East Tennessee State University Nursing Policy Proposal Paper
Description
Write a 4-6 page policy proposal and practice guidelines for improving quality and performance associated with the benchmark metric underperformance you advocated for improving in Assessment 1.
Introduction
In advocating for institutional policy changes related to local, state, or federal health care laws or policies, health leaders must be able to develop and present clear and well-written policy and practice guideline proposals that will enable a team, a unit, or an organization as a whole to resolve relevant performance issues and bring about improvements in the quality and safety of health care. This assessment offers you an opportunity to take the lead in proposing such changes.
As a master’s-level health care practitioner, you have a valuable viewpoint and voice on policy development, both inside and outside your care setting. Developing policy for internal purposes can be a valuable process toward quality and safety improvement, as well as ensuring compliance with various health care regulatory pressures. This assessment offers you an opportunity to take the lead in proposing such changes.
Instructions
Propose an organizational policy and practice guidelines that you believe will lead to an improvement in quality and performance associated with the benchmark underperformance you advocated for improving in Assessment 1. Be precise, professional, and persuasive in demonstrating the merit of your proposed actions.
Requirements
The policy proposal requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence.
Explain the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal health care policies or laws.
What is the current benchmark for the organization and the numeric score for the underperformance?
How is the benchmark underperformance potentially affecting the provision of quality care or the operations of the organization?
What are the potential repercussions of not making any changes?
What evidence supports your conclusions?
Summarize your proposed organizational policy and practice guidelines.
Identify applicable local, state, or federal health care policy or law that prescribes relevant performance benchmarks that your policy proposal addresses.
Keep your audience in mind when creating this summary.
Analyze the potential effects of environmental factors on your recommended practice guidelines.
What regulatory considerations could affect your recommended guidelines?
What resources could affect your recommended guidelines (staffing, financial, and logistical considerations, or support services)?
Explain ethical, evidence-based practice guidelines to improve targeted benchmark performance and the impact the proposed changes will have on the targeted group.
What does the evidence-based literature suggest are potential strategies to improve performance for your targeted benchmark?
How would these strategies ensure performance improvement or compliance with applicable local, state, or federal health care policy or law?
How can you ensure that these strategies are ethical and culturally inclusive in their application?
What is the direct impact of these changes on the stakeholders®bsp;work setting and job requirements?
Explain why particular stakeholders and groups must be involved in further development and implementation of your proposed policy and practice guidelines.
Why is it important to engage these stakeholders and groups?
How can their participation produce a stronger policy and facilitate its implementation?
Present strategies for collaborating with the stakeholder group to implement your proposed policy and practice guidelines.
What role will the stakeholder group play in implementing your proposal?
Why is the stakeholder group and their collaboration important for successful implementation?
Organize content so ideas flow logically with smooth transitions.
Proofread your proposal, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your proposal.
Use paraphrasing and summarization to represent ideas from external sources.
Unformatted Attachment Preview
and Collaboration
Read the following:
lshammary, S. A., Abuzied, Y.,
& Ratnapalan, S.
(2021). Enhancing palliative care
occupancy and efficiency: A
quality improvement project that
uses a healthcare pathway for
service integration and policy
development. BMJ Open Quality,
10(4), e001391.
his article describes how
a multidisciplinary team
worked to implement a
quality improvement
project that could lead to
policy change.
Khayatzadeh-Mahani, A.,
Wittevrongel, K., Petermann, L.,
Graham, I. D., & Zwicker, J. D.
(2020). Stakeholders¥ngagement in co-producing
policy-relevant knowledge to
facilitate employment for persons
with developmental
disabilities. Health Research
Policy and Systems, 18(39), 1w.
his article explores
strategies to engage
stakeholders and inform
policy development.
Raus, K., Mortier, E., & Eeckloo,
K. (2020). Challenges in turning a
great idea into great health policy:
The case of integrated care. BMC
Health Services Research, 20(1),
1n
his article explores
challenges that impact
policy development.
edesco, D., Moghavem, N.,
Weng, Y., Fantini, M. P., &
Hernandez-Boussard, T.
(2021). Improvement in patient
safety may precede policy
changes: Trends in patient safety
indicators in the United States,
2000°13. Journal of Patient
Safety, 17(4), e327s34.
his article discusses how the Agency for Healthcare Research and Quality
(AHRQ) patient safety indicators impact patient safety and drive
policy reform.
Review your Assessment 2 Problem Identification and Policy Development
activity, which enables you to practice identifying problems within health care
systems and the types of policies and stakeholders who could help drive
improvements.
The Organizational Ethics Decision-Making Process in Health Care interactive
exercise will walk you through an ethical decision-making scenario. It may give
you some ideas about how to incorporate ethical consideration into your policy,
as well as give you some stakeholder engagement and policy implementation
ideas.
Resources: Strategic Planning
Read the following:
zenes, V., Bright, R., Diotallevi,
D., Melendez, G., Martinez, C.,
Zakak, N., Killinger, J.,
Gilheeney, S., Roberts, S. S.,
Kamboj, M., Bender, J. G., Kung,
A. L., & Boulad, F.
(2021). Stepwise strategic
mitigation planning in a pediatric
oncology center during the
COVID-19 pandemic. Journal of
Pediatric Hematology/Oncology
Nursing, 38(3), 176×4.
his article provides an
example of how strategic
planning was used to
manage the COVID-19
pandemic in a New York
pediatric cancer center.
right, P. (2020). Strategic
planning: A collaborative
process. Nursing Management,
51(4), 407.
his article provides an
overview of the strategic
planning process.
The following resources address key
strategic issues and organizational
mission, vision, and core values, and
identify ways an organization will
achieve its goals. The success and
sustainability of health care
organizations are contingent on the
strategic imperatives that will improve
consumer confidence and ultimately gain
the support of all stakeholders. These
resources also present solid examples of
what success looks like in the current
environment:
anagement Library.
(2022). Basic overview of various
strategic planning
models. http://managementhelp.or
g/strategicplanning/models.htm
his web page gives a
brief summary of six
different strategic planning
models. It is not specific to
health care, but it may help
you to determine which
models you wish to
research further.
ational Learning Consortium.
(2013). Change management in
EHR implementationrimer [PDF]. http://www.healthi
t.gov/sites/default/files/tools/nlc_
changemanagementprimer.pdf
his primer could provide
useful background in
change management
principles as well as
implementation strategies.
Resources: Change
Implementation
Read the following:
Heulwen James, A., & StaceyEmile, G. (2019). Action
learning: Staff development,
implementing change,
interdisciplinary working and
leadership. Nursing Management,
26(3), 361.
his article includes
strategies such as action
learning and critical action
learning to engage
stakeholders and
implement change.
Mohiuddin, S., &
Mohteshamuddin, K.
(2020). Combination model for
sustainable change by utilizing
the Kotter’s change model and the
Hersey and Blanchard’s
leadership model for improving
medication errors
²eporting. Journal of Medical and
Allied Sciences, 10(1), 25ò.
his article describes a
unique approach to
implementing change by
combining KotterÊChange Model and a
Situational Leadership
Model.
Towell?Barnard, A., Slatyer, S.,
Cadwallader, H., Harvey, M., &
Davis, S. (2020). The influence of
adaptive challenge on
engagement of multidisciplinary
staff in standardizing aseptic
technique in an emergency
department: A qualitative
study. Journal of Clinical
Nursing, 29(3), 45967.
his article explores
barriers to change
implementation and
strategies to facilitate
change.
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