NURS 8100 Discussion 1: Policy Analysis Summary ANSWER

NURS 8100 Discussion 1: Policy Analysis Summary ANSWER

By Day 3

Post a 1- to 2-paragraph succinct summary of your policy analysis paper. Include at least two of the options or solutions for addressing the policy and the resulting implications for nursing practice and health care consumers.

Read a selection of your colleagues’ postings.

RE: Discussion 1 – Week 11

Policy Analysis Summary

Collaborative practice agreements are vital in creating a formal relationship between healthcare providers from different specialties. This collaboration allows expanded services the healthcare providers can provide to patients and the healthcare team. Moreover, in any collaboration, each health care professional often has information that the other professional needs to have to practice successfully (Aghamohammadi, Dadkhah, & Aghamohammadi, 2019). There is a shortage of primary care providers available to the population and allowing advanced practice providers full practice authority would lessen this shortage. If APRNs were able to practice within their full scope of practice it would assist in creating the labor force required to meet the demands of today’s population. APRNs have a unique set of skills and knowledge that could be utilized and delivered in the community setting where access to healthcare is lacking (National Academies Press, 2016). Due to the Affordable Care Act, 32 million Americans will be added to the already insured population (U.S. Department of Health & Human Services, 2021).

NURS 8100 Discussion 1 Policy Analysis Summary ANSWER
NURS 8100 Discussion 1 Policy Analysis Summary ANSWER

With such a shortage and increased demand for primary care providers, it is only logical to broaden the scope of practice for APRNs who are more than capable of providing primary care to the millions in need. Many argue that due to the longer education of physicians that nurse practitioners are not capable to provide the same care but in practice, there has not been a difference in the quality of care or safe care between the two. Allowing nurse practitioners to practice without barriers allows the APRNs to meet all the needs of the patients that they are caring for. Giving more people access to primary care and control over their own health. APRNs are more than capable to provide adequate care for their patients, ensuring that there are no restrictions on providing high-quality safe care can help eliminate the shortage of primary care providers. Texas expanding the scope of practice for the APRN role and eliminating the barriers that are placed by the state will allow the APRNs to practice to their full potential for their education and training. Decreasing the number of shortages for primary care providers and evolving along with the increased healthcare demands for the underserved now insured population. The implementation of legislation change starts with each APRN, through research and the literature the tools are provided to enforce these changes.


Aghamohammadi, D., Dadkhah, B., & Aghamohammadi, M. (2019). Nurse-Physician Collaboration and the Professional Autonomy of Intensive Care Units Nurses. Indian journal of critical care medicine: peer-reviewed, official publication of Indian Society of Critical Care Medicine, 23(4), 178–181.

U.S. Department of Health & Human Services. (2021). New HHS Data Show More Americans than Ever Have Health Coverage through the Affordable Care Act. Retrieved from

National Academies Press. (2016). Assessing Progress on the Institute of Medicine Report The Future of Nursing. National Academies Press (US). Retrieved from:

The selected policy is HB3871 Safe Patient Limits Act, which is currently pending action in the Illinois Legislature. The proposed policy sets a minimum nurse staffing requirement for all hospitals in Illinois. It states the maximum number of patients assigned to a registered nurse in specific situations. It also provides that nothing shall bar a healthcare facility from assigning fewer patients to a registered nurse than the limits stated in Act (Illinois General Assembly, n.d.). Besides, it provides that nothing in the Act stops the use of patient acuity systems consistent with the Nurse Staffing by Patient Acuity Act. Nonetheless, the maximum patient assignments in the Act may not be exceeded, despite using and applying any patient acuity system.

The policy can be addressed by having each hospital’s clinical team make staffing decisions for their hospitals depending on the unique circumstances at the specific hospital at any given time (Han et al., 2021). The policy can also be addressed by having professional nursing organizations advocate the implementation of the mandated staffing ratios in all hospitals to promote better working conditions for nurses and improve patient safety and quality of care. Implementing the policy can reduce nurse burnout and low job satisfaction associated with high workloads and physical and emotional fatigue (Lasater et al., 2021). In addition, it can improve the safety of patient care and patient outcomes and reduce healthcare costs.



Han, X., Pittman, P., & Barnow, B. (2021). Alternative Approaches to Ensuring Adequate Nurse Staffing: The Effect of State Legislation on Hospital Nurse Staffing. Medical care, 59(10 Suppl 5), S463. doi: 10.1097/MLR.0000000000001614

Illinois General Assembly. (n.d.). Bill status for HB2604

Lasater, K. B., Aiken, L. H., Sloane, D., French, R., Martin, B., Alexander, M., & McHugh, M. D. (2021). Patient outcomes and cost savings associated with hospital safe nurse staffing legislation: an observational study. BMJ open11(12), e052899. doi:10.1136/bmjopen-2021-052899


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RE: Discussion 1 – Week 11  


Top of Form 


            The policy I addressed was the Title VIII Nursing Workforce Reauthorization Act of 2019.  This policy/bill expands and empowers nursing workforce development programs through FY2024 (Congress, n.d.).  This bill builds on the Institute of Medicine (IOM) (2010) report that recommends nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progress.  This policy/bill was first passed in 2017 and has required significant nursing leadership advocation.  I utilized a framework by Fawcette and Russell (2001) to look at social, ethical, legal, and financial impacts of the policy. 

            Numerous options/solutions for addressing the policy were addressed including no change, partial change, and a radical change.  A partial solution to the barrier of nursing education funding would be the proposal of the Title VIII Nursing Workforce Reauthorization Act.  This could encourage the standardization of nursing programs and create one uniform degree requirement for entry level nursing.  Nurses could also access clear instructions on how to advance their degree with various clinical pathways outlined.  This solution requires nursing leaders to be a strong advocate both in policy reform and nursing organizations to fill the gap until a more radical solution could be proposed.  This can positively impact the nursing practice as it increases nurse education dollars and could improve staff to patient radios for improved patient outcomes.  A radical change to address the nursing education pipeline would be providing free four-year education at a public university.  This would take significant funding from taxpayers and bipartisan support.  This radical solution would require nursing leaders to be highly involved in nursing legislature to ensure the solution was implemented.  The cost of this radical option could be exorbitant and would require significant dedication, consensus, and support to obtain.  The impact to the nursing profession as a result of this solution is unknown but one can posit that it would increase the number of healthcare professionals entering the field, improve staffing ratios and ultimately positively impact patient and organizational outcomes.           





Congress. (n.d.). H.R. 728 Title VIII Nursing Workforce Reauthorization Act of 2019.     

Fawcette, J., & Russell, G. (2001). A conceptual model of nursing and health policy. Policy,        Politics, & Nursing, 2(2), 108-116. 

Institute of Medicine (2010). The future of nursing: Leading change, advancing health.