Ratios would help provide better care for our patients, our nurses, and get administration the results they are seeking. A2a. Ethical Principle or Theory Nonmaleficence is an ethical principle that means to cause no harm or the least amount of damage possible (Ojin.nursingworld.org, 2019). I believe we potentially cause harm to our patients when we do not have adequate staffing. Nurses can miss a subtle change in a patient because of being rushed because they not staffed appropriately. I also believe the theory Transcultural Nursing could apply to my policy of nurse to patient ratio. Transcultural nursing theory by Adeleine Leininger, believes healthcare personnel should work towards an understanding of different cultures, health beliefs, and values. Again I think nurses not staffed
POLICY PROPOSAL TOPIC TITLE 5 adequately may not have the time to get to know their patients and essential benefits and care maybe missed ( M. N., K., & N., S. 2016). The Top-Down Approach to Policy Advocacy A top-down approach is an authoritarian approach that calls for the senior organizational leaders or project manager to make critical decisions. Team members are informed of the tasks they will be doing and when they are due, with little control. This approach can leave team members with little motivation or incentive. This sort of plan is universal and suited to projects in which there are few unaware tasks and a few exceptional challenges to be met ( Meslin, 2010). B1. Decision Maker Jacky Rosen is a Junior Senator for the State of Nevada. Jacky Rosen can introduce the proposed policy of nurse to patient ratios to a committee for debate. She knows how to move policies through the process from idea to law. The policy brief of a nurse to patient ratios would be given to Mrs. Rosen because she works and lives in Nevada. This proposed policy requires her attention because at any time she or a loved one could become a patient. Everyone wants the best care for their family and themselves when in need of hospitalization. The public wants assurance they get safe and quality nursing care. No one wants to be worried about getting the right attention and acquiring an infection while hospitalized. Challenges the Senator might face may be hospital officials saying it would increase the cost to hire the additional nurses. The extra cost would include training, turnover cost, and increased competition. Hospital officials insist it might force hospitals to decide between reducing services or closing units to meet compliance. Other challenges the Senator may in gaining formal approval come from a nursing organization that opposes the proposed law. The American Nurses Association opposes the measure. They believe that rather than mandatory ratios, hospitals should organize staffing committees that create staffing plans. These plans would take inconsideration experience levels that are reflective of the needs of the patient population and match the skills and experience of the staff (ANA, 2019).
POLICY PROPOSAL TOPIC TITLE 6
- Spring '19
- Michael Basginer
- Nursing, National Nurses United