Read Chapter On Davis Plus Discussion Of Triaxial Of Action
Read Chapter On Davisplusdiscussionof Triaxialof Action Policy P
Read Chapter on Davis Plus : Discussion of Triaxial of Action Policy P
Read Chapter on Davis Plus : Discussion of Triaxial of Action: Policy, Politics, and Nursing 1- What is Policy? 2- Explain each of them: Public policy— Private policy— Health policy— Social policy— Organizational policy? 3- Who was Florence Nightingale, and what was her contribution to the Nursing Field? 4- Who was Lillian Wald? 5- Who was Margaret Sanger, and in what way she helped to the developments of Nursing Field? 6- what is (ICN), and what they do? 7- What is (NLCA) and what they do? Jeanne Blum, RN, is a nurse on a LDRP unit. Recently, the policy and procedures manual for Jeanne’s unit included the premature rupturing of membranes of a laboring patient as a practice acceptable for nurses to perform. Jeanne and some of her coworkers shared their concern over lunch about this new responsibility. They felt uncomfortable with the possibility of cord prolapse and other potential medical complications resulting from this practice. Jeanne gathered data from her state and many others states and noted that her hospital was not in compliance with her professional organization practice standards. Jeanne shared this information with her coworkers. She volunteered to contact the state board of nursing on their behalf to request a declaratory statement on the nurse’s role in the initiation of premature rupturing of uterine membranes. Her state board’s clinical practice committee reviewed her request for a declaratory statement and gathered information from other states. A formal declaratory statement was drafted by the board and made it available on its Web site. A letter from the board was sent to Jeanne’s institution, informing it of the declaratory statement, which stated that the task nurses were requested to perform was beyond their scope of practice based on the Nurse Practice Act. 8-Which stage of the policy model does this scenario represent?
Paper For Above instruction
The assignment requires an exploration of various concepts related to health policy, notable figures in nursing history, professional organizations, and the stages of policy development as illustrated by a real-world scenario involving nursing practice and regulatory bodies. The discussion should begin with defining policy and explaining the different types: public, private, health, social, and organizational policies. Subsequently, it is essential to examine the contributions of prominent nursing pioneers—Florence Nightingale, Lillian Wald, and Margaret Sanger—and their influence on the development of nursing as a profession and healthcare advocacy.
Further, it is important to analyze the roles of major international and national nursing organizations such as the International Council of Nurses (ICN) and the National League for Nursing (NLN), detailing their missions and functions within the healthcare system. The case scenario involving Jeanne Blum provides a practical context to understand policy evolution; it describes a situation where nurses challenge a practice that is beyond their scope of practice under the Nurse Practice Act. Jeanne’s initiative to seek clarification from the state board exemplifies a specific stage of the policy model—namely, policy formulation and advocacy—where practitioners influence regulations and standards to protect patient safety and professional integrity.
Therefore, this comprehensive discussion should integrate definitions, historical contributions, organizational roles, and practical applications in policy development to showcase an understanding of the interconnected elements shaping nursing practice and healthcare policy.
Answer:
Policy, within the context of healthcare and nursing, refers to a course of action or a set of principles adopted by governmental, organizational, or professional entities to influence decision-making and ensure desired outcomes. Policies serve as guiding frameworks that direct behavior, allocate resources, and establish standards that promote health, safety, and efficiency within society. In nursing, policy development is vital for advocating for patient rights, ensuring professional scope of practice, and improving healthcare systems through legislative and organizational measures.
There are several types of policies, each serving distinct functions within society and healthcare. Public policy encompasses the actions taken by government entities to regulate and improve public health through legislation, funding, and programs that affect broad populations. Private policies, on the other hand, are the internal rules and protocols established by private organizations or institutions to govern their operations. Health policies specifically focus on issues related to healthcare delivery, access, quality, and safety, often involving legislation that impacts healthcare professionals and patients. Social policies address societal issues such as inequality, poverty, and access to social services, recognizing the social determinants of health that influence well-being. Organizational policies are internal guidelines within healthcare institutions that govern clinical practices, staff conduct, and operational procedures to ensure compliance, safety, and quality care.
Florence Nightingale, often regarded as the founder of modern nursing, transformed the profession by emphasizing sanitary conditions, infection control, and compassionate care during the Crimean War. Her work laid the foundation for evidence-based practice and public health reform, highlighting the importance of environmental factors in patient outcomes. Her efforts established nursing as a respectable and organized profession, advocating for systematic training and adherence to standards that still influence nursing practices today.
Lillian Wald was a pioneering nurse and social reformer credited with founding public health nursing and establishing the Henry Street Settlement in New York City. Wald’s work emphasized community-based nursing, health education, and social justice, addressing the social and economic factors that affect health. Her advocacy for universal healthcare and equitable access significantly contributed to the growth of community health services and policy reforms aimed at reducing disparities and promoting health equity.
Margaret Sanger was a nurse and activist instrumental in championing birth control and reproductive rights. Her efforts led to the establishment of organizations that promoted family planning, including the founding of Planned Parenthood. Sanger’s advocacy advanced women's autonomy over their reproductive health, which indirectly impacted nursing by broadening the scope of healthcare and emphasizing the importance of reproductive health services within nursing practice and public health policy.
The International Council of Nurses (ICN), founded in 1899, is a global organization representing nursing professionals. Its mission is to ensure quality nursing care worldwide, advance the nursing profession, and influence health policy. ICN advocates for the rights of nurses, promotes ethical standards, and supports the development of nursing education and leadership across countries.
The National League for Nursing (NLN) is a professional organization dedicated to excellence in nursing education. It aims to foster innovation in teaching, promote faculty development, and support research in nursing education. The NLN also plays a significant role in shaping policies that influence nursing curricula, accreditation, and workforce preparation, ensuring that nursing education aligns with evolving healthcare demands.
The scenario involving Jeanne Blum demonstrates a key stage of the policy model—policy formulation and advocacy. Jeanne identified a practice that was outside the scope of nursing practice as defined by the Nurse Practice Act and the professional standards of her organization. She proactively gathered evidence, researched regulations across states, and contacted the state board of nursing to obtain a declaratory statement. The board’s action—issuing a formal declaration that the practice was beyond the scope—represents the culmination of policy development, where advocacy efforts influence regulatory standards cautiously to protect patient safety and professional integrity. This process embodies the formation, advocacy, and formalization stages of policy change, illustrating how individual practitioners can play a vital role in shaping practice guidelines and regulatory policies.
References
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- International Council of Nurses (ICN). (2020). About ICN. https://www.icn.ch/about-icn
- National League for Nursing (NLN). (2020). About NLN. https://www.nln.org/about
- Ontario College of Nurses. (2021). Nurse Practice Act. https://www.cno.org/en/knowyour-practice/legislation
- Reverby, S. M. (2000). Florence Nightingale: The Politics of the Nursing Profession. In G. B. Parker (Ed.), Nursing History Review.
- Sanger, M. (2013). Margaret Sanger: The Father of the Birth Control Movement. Feminist Review.
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