strengths and challenges and identify the opinion of the author on the most

Strengths and challenges and identify the opinion of

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strengths and challenges and identify the opinion of the author on the most effective approach for the proposed change. D1. Strengths of Each Approach A variety of strengths can be identified from the top-down approach and the bottom-up approach when working to effect change. The two strengths that stand out for the top- down approach are having direct access to others with authority to effect change and knowledge on the steps for change. The top-down strengths are the authority of the House Representative, Tom Sullivan. The Representative has easy access to other people within the legislature with whom he has developed a working relationship with. He knows policy writing, fundamental steps for policy changes, and the authority to introduce and debate the policy in the Colorado House of Representatives. The clout and reputation provided by a recognized authority may help in removing some of the barriers to passing a safe staffing policy for nurses.
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SAFE STAFFING OF REGISTERED NURSES 21 The stand-out strengths for the bottom-up approach are community buy-in and diversity of the group. The bottom-up approach offers the possibility for a diverse group of people from different backgrounds, belief systems, experiences, and cultures who are invested in an identified shared goal to come together. The grass-roots efforts, coupled with a national organization such as the ANA, can create a strong voice to effect change. The investment in the local community, as well as statewide, is a strong influencer for effective, sustainable, long term change, and to garner support from the greater community of Colorado. Nurses are beginning to find they have a seat at the table for change, and the bottom-up approach offers the industry a voice that has yet to be heard to its fullest extent. D2. Challenges of Each Approach Challenges are part of every project when change is the result. Even if the change is for the better, there are obstacles to deal with and overcome. The challenges that present from the top-down approach are buy-in from the nursing community and local hospitals. The top-down approach often feels far removed from the community and can be seen as political. Often the language of politics gets in the way with public understanding. The top-down approach takes power away from the community base into the political arena. The average citizen often does not feel comfortable or has a bias towards the government, creating more policies. Challenges or barriers for the bottom-up approach may be the organization of people and how to start a grass-roots effort for change. Learning how to navigate a complex system can be time-consuming and overwhelming for an individual or a small group of people. There is substantial information to learn when trying to create a piece of legislation. The lack of
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SAFE STAFFING OF REGISTERED NURSES 22 institutional knowledge and skills to navigate bureaucracy maybe two big challenges the bottom- up approach may encounter.
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