Advocacy Through Legislation
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Jane Chima
Advocacythroughlegislation.docx
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Running head: ADVOCACY THROUGH LEGISLATION 1
Advocacy Through Legislation
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ADVOCACY THROUGH LEGISLATION 2
Problem
The health care system has seen an increase in the burden of the poor patient outcome
because there has been unproductive handoff and poor communication among the nurses. The
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Passive voice: is supposed to be
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Spelling mistake: readmissions readmission
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steadiness of care that the patients receive when hospitalized is enhanced by the handoff (Ayala,
2017). Ensuring safe and quality healthcare for the patients is vital to identify and prevent poor
communication and ineffective handoff (Burgener, 2020). A comprehensive understanding of both
intentional and emotional information in the conversation and reporting is required in order to have
an effective handoff.
During handoff, poor communication can result in patients facing problems and challenges
associated with medical errors and strong effects due to overdose and complications related to bad
management and overlooked procedures like late surgeries. Reduction of hospitalization duration,
patient outcome improvement, enhancement of job satisfaction among the nurses, and the reduced
medical error rate can be achieved by correct reporting and handoff of patients’ information.
The idea for Addressing Solution
A significant influence on patients' health outcomes can be made possible by proper
handoff and effective communication, encouraging nurse-to-patient relationships. Poor
communication and ineffective handoff can be tackled by the nurses within the health facilities
when they develop acceptable practices, plans, and strategies to aid in good health care outcomes.
Application and passage of the usage of situation, background, argument, and recommendations
(SBAR) as a communication tool amongst the nurses all through the process of communication
can be initiated when there are measures used for providing the shift reports and handing off the
patients amid the nurses.
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Information that is supposed to be passed to the new nurses should be passed in a clear,
concise, and consistent manner. This can be achieved when the health care providers and the nurses
advocate for putting up a standard communication tool that can be used when handing off essential
information. The best mode to advocate can be legislation since many people have more respect
for legislation on top of regulations. Improvement of patient care quality and safety in the entire
country can be made possible by legislation since it generalizes all the policies and principles to
the whole healthcare system than just a single health care facility or organization.
Research the issue
Enhancement of the passage of patient’s information can be made safer and centered for
patients by utilizing the SBAR tool of communication in nurses' communication during handoff.
The SBAR can help nurses get easily forgotten information about a patient and have the time used
during handoff reduced. Consequently, preventing worsening of patients’ situations, reduced
readmissions, and early discharge can be enabled by continuity of care and identifying patients’
clinical manifestations early enough.
There have been remarkable impacts on the health care system since the SBAR
communication tool was implemented. The legislation has significantly reduced medical errors
that result in long durations of hospitalization among the patients and increased complications. It
has been discovered that the cost of the health care delivery system is increased by medical errors
associated with the ineffective handoff.
still faces many challenges despite the support from various stakeholders; this can be caused by
poor understanding of the legislation when the solutions are advocated, formulated, and
implemented. For that reason, when policymakers are formulating and advocating for change in
the communication and handoff system, they should make sure that the nurses are involved at the
lowest level.
Stakeholder Opposition
In every occurrence of change, there is resistance. In a situation where there is a shortage
of nurses due to some nurses resigning due to dissatisfaction at work, frequent nursing turnover
can be witnessed. The few nurses left at work will be overworked, exhausted, and stressed and
henceforth created resistance.
Financial Incentives/Costs
During the past decades, the health care cost has been increasing significantly. An increase
in the need for health care services among people suffering from illnesses like cardiovascular
diseases, diabetes, and baby boomers will see the health care cost double shortly this is according
to Shapiro (2017). Lengthy hospitalization duration due to poor communication and ineffective
handoff results in increased medical errors. This, on the other hand, increases the cost of health
care services for the patient.
Utilization of resources to ensure that the patient recovers, manage adverse effects related
to medical errors, and treating patients is the burden of the health care organizations and
institutions. Therefore, the costs of the provision of services of health care are increased. This also
results in insured patients being paid double by insurance companies (Stewart, 2017). Increased
pay to the insurance company by the patient’s employer is also witnessed. Hospital readmissions
cause time wastage among the employees, making the economy and financial state of a country at
large to be strained.
Information Needed and Process for Proposal
During the enhancement of proposal passage, research and the data are critical in the
advocacy during the legislation process. This is because the policymakers, the media, and the
public are helped by the data and the research that makes a concrete case for them concerning the
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Redundant phrase: some of the some
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on the other hand (...: on the other hand but
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Stakeholder Support
The lawmakers, policymakers, health care providers, and organization managers are some
of the stakeholders who will support the legislation and solution. Other essential stakeholders in
the front line are the patients because they benefit most from the solution legislated. The legislation
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solutions for existing problems and the problems themselves. A successful process of legislation
of a proposed solution can be achieved with effective communication through correct message and
framing with the correct stakeholders' target (Shapiro, 2017). It also sees that awareness among
the people and the stakeholders affected by the problem is enhanced. Direct opportunity to get a
direct influence and enhanced development of a close relationship which will allow the advocacy
for the needed change can be achieved when the lawmakers and the policymakers are engaged and
educated
Christian Principles and Nursing Advocacy
Advocacy for change in the practice of the patient handoff will see the application of
servant leadership principles. An excellent example of a selfless servant leader was Jesus Christ
because he served others without expecting anything in return. The bible teaches of instances
where he healed the sick, fed the hungry, and other selfless deeds he did without expecting
anything in return. The improvement of patient outcomes and healthcare service delivery without
expecting anything in return is also what the advocacy aims to bring.
References
Ayala, W. L. (2017). Impact of a Standardized Tool on Handoff Quality in Nurse Change-of-Shift
Reports.
Burgener, A. M. (2020). Enhancing communication to improve patient safety and to increase
patient satisfaction. The health care manager, 39(3), 128-132.
Shapiro, J. (2017). SBAR: a better way to communicate. Podiatry Management, 36(1), 41-42.
Stewart, K. R. (2016). SBAR, communication, and patient safety: an integrated literature review.
Passive voice: solution can be achieved
Word repetition: Advocacy Advocac... Advocacy
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ADVOCACY THROUGH LEGISLATION 6