NRS-440 Advocacy Through Legislation JUDY Essay
NRS-440 Advocacy Through Legislation JUDY Essay
Advocacy through Legislation
Identify a problem or concern in your state, community, or organization that has the capacity to be advocated through legislation. Research the issue and complete the sections below. For each topic that requires the listing of criteria, a minimum of two criteria should be identified and discussed. Add more rows as is appropriate for the topic/proposal.
Problem  Struggling to meet your deadline ?Get assistance on NRS-440 Advocacy Through Legislation JUDY Essay done on time by medical experts. Don’t wait – ORDER NOW! In no more than 250 words, describe the problem, who is affected, and the current ramifications. Explain the consequences if the issue continues. |
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ORDER A PLAGIARISM-FREE PAPER HERE ON;NRS-440 Advocacy Through Legislation JUDY EssayOne nursing problem in my state of Texas that has the capacity for advocacy through legislation is the issue of nurse burnout. Nurse burnout is a state of physical, emotional, and mental exhaustion caused by prolonged stress in the workplace (Crabtree‐Nelson et al., 2022). This issue is affecting nurses across the state, from hospital and clinic settings to long-term care facilities and home health agencies. The current ramifications of nurse burnout in Texas include high turnover rates, decreased job satisfaction, increased absenteeism, and a decrease in the quality of patient care. As nurses become increasingly stressed and burnt out, they are more likely to make mistakes, which can lead to adverse patient outcomes. The consequences if the issue of nurse burnout continues in Texas would be that it would continue to negatively impact the healthcare system, and the quality of care provided to patients (Adams et al., 2019). It would also lead to an increase in healthcare costs, as well as a shortage of nurses in the state, which would make it difficult to provide adequate care to all patients. Furthermore, it would also lead to a higher risk of adverse patient outcomes, which would have a negative impact on the health and well-being of the citizens of Texas. Therefore, it is crucial for advocacy through legislation to occur in order to address this issue. This could include measures such as providing more funding for mental health services for nurses, implementing policies to reduce nurse workloads, and promoting workplace culture that prioritizes the well-being of nurses. |
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| Idea for Addressing Solution
In no more than 250 words, outline your idea for addressing the issue and explain why legislation is the best course for advocacy. |
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| My idea for addressing nurse burnout in Texas would involve several key components including:
· Increasing staffing levels in healthcare facilities: Adequate staffing is one of the most important factors in reducing nurse burnout, as it allows nurses to have more manageable workloads and less stress. · Providing support and resources for mental health and wellness: This could include things like counseling services, employee assistance programs, and stress management programs. · Improving working conditions: This could include things like providing more comfortable break rooms and workstations, as well as implementing policies that promote work-life balance. · Establishing fair and reasonable compensation: This could include things like increasing salaries, providing additional benefits and bonuses, and ensuring that nurses are fairly compensated for overtime and other additional duties. · Promoting legislation that addresses the above points: This would involve working with state legislators to pass laws and regulations that mandate healthcare facilities to provide adequate staffing, support and resources, and fair compensation, and to improve working conditions. Legislation is the best course for advocacy in the state of Texas because it would establish legally binding mandates for healthcare facilities, ensuring that they take the necessary steps to address nurse burnout. Additionally, legislation would provide a framework for holding healthcare facilities accountable for not complying with these mandates, which would help to ensure that nurses are protected and that the healthcare system is functioning as it should be. |
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| Research the Issue
Perform research and compile information for your idea. Present substantive evidence-based findings that support your idea for addressing the problem (studies, research, and reports). Include any similar legislation introduced or passed in other states. |
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| Evidence 1 |
There is a significant amount of research that supports the idea of addressing nurse burnout in the state of Texas. One study, conducted by the University of Texas Health Science Center at Houston, found that nurses in Texas reported high levels of job dissatisfaction and burnout, with nearly half of the nurses surveyed reporting symptoms of burnout.
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| Evidence 2 | Another study, conducted by the Texas Nurses Association, found that nurses in Texas are at an increased risk for burnout due to factors such as long work hours, high patient acuity, and inadequate staffing levels (Yeatts et al., 2018).
A report by the National Academy of Medicine also highlighted the issue of nurse burnout and its impact on patient care and recommended that states take steps to address this issue, including implementing workplace interventions and promoting a culture of well-being. |
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| Evidence 3
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In terms of legislation, several states have introduced or passed bills aimed at addressing nurse burnout. For example, California has passed legislation that requires hospitals to develop and implement fatigue management plans, and New York has introduced a bill that would establish a task force to study and address nurse burnout.
In Texas, Senate bill 709 was filed during the 86th legislative session, which would require the Texas Board of Nursing to develop and implement a continuing education course on the topic of burnout and compassion fatigue for registered nurses, licensed vocational nurses, and advanced practice registered nurses. |
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| Stakeholder Support
Discuss the stakeholders who would support the proposed idea and explain why they would be in support. |
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Stakeholder(s) Supporting 1 |
Nurse advocates/unions who always fights for the rights of nurses
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Stakeholder(s) Supporting 2 |
Humanitarian organizations in support for worker’s rights |
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Stakeholder(s) Supporting 3 |
Governmental institutions | |||||||||
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Reasons for Supporting the Proposed Ideas |
Nurse unions, humanitarian organizations, and governmental institutions all have an interest in reducing nurse burnout because it can have a negative impact on the well-being and job performance of nurses. Nurse burnout can lead to increased turnover and a shortage of qualified nurses, which can negatively affect patient care and raise healthcare costs. Additionally, burnout can also lead to physical and mental health problems for nurses themselves. By supporting strategies for reducing nurse burnout, these groups aim to improve the overall quality and safety of healthcare for patients and the well-being of nurses. | |||||||||
| Stakeholder Opposition
Discuss the stakeholders who would oppose the proposed idea. Explain why they would be in opposition and how you would prepare to debate or converse about these considerations. |
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| Stakeholder(s) Opposed 1 | Hospital Administrators: Hospital administrators may oppose the idea of protecting nurses from burnout because they may see it as an added cost to the organization. Implementing measures to prevent burnout, such as providing additional resources or hiring more staff, can be costly for the hospital (Bamonti et al., 2019). Administrators may also be concerned that these measures could negatively impact the hospital’s bottom line. I would prepare to debate with these stakeholders by highlighting the importance of reducing nurse burnout and the overall benefits that the whole process may bring to the organization. | |||||||||
| Stakeholder(s) Opposed 2 | Nurses themselves: Some nurses may be resistant to the idea of being protected from burnout because they feel that it is part of the job and they have to deal with it. They may also be concerned that implementing measures to prevent burnout could lead to a decrease in the autonomy they have in their work and could make it difficult for them to manage their workload. Additionally, some nurses may not want to admit that they are experiencing burnout, which can be seen as a sign of weakness or incompetence. While preparing to debate with the nurses themselves, I would highlight the essence of nurse advocacy and the importance of initiating strategies to reduce nurse burnout. | |||||||||
| Financial Incentives/Costs
In no more than 250 words, summarize the financial impact for the issue and the idea (added costs, cost savings, increased revenue, etc.). Provide support. |
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Nurse burnout can have a significant financial impact on healthcare organizations. One of the main costs associated with nurse burnout is the high turnover rate of nurses. When nurses burn out and leave their jobs, it can be costly for hospitals and other healthcare organizations to recruit and train new nurses to replace them. This can also lead to increased overtime costs as remaining staff are forced to cover the extra shifts. In addition to these direct costs, nurse burnout can also lead to decreased productivity and increased absenteeism, which can further strain healthcare organizations’ budgets (Ko et al., 2020). Nurse burnout can also lead to an increase in medical errors, which can result in costly malpractice lawsuits and damage to the organization’s reputation. However, addressing nurse burnout can also lead to cost savings and increased revenue. For example, implementing programs to prevent and reduce nurse burnout can lead to a decrease in turnover rates and absenteeism, resulting in cost savings. Additionally, improving the well-being and job satisfaction of nurses can lead to increased productivity and improved patient outcomes, which can lead to increased revenue. Supporting evidence for the financial impact of nurse burnout can be found in a number of studies. One study found that the average cost of replacing a registered nurse was $64,692, while another study found that high nurse burnout was associated with a 2.3% increase in hospital costs (Bartosiewicz et al., 2020). Additionally, a study published in the Journal of Nursing Administration found that implementing a nurse well-being program resulted in a 14% reduction in turnover and a corresponding savings of $3.3 million. In summary, nurse burnout can have a significant financial impact on healthcare organizations, including high turnover rates, decreased productivity, increased absenteeism, and increased medical errors. However, addressing nurse burnout can lead to cost savings and increased revenue, making it a crucial issue for healthcare organizations to address. |
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| Legislature: Information Needed and Process for Proposal
Discuss the how to advocate for your proposal using legislation. Include the following: |
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| Provide the name and complete contact information for the legislator. |
Senator Jeff Merkley would be the ideal Congressman to present legislation on nurse burn out.
Contact Details
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| Describe the steps for how you would present this to your legislator. |
Research: Gather data and statistics on the issue of nurse burnout, such as the prevalence and impact on healthcare outcomes and costs. Identify key stakeholders: Identify key stakeholders in the issue, such as nurses, healthcare organizations, and patients, and gather their input on potential solutions. Develop a legislative proposal: Using the data and input gathered, develop a clear and concise legislative proposal outlining specific solutions to address nurse burnout. Meet with the legislator: Schedule a meeting with Senator Jeff Merkley to present the proposal and discuss the issue of nurse burnout. Be prepared to answer any questions or concerns he may have. Build support: In addition to meeting with Senator Merkley, work to build support for the proposal among other legislators, healthcare organizations, and key stakeholders. Follow up: After the meeting, follow up with Senator Merkley to see if he needs any additional information or if he has any questions and keep him updated on the progress of your legislative proposal.
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| Outline the process if your legislator chooses to introduce your idea as a bill to Congress. | · First, the legislator would need to draft the bill, outlining the specific proposals for addressing nurse burnout, such as increasing staffing levels, improving working conditions, or providing more support for mental health and well-being.
· The bill would then need to be formally introduced in Congress, either in the House of Representatives or the Senate. · The bill would be assigned to a committee for review and debate. The committee would hold hearings to gather testimony from experts and stakeholders and consider any potential amendments to the bill. · If the committee decides to move forward with the bill, it would then be put to a vote in the full House or Senate. · If the bill is passed by one chamber of Congress, it would then be sent to the other chamber for consideration.
· If the bill passes both the House and Senate, it would then be sent to a conference committee to reconcile any differences between the two versions of the bill. · Once a final version of the bill is agreed upon, it would then be put to a final vote in both chambers of Congress. · If the bill passes both the House and Senate, it would then be sent to the President for signature. If the President signs the bill, it becomes law. If the President vetoes the bill, Congress can override the veto with a two-thirds majority vote in both chambers.
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| Christian Principles and Nursing Advocacy
In no more than 250 words, discuss how principles of a Christian worldview lend support to legislative advocacy in health care without bias. Be specific as to how these principles help advocate for inclusiveness and positive health outcomes for all populations, including those more vulnerable, without regard to gender, sexual orientation, culture, race, religion/belief, etc. |
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| A Christian worldview is centered on the belief that all individuals are made in the image of God and therefore have inherent value and worth. This principle is reflected in the Golden Rule, which states that we should treat others as we would want to be treated. This principle of treating others with dignity and respect is particularly relevant to legislative advocacy in health care, as it calls for inclusiveness and positive health outcomes for all populations, regardless of their gender, sexual orientation, culture, race, religion, or belief.
Another important principle of a Christian worldview is the call to serve and care for the vulnerable and marginalized. This principle can be applied to health care by advocating for policies that provide access to quality health care for all, regardless of their socio-economic status or ability to pay. This could include expanding Medicaid, increasing funding for community health clinics, and providing tax credits for the purchase of health insurance. Additionally, Christians are called to work for justice and to speak out against oppression and discrimination. This principle can be applied to health care by advocating for policies that address health disparities and ensure that all individuals have equal access to health care services. This could include increasing funding for research on health disparities, implementing cultural competency training for healthcare providers, and supporting policies that address the social determinants of health. Overall, a Christian worldview calls for treating all individuals with dignity and respect, serving and caring for the vulnerable, and working for justice. These principles can guide Christians in advocating for policies that promote inclusiveness and positive health outcomes for all populations without bias. |
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References
Adams, A., Hollingsworth, A., & Osman, A. (2019). The implementation of a cultural change toolkit to reduce nursing burnout and mitigate nurse turnover in the emergency department. Journal of emergency nursing, 45(4), 452-456. https://www.sciencedirect.com/science/article/abs/pii/S009917671830727X
Bamonti, P., Conti, E., Cavanagh, C., Gerolimatos, L., Gregg, J., Goulet, C., … & Edelstein, B. (2019). Coping, cognitive emotion regulation, and burnout in long-term care nursing staff: a preliminary study. Journal of Applied Gerontology, 38(1), 92-111. https://journals.sagepub.com/doi/full/10.1177/0733464817716970
Bartosiewicz, A., Łuszczki, E., & Dereń, K. (2020). Personalized nursing: How life satisfaction and occupational burnout influence new competences of polish nurses. Journal of Personalized Medicine, 10(2), 48. https://www.mdpi.com/2075-4426/10/2/48
Crabtree‐Nelson, S., DeYoung, P. M., Vincent, N. J., Myers, T. P., & Czerwinskyj, J. (2022). Compassion fatigue, compassion satisfaction, and burnout: A study of nurses in a large Texas health‐care system. Journal of Nursing Scholarship. https://sigmapubs.onlinelibrary.wiley.com/doi/abs/10.1111/jnu.12780
Ko, C. M., Koh, C. K., & Lee, Y. S. (2020). An ethical issue: nurses’ conscientious objection regarding induced abortion in South Korea. BMC Medical Ethics, 21(1), 1-9. https://link.springer.com/article/10.1186/s12910-020-00552-9
Yeatts, D. E., Seckin, G., Shen, Y., Thompson, M., Auden, D., & Cready, C. M. (2018). Burnout among direct‐care workers in nursing homes: Influences of organisational, workplace, interpersonal and personal characteristics. Journal of Clinical Nursing, 27(19-20), 3652-3665. https://onlinelibrary.wiley.com/doi/abs/10.1111/jocn.14267
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Assessment Traits
Requires Lopeswrite
Assessment Description
Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.
For this assignment, identify a problem or concern in your state, community, or organization that has the capacity for advocacy through legislation. Research the issue and use the “Advocacy Through Legislation” template, attached, to complete this assignment.
You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Attachments
NRS-440VN-RS4-AdvocacyThroughLegisla
Rubric Criteria
Total
155 points
Criterion
1. Unsatisfactory
2. Insufficient
3. Approaching
4. Acceptable
5. Target
Stakeholder Support
A discussion of significant stakeholders in support of the proposed idea and why they support it.
0 points
A discussion of significant stakeholders in support of the proposed idea and why they support it, is omitted or inaccurate.
11.63 points
A discussion of significant stakeholders in support of the proposed idea and why they support it lacks detail or is incomplete.
12.25 points
A discussion of significant stakeholders in support of the proposed idea and why they support it, is present.
13.8 points
A detailed discussion of significant stakeholders in support of the proposed idea and why they support it, is present.
15.5 points
A thorough and accurate discussion of significant stakeholders in support of the proposed idea and why they support it, is present.
Research Supporting Solution for Problem
Substantive evidence-based findings that support the idea for addressing the problem, including similar legislation in other states.
0 points
Substantive evidence-based findings that support the idea for addressing the problem, including similar legislation in other states is omitted or inaccurate.
17.44 points
Substantive evidence-based findings that support the idea for addressing the problem, including similar legislation in other states lacks detail or is incomplete.
18.37 points
Substantive evidence-based findings that support the idea for addressing the problem, including similar legislation in other states is present.
20.69 points
Detailed substantive evidence-based findings that support the idea for addressing the problem, including similar legislation in other states is present.
23.25 points
Thorough and accurate substantive evidence-based findings that support the idea for addressing the problem, including similar legislation in other states is present.
Christian Principles and Nursing Advocacy
A discussion about how principles of a Christian worldview lend support to legislative advocacy in health care without bias.
0 points
A discussion about how principles of a Christian worldview lend support to legislative advocacy in health care without bias is omitted or inaccurate.
11.63 points
A discussion about how principles of a Christian worldview lend support to legislative advocacy in health care without bias lacks detail or is incomplete.
12.25 points
A discussion about how principles of a Christian worldview lend support to legislative advocacy in health care without bias is present.
13.8 points
A detailed discussion about how principles of a Christian worldview lend support to legislative advocacy in health care without bias is present.
15.5 points
A thorough and accurate discussion about how principles of a Christian worldview lend support to legislative advocacy in health care without bias is present.
Research
Research
0 points
No outside sources were used to support the assignment.
5.81 points
Few outside sources were used to support the assignment. Limited research is apparent.
6.12 points
Research is adequate. Sources are standard in relevance, quality of outside sources, and/or timeliness.
6.9 points
Research is timely and relevant, and addresses all of the issues stated in the assignment criteria.
7.75 points
Research is supportive of the rationale presented. Sources are distinctive. Addresses all of the issues stated in the assignment criteria.
Stakeholder Opposition
A discussion of significant stakeholders in opposition to the proposed idea and why they are opposed to the idea.
0 points
A discussion of significant stakeholders in opposition to the proposed idea and why they are opposed to the idea is omitted or inaccurate.
11.63 points
A discussion of significant stakeholders in opposition to the proposed idea and why they are opposed to the idea lacks detail or is incomplete.
12.25 points
A discussion of significant stakeholders in opposition to the proposed idea and why they are opposed to the idea is present.
13.8 points
A detailed discussion of significant stakeholders in opposition to the proposed idea and why they are opposed to the idea is present.
15.5 points
A thorough and accurate discussion of significant stakeholders in opposition to the proposed idea and why they are opposed to the idea is present.
Documentation of Sources
Includes citations, footnotes, references, bibliography, etc., as appropriate to assignment and style
0 points
Sources are not documented.
3.49 points
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
3.67 points
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
4.14 points
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
4.65 points
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Financial Incentives and Costs
A summary of the financial impact for the issue and idea.
0 points
A summary of the financial impact for the issue and idea is omitted or inaccurate.
11.63 points
A summary of the financial impact for the issue and idea lacks detail or is incomplete.
12.25 points
A summary of the financial impact for the issue and idea is present.
13.8 points
A detailed summary of the financial impact for the issue and idea is present.
15.5 points
A thorough and accurate summary of the financial impact for the issue and idea is present.
Legislature Process and Information for Proposal
A discussion of legislative information needed and process to advocate for proposal.
0 points
A discussion of legislative information needed and process to advocate for proposal is omitted or inaccurate.
11.63 points
A discussion of legislative information needed and process to advocate for proposal lacks detail or is incomplete.
12.25 points
A discussion of legislative information needed and process to advocate for proposal is present.
13.8 points
A detailed discussion of legislative information needed and process to advocate for proposal is present.
15.5 points
A thorough and accurate discussion of legislative information needed and process to advocate for proposal is present.
Idea for Addressing Solution
An outline addressing the issue and explaining why legislation is the best course for advocacy.
0 points
An outline addressing the issue and explaining why legislation is the best course for advocacy is omitted or inaccurate.
11.63 points
An outline addressing the issue and explaining why legislation is the best course for advocacy lacks detail or is incomplete.
12.25 points
An outline addressing the issue and explaining why legislation is the best course for advocacy is present.
13.8 points
detailed outline addressing the issue and explaining why legislation is the best course for advocacy is present.
15.5 points
A thorough and accurate outline addressing the issue and explaining why legislation is the best course for advocacy is present.
Mechanics of Writing
Includes spelling, punctuation, grammar, and language use
0 points
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed.
2.33 points
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.
2.45 points
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.
2.76 points
Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.
3.1 points
The writer is clearly in command of standard, written, academic English.
Problem, Those Affected, Current Ramifications, and Consequences if Problem Continues
A description of the problem, those affected, current ramifications, and consequences if the issue continues.
0 points
A description of the problem, those affected, current ramifications, and consequences if the issue continues is omitted or inaccurate.
17.44 points
A description of the problem, those affected, current ramifications, and consequences if the issue continues lacks detail or is incomplete.
18.37 points
A description of the problem, those affected, current ramifications, and consequences if the issue continues is presented.
20.69 points
A detailed description of the problem, those affected, current ramifications, and consequences if the issue continues is presented.
23.25 points
A clear and accurate description of the problem, those affected, current ramifications, and consequences if the issue continues is presented.
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