Policy Process: Evaluation, Analysis and Revision
The National Nursing Shortage Reform and Patient Advocacy Act was designed to address the public health workforce shortage that is seen, especially where nurses are concerned. It is no secret that nurses are leaving the profession in record numbers, and as they do that it is becoming more and more difficult to replace them with others who want to do the same type of work (Buerhaus & Retchin, 2013; Iglehart, 2013). Because of all the nurses retiring, and so many of them experiencing burnout, the gap between the number of needed nurses and those who are available continues to widen (Negron & Cohen, 2013). The issue here is how that Act becomes a policy, so it can provide more help to a public health workforce that is struggling. In order for the Act to become a policy, it must first be evaluated. The Act discussed here was introduced to the Senate in April of 2013, and has been read twice (S.739, 2014). It was then referred to the Committee on Health, Education, Labor, and Pensions (S.739, 2014). Since then, no further action has been taken on it.
Evaluation
The lack of action in Congress does not mean that nothing is happening to the Act. The Act must go through a process to help ensure it is ready to be passed, and to have the highest chance of getting through the Senate when it is voted on. Then it must also pass the House, and only then can it have a chance of becoming law. So many bills "die" in the House or the Senate because they are not acceptable to both sides of Congress, or because they have riders or other bills attached to them that stop them from going through. The Act will be evaluated for all of these things. It is based on legislation that required better nurse-to-patient staffing ratios, and focuses on that same type of issue (Buerhaus & Retchin, 2013). There are too many patients and not enough nurses to safely and properly care...
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