programmes. The reason for this is because of limited faculty positions of about 7.6% (source: Special Survey on Vacant Faculty Positions by AACN in July 2008)Nursing, Health, Policy Essay

Ways of solving these problems
The problem of the nursing shortage can be resolved through the following measures

Increasing the number of qualified and highly educated nurses (specifically those with a baccalaureate degree or possible higher) ); the reason for this recommendation is because of the increase in acute patients who suffer from multiple health complications e.g. (diabetes, obesity) and therefore demand more independent nursing personnel who are more critical in their decision making, take the place of traditional care givers and also train patients on ways of maintaining good health.
Recommendations have also been made by the National Advisory Council on Nurse Education and Practice, the US Secretary for Health and Human Services and also by the policy advisors to the congress on the need for About two thirds of the practicing nurses to hold a baccalaureate degree or higher (in the nursing profession) by the year 2010.Only 47.2 % of nurses are holders of degrees at the baccalaureate level or above. There are also efforts from the AACN, ANA (American nursing association) and also the American Organization of Nurse Executives to have the RNS to get education at the baccalaureate level or even more.Nursing, Health, Policy Essay

The second solution is to Reauthorizing the Title VIII Nursing Work force Development Programmes (they are authorized under the Public Health Service Act (42 U.S.C.296 et Seq).The Nursing Workforce Development programs have in the past addressed various issues of nursing shortages which range from retention, recruitment to education. The Title VIII program usually Award education grants to schools of nursing and also more direct support to nursing students through loans, scholarships, and traineeships. This ensures that qualified nurses are available to give qualified health care.

The main purpose of health care policies, like geographic maps, is to provide routes and directions to best achieve specific goals. Their design involves many variables and go through many steps that often begins with a problem that needs to be solved or addressed. To demonstrate such concept, this paper discusses the steps taken to adopt a new health policy in North Carolina; the main goal of the new policy is to implement Evidence-Based Practice (EVP) in mental health care and to redirect the service to its target population. The paper highlights the role of management, implementers, stakeholders, and professionals in the initiation and implementation steps of health policies.
Impetus for the change
In the case of changing the mental health policy in North Carolina, the impetus for the change seems to be adopted by the State Auditor’s report beside other reports of many entities confirming the deviation of mental health service away from its original goal. According to these reports, mental health services are still delivered via traditional health delivery models rather than coordinated well-managed ones. Interestingly, these reports analyze the spectrum of mental health services nationwide with the exception of the State Auditor’s 2000 report Study of the Psychiatric Hospitals and the Area Mental Health Programs which was specifically designed for the North Carolina.Nursing, Health, Policy Essay
Change advocates
According to the response of the State’s legislation, the change involves the four regional mental health hospitals that operate independently without common policies to regulate or synchronize their efforts. Although Nursing, Health, Policy Essay