Discussion: Role of the RN APRN in Policy Evaluation Essay

Discussion: Role of the RN APRN in Policy Evaluation Essay
Discussion: Role of the RN APRN in Policy Evaluation Essay
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The Role of the RN/APRN in Policy Evaluation
In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making. A critical component of any policy design is evaluation of the results. How comfortable are you with the thought of becoming involved with such matters?
Some nurses may be hesitant to get involved with policy evaluation. The preference may be to focus on the care and well-being of their patients; some nurses may feel ill-equipped to enter the realm of policy and political activities. However, as you have examined previously, who better to advocate for patients
NURS 6050 Discussion Role of the RN APRN in Policy Evaluation Essay
and effective programs and polices than nurses? Already patient advocates in interactions with doctors and leadership, why not with government and regulatory agencies?
In this Discussion, you will reflect on the role of professional nurses in policy evaluation.
To Prepare:
In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making.
Review the Resources and reflect on the role of professional nurses in policy evaluation.
By Day 3 of Week 9
Post an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in policy review. 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. Be specific and provide examples.

RE: Discussion – Week 9


    Evaluation is a familiar term to the nursing profession. One of the first things that a nurse is taught is the nursing process which includes assessment, planning, implementation, and evaluation. Program or policy evaluation is no different, the same theory applies to assess the effectiveness of a specific program or policy (Milstead & Short, 2019). This evaluation is a vital part of policy development to determine the long-term effects of policy on populations, however it is sometimes overlooked (Laureate Education, 2018).
RN’s and APRN’s have a responsibility to their profession to advocate for health policy (Laureate Education, 2018). One way for them to become involved in evaluation of health policy is to form relationships with and educate political leaders so they understand the wealth of knowledge that an RN or APRN holds related to health policy. “The challenging work of the NP political advocate is to educate and demonstrate to powerful policy makers that supporting and advancing policies that promote better health and health care is in the best interest of the larger community” (Kostas-Polston, Thanavaro, Arvidson, & Taub, 2015).Gaining the trust of a political leader can help one gain access to become involved in policy evaluation. As the relationship grows between the nursing advocate and the political leader, the nurse will be recognized as a trusted source of impartial information and evaluation (Kostas-Polston et al., 2015).
Another avenue for participating in policy evaluation is to become part of a professional organization, such as the American Nurses Association (ANA). Many professional organizations, like the ANA, are involved in providing data to lawmakers during policy evaluation processes (Milstead & Short, 2019). Nurse advocates oftentimes become the voice of these healthcare changes. Keeping abreast of current health care policies and issues will allow for the nurse to step in and advocate for the nursing profession as well as patient safety and access to care.
Nurses must be prepared for challenges that exist with policy evaluation. One challenge could be gaining access to political leaders, as they have busy schedules. When requesting to meet with a legislator, it is possible that the nurse would be meeting with the legislative staff member. However, the legislative staff member is still influential and their job is to advise the legislator on research and issues (Kostas-Polston et al., 2015). The nurse should present her evaluation of the health policy to the legislative staff member and have a written evaluation to leave with them. An additional challenge to policy evaluation is sparking community comment on the results of the evaluation. Sometimes evaluations can bring to light other issues that will need to be addressed, changing the direction of the political agenda.
One strategy that I would recommend is incorporating health policy into all nursing education. Currently health policy is not part of the ADN curricula, however I believe that the foundation should be started here. Another strategy to enlighten nurses on involvement in health policy would be for nursing leaders to take initiative with their employees and teach them about health policy and advocacy. Health care organizations could make it part of a clinical ladder program or a yearly education requirement. Knowledgeable nurses need to promote the existence of political advocacy. Nurses should be involved in all stages of health care policy and are urged to use their expertise and their critical thinking to evaluate health policy for the betterment of society.
Kostas-Polston, E. A., Thanavaro, J., Arvidson, C., & Taub, L.-F. M. (2015). Advanced practice nursing:                shaping health through policy. Journal of the American Association of Nurse Practitioners, 27(1), 11–20. https://doi-org.ezp.waldenulibrary.org/10.1002/2327-6924.12192
Laureate Education (Producer). (2018). The Importance of Program Evaluation[Video file]. Baltimore, MD:       Author.
Milstead, J. A. & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6thed.). Burlington, MA: Jones & Bartlett Learning.
Good job on your post!
The American Association of Colleges of Nursing (AACN) mandates that policy is part of baccalaureate, masters, and doctoral nursing programs. Baccalaureate nursing programs usually focus on a basic understanding of how policy affects health care (Staebler, Campbell, Cornelius, Fallin-Bennet, Fry-Bowers, Kung, LaFevers, & Miller, 2017).  My undergraduate program incorporated policy into its curriculum, but it was not a separate class. The class combined ethics, law, economics, and health policy, so you can imagine how much focus was on health policy. Nursing education is vital to develop a nurse’s political understanding and to promote political advocacy (Pery & Emory, 2017). I agree with you that health policy should start at the ADN level. Perhaps if a solid foundation was built in my lower-level courses, then some assignments in this class wouldn’t have seemed so overwhelming.
Perry, C., & Emory, J. (2017). Advocacy through education. Policy, Politics, & Nursing Practice, 18(3), 158-165. doi: 10.1177/1527154417734382
Staebler, S., Campbell, J., Cornelius, P., Fallin-Bennet, A., Fry-Bowers, E., Kung, Y., LaFevers, D., & Miller, J. (2017). Policy and political advocacy: Comparison study of nursing faculty to determine current practices, perceptions, and barriers to teaching health policy. Journal of Professional Nursing, (33)5, 350-355. doi: 10.1016/j.profnurs.2017.04.001
RE: Discussion – Week 9
Primary opportunities for RNs and APRNs to effectively participate in policy review are through professional associations and the work place. RNs and APRNs belong to a variety of professional organizations such as the American Nurses Association (ANA), Emergency Nurses Association and the American Academy of Nursing. These organizations work as a support system for nurses and they make sure that the policies enforced are beneficial for the nurses.
Secondly, through the workplace RNs and APRNs as professionals have the responsibility and opportunity to influence policies that would enable them promote quality patient care. RNs and APRNs are professionals who can influence policies that would be effective in their work environments.They can provide a written request for a policy to be reevaluated if a policy does not promote quality patient care.
Some challenges that these opportunities may present are RNs and APRNs not being knowledgeable and updated about implemented policies, not being part of any professional organization due to the complexity of registration and lack of unity, initiative and leadership (American Nurses Association, 2010).
A strategy to better advocate for or communicate the existence of these opportunities are informing RNs and APRNS in a timely manner about policy changes, nurses need to work together, be united in order for their voices to be heard. Nurses should be provided adequate training to understand their roles, responsibilities and work environment in order to be effective professionals.
Opportunities should be provided for all RNs and APRNs to develop their leadership skills and involving them in the policy review process and professional organizations having a well-defined, simple registration system for nurses to follow when joining professional organizations.
American Nurses Association. (2010). Nursing’s social policy statement: The essence of the profession. Nursesbooks. org.
Milstead, J.A & Short, N.M. (2019). Health policy and politics: A nurse’s guide. (6th ed.). Burlington, MA: Jones & Barlett learning

By Day 6 of Week 9
Respond to at least two of your colleagues* on two different days by suggesting additional opportunities or recommendations for overcoming the challenges described by your colleagues.
Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message.

RE: Discussion – Week 9


Good job on your post. Being a member of a professional organization is a great place to have a voice in policy making and evaluation since there is strength in number. This means that from now on, we must strive to be voices that will be counted in and join as dues paying members of these organizations. The evaluation process begins as the policy is been crafted as the efficiency and effectiveness of the policy must be measured (Laureate education, 2018).
Challenges are part of any task that we embark on in real life. It is not different on a professional platform. Apart from challenges with political leaders, we may also face challenges with other professionals as noted with some states restricting APRNs’. To overcome such challenges, nurses must always remember that we are all fighting for a common purpose and remain focused on the goal.
Charity they say begins at home. Not many nurses advance to graduate program and not many nursing programs  either at associate or bachelor degree level lay strong emphasis on advocacy thereby loosing a significant number of nurses who desire to but do not have the educational background and insight as to what to do. Nursing advocacy I believe starts with us and our nursing schools. Not surprisingly, literature is scanty on teaching advocacy in nursing school.
Abood, S. (2007, Jan. 31). “Influencing Health Care in the Legislative Arena”. OJIN: The Online Journal of Issues in Nursing. 12(1), Manuscript 2. https://doi.org/10.3912/OJIN.Vol12No01Man02
Laureate Education (Producer). (2018). The Importance of Program Evaluation [Video file]. Baltimore, MD: Author.

*Note: Throughout this program, your fellow students are referred to as colleagues.
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.


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