Policy Analysis and Core Competencies Assignment

Policy Analysis

Dr. Breen, on July 29, 2020, the Senate received a bill known as the Health Care Provider Protection Act that mandates the Health and Human Services (HHS) division to promote and implement evidence-based methods to enhance mental and behavioral health and resilience, reduce suicide, and minimize burnout among healthcare professionals (Wild, 2021). The bill also proposes health care providers to receive training on the best practices that enhance their mental health. These best practices include suggestions for strengthening mental health and reducing nursing suicide (Sullivan, 2018). HHS is permitted to honor grants for health education in institutes, local municipalities, tribal institutions, and nonprofit organizations, both private and public, to train people who are primary caregivers, residents, but also health practitioners in practical, knowledgeable ways to reduce but also prevent disorders caused by substance use, burnout, and suicide, as well as methods to improve health care practitioners’ employee satisfaction and well-being. A $35,000,000 authorization for each financial year from 2022 until 2024 was issued along with a grant of three years. Policy Analysis and Core Competencies Assignment

Nearly half of nurses under 35 who participated in a January poll by the American Nurses Foundation (the Foundation) of close to 12,000 nurses reported having sought professional mental health care since March 2020 (Sullivan, 2018). In addition, among nursing professionals over the age of 55, 47% of nurses over the age of 25 and 46% of nurses between the ages of 25 and 35 reported having emotional health issues (19 percent). Due to COVID-19, these newly qualified nurses were more likely to have gone through an extraordinarily traumatic, upsetting, or stressful occurrence. Additionally, survey participants under 25 will be more than two times more likely (69%) than those over 25 to report experiencing burnout (30 percent). This paper evaluates the competencies, relevance, reviews literature, and financial considerations of the Health Care Provider Protection Act that Dr. Lorna Breen’s health care provider acts policy addresses.

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Policy Analysis and Core Competencies

This policy creates grants and mandates other actions to strengthen healthcare professionals’ psychological and cognitive health. This bipartisan proposal will instruct present and future healthcare providers on preventing burnout, substance abuse, and suicide using $140 million in funding from American Rescue Plan Act (H.R. 1319). The law bears Dr. Lorna Breen’s name since she sadly committed suicide in 2020 while caring for COVID-19 patients and was overcome by sentiments of hopelessness and despair. The passage of this legislation is an essential first step in giving nurses the assistance they require to lessen some of the incredible pressure they have been laboring under for the past couple of years.

Relevance to Health Care

The bill would create a nationwide campaign for evidence-based awareness and education to urge medical professionals to get help for their mental prescription medication use issues. This strategy would also lessen the stigma involved with obtaining assistance by educating healthcare workers on how to recognize and address the risk factors linked to substance abuse, mental illness, and suicide (Sullivan, 2018). The law covers a reporting requirement, which states that no later over two years just after the bill is passed, the Secretariat of Health & Human Services must give an update on the development of this action plan to the Senate Commission, Education, Human labor, and Pensions and the House Committee on Energy as well as Commerce. Policy Analysis and Core Competencies Assignment

Stakeholders

Numerous organizations, including the American College of Emergency Physicians (ACEP), the American Medical Association (AMA), the American College of Physicians (ACP), the American Foundation of Suicide Prevention (AFSP), and the Education Development Center, support the bill. Jack Reed, Tim Kaine, Todd Young, Susan Wild, U.S. Representative Judy Chu, and McKinley are the bill’s bipartisan co-sponsors. Bill Cassidy is also a supporter. Many lawmakers have registered to cosponsor the measure and cooperated in reintroducing the bill. Dr. Lorna Breen’s Health Care Provider Protection Act is sponsored by Senator Timothy Kaine (Kaine, 2021). With 29 supporters from both the Republican and Democratic parties, the measure is nonpartisan. There is one other independent sponsor of the bill. The results led to the Senate passing it with a unanimous vote. However, since the House of Representatives has not yet taken up the account, there is no way to measure how popular it is there. Policy Analysis and Core Competencies Assignment

Relationship to the NP or CNS Core Competencies

The Nurse Practitioner Core Competencies are related to Dr. Breen’s Health Care Provider Protective Measure policy. Scientific Foundation Competencies come first. In this section, we’ll talk about how to analyze and use data to evaluate, enhance, & improve healthcare services. It stresses the use of qualitative research to support evidence-based care. The policy also covers cultural sensitivity, vulnerable groups, and health literacy practices. The second one focuses on leadership abilities (ANA, 2020). Professional responsibility, scholarship, and advocacy are the main topics of this section. These abilities guarantee that aspiring nurse practitioners can manage healthcare teams and comprehend their scope of practice and professional norms. Leadership characteristics include communication abilities, participation in professional groups, and cultural awareness.

The policy also addresses NP core competencies through quality competencies. This focuses on evaluating the study and how it could enhance health outcomes. While considering how cost, security, and access to medical care influence the quality of care, NPS must acquire, evaluate, and use the most recent data (ANA, 2020). To ascertain if and how they might improve the quality of treatment by making deliberate changes, nurses must assess the present organizational structures and policy frameworks. Competencies for practiced inquiry make up the fourth relationship. Nurses have the opportunity to apply knowledge to clinical settings through practice inquiry. This ability guarantees NPS comprehends research materials and uses that knowledge in practice. Policy Analysis and Core Competencies Assignment

Nurses must exercise critical thought to ascertain how new research might improve the efficacy of standards or alter recommendations to improve health outcomes. Competencies in information and technology literacy are the policy’s sixth connection to the NP competence core. NPS has to be able to use the latest technological developments as they emerge to enhance patient outcomes. They can practice more effectively by utilizing modern technologies to access, organize, produce, and evaluate health-related information. NPS who combine nursing with information technology (informatics) may improve the quality of their treatment.

Policy competencies make up the seventh connection. The rules followed to supervise and finance choices about patient care are referred to as healthcare policy. These policies ultimately decide the allocation of wealth at the municipal, state, or national levels. Understanding different methods help nurses get ready to affect policy that can benefit patients and the healthcare system. The medical community is impacted by societal concerns, including education, poverty, and violence. Therefore, these policies are not just focused on healthcare (Chan et al., 2022). Competencies related to the health delivery system are another interaction between the policy and NP core competencies. The main goal is to instruct nurses on how to design, create, and carry out programs in diverse target areas. The development of effective healthcare delivery strategies that may meet the demands of patients, caregivers, and other stakeholders is a skill that nurses acquire. Nurses work with communities to address the adjustments required to provide efficient and effective care after identifying the requirements of distinct groups. It also has anything to do with ethical competencies (Chan et al., 2022). NPSs can comprehend the healthcare industry’s code of ethics because of their moral competence. NPS must weigh the ethical ramifications of their choices and determine how they will impact how they provide care. This information enables NPS to make the best choices for their patients while navigating the medical industry’s ethical minefield.

The connection is independent practice competencies, last but not least. The individual practice competencies guarantee that NPs have the academic and professional preparation required to function as legally recognized independent practitioners. The competence guarantees that nurses can offer all legal services (Chan et al., 2020). These services consist of evaluating, evaluating, and helping patients with the least amount of guidance, supervision, or control. The state in which the NP practices requires either independent or supervised practice. Forms enable a comprehensive approach and limited or filtered access. NPS is permitted to diagnose, treat, & prescribe medicine without a doctor’s supervision in several states. Medication prescriptions in cases with restricted access need a doctor’s approval. Limited access necessitates medical care for diagnosis, treatment, and drug prescribing. Policy Analysis and Core Competencies Assignment

Policy relevance to HP2020 Goals and the STTI Global Initiatives

Research that affects policy is, to put it simply, research that has policy importance. However, research on international relations that uses sophisticated statistical techniques and academic language may satisfy this standard.

HP2020 Goals

The policy is relevant to the HP2020 goals in the following ways; First, the strategy achieves longer, higher-quality lives devoid of curable illness, disabling conditions, accidents, and early death. Thirdly, it builds social and physical conditions that support everyone’s excellent health. The second benefit of the method is that it produces health equity, removes inequities, and enhances the health of individuals and communities (Chan et al., 2022). Last but not least, it promotes life quality, healthy growth, and healthy habits across all phases of life.

STTI Global Initiatives

The policy is relevant to STTI Global Initiatives since they are both responsible for improving people’s health worldwide through leadership and scholarship in practice, education, and research. Additionally, it promotes nurses’ education, expertise, and professional growth dedicated to improving health conditions worldwide.

CDC Guidelines

The policy is relevant to CDC guidelines in that the approach saves lives and protects health care workers from health threats as it does the CDC.

Literature updates

Suicide can be avoided. Nevertheless, 800,000 individuals worldwide commit suicide each year. While data suggests that suicide rates fall during crises, it is predicted that they will rise when the current situation has passed. At every level of a socio-ecological model, the COVID-19 pandemic influences risk and defense variables for suicide (Wasserman et al., 2020). The economic downturn, increased barriers to healthcare, more excellent suicidal people’s access behavior, unsuitable media coverage at the societal level, prioritization of mental health prevention initiatives at the communal level, relational conflicts, overlook, and fierceness at the start of the relationship, joblessness, poverty, solitude, and desperateness at the personal level: all of the factor’s despair, anxiety, and post-traumatic stress disorder are on the rise.

Suicide must be prevented by bolstering general strategies aimed at the entire population, such as reducing inequality, unemployment, and poverty; prioritizing access to care; ensuring that the media accurately reports available resources; preventing increased alcohol consumption; and limiting access to deadly means of suicide. Policy Analysis and Core Competencies Assignment Discerning initiatives should endure focusing on established socioeconomically disadvantaged vulnerable groups and new ones, including first responders, medical personnel, and COVID-19 bereaved people. They have been denied burials and the last goodbyes to loved ones (Wasserman et al., 2020). Targeting those who exhibit suicidal behavior, recommended preventive strategies should concentrate on the pharmacological and psychosocial treatments for mental disorders, assuring the correct chain of care plus follow-up through increased telehealth and more digital tools. This paper provides an overview of how evidence-based suicide awareness interventions should be modified and a clear idea of the effects of the global epidemic on suicidality at the societal, community, household, and individual levels. It is intended for the scientific community, medical professionals, policymakers, and decision-makers. Research is required to determine which adaptations are helpful and in which situations.

Financial Impact of Implementation and Sustaining It

Several types of costs come with this policy, direct costs and indirect costs. The realistic price in the procedure is labor because it directly contributes to production. Our approach also includes indirect costs; they are administrative, personnel, and security expenses since they are not directly accountable to a cost object. The CBO predicts that the effort will cost $29 million between 2021 and 2026; the entire balance would be expended after 2026, based on past expenditure trends for comparable operations. S. 610 would grant that program $35 million annually from 2022 through 2024. The CBO predicts that the awards will cost $103 million between 2021 and 2026; the final funds will be disbursed after 2026, based on past expenditure trends for comparable programs. All the costs in the policy can be quantified transparently.

The primary benefit of the cost is that it can uncover hidden costs and benefits. The secondary benefits are medical expenses and the rewards that the policy agrees with the health workers on top of their salaries (Lee & Nambudiri, 2021). I would evaluate by checking the cost allocations. Budgeting and accounting methods must be established for program managers to compute a unit cost or price per service unit.

The price is worth the benefits because it enables health workers to all the advantages required in working in a risky environment such as during pandemics like COVID 19. The cost is effective because it avoids ethical dilemmas and analytical difficulties when attempting cost-benefit analyses.

The Advanced Practice Nurse can assure quality clinical outcomes in this scenario by following the following steps: structural efforts to offer patients an understanding of a healthcare provider’s systems, procedures, and capabilities. The next is to put procedural procedures in place to show what a practitioner does to keep healthy individuals in good health or those who have been identified as having a medical issue. The outcome measurements are the last and show how the medical service or intervention affected the patients’ health. Policy Analysis and Core Competencies Assignment

Summary Conclusion

In conclusion, the Lorna Breen Healthcare Professional Protection Act’s goals are to reduce mental health issues and substance abuse among health professionals and prevent suicide. The essay has covered an elaborate explanation of the policy, various policy analyses & core competencies, the relevance of the procedure, a literature review, and significant financial considerations. The study focuses on policy analysis in general. By performing policy analysis, you may be confident that you followed a systematic procedure to select the alternative policy that may be ideal for your circumstances. Policy Analysis and Core Competencies Assignment

The General Core Competencies

References

Sullivan, T. (2018, May 5). Institute of Medicine Report – The Future of Nursing: Leading Change, Advancing Health. Policy & Medicine.

Wasserman, D., Iosue, M., Wuestefeld, A., & Carli, V. (2020). Adaptation of evidence‐based suicide prevention strategies during and after the COVID‐19 pandemic. World Psychiatry, 19(3), 294-306.

Kaine, Sen. T. (2021, March 4). Kaine Announces Reintroduction of Dr. Lorna Breen Health Care Bill [Video]. Facebook.

ANA. (2020, December). Mental Health and Wellness Survey 2. American Nurse Association.

Chan, L. F., Sahimi, H. M. S., & binti Mokhzani, A. R. (2022). Crisis: The Journal of Crisis Intervention and Suicide Prevention.

Lee, M. S., & Nambudiri, V. E. (2021). Beyond burnout: Talking about physician suicide in dermatology. Journal of the American Academy of Dermatology, 85(4), 1055.

Al Thobaity, A., Plummer, V., & Williams, B. (2017). What are the most common domains of the core competencies of disaster nursing? A scoping review. International emergency nursing, 31, 64-71.

CHOSEN POLICY PAPER IS ON:
NY STATE HR 1667
DR. LORNA BREEN HEALTH CARE PROVIDER ACT. SUICIDE PREVENTION TRAINING IN HEALTHCARE. IMPACT OF COVID PANDEMIC.

Policy Analysis Response Paper (6 -8 pages excluding references, tables, charts, figures) All written work must be Times Roman 12 font double spaced (Page Layout “0” spacing). worth (25%)
´ APA
´ Cover Page
´ NO ABSTRACT
´ Primary headings are centered and bolded:
Introduction
Policy Analysis & Core Competencies
Policy Relevance
Literature Review
Financial Considerations
Summary
References Policy Analysis and Core Competencies Assignment
Tables

Using the National Association of Clinical Nurse Specialist (NACNS) Adult-Gero Core Competencies or American Association of Nurse Practitioners (AANP), depending on your focus, you will appraise a policy for its timeliness and congruence with NACNS or AANP, citing specific competencies within each sphere of influence and supplementing the written text with a table. Students will also appraise relevance to Healthy People 2030 goals and the IOM Future of Nursing Report. Student will search the literature for evidence-based information relating to the policy issue, read 2 refereed journal articles on the topic, and discuss in the appropriate sections within the paper. Headings for ALL major sections of the grading criteria below (except the introduction) should be included.
PLEASE NOTE: Papers will not be accepted if they are not properly organized using 7th ed APA formatting. They will be returned for rewrite with a 10-point deduction.

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Format and Grading Distribution for paper

´ 1. Introduction ( worth 10%): what is your paper about, in general? Guide the reader through its contents. (2-3 paragraphs) One paragraph about what the policy/bill/issue is about.
´ Give a opening statement that is impactful, usually containing data or statistics. A few general sentences about why this is important and a priority as health policy.
´ The next paragraph should inform the reader what to expect in the paper; a roadmap. “ This paper will identify…’,relevance, literature updates, stakeholders, financial impact, etc… The reader should know what to expect and the order.

2. Policy analysis and Core Competencies – Describe the policy and its relevance to health care, specific populations, nursing, etc. Who are the stakeholders? How does it relate to the NP or CNS core competencies (refer to the table you will create)? (3-5 paragraphs) worth 20%
´ Describe the policy and its relevance to health care, specific populations, nursing, etc. Explain why. Who are the stakeholders? Do not just name the stake holders, give reasons why they are stakeholders and what they stand to gain or loose by this policy.
´ How does it relate to the NP or CNS core competencies (refer to the table you will create). Do not restate what is simply in the table format, but explain how it relates. Remember to label the table and refer to it when you make the first comment regarding its relation. Remember to cite the reference for the Competencies.
´ Describe the policy and its relevance to health care, specific populations, nursing, etc. Explain why. Who are the stakeholders? Do not just name the stake holders, give reasons why they are stakeholders and what they stand to gain or loose by this policy.
´ How does it relate to the NP or CNS core competencies (refer to the table you will create). Do not restate what is simply in the table format, but explain how it relates. Remember to label the table and refer to it when you make the first comment regarding its relation. Remember to cite the reference for the Competencies.
´ For those in the MS in Healthcare management program, you may use competencies related to your field. Please reference them so I can follow up.

3. Policy relevance to HP2020 Goals and/or the STTI Global Initiatives (1-2 paragraphs) worth 15%
Policy relevance to:
´ HP2020 Goals
´ STTI Global Initiatives
´ CDC Guidelines
In this section, you are supporting that the policy/bill/issue you are writing about has relevance to a more national/global initiative/s. So, you are making a case for its importance,

4. Literature updates (2-3 paragraphs) worth 10%
Ø Review the literature via database searches. Refer to library resources. (Cinahl, PUbMed, etc…).
Ø Look for recent publications unless there is a landmark study that still has significance. You references should relate to the public health issue, studies that were conducted, recent news worthy publications, databases containing statistics, and any other articles that are directly related to the policy.
Ø Direct quotes must be limited and cited correctly. Rather than direct quotes, summarize the concept and elaborate.
Ø This is a Master’s degree course. Make sure this section reflects the level of studies you are engaging in. You should be writing to prepare for publication.
Ø Plagiarism is not tolerated.

5. Financial Impact of implementation and sustaining it (1-2 paragraphs) worth 15%
´ List direct and indirect costs
´ Quantify all resources and practices in dollars and cents
´ Quantify nursing care in dollars and cents, including root cause analysis
´ Are there costs that cannot be quantified? If so discuss
´ What are the primary & secondary benefits?
´ Overall how would you evaluate this intervention? Is the cost worth the benefit? Is the cost effective?
´ How can an Advanced Practice Nurse assure quality clinical outcomes in this scenario?
Please note, give reasons and examples to support your financial considerations.

6. Summary conclusion (1 paragraph) worth 5%
This should be one to two well written, insightful paragraphs summarizing the ideas in your paper, providing some direction as to the importance of this and offering a conclusion.

7. Table: Create a table of the general core competencies this policy addresses and how it relates to each competency worth 10%
8. References worth 5%
References: Make sure your references are properly cited in the text and are formatted correctly in the “reference’ section
Tables: The first is to embed tables in the text after each is first mentioned OR
The second is to place each table on a separate page after the reference list.
You can choose to do it either way, but make sure you refer to the table in your narrative.

9. APA format for manuscripts, grammar, spelling, neatness, clarity 10%

LINKS TO REFERENCE:
https://www.nursingworld.org/news/news-releases/2022-news-releases/ana-applauds-signing-of-lorna-breen-health-care-provider-protection-act-by-president-biden/

https://www.myamericannurse.com/promoting-nurse-mental-health/

MAKE SURE TO USE THIS SOURCE IN PAPER: https://www.policymed.com/2011/02/institute-of-medicine-report-the-future-of-nursing-leading-change-advancing-health.html

https://www.acc.org/Latest-in-Cardiology/Articles/2022/02/25/22/00/Dr-Lorna-Breen-Health-Care-Provider-Protection-Act-Passes-Senate Policy Analysis and Core Competencies Assignment