Policy Priority issue

Policy Priority issue

The purpose of this assignment is to: a) identify and reflect upon key concepts related to your planning a policymaker call b) provide empirical evidence to support new insights gained regarding your policy issue and the policymaking process, and c) present ideas in a clear, succinct, and scholarly manner

Policy

Shortage of the health care practitioners has been a problem affecting the provision of effective health care. The shortage of the health care providers has led to patients not receiving effective services which are expected and the few health care providers who are available end up working overtime. There is need to adopt policies which will help in eliminating the problem. If doctorates practice as nurse practitioners, the problem would be eliminated. However, it will not be easy to keep up with the new demands and incrementalism would work best for such an approach to be a success (Gunn, 2013).                                               

The professionals in the health care sector have come up with many policies to combat the problem of shortage among health care practitioners but still it has remained a major issue affecting the sector (Johns & Freshwater, 2009). One of the policies was the employment of more nurses to reduce their work load. Another policy was to increase the medical training institutes where more health care practitioners would be trained and to increase their payments since a majority of them complain about poor payments. This discourages the young adults who may be interested in joining the medical training institutes and the school of medicine (Johns & Freshwater, 2009).                              The American association of colleges of nursing has supported the issue of doctorates being nurse practitioners. According to this association, the practice doctorate in nursing will reflect the highest level of educational preparation for the nursing practitioners.                             .                 

The doctorates will be equipped with more knowledge on the provision of health care services. They will be able to implement the science which is developing day by day in the field of health care provision. There are many changing demands for the complex health care environment where the highest level of scientific knowledge and practice expertise is required in order to ensure that there is quality patient outcome.  Some of the ways in which the doctorates will be of benefit if they become health care practitioners are that they will be in a position to address the quick expansion of knowledge underlying practice. They will also be able to attend to the increased complexity of the patients care, quality of care which the patients need, patient safety, and the increased shortage of the nursing personnel. In addition, the doctorates will be able to solve the problem of shortage of the doctorally prepared nursing faculty.                                                                                              

          The society needs qualified nursing professionals who have the quality of leadership in interdisciplinary collaboration to figure the health care system and improve the outcomes of the nursing care. There has been an explosion of scientific knowledge which stresses on the need for strong preparation of the nursing professionals so that they are able to translate research into practice. They will provide a high level of care as well.                                                       

The doctorate will be of much benefit in the health care provision. They will combat the problem of shortage of health care practitioners as well as improve the quality of services provided to the patients (Kabene, 2011).  These doctorates will also have acquired knowledge in other disciplines where they will have the chance to fully participate in decision making with the other professional colleagues. Educational parity enriches the influence of nursing professionals in policy and the formulation of the practice guideline (Kabene, 2011). The development of innovative models of health care delivery is also enhanced. The future directions in the nursing practices and the health care delivery are prepared too.

 In the process of performing as health care practitioners, the doctorates will be interacting with the other nursing practitioners and, therefore, the more they work together, the more the nursing practitioners with lower levels of education will get more knowledge on quality health care provision. With their clinical expertise, they will prepare the lower heath care providers for professional leadership. The doctorates will implement the evidence – based practices with the aim of optimizing the health care outcomes and reducing disparities. They will also practice strategic management to expand the value of the nursing interventions and health system outcomes (Robinson, Walid & Barth, 2012).  With the advanced knowledge, they will be in a position to develop the Trans disciplinary ventures in order to create innovative health care delivery models. Integrating technology skills in nursing practice to improve quality and accessibility of care will be a success in the nursing practice.                                                                                                                                                        There is need to use the incrementalism approach to accomplish the policy of the doctorates practicing as nurse practitioners. This is a policy which is supposed to be informed to all people but not only the doctorates. Those who are in universities taking degrees and PhDs should know their next destination after they are through with their particular courses. The ministry of health and the ministry of finance should take their roles in implementing the policy. The doctorates who engage in the nursing practices are supposed to get payment which is equivalent what they were receiving while in their previous professionals.                                                                                                     There are many problems which are associated with the doctorates becoming nurse practitioners (Short & McDonald, 2012).  There is a likelyhood that the doctorate nurse practitioners will diminish the need and support of the PhD programs.This is because these people go for the PhD programs with the desire of being doctorates but not health care practitioners. If they shift to being health care providers, the other people who are aiming at being doctorates may lose interest and chose to take other careers.                                                                                                                                           The other problem which may come along with the policy is confusion among the patients. The patients will not be in a position to differentiate between the doctor of nursing practice and the common nurses.  There will be two groups of people who will be physicians. Another problem with the policy is that not all the doctorates will be willing to surrender their hard work to being just nurse practitioners (Johns & Freshwater, 2009). Studying doctorates consumes a vast amount of time and effort. It will be a big humiliation to the doctorates if they are to shift to being health care practitioners.                                                                 

In conclusion, the policy of doctorates becoming nurse practitioners can be an effective policy. The advanced nursing practices will be implemented leading to provision of more quality services to the patients. They will carry also out research in the health care sector. However, there is need to use incrementalism for the policy to be effective. It is not easy to just adopt such a policy at once. Addressing the problems associated with the policy before adopting will lead to the policy being a success.

References

Gunn, J. (2013). Minnesota’s rural health workforce shortages. Minnesota Medicine, 96(12), 41-45.

Johns, C., & Freshwater, D. (Eds.). (2009). Transforming nursing through reflective practice. John Wiley & Sons.

Kabene, S. M. (2011). Human resources in healthcare, health informatics and healthcare systems. Hershey, PA: Medical Information Science Reference.

Robinson, J. S., Walid, M. S., & Barth, A. C. M. (2012). Toward healthcare resource stewardship. New York: Nova Science Publishers.

Short, S. D., & McDonald, F. (2012). Health workforce governance: Improved access, good regulatory practice, safer patients. Farnham Surrey, England: Ashgate Pub.

TOPIC: Policy Priority issue

After completing Formulating a Health Care Policy Ungraded Worksheet #1, address all areas on the worksheet in the body of a scholarly paper. Include a minimum of five (5) classic or current references published within the past 5 years.

Policy

Shortage of the health care practitioners has been a problem affecting the provision of effective health care. The shortage of the health care providers has led to patients not receiving effective services which are expected. Moreover, the few health care providers who are available end up working overtime. There is need to adopt policies which will help in eliminating the problem. If doctorates practice as nurse practitioners, the problem would be eliminated. However, it will not be easy to keep up with the new demands.  Incrementalism would work best for such an approach to be a success (Gunn, 2013).                      

Public-health policy issue and its significance

            Amid concerns regarding the shortage of primary care providers, particularly in the light of 2014’s health reform coverage expansions, many hold the believe that revision of state laws that govern the scope of practice of nurse practitioners would be a strategic way of increasing primary care capacity. In Michigan, Massachusetts, Maryland, Indiana, Arkansas, and Arizona, the laws are not specific on the services that NPs can offer to patients. So as to promote effective practices of doctorates as NPs, policy makers should evaluate regulatory changes that offer NPs more opportunities and scope of practice (Short & McDonald, 2012).

Specific problem, background, new law or campaign

The society needs qualified nursing professionals who have the quality of leadership in interdisciplinary collaboration to figure the health care system and improve the outcomes of the nursing care. There has been an explosion of scientific knowledge which stresses on the need for strong preparation of the nursing professionals so that they are able to translate research into practice. They will provide a high level of care as well. There should be a new law recognizing NPs as primary care providers.

Review of thoughts

Context

There is a need for policy makers to evaluate a number of ways for expanding the opportunities for NPS in delivering primary care services, considering the documented shortage that is also projected to worsen. A reevaluation of state legislative reforms will also be very strategic in sourcing NPs from doctorates (Short & McDonald, 2012).
Goals/options

There is need to use the incrementalism approach to accomplish the policy of the doctorates practicing as nurse practitioners. This is a policy which is supposed to be informed to all people but not only the doctorates. Those who are in universities taking degrees and PhDs should know their next destination after they are through with their particular courses. The ministry of health and the ministry of finance should take their roles in implementing the policy. The doctorates who engage in the nursing practices are supposed to get payment which is equivalent what they were receiving while in their previous professionals.        
Evaluation of options

There is likelihood that the doctorate nurse practitioners will diminish the need and support of the PhD programs. These people go for the PhD programs with the desire of being doctorates but not health care practitioners. If they shift to being health care providers, the other people who are aiming at being doctorates may lose interest and chose to take other careers. Confusion is expected among the patients. The patients will not be in a position to differentiate between the doctor of nursing practice and the common nurses.  There will be two groups of people who will be physicians. Again, not all the doctorates will be willing to surrender their hard work to being just nurse practitioners (Johns & Freshwater, 2009). Studying doctorates consumes a vast amount of time and effort. It will be a big humiliation to the doctorates if they are to shift to being health care practitioners.
Recommended solutions

Apart from allowing doctorates to practice as NPs, public payer reforms may also be effective in solving the shortage of primary care workforce for individuals covered by Medicaid, Medicare, as well as other public programs. If the Medicaid managed care plans’ state regulation that covers a majority of the Medicaid enrollees will be a more politically feasible and immediate way of expanding efficient use of NPs in primary care.

Sources of the current issue’s status

            The National Institute for Health Care Reform keeps people informed and updated about the issue.

Government levels

            The state government would be involved more and it would be the most immediate target. This is founded on the fact that state laws differ greatly in the physician oversight level needed for nurse practitioners. Some states permit their nurse practitioners (NPs) to practice independently. On the same note, others limit the authority of NPs to prescribe medications, treat, and diagnose patients without supervision.

Significance to nursing

The doctorates will be equipped with more knowledge on the provision of health care services. They will be able to implement the science which is developing day by day in the field of health care provision. There are many changing demands for the complex health care environment where the highest level of scientific knowledge and practice expertise is required in order to ensure that there is quality patient outcome (Robinson, Walid & Barth, 2012).   Some of the ways in which the doctorates will be of benefit if they become health care practitioners is that they will be in a position to address the quick expansion of knowledge underlying practice. They will also be able to attend to the increased complexity of the patients care, quality of care which the patients need, patient safety, and the increased shortage of the nursing personnel. In addition, the doctorates will be able to solve the problem of shortage of the doctorally prepared nursing faculty.           

The doctorate will be of much benefit in the health care provision. They will combat the problem of shortage of health care practitioners as well as improve the quality of services provided to the patients (Kabene, 2011).  These doctorates will also have acquired knowledge in other disciplines where they will have the chance to fully participate in decision making with the other professional colleagues.

In the process of performing as health care practitioners, the doctorates will be interacting with the other nursing practitioners. Therefore, the more they work together, the more the nursing practitioners with lower levels of education will get more knowledge on quality health care provision. With their clinical expertise, they will prepare the lower-level heath care providers for professional leadership. The doctorates will implement the evidence -based practices with the aim of optimizing the health care outcomes and reducing disparities. They will also practice strategic management to expand the value of the nursing interventions and health system outcomes (Robinson, Walid & Barth, 2012).  With the advanced knowledge, they will be in a position to develop the transdisciplinary ventures in order to create innovative health care delivery models. Integrating technology skills in nursing practice to improve quality and accessibility of care will be a success in the nursing practice (Short & McDonald, 2012).

Conclusion

In conclusion, the policy of doctorates becoming nurse practitioners can be an effective policy. The advanced nursing practices will be implemented leading to provision of more quality services to the patients. They will carry also out research in the health care sector. However, there is need to use incrementalism for the policy to be effective. It is not easy to just adopt such a policy at once. Other relevant options will be evaluated so as to ensure that the best alternative is chosen.

References

Gunn, J. (2013). Minnesota’s rural health workforce shortages. Minnesota Medicine, 96(12), 41-45.

Johns, C., & Freshwater, D. (Eds.). (2009). Transforming nursing through reflective practice. John Wiley & Sons.

Kabene, S. M. (2011). Human resources in healthcare, health informatics and healthcare systems. Hershey, PA: Medical Information Science Reference.

Robinson, J. S., Walid, M. S., & Barth, A. C. M. (2012). Toward healthcare resource stewardship. New York: Nova Science Publishers.

Short, S. D., & McDonald, F. (2012). Health workforce governance: Improved access, good regulatory practice, safer patients. Farnham Surrey, England: Ashgate Pub.

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