Policy Goals and Objectives Essay

A policy is defined as a definite course or method of action selected from among alternatives and in light of given conditions to guide and determine present and future decisions (Miriam Webster, para. 1). Policies are used in acute settings as operational tools that give support and direction to staff, patients and the public (Collins & Patel, 2009, p.42). In nursing practice, it is important to understand these different policies as they influence our nursing practice every day. Ballarat Health Services (2011) developed a policy to provide a guideline on storage, transport and checking procedures for expressed breast milk in the scope of maternity and pediatric units (p.1). In the following paper a critique of the policy

Credentialing from advanced practice registered nurses (APRNs) perspective is defined as “furnishing the documentation necessary to be authorized by a regulatory body or institution to engage in certain activities and use a certain title” (Hanson, 2014). Credentialing is also define from a local institutional process that consider specific documentations for APRN before they assume the practice role as APRN within their facility. In health care system, credentialing ensures individuals meet required standards of practice and is prepared to perform those duties implied by the credentials. National certification and education are considered as part of credentialing for APRN to acquire basic level of competence to practice. (Hanson, 2014)

The APRN consensus model is a standardize model of regulations approved by 45 national nursing organization so that APRN’s can assume leadership and ownership roles. Harmonizing to McClelland, (2014)., of the four APRN roles the NP is considered the most modern due to changes in education and the new healthcare environments.

The APRN Consensus Model was released in July of 2008 to define advanced practice registered nurse, identify the titles to be used by APRNs, and define specialty area of practice. The Consensus Model also describes population foci, suggests a process for recognition of new APRN roles, and recommends requirements for implementation (American Nurses Association [ANA], 2010). The APRN regulatory model helps uniform scope of practice of APRN across the United States, which benefit individual APRN, enhance patient outcomes, and improve the quality of care. Consensus Model consists of Licensure, Accreditation, Certification, and Education. The Education criteria in LACE Consensus Model relate to all APRN programs regardless of master’s or doctoral

This paper explores the perception of clinical practitioners to the change in policy related to the advanced practice registered nurse (APRN) full practice authority. The author conducts a one-on-one, open-ended interview of 5 nurse practitioners and 5 physicians licensed to practice in Maryland on their perceptions of the recent passage of the Advanced Practice Registered Nurse Full Practice Authority. A literature review was conducted in a policy report by the professional nursing organization, and discussion within the peer-reviewed article supported an overview, regulatory differences among 50 states, including the District of Columbia. Their policy implication for enhancing APRNs role nationally. The author discusses a critical component

These organizations developed the Consensus Model document in 2008 to unify practice, identify APRN clinical roles, identify the acceptable titles to for NPs, and define the requirements for general practice and licensure. Note to mention that laws and regulations statute on the APN scope of practice may vary by states, whereas some adhere to full scope of practice, other to reduced practice, or restricted practice. For instance, the state of Florida defines advanced registered nurse practitioner as a licensed person with ability to practice professional nursing and certified to in advanced or specialized nursing practice (Buppert, 2011). The four advanced clinical specialized roles include certified registered nurse anesthetists, certified nurse midwives, clinical nurse specialist, and nurse practitioners (Buppert, 2011). In terms of licensure, 46 states out of 50 require nurse practitioners to pass a certification exam. The Florida Board of Nursing requires certification by an appropriate specialty board and graduation from a program leading to a master’s degree (Buppert,

Nursing is a crucial field, which affects the lives of people. The public does not have enough information pertaining those who practice nursing this led to the introduction of nursing licensure to protect the public from unqualified persons. This license sets qualifications and competence of nursing professionals. Compared to state nursing licensure, national nursing licensure advocates for a more effective practice for nurses. It reduces or lessens nursing shortage by promoting mobility of the nursing professionals. National nursing licensure has a number of advantages over individual state nursing licensure. These include enhanced patient access to quality nursing care, improved discipline and information distribution amongst the states, physical and electronic provision of care by competent nurses, and ease of employers to more movable and proficient nurses (Fraziea, 2012).

Three issues or trends I see that are important with regard to credentialing are reimbursement, malpractice and education. Within each issue are opportunities for the advance practice nurse (APN) to grow in knowledge and participate in change. It is important to understand why each one effects credentialing for the APN.

The report shows that the part of nursing must be expanded so that nurses are able to practice to the fullest degree of their education and training. Currently, advanced practice nurses (APRNs) work according to the scope of practice guidelines set forth by their individual state, meaning these highly educated nurses may not be working to the extent of their training but to the individual state laws. The report offers recommendations to streamline these idiosyncrasies and get rid of the red tape so that nurses can work in their appropriate manner and deliver safe quality care to some 32 million Americans who will before long gain access to health care services (American Association of Colleges of Nursing [AACN], 2012). The report correspondingly finds that nurses need to attain advanced levels of education and training through an enhanced education structure which encourages a cohesive academic progression as to safeguard the delivery of quality health care services. Patients are becoming progressively more complex and nurses need to attain the proper skills to care for these persons. Nursing education must embrace the continuous move towards a streamline approach to higher degree programs (Institute of Medicine [IOM], 2010, p. 2). Nurse residency programs

As resistant as some states’ legislative and regulatory bodies are to grant APNs autonomy of practice, the damage being done by over-regulation is clear (Safriet, 1992). Physicians are forced into a position to either supervise the APN’s practice or be constantly consulted for approval of their practice decisions. Safriet (1992) described that in and of itself, this constant supervision may appear to patients that the APN is not competent to provide adequate or care equivalent to that of a physician. If the role of the APN is to bridge gaps in health care by relieving the medical establishment of some of the patient load by performing the same function as a physician in a primary care setting, it seems wholly unnecessary to restrain their scope of practice in those areas. This type of restrictions affect cost and patient care accessibility (Safriet, 1992). This was a problem stated in the article, however 25 years later, populations of patients remain unseen or cared for and APNs continue to be underutilized (Safriet, 1992). Rigolosi and Salmond (2014) cite the American Association of Nurse Practitioners (AANP) when they state that not utilizing nurse practitioners due to practice restrictions costs $9 billion annually in the US (p. 649).

APRNs are structured by the Consensus Model for APRN Regulation. The model was created by the APRN Consensus Work Group and the National Council of State Boards of Nursing (NCSBN) APRN Advisory Committee. This was developed to provide consistency so that the standards and scope of practice of APRNs will be the same (APRN, 2008).

Congress has responded to the public outcry for action in the face of unacceptable suicide rates and has passed multiple pieces of legislation aimed at correcting the problem. The 2007 Joshua Omvig Bill directed the VA to develop “data systems to increase understanding of suicide among Veterans and inform both the VA and other suicide prevention programs” (Veterans Affairs, 2012, p. 7). In 2015, President Obama signed the Clay Hunt Suicide Prevention for American Veterans Act into Law, requiring the VA to “make it easier for veterans to find mental health resources, do more to recruit and retain professionals” and to increase “accountability for the government programs serving them” (Baker, 2015, para. 2). This recent legislation tends to be

DC’s Mayor Muriel Bowser is calling upon us as a policy analysis team to evaluate the Homeward DC plan. This plan is a living document that is to be continually updated with informed and comprehensive analytical feedback to bridge the gaps within the strategic plan. Through the provision of our annual policy analysis Muriel Bowser is confident that resolving homelessness in the nation’s capital within the next four years is an achievable end.

The role of the Advanced Practice Nurse (APN) is expanding internationally throughout the healthcare system. Since the initiation of the Patient Protection and Affordable Care Act in 2010, there has been an increased need for APNs due to the growing demand for primary care services and increased population that have gained healthcare coverage (Lanthrop & Hodnicki, 2014). The purpose of this paper is to explore the role of APN and develop a professional development plan for my future career.

I am a translator who graduated from Capital TongWen Hall （京师同文馆）and who wrote this policy report to Qing Government in the year of 1905, when Yuan Shi Kai (袁世凯) and Zhang Zhi Dong (张之洞) reported to the government to eliminate the Civil Examination. The reason I am writing this policy report is because I see it is necessary to still keep the exam system, but we surely need to change the exam system if we do not eliminate it. The old goal of the Civil Examination is to pick elites from population to work as government official and have a powerful impact on China’s social mobility, and the new goal of it will be accommodating science without eliminating the Civil Service Examination. However, I am writing to advise and report to try our best to keep both goals in the exam system. I will talk about the details of why we should not eliminate the exam system, why we need to change the system and what we are going to change in the system and how we are going to implement these changes into the system and try to minimize the contradiction between the old literature elites and new scientific elites.