Wayne County Community College District Policy in Healthcare Discussion & Response – Description
What impact do private healthcare organizational policies have on the ability of Advanced Practice Registered Nurses (APRNs) to practice independently?
What strategies do nurses use to influence the development of policy making?
What are several barriers to advocacy for the nursing profession?
How should social determinants of health be considered when implementing policy
Jurns, C. (2019). Policy advocacy motivators and barriers: Research results and applications. Online Journal of Issues inNursing, 24(3). https://doi-org.northernkentuckyuniversity.idm.oclc.org/10.3912/OJIN.Vol24No03PPT63
just read and reply, this is the second part of the questions. Same rubrics What is the topic of the policy brief? Briefly summarize the content outlined. According to Mason et al. (2021), the first step in political analysis is the identification of a problem. The American Association of Nurse Practitioners (AANP) identified the lack of full practice authority for nurse practitioners in much of the United States as a pertinent issue. According to the AANP, nurse practitioners are fully capable and adequately prepared for independent practice (AANP, 2023). Despite this, only approximately half of states permit full practice authority for advanced practice registered nurses (APRNs) (AANP, 2023). The AANP proposes that full practice authority should be established in all states to maximize access to care and for fiscal responsibility. Why is this policy brief important? What is the impact? According to the Association of American Medical Colleges, there is a predicted shortage of up to 124,000 physicians by 2034 (AAMC, 2021). As such, there is significant need for supplementation of physician numbers with other types of providers, such as APRNs. Additionally, there is a significant benefit to utilization of APRNs. States who permit full practice authority for nurse practitioners have been shown to have decreased health care disparities, lower chronic disease burden, lesser primary care shortages, and lower costs of care (AANP, 2023). What is the topic/healthcare issue’s impact on social, political, ethical, and economic factors on healthcare? There are a number of benefits cited by the AANP for widespread APRN full practice authority. During the COVID-19 pandemic, 24% of adults reported avoiding seeking out medical care (Kurani et al., 2020). Although telehealth has improved access to care, patients continue to have difficulty accessing adequate care (Kurani et al., 2020). By permitting APRNs to practice within their full scope, far more patients’ needs can be met. According to the AANP, nurse practitioners serve to improve access to care, particularly in underserved urban and rural areas (AANP, 2023). Additionally, when allowed full practice authority, nurse practitioners can provide care in a more efficient manner, without delays due to physician contracts (AANP, 2023). One ethical consideration when discussing full practice authority is a patient’s right to choose their provider. Ensuring full practice authority provides patients with a wider variety of providers to choose from and allows them to be confident and comfortable in their choice. Economically, full practice authority for nurse practitioners reduces costs. Physician contracts can result in duplication of services and billing costs, as well as unnecessary repetition of orders, care services, and office visits (AANP, 2023). Nurse practitioners with full practice authority have also been shown to reduce healthcare disparities (AANP, 2023). What interventions are suggested to improve the issue? Are the suggestions for improvement research based? Why is research important in developing health policy? The intervention proposed in this policy brief is implementation of full practice authority for nurse practitioners nationwide. Extensive research has been completed on this topic. This research includes studies on the efficacy and safety of nurse practitioners, nurse practitioner versus physician outcomes, nurse practitioner impact on reducing health disparities, and cost-effectiveness of utilization of nurse practitioners (Mason et al., 2021). Overall, data has overwhelmingly supported implementation of independent practice. The Consensus Model for Advanced Practice Registered Nurses also supports implementation of independent practice (AANP, 2023). Research is an integral part of policy making. Data is used to convince the public that an issue exists and is problematic enough to warrant change (Mason et al., 2021). In this case, there is sufficient data to support the change. Legislators and voters may be unaware of this data, resulting in their making uninformed decisions. Consequently, it’s vital that this information is publicized. How can improving the issue affect delivering of financing and services? Studies have shown that nurse practitioners provide equal or even better care than physicians at a lower cost (AANP, 2013). A significant portion of Americans have difficulty paying their medical bills (Kurani et al., 2020). Implementation of full practice authority would provide access to high quality care at a lower cost for consumers. A nurse practitioner’s education is significantly lower than that of a physician’s, and their salary is also one-third to one-half that of a physician’s. As a result, care can be provided at a lower cost. Consequently, health disparities are reduced, as patients in underserved areas will have improved access to care. Increased use of nurse practitioners is estimated to have an immediate $16 billion in savings, which would increase with time (AANP, 2013). In what other ways would full practice authority benefit the public and the United States healthcare system? References American Association of Nurse Practitioners (AANP). (2023). Issues at a glance: Full practice authority. https://www.aanp.org/advocacy/advocacy-resource/po… American Association of Nurse Practitioners (AANP). (2013). Nurse practitioner cost effectiveness. https://www.aanp.org/advocacy/advocacy-resource/po… Association of American Medical Colleges (AAMC). (2021). The complexities of physician supply and demand: Projections from 2019 to 2034. https://www.aamc.org/media/54681/download?attachme… Kurani, N., Kamal, R., Amin, K., Ramirez, G., & Cox, C. (2020). State of the U.S. health system: 2020 update. Peterson-KFF Health System Tracker. https://www.healthsystemtracker.org/brief/state-of… Mason, D. J., Dickson, E.L., Perez, G.A., & McLemore, M.R. (2021). Policy & politics in nursing and health care (8th ed.). Elsevier. This was mentioned in the lecture video, so I am including it below. My United States senators are Gary Peters and Debbie Stabenow. My U.S. Representative is Bill Huizenga, and my State House Representative is Nancy Deboe
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