Discussion 1 Nursing and Healthcare Policy Danait Hea
Discussion 1 Nursing and Healthcare Policy Danait Healthcare policies determine how and who delivers care services. The policies also affect those who get care by affecting factors like accessibility, affordability, and others. Therefore, without effective policies, healthcare and nursing cannot function effectively. Nurses must understand the structure of policies and the processes that are involved in making the policies to know how best to affect and apply the policies. Healthcare policies are structured based on the various levels of governance involved in healthcare. Policies are created at the organizational, state, and federal levels and involve comprehensive processes that ensure input from various stakeholders including nurses. Healthcare and nursing policies have changed with needs since the 19th century. While there were policies long before nursing was recognized as a formal profession, the policies were not as impactful as they are now (Alcaraz et al., 2020). In the early stages of nursing such as during the Crimean war when Nightingale pioneered modern nursing, there were no formal policies that regulated the profession. Nurses had to work under physicians and follow their guidance. However, with time, policies that affect nursing have been introduced at the federal and state levels. For instance, policies now have made nurses more autonomous than before and various stages continue making favorable laws for them (May et al., 2018). Organizations too have to develop policies that align with federal and state laws. The various laws that affect payment and the management of care like Medicaid and Medicare, ACA, and HIPAA have been developed to solve the various modern healthcare issues like affordability and others. The structure of policies is based on the governance of the sector. Healthcare is a mandate of both federal and state laws. Federal policies that affect healthcare include affordable care under ACA, the health information policy under HIPAA, and others (Alcaraz et al., 2020). Federal laws apply to healthcare providers and stakeholders in all states. Each state also has its healthcare policies that have to be applied. They include Medicare expansion and their nurse practice acts. For instance, while some states allow the full practice, others are restrictive. The state policies are enforceable in the states that they apply only. For instance, state laws and policies of California only apply in the state and not in any other state. The state policies determine the state's plans and regulations of nursing and healthcare. After the state level, the organizations also have to develop policies that seek to ensure that they implement government regulations and also offer quality care. For instance, organizational policies affect staffing and patient admission among others. The healthcare policies have various processes that nurses and other stakeholders are involved in. depending on the level of policies, various pr ...
Discussion 1 Nursing and Healthcare Policy Danait Hea
- 1. Discussion 1 Nursing and Healthcare Policy Danait Healthcare policies determine how and who delivers care services. The policies also affect those who get care by affecting factors like accessibility, affordability, and others. Therefore, without effective policies, healthcare and nursing cannot function effectively. Nurses must understand the structure of policies and the processes that are involved in making the policies to know how best to affect and apply the policies. Healthcare policies are structured based on the various levels of governance involved in healthcare. Policies are created at the organizational, state, and federal levels and involve comprehensive processes that ensure input from various stakeholders including nurses. Healthcare and nursing policies have changed with needs since the 19th century. While there were policies long before nursing was recognized as a formal profession, the policies were not as impactful as they are now (Alcaraz et al., 2020). In the early stages of nursing such as during the Crimean war when Nightingale pioneered modern nursing, there were no formal policies that regulated the profession. Nurses had to work under physicians and follow their guidance. However, with time, policies that affect nursing have been introduced at the federal and state levels. For instance, policies now have made nurses more autonomous than before and various stages continue making favorable laws for them (May et al., 2018). Organizations too have to develop policies that align with federal and state laws. The various laws that affect payment and the management of care like Medicaid and Medicare, ACA, and HIPAA have been developed to solve the various modern healthcare issues like affordability and others. The structure of policies is based on the governance of the sector. Healthcare is a mandate of both federal and state laws. Federal policies that affect healthcare include affordable care
- 2. under ACA, the health information policy under HIPAA, and others (Alcaraz et al., 2020). Federal laws apply to healthcare providers and stakeholders in all states. Each state also has its healthcare policies that have to be applied. They include Medicare expansion and their nurse practice acts. For instance, while some states allow the full practice, others are restrictive. The state policies are enforceable in the states that they apply only. For instance, state laws and policies of California only apply in the state and not in any other state. The state policies determine the state's plans and regulations of nursing and healthcare. After the state level, the organizations also have to develop policies that seek to ensure that they implement government regulations and also offer quality care. For instance, organizational policies affect staffing and patient admission among others. The healthcare policies have various processes that nurses and other stakeholders are involved in. depending on the level of policies, various processes may be involved (May et al., 2018). Usually, the processes need to begin with agenda setting before policies are developed and adopted. After adoption, policies are implemented and monitored to ensure that they are effective. Nurses participate at all levels. In conclusion, policies guide to care and affect the professional environments of nurses. Policies exist at the various levels of governance from the federal to the organizational level. Healthcare policies have also changed since early times to ensure that the healthcare system and nursing keep improving to solve people's needs. References Alcaraz, K. I., Wiedt, T. L., Daniels, E. C., Yabroff, K. R., Guerra, C. E., & Wender, R. C. (2020). Understanding and addressing social determinants to advance cancer health equity in the United States: a blueprint for practice, research, and policy. CA: a cancer journal for clinicians, 70(1), 31-46. https://doi.org/10.3322/caac.21586
- 3. May, C. R., Cummings, A., Girling, M., Bracher, M., Mair, F. S., May, C. M., ... & Finch, T. (2018). Using normalization process theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review. Implementation Science, 13(1), 1-27. https://doi.org/10.1186/s13012-018-0758-1 Edited by Perez, Danait on Aug 23 at 7:03pm Discussion 2 Nola Healthcare policy refers to the decisions, goals, and actions that determine how care is accessed and administered (Greenwood, 2022). Categories of healthcare policies include patient care policies, drug policies, security and privacy policies, and employee health policies. Patient care policies are specific to the type of care provided at a given institution with patient safety and how care should be provided as the main aspects. Drug policies are centered around decisions regarding the handling and administration of pharmaceuticals. Employee health policies are aimed at providing a safe environment for staff to provide care and include policies such as alcohol and tobacco use and employee health and wellness. Security and privacy policies maintain not only physical safety of those in a given establishment, but also data privacy and technology security. All of these policies help to establish and maintain standards and guidelines that aim to benefit patients, healthcare organizations, and the healthcare system (Greenwood, 2022). Healthcare policy is a highly debatable issue and has been
- 4. such for decades. One major historical healthcare policy was the Social Security Amendments of 1965 in which the Social Security Act was passed and Medicare was established which provided public health coverage to seniors over the age of 65. Another notable event is the Healthcare Insurance Portability and Accountability Act (HIPAA) of 1996. HIPAA policies address such issues as health insurance coverage for pre-existing conditions as well as privacy and security of electronic health information (History, n.d.). Major issues that have influenced past and present healthcare policies are access to coverage, social barriers affecting population health, and healthcare costs and spending (Greenwood, 2022). Healthcare policies are made at federal, state, and local levels, however, individual hospitals and clinics may have their own individual policies, as well. Examples of state policies include regulations for licensure of nurses and immunization requirements for university students. Local hospital policies include visitor guidelines, staff management, and disaster response protocols (Mason et al., 2016). Policymaking is an arduous yet critical task in healthcare. Policymaking at any level begins with identification of a problem. This may be a new problem or issue or a need to modify a current policy because it is no longer beneficial or safe. Once identified, an agenda to address possible solutions or alternatives is constructed. After a solution has been chosen, it is then implemented and evaluated for effectiveness (Mason et al., 2016). Whether at the local or federal level, healthcare policies are important and are the responsibility of patients, nurses, physicians, and administrators. By understanding healthcare policies and
- 5. advocating for policy reform, we can ensure the safety and effectiveness of healthcare provided as well as addressing issues that are problematic in the healthcare arena. References Greenwood, H. (2022, January 11). Healthcare policy: What is it and why is it important? University of St. Augustine for Health Sciences. Retrieved August 22, 2022, from https://www.usa.edu/blog/healthcare-policy/ COM200 Assignment 4 Speech Outline Template Student Name Professor Brazil Date * Please note that the purpose of this template is to assist
- 6. you with correctly formatting an outline. Please carefully review the Assignment Overview and help videos in the course.Also, your outline should not include complete paragraphs, entire speech, or an essay.* *Add your own information to this template simply use this as a guide for formatting. Reminder: all sources must be cited both in-text and in the Sources section using SWS. Please see the text below (highlighted in green) for examples of SWS citations. Speech Outline Template I. Introduction A) Attention getter (Quote, Statistic, Anecdote, etc. - cite all outside information). B) Purpose (topic of the speech). C) Preview your Main Points (1, 2 and 3). 1. Main point 1 2. Main point 2 3. Main point 3 II. Body 1. Main point #1 a. Supporting Detail/Research/Example (Smith, 1). b. Supporting Detail/Research/Example. c. Supporting Detail/Research/Example. 2. Main point #2 a. Supporting Detail/Research/Example (Adams, 2) b. Supporting Detail/Research/Example c. Supporting Detail/Research/Example 3. Main point #3 a. Supporting Detail/Research/Exa mple b. Supporting Detail/Research/Example (Smith, 1) c. Supporting Detail/Research/Example (Adams, 2) III. Conclusion A) Review your Main Points (1, 2 and 3)
- 7. 1. Main point 1 2. Main point 2 3. Main point 3 B) Purpose (Restate speech topic) C) Memorable Conclusion (Quote, Statistic, or Anecdote, Call to Action) Sources (Replace with your own sources-this shows correct formatting only) 1. Bob Smith. 2015. Importance of an Outline. http://www.inspiration.com/visual- learning/outlining.org 2. Jane Adams. 2018. Using Presentations Effectively. https://www.effectiveuseofpresentation.edu image1.png COM200 Assignment 4 Speech Outline Template Student Name Professor Brazil Date
- 8. * Please note that the purpose of this template is to assist you with correctly formatting an outline. Please carefully review the Assignment Overview and help videos in the course.Also, your outline should not include complete paragraphs, entire speech, or an essay.* *Add your own information to this template simply use this as a guide for formatting. Reminder: all sources must be cited both in-text and in the Sources section using SWS. Please see the text below (highlighted in green) for examples of SWS citations. Speech Outline Template I. Introduction A) Attention getter (Quote, Statistic, Anecdote, etc. - cite all outside information). B) Purpose (topic of the speech). C) Preview your Main Points (1, 2 and 3). 1. Main point 1 2. Main point 2 3. Main point 3 II. Body 1. Main point #1 a. Supporting Detail/Research/Example (Smith, 1). b. Supporting Detail/Research/Example. c. Supporting Detail/Research/Example. 2. Main point #2 a. Supporting Detail/Research/Example (Adams, 2) b. Supporting Detail/Research/Example
- 9. c. Supporting Detail/Research/Example 3. Main point #3 a. Supporting Detail/Research/Example b. Supporting Detail/Research/Example (Smith, 1) c. Supporting Detail/Research/Example (Adams, 2) III. Conclusion A) Review your Main Points (1, 2 and 3) 1. Main point 1 2. Main point 2 3. Main point 3 B) Purpose (Restate speech topic) C) Memorable Conclusion (Quote, Statistic, or Anecdote, Call to Action) Sources (Replace with your own sources-this shows correct formatting only) 1. Bob Smith. 2015. Importance of an Outline. http://www.inspiration.com/visual- learning/outlining.org 2. Jane Adams. 2018. Using Presentations Effectively. https://www.effectiveuseofpresentation.edu image1.png