NURS 6050 The Role of the RN/APRN in Policy-Making

Sample Answer for NURS 6050 The Role of the RN/APRN in Policy-Making Included After Question

By Day 3 of Week 8

Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. 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 to participate in policy-making. Be specific and provide examples.

By Day 6 of Week 8

Respond to at least two of your colleagues’* posts by suggesting additional opportunities or recommendations for overcoming the challenges described by your colleagues.

Sample Answer For The Assignment: NURS 6050 The Role of the RN/APRN in Policy-Making

Title: NURS 6050 The Role of the RN/APRN in Policy-Making

There are several local, state, federal healthcare programs and policies that need assessment. The healthcare policy evaluation’s focus is on “The availability of healthcare in low-income areas”. According to National Academies of Sciences, Engineering, and Medicine 2017, having access to quality medical care is a fundamental human right and fundamental to the health and wellbeing of individuals and communities everywhere. Those in low-income areas face significant barriers when trying to access medical care, unfortunately. As a result, this contributes to both poor health outcomes and health disparities. That people can get the care they need, when they need it, is what is meant by “access to healthcare services.” It addresses the availability, affordability, and quality of healthcare services. People who struggle to gain access to healthcare are at a higher risk for a variety of undesirable consequences, including increased rates of disease and mortality, a shortened life expectancy, and a diminished quality of life.

Worldwide, people, and communities are affected by the lack of access to healthcare. People in low-income areas often face significant barriers when seeking to access healthcare, including issues of cost, accessibility, and availability. Evaluation of access to healthcare in low-income communities must take into account the services’ availability, cost, accessibility, and quality. The availability of medical treatment is strongly influenced by socioeconomic factors in low-income communities, such as residents’ income, race/ethnicity, level of education, and geographical location (Centers for Disease Control and Prevention, 2019). For instance, persons with lower incomes are disproportionately affected by barriers to healthcare access, such as a lack of financial resources or insurance coverage. Racial and ethnic minorities confront healthcare disparities due to bias, linguistic barriers, and a lack of culturally competent care. People in rural or remote areas face additional barriers in accessing healthcare due to a shortage of healthcare practitioners and restricted transportation choices (National Academies of Sciences, Engineering, and Medicine, 2017).

To improve the availability of healthcare for low-income populations, it is crucial to tackle these social determinants of health. This includes initiatives to increase the availability of healthcare experts in underprivileged areas, provide transportation to medical facilities, and broaden access to affordable health insurance. By providing culturally competent care and working to eliminate discrimination, we can ensure that people of all races and ethnicities have equal access to medical services. When compared to the national median household income, a community is deemed low-income if the income of its residents is much lower than the national average. (Council, Institute of Medicine, and National Research, 2017). Residents in low-income areas are more likely to face healthcare access barriers due to factors such as socioeconomic status, race and ethnicity, level of education, and physical location. Social determinants of health refer to a person’s exposure to economic, social, and environmental factors. There is evidence linking these variables to health outcomes for the individual. The above social variables have a substantial effect on low-income groups’ access to healthcare.

According to Council, Institute of Medicine, and National Research (2017) poverty is a significant socioeconomic determinant of health that influences access to medical care in low-income populations. Low-income people often have trouble getting the medical care they need because they can’t pay it or aren’t covered by insurance. In the United States, for example, people with lower means are more likely to lack health insurance, creating significant barriers to receiving necessary medical care. To address this issue, the Patient Protection and Affordable Care Act (ACA) was signed into law. By extending Medicaid and providing subsidies for private insurance, the ACA aims to increase access to affordable health coverage for low-income individuals and families.

In conclusion, healthcare access is a basic human right; unfortunately, people in low-income communities often face significant barriers when trying to access healthcare. Poverty, racial/ethnic identity, educational attainment, and geographic location are all important social determinants of health that affect low-income individuals’ access to healthcare. By implementing policies to increase access to affordable health insurance, remove barriers related to transportation, ensure culturally competent care, and increase the number of healthcare providers working in underserved areas, we can improve healthcare access and outcomes for individuals living in low-income communities.

Reference:

National Academies of Sciences, Engineering, and Medicine. Communities in Action. Edited by James N. Weinstein et al., Washington, D.C., National Academies Press, 27 Mar. 2017, www.nap.edu/read/24624/chapter/7

Links to an external site.

Centers for Disease Control and Prevention. “Social Determinants of Health.” Centers for Disease Control and Prevention, 2019, www.cdc.gov/socialdeterminants/index.htm

Links to an external site..

Council, Institute of Medicine, and National Research. U.S. Health in International Perspective: Shorter Lives, Poorer HealthNap.nationalacademies.org, Institute of Medicine and National Research Council, 9 Jan. 2017, nap.nationalacademies.org/catalog/13497/us-health-in-international-perspective-shorter-lives-poorer-health.

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Sample Answer 2 For The Assignment: NURS 6050 The Role of the RN/APRN in Policy-Making

A Sample Answer For the Assignment: NURS 6050 The Role of the RN/APRN in Policy-Making

Title: NURS 6050 The Role of the RN/APRN in Policy-Making

Nurses in Policy-Making

In addition to the immediate treatment and diagnostics assistance, nurses are rightfully admitted into the circle

NURS 6050 The Role of the RN APRN in Policy-Making
NURS 6050 The Role of the RN APRN in Policy-Making

of policy-making. First of all, the 21st century demonstrates an increase of public health work, as the dialogue between medical experts and communities grows in scope and scale. According to Wichaikhum et al. (2019), the development of new policies in this area inevitably affects nursing practice, which is why their insight is required to design evidence-based solutions that will attain the required results. Without the participation of nurses, public health policies lack engagement and precision. Thus, public health development is the key opportunities for nurses as policy-makers.

However, they should demonstrate the required level of expertise to make a positive contribution to public health agenda. In this regard, nurses are provided with the institutionalized opportunities to develop their competencies and acquire new ones. The very existence of such programs as the Doctorate of Nursing Practice (DNP) reflects the emerging opportunities of policy-making (Gardenier, 2017). Through them, the system proclaims that it recognizes the ability of nurses to make large-scale contributions to healthcare and related policies for the benefit of the community. Evidently, there opportunities are associated with certain challenges. For example, those who aspire to complete a DNP program will have to start their professional path at an older age (Vance et al., 2020). From my side, this challenge can be counteracted by seizing all opportunities to obtain practical experience before the full completion of all stages of education. Another barrier is represented by the lack of trust in nurses as policy-makers. These conservative views are not easily eradicated, but it is possible through active participation in healthcare discussion and demonstrating the ability to solve complex issues.

References

Gardenier, D., Schreibman, A., & Henrich, R. (2017). Does a Doctorate of Nursing practice make a difference in patient care? Journal for Nurse Practitioners, 13(6), 392-393. https://doi.org/10.1016/j.nurpra.2017.02.014

Vance, D. E., Heaton, K., Antia, L., Frank, J., Moneyham, L., Harper, D., & Meneses, K. (2020). Alignment of a PhD program in nursing with the AACN report on the research-focused doctorate in nursing: A descriptive analysis. Journal of Professional Nursing, 36(6), 604-610. https://doi.org/10.1016/j.profnurs.2020.08.011

Wichaikhum, O., Abhicharttibutra, K., Nantsupawat, A., Kowitlawakul, Y. & Kunaviktikul, W. (2020). Developing a strategic model of participation in policy development for nurses. International Nursing Review, 67, 11– 18.  https://doi.org/10.1111/inr.12571

A Sample Answer 2 For the Assignment: NURS 6050 The Role of the RN/APRN in Policy-Making

Title: NURS 6050 The Role of the RN/APRN in Policy-Making

The first pathway that comes to mind is to become a member of a nursing association. Both registered nurses and advanced practice nurses can join—these Associations employee lobbyists who bring the concerns or bills to the legislative level. Members of the association work together to propose issues to the state legislation. Another way to be involved in policymaking is to write to your local representatives. Nurses can write down the concern and proposed resolution to send it in the mail. State representatives can be found by googling your zip code, and the contact information populates. Politics are always tricky to navigate; therefore, nurses will need a thorough plan of implementation. 

Strategies to Overcome Barriers

Walden University emphasizes the importance of networking. Networking will be beneficial in overcoming obstacles in getting your thoughts heard. An example of this: You send your concerns to the local state legislation, and you get no response or an undesirable response. The next step could be to network with your colleagues and form a group of nurses who can advocate the need to be addressed. Another strategy is evidence gathering. Provide enough evidence and data that a legislator can’t ignore you. Network with colleagues to include their data and experiences. Nurses are natural advocators, and advocating sometimes involves persistence. The United States has many state and federal level regulations, and getting problems or ideas heard will take multiple attempts, data, and networking.

References

Laureate Education (Producer). (2018). Getting your Program Designed and Implemented [Video file]. Baltimore, MD: Author.

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

There are many opportunities for RNs and APRNs to actively participate in policymaking, but there are also many obstacles that can prevent them from doing so. Due to their expertise and knowledge-base background, nurses are taught to always advocate. This enables the political context to have an impact on the decision-making process regarding alterations in health care. In most cases, nurses have improved their communication and collaboration skills with other healthcare professionals, thereby enhancing the treatment provided to patients.

The opportunities in which both parties can engage are as follows: American Nurses Associations is a wonderful organization that allows nurses to be involved in policy changes that can enhance their working environment. There are numerous other nursing organizations, but I selected this organization because it enables nurses to express their concerns about their employment and propose changes that could be advantageous to them. If the policies are to be modified, the new policy will take effect promptly following the review process.

The second possibility I observed is the workplace. Both RNs and APRNs work together to provide high-quality patient care, and both have the responsibility to influence healthcare programs in the workplace.  The responsibility of RNs and APRNs is to promote and advocate for a patient’s health improvement. In order to provide care to patients, the workplace environment must be optimized, and care delivery must be efficient. This can provide the opportunity for senior management to participate in certain policy revisions.

Constraints: an organization’s ongoing membership fees like ANA, which can be annual or monthly, are a disadvantage. This can be a disadvantage if a nurse does not always have the opportunity to be actively involved and engaged due to personal obligations. To retain nurses, fees should be waived, and you should only pay when you are able to be active. Like a pay as you go plan.

There is occasionally a lack of communication from senior management regarding policy revisions, which can be indicative of poor leadership. This can have a negative impact on nurses because, if the communication is effective and policy changes are implemented without addressing the nurses’ concerns, they may not want to participate in future decision making. Through email, memos, meetings, etc., some solutions are constantly informing employees of any policy changes. Permit staff participation in order to foster confidence and excellent collaboration rapport.

Effective communication through increased staff meetings and trainings. I’ve observed that when nurse managers conduct more effective staff meetings that allow participation from all staff and build confidence. Additionally, more trainings provide nurses with the opportunity to advance their careers, preparing them for leadership opportunities and advancement, which enables them to question policies that can promote better health and well-being for their patients and themselves.

Promotion of effective leadership in these facilities and organizations. If these organizations are able to reduce their membership fees to a reasonable level, additional nurses will be more inclined to participate. This can enrich organizations with diverse perspectives on ideas and knowledge, which can lead to improved patient care and social changes.

References:

APRN policy and Regulation. ANA. (2021, February 26). https://www.nursingworld.org/advanced-practice/employee-engagement-and-retention/

A Sample Answer For the Assignment: NURS 6050 The Role of the RN/APRN in Policy-Making

Title: NURS 6050 The Role of the RN/APRN in Policy-Making

I also agree that advocacy is a huge part of nursing both with our patients and through legislation that is ultimately going to affect our patients. In fact, political advocacy is just as necessary to advance the nursing profession and policies affecting patient care (American Nurses Assocation, n.d.). Joining an organization like the American Nurses Association is one of the most impactful things an APRN can do to get involved in advocacy efforts as they follow many federal and state policies and advocate on behalf of all registered nurses. Recognizing that nurses do have limitations to time they can spend on legislative work is also important. Because of that they may need to prioritize advocating for needs that most affect their current field of practice. In order for a nurse to determine what issues may be most important to them, they can attend lectures and workshops, sign up for nursing journals and newsletters, and discuss nursing news and employee newsletters with their colleagues (Indeed Editorial Team, 2022). All of these activities will help an APRN stay up to date on news and decide what they want to prioritize into the time they have available for political advocacy. 

References

American Nurses Association. (n.d.). Advocacy – American Nurses Association. https://www.nursingworld.org/practice-policy/advocacy/

Indeed Editorial Team. (2022, June 24). Advocacy strategies in nursing: Definition, benefits and how-to. https://www.indeed.com/career-advice/career-development/advocacy-strategies-in-nursing