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[ANSWERED] Post an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in policy review

The Role of the RN/APRN in Policy Evaluation

Some nurses may be hesitant to get involved with policy evaluation. The preference may be to focus on the care and well-being of their patients; some nurses may feel ill-equipped to enter the realm of policy and political activities. However, as you have examined previously, who better to advocate for patients and effective programs and polices than nurses? Already patient advocates in interactions with doctors and leadership, why not with government and regulatory agencies?

In this Discussion, you will reflect on the role of professional nurses in policy evaluation.

To Prepare:

  • In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making.
  • Review the Resources and reflect on the role of professional nurses in policy evaluation.

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.

Resources

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 7, “Health Policy and Social Program Evaluation” (pp. 116–124 only)

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 Health, 93(8), 1261–1267.
Note: You will access this article from the Walden Library databases.

Shiramizu, B., Shambaugh, V., Petrovich, H., Seto, T. B., Ho, T., Mokuau, N., & Hedges, J. R. (2016). Leading by success: Impact of a clinical and translational research infrastructure program to address health inequities. Journal of Racial and Ethnic Health Disparities, 4(5), 983–991. doi:10.1007/s40615-016-0302-4

Williams, J. K., & Anderson, C. M. (2018). Omics research ethics considerations. Nursing Outlook, 66(4), 386–393. doi:10.1016/j.outlook.2018.05.003
Note: You will access this article from the Walden Library databases.

Expert Answer and Explanation

The fact that nurses are part of the rapidly developing health systems means that they need to take part in the formulation of health policies as well as implementing them. Their influence has a direct effect on patient safety and quality of care (Williams & Anderson, 2018). A strategic solving of the problems that influence these policies can also help in smooth implementation.

Opportunities That Currently Exist For RNs and APRNs to Actively Participate In Policy Review

One of the active opportunities for the nurses is in nursing education. RNs and APRNs need to acquire various policy-making skills that would help them in addressing the professional challenges they may have to face in the policy making process. Also, the fact that nurses are always present in almost all healthcare settings presents an opportunity for them to give a significant input to policy decisions (Glasgow et al., 2003). Lastly, nurses, more than any other healthcare personnel, have a great influence in resource allocation as well as support delivery, hence their unique role in policy formulation.

Challenges That These Opportunities May Present

Some of the challenges include the fact that people in the healthcare industry have an old view of nurses, where they perceive them as only influencers of patient care and that they are not open to other roles. Health managers and health authorities also perceive nurses to be in the sixth grade (which is the last) in comparison to other health professionals (Glasgow et al., 2003). Hence, the idea of policy influence is new among individuals.

Overcoming These Challenges

The first step in overcoming this challenges is training healthcare professionals on the importance of nursing management. They should also be made to understand that nurses are in more direct contact with patients more than any other stakeholder in health, and hence there input in health policy formulation is crucial.

Strategies to Better Advocate For the Existence of These Opportunities

The education system of nurses should create more emphasis on policy development and implementation (Shiramizu et al., 2017). Also, directly educating other healthcare givers on the various roles of the individuals in nursing could help position nurses well in policy review and implementation.

References

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.

Shiramizu, B., Shambaugh, V., Petrovich, H., Seto, T. B., Ho, T., Mokuau, N., & Hedges, J. R. (2017). Leading by success: Impact of a clinical and translational research infrastructure program to address health inequities. Journal of racial and ethnic health disparities4(5), 983-991.

Williams, J. K., & Anderson, C. M. (2018). Omics research ethics considerations. Nursing outlook66(4), 386-393.

Alternative Expert Answer

Two Opportunities that Currently Exist

Registered Nurses (RNs) and Advanced Practice Registered Nurses (APRNs) play critical roles in helping advance nursing objectives. Certain key opportunities are available to nurses working in the roles of the RNs and APRNs. Advocacy is an example of the opportunity that is available to the nursing professionals based on these APRN and RN roles. A nurse can take advantage of this opportunity by advocating for improved work conditions. Still, a nursing working in either of the two roles has an opportunity of becoming a leader of a medical facility (Joseph & Huber, 2015). As a leader, the nurse can make decisions including making policies to improve an organizational process.

Challenges which the Opportunities would present

While nurses can benefit by taking advantage of these opportunities, each opportunity presents challenges. For example, it can be difficult for the nurse to perform their advocacy role if they lack the support of the colleagues, and the organization they work for. This lack of support may derail the attainment of the aims which the advocacy seeks to realize (Nsiah, Siakwa, & Ninnoni, 2019). The challenge linked to the leadership opportunity is race-based discrimination.

Strategies for Communicating the Existence of the Opportunities

Certain strategies can help communicate the existence of the opportunities. Relying on the platforms such as seminars and nurse meetings, a nurse trying to realize advocacy objective would communicate why a certain change is necessary in health care. Another strategy involves the use of the nursing journals to sensitize nurses about the existence of these opportunities (Nsiah, Siakwa, & Ninnoni, 2019).

Ways of Overcoming the Challenges

It is possible to manage issues with advocacy and leadership opportunities. Involving nurses to participate in advocacy activities can be important in helping gain their support. It is important to train employees on the values of respect and cultural competency so that they can accept others to anyone to lead them irrespective of the individual’s racial background (Davoodvand, Abbaszadeh, & Ahmadi, 2016).

References

Davoodvand, S., Abbaszadeh, A., & Ahmadi, F. (2016). Patient Advocacy from the Clinical Nurses’ Viewpoint: A Qualitative Study. Journal of Medical Ethics And History Of Medicine9, 5. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4958925/.

Joseph, M. L., & Huber, D. L. (2015). Clinical leadership development and education for nurses: prospects and opportunities. Journal of healthcare leadership7, 55–64. Doi: https://doi.org/10.2147/JHL.S68071.

Nsiah, C., Siakwa, M., & Ninnoni, J. (2019). Barriers to Practicing Patient Advocacy In Healthcare Setting. Nursing Open7(2), 650–659.Doi: https://doi.org/10.1002/nop2.436.

Nsiah, C., Siakwa, M., & Ninnoni, J. (2019). Registered Nurses’ description of patient advocacy in the clinical setting. Nursing open6(3), 1124–1132. Doi: https://doi.org/10.1002/nop2.307.

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