Discussion: Evidence Based Practice in Nursing Discussion Questions
Discussion: Evidence Based Practice in Nursing Discussion Questions
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hi! please answer each DQ with 100-150 words. Thank you 
DQ 1: Mirinda
In my professional opinion, I do believe there are barriers for nursing who are involved with the legislative process in terms of retaliation from individuals who do not have the same perspectives. Nurses have a responsibility to participate with health policy development to improve the health of people across the world (Turale &Wipada, 2019). Although the field of nursing is the largest element of the healthcare field, their influence has not fully blossomed to its full potential (Turale &Wipada, 2019). When nurses are involved and understand the legislative process, this is an empowering movement to be able to fight for rights and change policies where needed. When a nurse has a stance for a policy or procedure change, there may be individuals or institutions who do not agree. There may be a financial, political, personal gain or conflict with the person(s) who disagree. Retaliation may occur if the person(s) or organization perceive the new proposal as a threat and may attempt to sabotage the new law. They may attempt to skew research to show the new proposal is not effective for example, and present as a failed plan to not change current processes. I have been a witness to blatant sabotage to a leader who assessed a department of leaders and wanted to make changes. Unfortunately, they plotted together and eventually this leader was terminated. Steps I could take to ensure I could represent the advanced nurse leader and patient advocate under these circumstances is assure I do my research and present facts and measurable goals. I would give examples of how in other states the proposal worked and how it was executed. I would hear the people out and listen and answer questions they may have, but above all things I would prepare for the hard questions about the new changes the organization or person/people would have and answer honestly and directly. Discussion: Evidence Based Practice in Nursing Discussion Questions
Turale, S., & Wipada, K. (2019). The Contribution of Nurses to Health Policy and Advocacy Requires Leaders to Provide Training and Mentorship. International Nursing Review, 66(3), 302-304. The contribution of nurses to health policy and advocacy requires leaders to provide training and mentorship – Turale – 2019 – International Nursing Review – Wiley Online Library
DQ 1 Annette:
There are professional barriers involve in the legislative process. Nurses need to increase and widen their presence at the level in which creating messages and participating in news media, research publications, advertising, forums for educational purposes. Nurses come across issues related to patient satisfaction, patient safety, access to services, outcomes, and health disparities. Nurses have the option to continue trying to make with the current change or motivates to take action and look for opportunities for change in the health care system. Successful advocacy will go with changes in the health care system and has access to the resources of will, power, time, and energy. Any nurse who is very much interested in getting involved with the policy and some changes can actually find a way to become a self-assured advocate. There are numerous ways in getting involve with legislation from writing a letter or calling and address an issue to the public office.
Despite the shortages of nurses, widespread disgruntlement among nurses doing bedside care, continuing conflicts and disagreement with the physician, lack of success to diversify has not been able to perform with its power. The involvement of the advanced practice registered nurses could become a workforce for change for the profession and healthcare system and patients. There are different types of power that registered nurses can use such as expert power in which is the basis of collaboration and advocacy including the legislative arena and provides nurses to speak on health care issues. Another source of power is legitimate power through rights and power granted by the State of Board of Nursing to practice nursing. Another source of power is referent power available to nurse policy advocates. Reward power is the ability to give other people what they need and what they want. Coercive Power is the opposite of reward power in which it is the ability of one person to punish another.
As health care continues to grow and change, more nurses are picking to be part of the legislation and advocacy role, working to get health care policies and how to implement them.
Reference:
Nursing model for emergency nursing. (n.d.). Retrieved April 17, 2021, from /wordpress/wp-content/uploads/2018/07/Framework-to-support-the-delivery-recording-of-nursing-care-in-ECNs-Nov-2017.pdf”>http://emnow.ie/wordpress/wp-content/uploads/2018/…
DQ 1 Krystal:
There are barriers involved with the legislative process for sure. I believe that as nurses our career is put into the spotlight often in regards to political changes that affect our work. I think that between the federal government and the state government there are separate barriers. I think that because nurses are so outspoken many times it appears as if we are all in agreement, but that isn’t always the case. For example, there may be retaliation from advanced degree nurses as they have stepped into a different position. The viewpoint on patient care changes depending the nurses position and experience. I have worked in situations where I believe my viewpoints caused issues between the other nurses, but I took it as a lesson to learn when and how to speak about concerns in certain situations. As a nurse leader I want to make sure I represent myself as a patient advocate by always conducting my work with the patient’s best interest in mind. I think so many times APRN’s get caught up in their role and forget that the end goal is to reach the patient. If ever in a situation where I face barriers as a nurse leader I want to make sure I speak from the perspective of the patient and voice any concerns by mentioning how it could affect the patient. There will be situations where the patient is not directly affected such as cutting costs on certain supplies, this will directly affect the staff which indirectly affects the patient. A real concern for me is that I must approach every situation with caution. For example, when I try to advocate for a patient I may come across to administraton as a complainer or trouble maker so I have started to change my approach and make sure it is known that I am trying to advocate for my patient. On a larger scale such as the state and federal government, I think nurses have a voice, but the message isn’t always presented so clearly for others to understand which is why the nurse leader role is very important in bridging that gap.