Competency
Explain the process of policy-making in healthcare delivery.
Student Success Criteria
View the grading rubric for this deliverable by selecting the “Grading rubric” in the right menu.
Scenario
Your nursing leader has asked you to provide her with information regarding the legislation on California’s nursing union negotiated staffing ratios. You will prepare a policy briefing document that details the process and outcome associated with this piece of legislation. Your nursing leader will use this briefing document to guide her decision on whether this is a good policy to support in your state.
Instructions
Prepare a policy briefing document that:
Part One – Process of Legislation
- Explains the critical concern(s) that prompted this legislation, who proposed the issue, as well as who drafted and sponsored this legislation.
- Describes how long the process took and the steps taken from the initial idea to legislation implementation as well as the critical elements of the legislation that was passed.
Part Two – Outcome of Legislation
- Answers the following questions:
- Does the research support that mandated ratios improved nurse turnover rates?
- Does the research support that mandated ratios improved patient outcomes?
- Discusses recommendations on whether your nursing leader should support working with other nurse leaders on similar legislation.
- Examines at least two pros and two cons for your recommendation based on research.
- Provides stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar in the policy briefing document.
Resources
- Health Policy Reference Center (Searchable Database)
- Blouin, A. & Podjasek, K. (2019). The Continuing Saga of Nurse Staffing. JONA: The Journal of Nursing Administration, 49 (4), 221-227. doi: 10.1097/NNA.0000000000000741.
- Brooks Carthon, J. , Hatfield, L. , Plover, C. , Dierkes, A. , Davis, L. , Hedgeland, T. , Sanders, A. , Visco, F. , Holland, S. , Ballinghoff, J. , Del Guidice, M. & Aiken, L. (2019). Association of nurse engagement and nurse staffing on patient safety. Journal of Nursing Care Quality, 34(1), 40-46. doi: 10.1097/NCQ.0000000000000334.
- Rosenberg, K. & Mechcatie, E. (2019). Low RN staffing levels linked to missed care. AJN, American Journal of Nursing, 119(1), 50. doi: 10.1097/01.NAJ.0000552610.66158.c7.
- Aiken, L. H., Sloane, D. M., Ball, J., et al. (2021). Patient satisfaction with hospital care and nurses in England: An observational study. BMJ Open, 8 Article e019189.
- Texas Center for Nursing Workforce Studies. (2019, October). Long term care nurse staffing study: Vacancies and turnover
Primary Sources on Legislation
These are evaluations that have been conducted over time. Note that continuing evaluation is needed as patient acuity and co-morbidities increase in the hospitalized population.
- Twigg, D. E., Whitehead, L., & Doleman, G. (2021). The impact of nurse staffing methodologies on nurse and patient outcomes: A systematic review. Journal of Advanced Nursing, 77(12), 4599-4611.
- deCordova, P. B., Jones, T., Riman, K. A., Rogowski, J., & McHugh, M. D. (2020). Staffing trends in Magnet and non-Magnet hospitals after state legislation. Journal of Nursing Care Quality, 35(4), 323-328.
- Bartmess, M., Myers, C. R., & Thomas, S. P. (2021). Nurse staffing legislation: Empirical evidence and policy analysis. Nursing Forum, 56(3). 660-675.
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