Assignment: Policy Analysis Paper
Assignment: Policy Analysis Paper
Assignment: Policy Analysis Paper
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Policies form a critical part of any professional body as they have a substantial influence on how the activities are run and the directions which the operations take. One such area is nursing. Policy making is an area of interest in nursing as it influences the nature of care offered to patients and how the nurse professionals operate within the care settings (Rasheed et al., 2020). The implication is that nurses should be up to date with current policies that directly impact or affect patient care, the nursing profession, and nursing activities. Nurses can ensure this by participating in various policy issues and advocacy processes. Therefore, the purpose of this assignment is to analyze a policy issue. Various aspects will be discussed, including the policy definition, application of a policy analysis framework in exploring the issue, policy options or solutions, and building a consensus.
Part One: The Policy Issue
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Currently, there are various policy issues in the area of nursing which directly impact patient outcomes and the nurses’ working environment. One of them is the nursing shortage. The issue of nursing shortage has existed for years and, surprisingly, is still a policy issue to date. A nursing shortage is a case where the available nursing professionals like registered nurses can not adequately fill the available professional slots implying that the demand has exceeded the supply (Haddad et al., 2022). The nursing shortage has been shown to lead to various undesirable impacts such as increased rates of mortality and morbidity as well as higher cases of medical errors.
This issue has affected the policy arena for decades, with legislators participating in the law-making processes geared toward reducing nursing shortages (Haddad et al., 2022). In addition, various lobby groups and nursing professional organizations have been advocating for an increased number of nursing staff for better nurse-to-patient ratios. Currently, there are politics surrounding the issue. For example, one of the major discussions has been expanding the expansion of nursing roles to reduce nursing shortage (Marć et al.,2019). While some argue that expansion of the nursing roles would be key to reducing nursing shortage, others argue that such expansion may put the patients at risk since nurses are not well equipped or trained to handle some patient care services.
As earlier discussed, the nursing shortage has been a policy issue for some time now and has attracted various stakeholders such as healthcare professionals and legislators. The latest attempt to solve the problem through policy-making and process came recently when the legislation titled the build back better act which was an initiative by President Biden. As part of this legislation, there was a provision for the nursing workforce (Peter, 2022). The proposal was to invest about $5 billion in nursing care and the nursing workforce in the next decade. Specifically, $500 was proposed to be used in the expansion of the nurse corps program, which offers scholarships and also helps in repaying student loads for APRNs and RNs to encourage more to go for the nursing course. Another $170 million would be used to grow and diversify the perinatal nursing workforce. Other funds would go to schools of nursing to help them in developing, disseminating, reviewing, and evaluating health professional training and increasing the staffing levels for the nursing homes (Peter, 2022). This policy proposal recently received a major obstacle when Senator Joe Manchin stopped supporting the bill alleging failure to match the preferred cost, hence retracting his support. Such opposition halted the bill, but President Biden indicated that the government would continue deliberating on how the bill could be brought back to ensure its implementation.
In previous Discussions and Assignments, you have examined various aspects of the policy process: exploring the unintended consequences of policies, agenda setting, and analyzing policy recommendations. In this Assignment, you will have the opportunity to further develop your analysis skills by working through the policy analysis process. To be an effective agent for social change, you must be able to logically and critically analyze policy from multiple perspectives and contexts and then present your insights in a succinct and professional manner. This exercise will afford such an experience.
For this Assignment, you will examine a particular policy of interest to you (perhaps the one you selected for this week’s Discussion), and apply a policy analysis framework to understand the impact associated with the implementation of the policy. You will then develop a policy analysis paper, which is due the end of Week 11. This paper will also serve as your Major Assessment for this course.
To prepare for Assignment 3: Policy Analysis Paper [Major Assessment 2]:
Select a health care policy and a policy analysis framework to utilize for this Assignment. You may use the policy and framework you identified in this week’s Discussion or change your selection.
To complete for Assignment 3: Policy Analysis Paper [Major Assessment 2]:
Write an 8- to 10-page analysis paper (including references) in which you succinctly address the following:
Part 1: Define the policy issue.
How is the issue affecting the policy arena?
What are the current politics of the issue?
At what level in the policy making process is the issue?
Part 2: Apply a policy analysis framework to explore the issue using the following contexts:
Social
Ethical
Legal
Historical
Financial/economic
Theoretical underpinnings of the policy
Include in this section:
Who are the stakeholders of interest?
Is there a nursing policy/position statement on this health care issue? If so, who developed it?
Part 3: Policy options/solutions
What are the policy options/solutions for addressing the issue? Include at least three levels of options/solutions: no change; partial change; radical change or maximum change.
What are the theoretical underpinnings of the policy options/solutions?
What are the health advocacy aspects and leadership requirements of each option?
How does each option/solution provide an opportunity or need for inter-professional collaboration?
What are the pros and cons of each suggested change? Include the cost benefits, effectiveness, and efficiency of each option along with the utility and feasibility of each option.
Part 4: Building Consensus
Outline a plan for building consensus around your recommended option/solution for solving the policy issue.
Part 5: References
Limit your references so this section is no more than 2 pages.
Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from appropriate Learning Resources and additional scholarly sources as appropriate. Refer to the Publication Manual of the American Psychological Association to ensure that your in- text citations and reference list are correct.
By Day 7 of Week 11 of Assignment 3: Policy Analysis Paper [Major Assessment 2]
This Assignment 3: Policy Analysis Paper [Major Assessment 2] Assignment is due.
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NURS 8100 Week 4 Assignment 1: Issues in Health Care Reform (Interview)
Continue to work on this Assignment, assigned in Week 2 and due in Week 9.
By Day 7 of Week 9
Submit this Assignment.
NURS 8100 Week 4 Assignment 2: Health Policy Proposal Analysis (Policy Brief)
Continue to work on this Assignment, assigned in Week 3 and due in Week 7.
By Day 7 of Week 7
Submit this Assignment.
NURS 8100 Week 4: Policy Analysis Frameworks
Consider the social contract between the nursing profession and consumers of health care. This social contract has long been demonstrated by nurses. For example, recall the nursing pioneer Lillian Wald who in the late 1800s worked to improve the health and welfare of the immigrant population in New York. How does engaging in the policy process assist nurses with fulfilling this social contract today? To better influence health and nursing policy, which seeks to improve health and quality outcomes, nurses need to develop their policy acumen. Utilizing a policy analysis framework can assist in this process.
This week continues the examination of the policy process addressed in Week 3. You will examine how frameworks from nursing and other disciplines can work together to inform policy analysis. Assignment 3: Policy Analysis Paper [Major Assessment 2]
Learning Objectives
Students will:
Propose a policy analysis framework for a specific policy issue
Conduct a comprehensive policy analysis critically analyzing a health policy from multiple contexts
Photo Credit: [alphaspirit]/[iStock / Getty Images Plus]/Getty Images
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. Assignment 3: Policy Analysis Paper [Major Assessment 2]
Required Readings
Blackman, V. S. (2005). Putting policy theory to work: Tobacco control in California. Policy, Politics, & Nursing Practice, 6(2), 148–155. doi: 10.1177/1527154405276289
Note: You will access this article from the Walden Library databases.
In this article, the author applies Kingdon’s multiple streams theory to agenda setting and the public policy issue of tobacco use. In addition, the author points out two limitations of Kingdon’s model—the need to build alliances and the varying power levels among stakeholders. Assignment 3: Policy Analysis Paper [Major Assessment 2]
Craig, R. L., Felix, H. C., Walker, J. F., & Philips, M. M. (2010). Public health professionals as policy entrepreneurs: Arkansas’s childhood obesity policy experience. American Journal of Public Health, 100(11), 2047–2052.
Note: You will access this article from the Walden Library databases.
Fawcett, J., & Russell, G. (2001). A conceptual model of nursing and health policy. Policy, Politics, & Nursing, 2(2), 108–116. doi: 10.1177/152715440100200205
Note: You will access this article from the Walden Library databases.
Fawcett and Russell provide a five-level conceptual model of nursing and health policy, and diagram the relationship between the model and new health policies. Guidelines for health policy analysis and evaluation are also provided.
Hewison, A. (2007). Policy analysis: A framework for nurse managers. Journal of Nursing Management, 15(7), 693–6 99. doi: 10.1111/j.1365-2934.2006.00731.x
Initially, this article presents a broad analysis of policy making and then provides a specific framework of policy analysis for nurse managers. The author focuses on the necessity for nurses to become involved in health care policy making
Policy analysis: A framework for nurse managers. Journal of Nursing Management, 15(7) by Hewison, A. Copyright 2007 by BLACKWELL PUBLISHING – JOURNALS. Reprinted by permission of BLACKWELL PUBLISHING – JOURNALS via the Copyright Clearance Center. Assignment 3: Policy Analysis Paper [Major Assessment 2]
Howie, W. O. (2009). Mandatory reporting of medical errors: Crafting policy and integrating it into practice. Journal for Nurse Practitioners, 5(9), 649–654. doi:10.1016/j.nurpra.2009.07.012
Note: You will access this article from the Walden Library databases.
John, P. (2003). Is there life after policy streams, advocacy coalitions, and punctuations: Using evolutionary theory to explain policy change? Policy Studies Journal, 31(4), 481–4 98. doi: 10.1111/1541-0072.00039
Note: You will access this article from the Walden Library databases.
This article advances the use of evolutionary theory as policy theory. The author proposes that aspects of evolutionary theory such as randomness, competition, and selection be applied to policy theory but cautions that more research regarding its applicability is needed.
Rawat, P., & Morris, J. C. (2016). Kingdon’s “Streams” model at thirty: Still relevant in the 21st century? Politics & Policy, 44(4), 608-638. doi: 10.1111/polp.12168
Note: You will access this article from the Walden Library databases.
Russell, G., & Fawcett, J. (2005). The conceptual model for nursing and health policy revisited. Policy, Politics, & Nursing, 6(4), 108–116. doi: 10.1177/1527154405283304
Note: You will access this article from the Walden Library databases.
In this article, Russell and Fawcett revise their 2001 conceptual model of nursing and health policy and provide guidelines for nursing-specific research.
Optional Resources
Bardach, E. (2004). Presidential address—The extrapolation problem: How can we learn from the experience of others? Journal of Policy Analysis and Management, 23(2), 205. doi: 613545361
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