The Well-Being of Care Providers and Quality Patient Care Health Policy Successful leaders must strive to foster a community of practice that focuses on the well-being of nurses, physicians, and other health care providers across the organization. Illuminating the negative impact of this issue on the quality of patient care and the health care workforce requires a laser-like focus on developing, enacting, and implementing the policy of meeting the urgent need of well-being of health care professionals. Rasool et al. (2021) underscore that supporting employee well-being influences work and organization engagement behaviors. Common health issues that demonstrate the need for well-being include apprehension, illness, depression, and fatigue (Rasool et al., 2021). In order to achieve their goals, high-performing organizations must prioritize employees’ well-being to promote performance input, diminish waste, and reduce poor health insurance costs (Rasool et al., 2021). Finally, elevating the workforce’s well-being demands a healthy work environment that ensures health and safety outcomes for nurses, physicians, and other hea
NURS 8100 Discussion Selecting a Policy Analysis Framework lth professionals (Geiger-Brown and Lipscomb, 2010).
Policy Framework and Rationale The need for prioritizing the well-being of care professionals has become a critical issue in advancing the health care delivery system. Protecting nurses, physicians, and other care providers’ overall well-being and safety influences patient outcomes and meets the organizational goals. Therefore, it is essential to foster a positive work environment that elevates the overall well-being of the health care workforce through holistic institutional initiatives.
The Centers for Disease Control Prevention’s (CDCs) Policy Analytical Framework outlines the step-by-step guidelines in prioritizing health improvement policies that include: 1). Identifying the problem or issue; 2). identifying an appropriate policy situation; 3). identifying and describing policy options by assessing and prioritizing policy options; and, 4) developing a strategy for furthering the adoption of a policy solution (CDC, 2013). This framework provides a structured method that begins with problem identification to adopt a suitable policy development. The policy framework forms the capstone that guides policy development. It exemplifies the organizational mission and examines the potential impact of the health policy on the public and health care. (CDC, 2013). In addition, it articulates the political and operational feasibility of the health policy (CDC, 2013). Furthermore, this model in policy development considers the financial and economic implications by examining whether there is value-added to the organization. (CDC, 2013).
Stages in the Policy Process and Analysis Framework Guidance A critical phase in the process is determining the deterrents to policy development that impacts the budget (CDC, 2013). The process of policy development takes time and resources. Therefore, organizational leaders must be adept at scrutinizing the cost-benefits of the health policy. Operationalizing a health policy requires effective strategies to educate stakeholders and disseminate salient information about the health policy (CDC, 2013). For example, nurse leaders and policymakers must promote buy-in among care providers by considering their learning needs. Furthermore, research and evidence-based practice must support the health development policy.
References
Centers for Disease Control and Prevention (2013). CDC’s Policy Analytical Framework. US Department of Health and Human Services.
htttp://www.cdc.gov.policy
Forstag, E. H., & Cuff, P. A. (2018, October 11). A design thinking, systems approach to well- being within education and practice: Proceedings of a workshop . National Center for
Biotechnology Information. https://pubmed.ncbi.nlm.nih.gov/31063291/
Geiger-Brown, J., & Lipscomb, J. (2010). The health care work environment and adverse health and safety consequences for nurses. Annual Review of Nursing Research. 28, 191-231.
Rasool, S. F., Wang, M., Tang, M., Saeed, A., & Iqbal, J. (2021, February 22). How Toxic Workplace Environment Effects the Employee Engagement: The Mediating Role of
Organizational Support and Employee Wellbeing . International Journal of Environmental
Research and Public Health.
https://pubmed.ncbi.nlm.nih.gov/33652564/
Sample Answer 2 for NURS 8100 Discussion: Selecting a Policy Analysis Framework The selected policy is the implementation of state agency worksite wellness programs, as directed by Texas Government Code, Section 664.053. The health of state employees affects the state’s healthcare expenditures and the productivity of state agencies. For example, obese individuals cost employers an average of $5,555 per year in covered medical, sick days, short-term disability, and workers’ compensation claims combined, whereas the average cost for an employee of recommended weight is $3,839 per year (Texas Department of State Health Services, 2020). Texas Government Code, Section 664.053 requires the Texas Department of State Health Services (DSHS) to designate a statewide wellness coordinator to create and promote a model wellness program for state agencies. The statute also directs DSHS to study the implementation and participation rates of state agency worksite wellness programs and report the findings to the Legislature biennially. In 2020, DSHS conducted two surveys, one asking agency wellness liaisons from across Texas state agencies about wellness programs at their respective worksites, and a second asking state employees about their use of wellness-related resources. Of the wellness liaisons surveyed, 65 out of 188 responded to the survey (a 35 percent response rate). Of the responding wellness liaisons, 99 percent reported that their agency has a wellness policy and 55 percent reported a wellness plan that involved implementing activities. However, 46 percent of liaisons reported their agency did not have a wellness budget. Most wellness activities implemented among state agencies required minimal resources so as to work within limited funds, time, agency size, and space. A total of 5,840 state employees out of 145,645 responded to the survey (a 4 percent response rate). A majority of respondents found wellness services and benefits useful but are not aware of the breadth of opportunities available. This indicates more work is needed to raise awareness of these benefits. DSHS leadership and the Statewide Wellness Coordinator will continue to provide technical assistance to wellness liaisons as they implement wellness programs at their agencies. They will also carry out statewide initiatives that align with the objectives of the model wellness program, Work Well Texas (Texas Department of State Health Services, 2020).
The framework is John Kingdon’s multiple streams theory. John Kingdon’s Agendas, Alternatives, and Public Policies advance theoretically by proposing a differentiation between the concepts of governmental agendas and decision agendas. The agenda is the list of subjects or problems to which governmental officials, and people outside of government closely associated with those officials, are paying some serious attention at any given time. For the author, an issue is placed on the governmental agenda when it catches the attention and the interest of policymakers. Kingdon expands the set of actors related to agenda-setting, considering not only decision-makers within the state but also individuals and groups related to them. In addition, given the complexity and the volume of questions facing policymakers, Kingdon reminds us that only a few issues are seriously considered within the governmental agenda at any given time. These issues correspond to the decision agenda: a subset of the governmental agenda where issues are ready for an active decision (Capella, 2020). In the highly competitive agenda-setting process, few issues move from the government agenda to the decision agenda. In his words, we should also distinguish the governmental agenda, the list of subjects that are getting attention, and the decision agenda, or the list of subjects within the governmental agenda that are up for an active decision. Kingdon explains how agendas change from time to time, proposing an explanatory model organized around three streams, the problems stream, the policy stream, and the political stream. The multiple streams model proposed by the author seeks to analyze the pre-decisional stages of the policy process by explaining policy formulation through three streams connected by a public policy entrepreneur who plays an important role when windows of opportunity make changes possible (Capella, 2020).
The policy is in the implementation stage. DSHS will focus on implementing statewide initiatives that align with the objectives of the model wellness program and will continue to support wellness liaisons as they implement related activities in their agencies. Additionally, DSHS plans to initiate demonstration projects at state agencies that currently do not participate in wellness programming. Such projects may include promoting lactation support policies, partnering with cafeteria/vending operators to increase healthy food options in state buildings, and maintaining annual initiatives such as the fitness challenge and wellness conference. Evidence-based, ready-to-implement activities will decrease the time and effort other agencies need to spend developing their own activities. State agencies would only need to make minor logistical changes to integrate activities into their system. Finally, through ongoing collaboration with the Employees Retirement System of Texas (ERS), DSHS will continue to address state-level issues related to improving employee health, raising awareness of available benefits, building wellness infrastructure across all agencies, and providing resources and technical assistance.
References
Capella, A. C. N. (2020). Policy agenda-setting studies: an overview of Brazilian research. Revista de Administração Pública , 54 , 1498-1512.
Texas Department of State Health Services (2020). Implementation and Participation in State Agency Worksite Wellness
Sample Answer 3 for NURS 8100 Discussion: Selecting a Policy Analysis Framework The policy I have selected for this week’s discussion is the policy surrounding Genetic Data Privacy. In Colorado, this is one of the top 10 policies that will be focused on by legislators even though the top priority for the state remains economic recovery after the Covid-19 pandemic. This policy looks at the rights and obligations from two different perspectives; business obligations and consumer rights. Regulations need to be adhered to by businesses to prevent security breaches of the data they collect. Consumers have the right to access the data that has been collected and request it be deleted (Fording, 2021). The right to have an individual’s personal genetic data protected is not only important in the health care sector but is also emerging as a new issue in the public arena because of corporations like 23andMe and Ancestory.com. Like the bill that passed in California (senate bill 980) which required policies be developed to ensure private genetic information be kept from insurance companies which in turn would prevent denials of insurance, Colorado similarly is looking to ensure that genetic information is kept private.
The framework that applies to this particular issue is outlined in Fawcett and Russell’s (2001), Conceptual Model of Nursing and Health Policy. The model is divided into five levels of focus and outcomes. In this case, I believe that level five is the level that deals with the privacy of genetic information. The fifth level examines health from a global perspective, taking into consideration “social justice, the meaning of health, and a fair distribution of nursing and health resources” (p. 112). As mentioned earlier the need to keep genetic results private so insurance companies cannot use that information to deny coverage is a fair distribution issue. The other stages of this conceptual model could guide healthcare institutions, specifically at the department level, by using levels two and level three. In these levels, the development of policy that guides healthcare practice and the study of its effectiveness is the primary focus. Frameworks like this simplify the concept of policy development for those individuals who do not have a high degree of comfort with this type of work. Nurses are not usually found on the legislative floor discussing policy development so frameworks like this can assist in becoming part of policy development and revision a much more enticing proposition.
References:
Fawcett, J., & Russell, G. (2001). A conceptual model of Nursing and health policy. Policy, Politics, & Nursing Practice , 2 (2), 108–116. https://doi.org/10.1177/152715440100200205
Fording, A. (2021, February 25). Consumer Data Privacy Laws:2021 State Trends. Fiscal Note Blog .
https://fiscalnote.com/blog/2021-state-trends-the-rise-of-consumer-data-protection
Sample Answer 4 for NURS 8100 Discussion: Selecting a Policy Analysis Framework This is insightful. The policy surrounding Genetic Data Privacy is still being developed, but there are a few key issues to consider. First, who owns the data? Second, how will the data be used? And third, what are the implications of sharing genetic information? There is no easy answer to any of these questions, but it is important to have a discussion about them (Bennett & Raab, 2017). As more and more companies are collecting and storing genetic information, we need to make sure that our privacy is protected. Otherwise, we could end up in a world where our DNA is used against us – for example, in insurance or employment decisions. Apart from Fawcett and Russell’s (2001), Conceptual Model of Nursing and Health Policy, A conceptual model of nursing developed by Jacqueline Fawcett and Gail Russell in 2001 can also be applied. This framework can alter the approaches in the analysis of the policy through the provision of more comprehensive approaches (Fawcett & Russell, 2019). Some key elements that should be considered in developing this policy framework include: – Establishing clear rules and regulations regarding who has access to genetic data and under what circumstances (e.g. only with consent from the individual concerned) (Fontaine, 2018). – Ensuring that individuals have the right to know how their genetic data is being used and/or shared, and that they are able to give or withhold consent for its use as they see fit.
References Bennett, C. J., & Raab, C. D. (2017). The governance of privacy: Policy instruments in global perspective . Routledge.
Fawcett, J., & Russell, G. (2019). A conceptual model of Nursing and health policy. Policy, Politics, & Nursing Practice , 2 (2), 108–116. https://doi.org/10.1177/152715440100200205
Fontaine, T. M. (2018). A Policy Analysis of the Provisions of the Patient Protection and Affordable Care Act Related to Access to Primary Care for Older Adults. https://doi.org/10.28971/532015FT149
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Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.
I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!
Hi Class,
Please read through the following information on writing a Discussion question response and participation posts.
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Important information on Writing a Discussion Question
Your response needs to be a minimum of 150 words (not including your list of references)
There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
Include in-text citations in your response
Do not include quotes—instead summarize and paraphrase the information
Follow APA-7th edition
Points will be deducted if the above is not followed
Participation –replies to your classmates or instructor
A minimum of 6 responses per week, on at least 3 days of the week.
Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
Each response needs to be at least 75 words in length (does not include your list of references)
Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
Follow APA 7th edition
Points will be deducted if the above is not followed
Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
Here are some helpful links
Student paper example Citing Sources The Writing Center is a great resource
