Based upon your professional experiences, discuss onearea of
policy or advocacy that has (or could be) most impactful to
your practice. Have you been involved in this area and how?
How do you see DNP's impacting change in this area? Cite
one applicable reference supporting your key points.
Discussion questions (links to objectives #3, #5).
There are several reasons that limits nurses from participating in healthcare
policy and advocacy. Some of the factors that hinder nurses from being actively
involved include; lack of awareness, inadequate skills and little opportunity for
involvement.
Another barrier is the limited formal health care policy education in nursing.
Time and resources are further obstacles to the nursing profession’s
participation in politics. Additionally, studies show that nurses are not given
sufficient support to generate the evidence needed to influence healthcare
policy (Staebler, et.al. 2017).
Regardless of the multiple factors limiting the nursing profession’s potential
impact on politics, the fact remains that nurses are vital to the development and
implementation of healthcare policy (Woodward, et al. 2016). As the largest medical
profession in the world, nurses should be leading the way in redesigning the
healthcare system. But in order to do so, they will need to partner with
members of other medical professions such as physicians. For this to happen,
nurses must be skilled in patient care as well as in interdisciplinary teamwork,
informatics and technology, implementing evidence-based practice, and quality
improvement (Woodward, et al. 2016).
More emphasis in nursing education should be placed on the role of
registered nurses in policy formulation and advocacy and on the critical
importance of nursing knowledge in decision-making processes (Staebler,
et.al. 2017). With the right tools, nurses can make a difference in the current
political landscape and enhance patient outcomes.
Based upon your work experience, what are the most
common potential legal liabilities for advanced practice
nurses, nurse administrators, or nurse managers in
today's health care settings? Identify one specific
area and discuss how the potential liability could be
minimized or avoided. Provide at least two substantive
references to support your decision.
A broader definition of nursing's role has resulted in nurses bearing more duty
and being held more legally accountable, increasing their susceptibility to
litigation. Nursing care is still the primary purpose, but the activities, tasks, and
procedures that are performed have shifted dramatically. Because of the
newness and complexity of nursing activities, nurses now face significant legal
risks (Dowie, 2017).
Battery is the act of intentionally or unintentionally touching another person in an
offensive or violent manner without the other person's express or implied
consent. Nurses must be physically near their patients to do many tasks, such as
giving medication or helping a patient use the restroom (Griffith & Tengnah, 2017).
Since patients have the right to refuse help and treatment, nurses must
understand what constitutes battery and have the requisite consent before
performing your duties.
Accrding to Dowie, (2017) if a patient is unconscious while surgery is performed on
them without their express or implicit consent, they may be recipients of the
battery and be completely unaware of it. Health care providers should be aware
that a wide range of treatments, from giving a bed bath to administering
medication to performing surgery, includes using their hands. Dowie, (2017) further
states that whether or not the nurse initially had permission is more relevant than
whether or not the client profited from the nurse's non-consented touching.
Clients above the age of 18 who are alert and oriented have the legal right to
refuse treatment in any way they see fit. In addition, a client has the option of
choosing the doctor who performs a specific procedure.
As a result, nurses should be familiar with legal principles and be willing to put
them to use in their daily nursing practice. The institution's policies and
procedures should be readily available to nurses so that they can avoid conflicts
of interest and legal ramifications (Griffith & Tengnah, 2017).
References
Dowie I (2017). Legal, ethical and professional aspects of duty of care for nurses. Nursing
Standard. 32 (1) 16-19. doi: 10.7748/ns.2017.e10959
Griffith, R. and Tengnah, C., (2017). Law and professional issues in nursing. Learning
Matters.1Emergency nurse: the journal of the RCN Accident and Emergency
Nursing Association,118(7), 9. https://doi.org/10.7748/en.18.7.9.s15
Staebler, S., Campbell, J., Cornelius, P., Fallin-Bennett, A., Fry-Bowers, E., Kung, Y.M.,
LaFevers, D. & Miller, J. (2017). Policy and political advocacy: Comparison study
of nursing faculty to determine current practices, perceptions, and barriers to
teaching health policy. Journal of Professional Nursing, 33(5), 350-355. doi:
10.1016/j.profnurs.2017.04.001
Woodward, B., Smart, D. & Benavides-Vaello, S. (2016). Modifiable factors that support
political participation by nurses. Journal of Professional Nursing, 32(1), 54-61.
doi.org/10.1016/j.profnurs.2015.06.005