Role of the RNAPRN in Policy Evaluation Discussion
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There are several opportunities that exist for the RN/APRN to actively participate in policy review. The first opportunity is through becoming a member of a professional nursing organization that is involved in the political process. Two professional nursing organizations involved in the political process are SIGMA and the ANA. Both of these organizations offer the information and resources needed to be educated about the policies as well as opportunities for involvement. Another opportunity to participate in policy review is by evaluating a current policy that needs improvement and contacting your local representative with a well-researched evidence-based proposal for change.
Becoming a member of a professional nursing organization is not challenging but, typically, does require payment. There are some challenges with writing a well-researched evidence-based proposal for change and presenting it to your local representative. This proposal requires time and resources. If I were writing a proposal like this, I would enlist the help of my colleagues for input and review.
The two strategies that I used for communicating opportunities for nurses to participate in policy making are also applicable for communicating the opportunities for policy review. These strategies are the use of social media and through scheduled work gatherings such as the monthly nurse’s meeting where we review necessary changes. Social media is an invaluable tool for communication, discussion, and networking. There are platforms specific to nursing involvement in politics. Social media is convenient as it allows nurses to participate in the discussions when they are able to. Most nurses don’t work Monday through Friday from 0900-1700.
References
Expert Policy Analysis. (n.d.). Retrieved from https://www.nursingworld.org/practice-policy/nursi…
Influence through policy: Nurses have a unique role. (2020). Retrieved from https://www.reflectionsonnursingleadership.org/commentary/more-commentary/Vol42_2_nurses-have-a-unique-role
O’Connor, S. (n.d.). Using social media to engage nurses in health policy development. JOURNAL OF NURSING MANAGEMENT, 25(8), 632–639.
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
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RE: Discussion – Week 9
While preparing for this discussion, I read an article by Barth, Guille, McCauley, and Brady (2017), which reviewed clinical guidelines, practitioner training, and government/payer policies that came forth in response to the national rise in prescription opioid overdoses. Most nurses in their daily provision of care have seen firsthand the increase in opioid overdose deaths. These same nurses have also seen the policy evaluation results that have led to Prescription Drug Monitoring Programs (PDMPs) and a drastic reduction in the prescription of opioids. Some RNs and APRNs possibly helped influence this change through policy evaluation. The institutions where we work have an opportunity for policy evaluation if we pay attention to the policies that affect the type of care we provide and the outcomes.
Another opportunity is within nursing organizations like the American Society for Pain Management Nursing (ASPMN), which works with the American Pain Society to effect changes in pain management sometimes through the legislature. Nursing organizations that can take part in policymaking can also take part in policy evaluation. Being a member of Sigma Theta Tau, American Nurses Association, National League of Nurses, Association of Public Health Nurses, etc. is an opportunity for policy evaluation.
The preference of many nurses is to focus on the care and well-being of their patients because they do not feel comfortable stepping into policymaking or evaluation. However, if we genuinely want the patients’ well-being, we must influence the legislation that affects it. The opioid overdose death rate as mentioned earlier, is a good example. Another challenge that most nurses face is a lack of time. Nurses tend to have the same devotion for their family and friends as they have for their patients, making time availability a challenge. Nurses are also continually trying to improve upon themselves through education. These commitments allow very little or no time for anything else. Nurses need the will, the time, the energy, and the political skills to “play the game” in the legislative arena (Public Health Policy Simulation, 2019).
The same methods nurses use for policymaking can be used for policy evaluation. The main difference is carefully studying the results of the already enacted policies alongside evidence-based practice and outcomes before making evaluation proposals. Nurses can conduct quality improvement projects at their job and use the results alongside evidence-based practice research to advocate for positive changes. Nurses can write to their political representatives to advise them on the policy changes that they deem necessary. In an open letter to physicians, a Minnesota legislator in 2017 sought support in the fight against opioid addiction. He ended the letter with these words “P.S. I am always listening for better ways to address the opioid epidemic. I would love to hear from you directly about how we can combat this crisis.” This tells me that legislators want to hear proposals and evaluations from healthcare providers, and we should make use of such opportunities. Role of the RNAPRN in Policy Evaluation Discussi
References
Barth, K. S., Guille, C., McCauley, J., & Brady, K. T. (2017). Targeting practitioners: A review of guidelines, training, and policy in pain management. Drug and Alcohol Dependence, 173(Supplement 1), S22–S30. https://doi-org.ezp.waldenulibrary.org/10.1016/j.d…
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
One lawmaker’s plea: In an open letter to physicians, a Minnesota legislator seeks support in the fight against opioid addiction. (2017). Minnesota Medicine, 100(5), 17.
(2019). Public Health Policy Simulation. Journal of Nursing Education, 58(3), 178–181. https://doi-org.ezp.waldenulibrary.org/10.3928/014…
Role of the RNAPRN in Policy Evaluation Discussi
RE: Discussion – Week 9 Role of the RNAPRN in Policy Evaluation Discussion
Good post Adeline, do you intend on following your own suggestions? Has the course made you more aware of nurses’ role in policy making? Role of the RNAPRN in Policy Evaluation Discussion
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