Note: Sample below may appear distorted but all corresponding word document files contain proper formattingExcerpt from Essay:
" (Allen 2008) This means that nursing educators are also a key stakeholder.
Other stakeholders include healthcare facility administrators, corporate trustees and public office holders, who will often have entangled or competing interests relating to the profitability of operations and the political expediency of policy orientation. This will also be true of the various professional advocacy groups, nursing associations and lobby groups that will vie for influence in the discussion on any legislation relating to the nursing shortage.
A primary policy objective is to endorse any legislation that would aggressively enforce better recruitment of nursing students, better training of existing nurses, improvements in working conditions for nurses and mandated nurse-to-patient ratios. These objectives are underscored by evidence of the opportunities to save lives facilitated by mandated ratios. According to the text by Health Services Research (HSR) (2010), "key findings of the study reportedly include that 10-13% 'fewer surgical patients in New Jersey and Pennsylvania would die if hospitals in those states had as many nurses as California law requires.' Specifically, the study indicates that the ratios could have saved the lives of 468 additional patients during 2005 and 2006 in the two states." (HSR 2010)
Policy Options and Alternatives:
There are several policy options that are currently under consideration in Congress and the outcome of the implementation or adoption of these bills could be a significant improvement of nurse to patient ratios. Among them, S. 992, proposed initially in 2011 by the 112th Congress of the United States calls for "a bill to amend the Public Health Service Act to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals, and for other purposes." (GovTrack1 2011) Sponsored by Democratic Senator Barbara Boxer of California, the bill was aimed at bringing stronger regulatory pressure upon healthcare facilities and managed care complexes to ensure that staffing ratios were commensurate to the number of available beds and inpatients.
That this bill is currently under consideration is a testament to the perceived importance of such legislation where its sponsor and supporters are concerned. This is because this is an identical bill to one previously introduced by Senator Boxer in 2009. To the point, a second bill correlated to the proposal, S. 1031, would be suspended previously. According to GovTrack.us, "this bill never became law. This bill was proposed in a previous session of Congress. Sessions of Congress last two years, and at the end of each session all proposed bills and resolutions that haven't passed are cleared from the books. Members often reintroduce bills that did not come up for debate under a new number in the next session." (GovTrack 2009)
The legislative importance of this issue is underscored by the bill subsequently introduced by Representative Janice Schakowsky to the 112th Congress. H.R. 2187, called "Nurse Staffing Standards for Patient Safety and Quality Care Act of 2011," is designed to institute mandatory nurse-to-patient ratios that would require hospitals to maintain adequate staffing quotas. The nature of the bill is such that there is a significant demand for continued debate and revision. GovTrack.us reports that "the bill at this stage is intended to "go to committees that deliberate, investigate, and revise them before they go to general debate. The majority of bills and resolutions never make it out of committee." (GovTrack2 2011)
It is hoped that the pending legislation will make greater headway in establishing federal mandates on staffing ratios. According to Berkowitz, "staffing ratios have been mandated in some states through legislative action as a solution to inadequate nurse staffing an concerns aobut the quality and safety of patient care." (Berkowitz 2012) However, the text goes on to note that mixed expectations have greeted this state level legislation, causing some concern about the implications of a federal mandate on the same order. Certainly, it does strike the researcher here as reasonable that government intervention would be appropriate to bring greater regulatory consistency to healthcare staffing the consequent quality of health outcomes. However, Berkowitz warns that many healthcare facility administrators and enterprisers have argued that this imposed upon their capacity to conduct business with optimal efficiency and economic viability.
To this concern, policy alternatives may be considered. To the point, Berkowitz reports that in addition to legislative efforts mandating hospitals to maintain ratios more conducive to quality care outcomes, there are ways to improve staffing ratios that do not require regulatory imposition. Here, Berkowitz indicates, "Buerhaus (2009) has imposed several non-regulatory solutions to safe staffing including improving hospital work environments, incentives to hospitals for high quality care and a focused effort on reducing the nursing shortage." (Berkowitz 2012)
Evaluation of Objectives:
The recommendation above from Berkowitz helps to drive consideration on the objectives central to H.R. 2187. Namely, there is an objective to find ways of improving nurse capabilities to help improve their efficiency in the face of shortages. This is supplementary to the chief objective identified in S. 992 and restated in H.R. 2187 which would define and subsequently mandate the optimal staffing ratio. In their article, Lin & Liang indicate that "educational reform focusing upon standardized, higher level nursing education using a military model, appropriate staff ratio laws derived from the outcomes literature, and recurrent training incorporating policy-making powers can result in nurse empowerment and improved patient safety." (Lin & Liang 2007) These recommendations help point to the feasibility of the primary objective of H.R. 2187, which is to find ways of reducing gaps between need and availability of nursing. The higher emphasis on education on new nurses and the incorporate of mandated staff ratios speaks to the objective of improving both abilities and availabilities of nurses.
Results of Analysis:
The analysis provided above suggests beyond a reasonable doubt that there is a need to engage policy action that would mandate better staffing ratios throughout the U.S. healthcare industry. In spite of the likely protestations from such stakeholders as managed healthcare corporations and their political advocates and lobby groups, the patient population and nurse population would benefit incalculably from meaningful and uncompromising legislation aimed at improving working conditions for nurses, ramping up recruitment efforts for prospective nurse professionals and altering training and procedural orientation in hospitals to improve both working experiences and health outcomes.
Allan, L. (2008). The nursing shortage continues as faculty shortage grows. Nursing Economics, 26(1), 35-40.
Berkowitz, B. (2012). The Policy Process. .
Cullen, E.; Ranji, U. & Salganicoff, A. (2010). Addressing the Nursing Shortage. Kaiseredu.org.
GovTrack. (2010). S. 1031: National Nursing Shortage Reform and Patient Advocacy Act. govTrack.us.
GovTrack1. (2011). S. 992: National Nursing Shortage Reform and Patient Advocacy Act. govTrack.us.
GovTrack2. (2011). H.R. 2187: Nurse Staffing Standards for Patient Safety and Quality Care Act of 2011. govTrack.us.
Greis, J. & Duda, L. (2010). The National Nursing Shortage: Is Mandatory Nurse-to-Patient Staffing Ratio Legislation the Solution? Lexis Nexis.
Health Services Research (HSR). (2010). More Nurses, Less Death. Truth About Nursing.org.
Leavitt, J.K.; Mason, D.J. & Whelan, E. (2012). Political Analysis and Strategies. .
Lin, L. & Liang, B.A. (2007). Addressing the Nursing Work Environment to Promote Patient Safety. Nursing Forum, 42(1), 20-30.
Perin, M. (2008). Houston nursing shortage in critical condition, study shows. Houston Business Journal.
Roberson, J. (2010). Texas, hospitals work to address nurse shortage. Dallas News.
Texas Center for Nursing Workforce Studies (TCNWS).…[continue]
"Nursing Policy Issue Analysis The" (2011, November 13) Retrieved October 28, 2016, from http://www.paperdue.com/essay/nursing-policy-issue-analysis-the-47467
"Nursing Policy Issue Analysis The" 13 November 2011. Web.28 October. 2016. <http://www.paperdue.com/essay/nursing-policy-issue-analysis-the-47467>
"Nursing Policy Issue Analysis The", 13 November 2011, Accessed.28 October. 2016, http://www.paperdue.com/essay/nursing-policy-issue-analysis-the-47467
Lack of a comprehensive education and lack of knowledge in EBP could lead many of the nurses that work in hospitals around the country to make errors, which would negatively affect the patient care and predispose them to increased chances of litigation. This issue also has the potential to undermine the support for evidence-based practice among many health care providers (Gerrish & Clayton, 2004). Evidence-based practice is also not restricted
Nursing Shortage Issues Surrounding the Nursing Shortage In the early 2000s, national strategies to improve the nursing workforce profile were largely focused on increasing the number of nurses at the bedside through the use of sign-on bonuses and travel nurses. While these strategies tended to provide local short-term solutions, they did little to address long-term issues affecting the nursing shortage. With nursing education programs challenged to increase student enrollment, many colleges were
739, p=0.009, e?=0.727). This study clearly highlighted that sleep shortage and work fatigue poses a threat to patient safety and that nurse self-care is warranted.[Dorrian et.al, (2006)] Nurse Support Services An earlier Australian study by Moore KA (2001) which observed 201 nurses working in three different hospitals had concluded that organizational restructuring policies and the consequent work overload was a high stressor for nurses and this was made worse by the poor
This is one of the most common forms of research and, for some research questions is clearly a strong design (Ethics in Critical Care Nursing Research, 2005). The research that was done in this article would be considered a non-experimental type. There were two types of observation that were conducted. The first type was that of focus groups and the second being the file audit, both of which are observational
, 2010). It is perfectly conceivable that this nurse leader would welcome more collaborative or shared leadership responsibilities, particularly since the setting for empirical clinical research on this very issue was, in fact, an ICU (Rosengren, Bondas, Nordholm, et al., 2010). Finally, it appears from this interview subject's input into this project that she is a competent and effective nursing leader, largely by virtue of her description of her supervisory and
If nursing students are being asked to absorb 30-40% more information during undergraduate years, it is logical to see that they do so early in their academic career -- almost as a prerequisite for more advanced practicum. Then, of course, there is the matter of the learning curve in professional education. If one compares schooling for registered nurses with that of physician's assistants or physicians, one often sees a growing
In the previous section, Estabrooks raised the question of the ability of the EBP framework to provide the "best evidence" in nursing practice and the danger of excluding nurses in decision-making tasks as a result of EBP prevalence and dominance. Rolfe, while he analyzed the empirical foundations of EBP, also looked at it from a practical perspective, or how EBP is applied in the current practice of nursing. Identifying the