The last argument that may be used as an obstacle in passing this legislation is that the law is too rigid and does not allow for variables. By using California’s model, the argument could be pre-emptively struck down by penning it to the maximum number of patients that may be assigned to a nurse, thus creating a minimum standard of practice and patient safety, to which each facility could adjust to their particular needs (Kuwata, 2017). Success of Policy Brief The first success in implementing the nurse-patient ratio legislation is when Senator Hester decides to take the proposal and sponsor it into law. The next success is when the bill is assigned to a committee for review. The bill will then be up for debate and recommendations will be made. The success that comes out of the committee is when it is recommended to pass without revision. It will then go to the senate floor for discussion and vote. The success will be counted when it is passed in the senate and sent to the house of representative for discussion and vote. The house of representatives will also send the bill into committee for debate. When it
POLICY, POLITICS, & GLOBAL HEATLH 12 successfully is recommended by the house committee for a vote, the house of representatives as a whole will discuss it and then vote. After this success, it will go to the governor for his signature to be signed into law. The long-term success of the proposed legislation will be an increase in nursing retention with a turnover goal of < 10% in one year and a decrease in “never” events by 50% - such as infections, pressure wounds, and deaths – as outlined by CMS, in all acute care facilities across the state in one year. The Bottom-up Approach to Policy Advocacy The bottom-up approach begins with a group or community that ban together with a goal of changing or implementing a policy. They do this by building support throughout their community and collectively researching and writing a plan to effect the change. Identified Organization or Community The Arkansas Nurses Association (ARNA) is the organization identified to be the best to help organize a grassroots campaign to implement the mandatory nurse-patient ratio legislation. The group is comprised of nursing professionals in the state of Arkansas and provides an array of specialties in the nursing field, to present a clearer objective view of how to pen the proposed legislation and get it recognized by lawmakers as an initiative that will improve patient care within the state. Summary of Expressed Interest
POLICY, POLITICS, & GLOBAL HEATLH 13 The ARNA is the state chapter of the American Nurse Association. The American Nurses Association (n.d.-b) has a written statement on patient safety, under the Nurse Staffing tab, of their website stating: The ANA supports a legislative model in which nurses are empowered to create staffing plans specific to each unit. This approach aids in establishing staffing levels that are flexible and account for changes including: intensity of patient’s needs; the number of
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