The Role of the RN/APRN in Policy-Making – NRSE 6050 Policy and Advocacy for Improving Population Health

This article covers Discussion 2: The Role of the RN/APRN in Policy-Making – NRSE 6050 Policy and Advocacy for Improving Population Health.

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NRSE 6050 Policy and Advocacy for Improving Population Health

NRSE 6050 Week 8 Discussion

Discussion 2: The Role of the RN/APRN in Policy-Making

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Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence the politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation.

What types of words would you use to build a nursing word cloud? Empathetic, organized, hard-working, or advocate would all certainly apply. Would you add policy-maker to your list? Do you think it would be a very prominent component of the word cloud?

To Prepare:

Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making. Discussion 2: The Role of the RN/APRN in Policy-Making

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

NURS 6050 Discussion Role of RN APRN in Policy-Making

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.E: Discussion – Week 8 AttachmentCollapse

The Role of the RN/APRN in Policymaking

Response 2 – Solange

Thank you for your post Solange. The public health officials who form health policies, inform the general public, and influence government policy decision-making mostly comprise of physicians with first-hand experiences. In the same essence, nurses also possess adequate education and first-hand experience to inform healthy public policy. Nurses need to start taking initiative to be more involved in politics to influence positive patient outcomes. As per Barzegar Safari et al. (2020), currently, nurses only participate at a moderate level in policy making activities.

Through the course, we have realized the importance of participating in professional nursing organizations to take an active role in political action. As beginners, nurses can take on small roles at their unit level to explore the policy-making related activities as you mentioned. The only way to know what is involved in policymaking is to actively participate in political action activities and seeking opportunities (Milstead & Short, 2019). For example: nursing school provides us with basic knowledge and skills for a particular area of nursing but with experience we become proficient with the policies, skills, medications, etc. of a certain unit. As novice nurses, hesitancy to start something new is natural, especially politics, but that should not stop one from engaging.

Some of the strategies identified to increase nurses’ participating in politics and policy making include providing information to nurses regarding health policies, increasing nurses’ partnerships at senior levels of management, and changing nurse’s perception regarding their participation in politics is vital (Barzegar Safari et al., 2020). By using the mentioned strategies suggested, it has the potential to change nurses’ perceptions and become more actively involved. Just as nurses have the obligation to act in patients’ best interests at all times, nurses also have an obligation to participate in policymaking as policies affect patient outcomes at a broader level.

NURS 6050 Discussion Role of RN APRN in Policy-Making References

Barzegar Safari, M., Bahadori, M., & Alimohammadzadeh, K. (2020). The related factors of nurses’ participation and perceived benefits and barriers in health policy making. The Journal of Nursing Research, 28(4), 1-8. doi: 10.1097/jnr.0000000000000385

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

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.

*Note: Throughout this program, your fellow students are referred to as colleagues.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 8 Discussion Rubric

Post by Day 3 and Respond by Day 6 of Week 8

To participate in this Discussion:

Week 8 Discussion

NRSE 6050 Week 8 Discussion on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process.

The Role of the RN/APRN in Policy-Making

Nurses may affect policies in a particular way. Nurses are solvers and communicators of the issue and are capable of collecting information, mobilizing communities, and making demands of normal policy-makers for nursing. By informing and influencing lawmakers, nurses may engage in decision making to alter laws and promote legislation. Each nurse will take an interest in policy-making since they are influenced by most policies implemented (Williams & Phillips, 2018). APRNs and RNs will take an active part in policy-making in different ways. APRNS and RNs will be active in decision formation for the first time by advocacy. By the principles of advocacy, any person affected by a particular policy has the right without limits to express an opinion.

APRNs and RNs should comprehend that they have the opportunity to communicate their assessments on any policy that may influence them. The advocacy opportunity guarantees that there is no any nurse who is denied the opportunity to communicate his/her assessment on a specific policy. The subsequent opportunity held by the APRNs and RNs to be engaged with policy-making is through leadership. An APRN or RN has a leadership job that requests cooperation in policy-making (Chilton, 2015). APRNs and RNs should scrutinize the policy detailing, usage, and some other policy processes certainly. If an APRN or an RN has any issue or question concerning a specific policy, he/she can educate the leaders about it.

Various challenges will undoubtedly confront the advocacy opportunity for APRNs and RNs. To begin with, there are issues with gender equality concerning advocacy. There are times when male APRNs and RNs can be precluded the opportunity from securing communicating their thoughts and suppositions on a given policy, particularly on the off chance that it is intended for ladies. Besides, there is the challenge of rivalry for assets about the advocacy opportunity (Williams & Phillips, 2018). The opportunity for leadership jobs held by APRNs and RNs likewise has its challenges. To begin with, there is the challenge of changing leadership styles and abilities as various leaders have different leadership styles and accept. Additionally, there is the challenge of communication as certain associations might not have the correct communication channels where the APRNs and RNs can air their interests concerning a given policy.

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Role of the RN/APRN in Policy-Making
Role of the RN/APRN in Policy-Making

Various recommendations can be utilized to advocate better or impart the presence of the opportunities for APRNS and RNs in policy-making. To begin with, there is powerful training. It is significant for all the nurses to be prepared and taught on the rights that they have about policy-making. Also, nurses should consistently advance and promote good leadership (Joel, 2017). With great leadership, the APRNs and RNs have the space to air their sentiments and thoughts with regards to policy-production. Third, nurses should be searchers of data and guarantee that they utilize their expert gatherings to air their sentiments and thoughts with regards to policy-production. It is significant that nurses bolster other medicinal services experts and lawmakers through teaching and pushing for a policy that best serves our patients, families, and communities.

NURS 6050 Discussion Role of RN APRN in Policy-Making References

Chilton, L. (2015). Nurse Practitioners Have an Essential Role in Health Policy. Journal for Nurse Practitioners.

Joel, L. A. (2017). Advanced Practice Nursing: Essentials for Role Development. F.A. Davis.

Williams, S. D., & Phillips, J. M. (2018). Nurse Advocacy: Adopting a Health in All Policies Approach. OJIN: The Online Journal of Issues in Nursing.RE: Discussion – Week 8Collapse

Health systems are developing rapidly as well as changing. As a part of this system, nurses are expected to live up with these changes. Therefore, nurses are expected to influence the formulation of health policies rather than just implementation of them. Then, they need to be active in the development of health policies to be better able to control their practice. Nurse leaders during this process have a very important role. They need to acquire policy-making skills to address professional challenges. Because of their values, professional ethics, advocacy skills, and experiences, nurse leaders have unique and valuable views toward health policies. There has been increasing growth toward nurses’ presence, role, and influence in health policies during recent decades. Nurses are expected to identify the issues deliberately and work with other decision-makers to advance health care policies. They should understand the levels of power, and know who controls the resources of health services in their organizations. Therefore, we can go ahead and say that nurses have to be involved in policies that affect patients, families, themselves, and the whole health care system (Arabi, Rafii, Cheraghi & Ghiyasvandian, 2014).

Reference:

Arabi, A., Rafii, F., Cheraghi, M. A., & Ghiyasvandian, S. (2014). Nurses’ policy influence: A

concept analysis. Iranian journal of nursing and midwifery research19(3), 315–322.

NURS 6050 Discussion Role of RN APRN in Policy-Making Rubric Detail

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Name: NURS_6050_Module04_Week08_Discussion_Rubric

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Excellent Good Fair Poor
Main Posting
Points Range: 45 (45%) – 50 (50%)
Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

Points Range: 40 (40%) – 44 (44%)
Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

At least 75% of post has exceptional depth and breadth.

Supported by at least three credible sources.

Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

Points Range: 35 (35%) – 39 (39%)
Responds to some of the discussion question(s).

One or two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Post is cited with two credible sources.

Written somewhat concisely; may contain more than two spelling or grammatical errors.

Contains some APA formatting errors.

Points Range: 0 (0%) – 34 (34%)
Does not respond to the discussion question(s) adequately.

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible sources.

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Role of the RN/APRN in Policy-Making
Role of the RN/APRN in Policy-Making

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.
Main Post: Timeliness
Points Range: 10 (10%) – 10 (10%)
Posts main post by day 3.

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)
Does not post by day 3.
First Response
Points Range: 17 (17%) – 18 (18%)
Response exhibits synthesis, critical thinking, and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Response is effectively written in standard, edited English.

Points Range: 15 (15%) – 16 (16%)
Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

Points Range: 13 (13%) – 14 (14%)
Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

Points Range: 0 (0%) – 12 (12%)
Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.
Second Response
Points Range: 16 (16%) – 17 (17%)
Response exhibits synthesis, critical thinking, and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Response is effectively written in standard, edited English.

Points Range: 14 (14%) – 15 (15%)
Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

Points Range: 12 (12%) – 13 (13%)
Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

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Role of the RN/APRN in Policy-Making
Role of the RN/APRN in Policy-Making

Points Range: 0 (0%) – 11 (11%)
Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.
Participation
Points Range: 5 (5%) – 5 (5%)
Meets requirements for participation by posting on three different days.

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days.
Total Points: 100
Name: NURS_6050_Module04_Week08_Discussion_RubricRE: Discussion – Week 8Collapse

Nurses should be a component of the policy review process to enhance their careers, care delivery, and better their organizations’ ability to offer primary care interventions. Imperatively, the first opportunity for nurse to be part of the policymaking is through participation in meetings to discuss policy matters. Through these fora, RNs and APRNs can influence other stakeholders to understanding healthcare issues better and existing challenges so that they can develop frameworks to address any shortcomings or improve on better practiced for quality care delivery (Joel, 2017). Through the meetings, nurses can offer insights on what should be done to reduce cost of healthcare among other issues. The second opportunity is through being members of professional organizations like the American Nurses Association. These entities collect data and disseminate it through giving information and knowledge to their members to improve policies and patient outcomes (Milstead & Short, 2019). Professional organizations give nurses the opportunity to review policies and apply evidence-based practice research to inform of the best practice interventions to enhance care delivery.

Challenges in these opportunities include the limited time that may constraint nurses from going for professional meetings and conferences to horn new trends and nursing skills. Secondly, joining professional associations like the ANA poses challenges to nurses and one among these is the availability of diverse opinions that one may not agree with and find not compatible to their perspective (Schaeffer & Haebler, 2019). Evaluation of health policies may also encounter limited resource allocation. More fundamentally, lack of knowledge on the use of EBP among nurses may hinder its effectiveness.

Strategies to communicate better and advocate for policy reviews are important. These include deployment of research on health policy to help determine ways to improve care. Nurses can also use available resources to ensure that they are effective in their communication and interactions with other stakeholders (Milstead & Short, 2019). Training and education can also help them understand policies much better and disseminate knowledge to stakeholders.

References

Joel, L. A. (2017). Advanced Practice Nursing: Essentials for Role Development. F.A. Davis.

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

Burlington, MA: Jones & Bartlett Learning.

Schaeffer, R., & Haebler, J. (2019). Nurse Leaders: Extending your policy influence. Nurse

            Leader, 17(4), 340-343. doi 10.1016/j.mnl.2019.05.010RE: MAIN POST RE: Discussion – Week 8COLLAPSE

Reply Post

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Role of the RN/APRN in Policy-Making
Role of the RN/APRN in Policy-Making

D,

Good post! I agree that nurses can help with public health policymaking. Professional nursing organizations promote a way for nurses to become involved with policymaking and political agendas. The American Nurses Association (ANA) provides opportunities for nurses to become involved with legislation through policy recommendation, nursing, and health advocacy. Nurses are asked to provide letters to Senators to provide reasons why certain health care bills should be passed. One act that is being advocated through the ANA is the Dr. Lorna Breen Health Care Provider Act H.R.1667 (American Nurses Association, n.d.a). Within this act, grants and other activities are used to improve mental health and help prevent burnout of healthcare providers in coordination with the Department of Health and Human Services (HHS) (Congress.gov, 2021b). This Act was referred to the Subcommittee on Health in March of this year, and currently has 136 cosponsors including Republican and Democratic Representatives (Congress.gov, 2021a). Although this is one of the Acts that is supported by the ANA, the ANA has numerous federal legislative priorities including health system transformation, safe staffing, nursing workforce development, home health issues, the opioid epidemic, workplace violence, and COVID-19 as ways that nurses can help advocate for policy and advocacy changes (ANA, n.d.b).

References

American Nurses Association (ANA). (n.d.a). Nurses continue caring for us, it is time to take care of them. Retrieved October 18, 2021, from https://p2a.co/PxivNaB

American Nurses Association (ANA). (n.d.b). RNAction. Retrieved October 18, 2021, from https://ana.aristotle.com/sitepages/homepage.aspx

Congress.gov. (2021a). H.R.1667 – Dr. Lorna Breen health care provider protection act cosponsors. Retrieved October 18, 2021, from https://www.congress.gov/bill/117th-congress/house-bill/1667/cosponsors?q=%7B%22search%22%3A%5B%22H.R.+1667%22%5D%7D&r=1&s=2

Congress.gov. (2021b). H.R.1667 – Dr. Lorna Breen health care provider protection act summary. Retrieved October 18, 2021, from https://www.congress.gov/bill/117th-congress/house-bill/1667?q=%7b”sear”%3A%5B”H.R.+1667”%5D%7D&s=2$r=1

Name: NURS_6050_Module04_Week08_Discussion_Rubric

ExcellentGoodFairPoor
Main PostingPoints Range: 45 (45%) – 50 (50%)Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.Supported by at least three current, credible sources.Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.Points Range: 40 (40%) – 44 (44%)Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.At least 75% of post has exceptional depth and breadth.Supported by at least three credible sources.Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.Points Range: 35 (35%) – 39 (39%)Responds to some of the discussion question(s).One or two criteria are not addressed or are superficially addressed.Is somewhat lacking reflection and critical analysis and synthesis.Somewhat represents knowledge gained from the course readings for the module.Post is cited with two credible sources.Written somewhat concisely; may contain more than two spelling or grammatical errors.Contains some APA formatting errors.Points Range: 0 (0%) – 34 (34%)Does not respond to the discussion question(s) adequately.Lacks depth or superficially addresses criteria.Lacks reflection and critical analysis and synthesis.Does not represent knowledge gained from the course readings for the module.Contains only one or no credible sources.Not written clearly or concisely.Contains more than two spelling or grammatical errors.Does not adhere to current APA manual writing rules and style.
Main Post: TimelinessPoints Range: 10 (10%) – 10 (10%)Posts main post by day 3.Points Range: 0 (0%) – 0 (0%)Points Range: 0 (0%) – 0 (0%)Points Range: 0 (0%) – 0 (0%)Does not post by day 3.
First ResponsePoints Range: 17 (17%) – 18 (18%)Response exhibits synthesis, critical thinking, and application to practice settings.Communication is professional and respectful to colleagues.Responses to faculty questions are fully answered, if posed.Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.Demonstrates synthesis and understanding of learning objectives.Response is effectively written in standard, edited English.Points Range: 15 (15%) – 16 (16%)Response exhibits critical thinking and application to practice settings.Communication is professional and respectful to colleagues.Responses to faculty questions are answered, if posed.Provides clear, concise opinions and ideas that are supported by two or more credible sources.Response is effectively written in standard, edited English.Points Range: 13 (13%) – 14 (14%)Response is on topic and may have some depth.Responses posted in the discussion may lack effective professional communication.Responses to faculty questions are somewhat answered, if posed.Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.Points Range: 0 (0%) – 12 (12%)Response may not be on topic and lacks depth.Responses posted in the discussion lack effective professional communication.Responses to faculty questions are missing.No credible sources are cited.
Second ResponsePoints Range: 16 (16%) – 17 (17%)Response exhibits synthesis, critical thinking, and application to practice settings.Communication is professional and respectful to colleagues.Responses to faculty questions are fully answered, if posed.Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.Demonstrates synthesis and understanding of learning objectives.Response is effectively written in standard, edited English.Points Range: 14 (14%) – 15 (15%)Response exhibits critical thinking and application to practice settings.Communication is professional and respectful to colleagues.Responses to faculty questions are answered, if posed.Provides clear, concise opinions and ideas that are supported by two or more credible sources.Response is effectively written in standard, edited English.Points Range: 12 (12%) – 13 (13%)Response is on topic and may have some depth.Responses posted in the discussion may lack effective professional communication.Responses to faculty questions are somewhat answered, if posed.Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.Points Range: 0 (0%) – 11 (11%)Response may not be on topic and lacks depth.Responses posted in the discussion lack effective professional communication.Responses to faculty questions are missing.No credible sources are cited.
ParticipationPoints Range: 5 (5%) – 5 (5%)Meets requirements for participation by posting on three different days.Points Range: 0 (0%) – 0 (0%)Points Range: 0 (0%) – 0 (0%)Points Range: 0 (0%) – 0 (0%)Does not meet requirements for participation by posting on 3 different days.
Total Points: 100

Name: NURS_6050_Module04_Week08_Discussion_Rubric

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