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Policy, Politics & Nursing Practice

Eugenie Hildebrandt
Welfare Reform has caused a dramatic change in the lives and health of single mothers living in poverty. This qualitative study explored the health and socioeconomic lives of 22 community-dwelling women in poverty in the years after they were terminated from the current work-based welfare program intended to move women from welfare to work and independence. The instruments were a semistructured interview guide, the HANES General Well-Being Schedule, and a demographic data form. Data were analyzed using multistage narrative analysis and descriptive statistics...
October 16, 2016: Policy, Politics & Nursing Practice
Carolyn A McClerking, Felecia Wood
America's military has experienced great changes in the demographic makeup of its veterans over the past few decades. In fact, the fastest growing group in the U.S. military is women. This demographic trend has also brought new challenges in dealing with gender issues, something that the Veterans Health Administration (VHA) has only recently begun to acknowledge. The VHA has responded in several ways to gender issues in health care and health outcomes. And, although the VHA is dealing with multiple gender matters, this article will focus on initiatives to combat cardiovascular disease (CVD) in women veterans...
October 4, 2016: Policy, Politics & Nursing Practice
Melanie J Cozad, Lisa C Lindley, Sandy J Mixer
The use of agency nurses offers flexibility in filling registered nurse (RN) openings during times of shortage, yet little is known about their use in specialized palliative care. In an effort to fill this knowledge gap, this study determined whether significant relationships existed between full-time and part-time RN vacancies and the use of agency RNs within specialized hospices that deliver perinatal end-of-life care to women and their families in the event of miscarriage, ectopic pregnancy, or other neonatal complications resulting in death...
September 27, 2016: Policy, Politics & Nursing Practice
Robin A Evans-Agnew, Susan Johnson, Fuqin Liu, Doris M Boutain
Critical discourse analysis (CDA) is a promising methodology for policy research in nursing. As a critical theoretical methodology, researchers use CDA to analyze social practices and language use in policies to examine whether such policies may promote or impede social transformation. Despite the widespread use of CDA in other disciplines such as education and sociology, nursing policy research employing CDA methodology is sparse. To advance CDA use in nursing science, it is important to outline the overall research strategies and describe the steps of CDA in policy research...
September 21, 2016: Policy, Politics & Nursing Practice
Alison Wainwright, Tracy Klein, Chris Daly
In 2012, Canada passed legislation giving nurse practitioners (NPs) authority to prescribe controlled drugs and substances. Steps toward safe implementation by the nursing regulatory body in British Columbia included development of controlled drugs and substances prescribing competencies for use in educating and authorizing NPs for this new scope. In this article, we discuss the development and refinement of the competencies, specifically their application to nursing regulation in British Columbia. Methods include incorporation of the Competency Outcome Performance Assessment Model as a guiding theoretical framework...
August 29, 2016: Policy, Politics & Nursing Practice
Sally S Cohen
No abstract text is available yet for this article.
May 2016: Policy, Politics & Nursing Practice
Linda L Lazure, Mary E Cramer, Katherine A Hoebelheinrich
Medicare patients seeking care from nurse practitioners (NPs) increased 15-fold from 1998 to 2010, and a 2.5-fold patient increase was recorded in states that have eased the regulatory environment for NPs. It is increasingly important that state regulatory and licensing boards-charged with protecting the public through the assurance of a qualified health-care workforce-examine whether their state regulatory environment restricts or promotes public access to quality health care. This article presents a case study of a statutory scope of practice credentialing review process for NPs in Nebraska...
May 2016: Policy, Politics & Nursing Practice
J Margo Brooks Carthon, Kelly Wiltse Nicely, Danielle Altares Sarik, Julie Fairman
BACKGROUND: Current regulatory impediments prohibit advanced practice registered nurses from practicing to their full capacity. PURPOSE: To examine the process of successful removal of scope of practice barriers in Pennsylvania under the Rx4PA legislation introduced in 2007. METHOD: We used qualitative research techniques, including purposeful sampling of participants. Twelve stakeholder informed interviews were conducted between October 2013 and May 2014...
May 2016: Policy, Politics & Nursing Practice
David M Keepnews
A policy brief is a document that provides a succinct explanation and analysis of a policy issue or problem, together with policy options and recommendations for addressing that issue or problem. This article provides an explanation of what a policy brief is, how it is used, and how it is developed.
May 2016: Policy, Politics & Nursing Practice
Bukola Salami, Foluke O Dada, Folake E Adelakun
The emigration of sub-Saharan African health professionals to developed Western nations is an aspect of increasing global mobility. This article focuses on the human resources for health challenges in Nigeria and the emigration of nurses from Nigeria as the country faces mounting human resources for health challenges. Human resources for health issues in Nigeria contribute to poor population health in the country, alongside threats from terrorism, infectious disease outbreaks, and political corruption. Health inequities within Nigeria mirror the geographical disparities in human resources for health distribution and are worsened by the emigration of Nigerian nurses to developed countries such as the United States and the United Kingdom...
May 2016: Policy, Politics & Nursing Practice
Stephanie Kehler, Ellen J Hahn
This article presents a policy analysis of proposed smoke-free legislation in Kentucky during the 2015 General Assembly. Kingdon's three streams model of agenda setting is used to analyze the failure to pass HB145. Secondhand smoke exposure and related deaths are a significant public health problem in Kentucky, a state with one of the highest smoking rates in the U.S. HB145, a comprehensive smoke-free bill, was designed to protect workers and the general public from secondhand smoke and e-cigarette aerosol in enclosed workplaces and public places, with few exemptions...
May 2016: Policy, Politics & Nursing Practice
Sally S Cohen
No abstract text is available yet for this article.
February 2016: Policy, Politics & Nursing Practice
Ying Xue, Orna Intrator
The evolving role of nurse practitioners (NPs) as primary care providers, especially for vulnerable populations, is central to the debate regarding strategies to address the growing need for primary care services. The current article provides policy recommendations for leveraging and expanding the historic role of NPs in caring for vulnerable populations, by focusing on three key policy levers: NP scope-of-practice regulation, distribution of the NP workforce, and NP education. These policy levers must go hand in hand to build a sufficient and equitably distributed NP workforce, to help meet the escalating need for primary care in an era of health-care reform...
February 2016: Policy, Politics & Nursing Practice
Bruce S Jansson, Adeline Nyamathi, Gretchen Heidemann, Melissa Bird, Cathy Rogers Ward, Katherine Brown-Saltzman, Lei Duan, Charles Kaplan
This study aims to describe the factors that predict health professionals' engagement in policy advocacy. The researchers used a cross-sectional research design with a sample of 97 nurses, 94 social workers, and 104 medical residents from eight hospitals in Los Angeles. Bivariate correlations explored whether seven predictor scales were associated with health professionals' policy advocacy engagement and revealed that five of the eight factors were significantly associated with it (pā€‰<ā€‰.05). The factors include patient advocacy engagement, eagerness, skills, tangible support, and organizational receptivity...
February 2016: Policy, Politics & Nursing Practice
Janet Sopcheck
For many decades, Americans showed a preference for delaying death through a technological imperative that often created challenges for nurses in caring for dying patients and their families. Because of their vast knowledge of health and healing, and their proximity to patients' bedsides, nurses are often well positioned to advocate for healthcare reform and legislation to improve end-of-life care. This article provides an overview of the social, economic, and political factors that are shaping end-of-life care in the United States...
February 2016: Policy, Politics & Nursing Practice
Amanda Culp-Roche, Adebola Adegboyega
Type 1 diabetes mellitus is a chronic, life-threatening disorder that affects children of all ages. Based on data from 2008 to 2009, the Centers for Disease Control and Prevention estimates that in the United States, 191,986 youth younger than age 20 require treatment for diabetes, the majority of whom have Type 1 diabetes mellitus. These children require assistance with counting carbohydrates, testing blood glucose, and administering subcutaneous insulin. Establishing appropriate diabetes care models in schools is necessary for children's immediate safety, long-term well-being, and optimal academic performance...
February 2016: Policy, Politics & Nursing Practice
Ashley Waddell, Kathryn Audette, Amy DeLong, Marcie Brostoff
The Legislative Action Interest Group (LAIG) is a hospital-based health policy forum that engages nurses in exploring clinical implications of existing and pending health policies and regulations, while also creating a feedback loop to inform policy makers about the realities nursing practice and patient care. The LAIG is a collaborative effort between the hospital's Department of Nursing and Patient Care Services and the Office of Government Relations at an academic children's hospital. Nurses participating in the LAIG forums build a working knowledge of health policy and can articulate the practice realities for policy decision makers...
February 2016: Policy, Politics & Nursing Practice
Terry Jones, Sung Heui Bae, Nicole Murry, Patti Hamilton
This article describes the evolution of mandated nurse staffing committees in Texas from 2002 to 2009 and presents a study that analyzed nurse staffing trends in Texas using a secondary analysis of hospital staffing data (Nā€‰=ā€‰313 hospitals) from 2000 to 2012 obtained from the American Hospital Association Annual Survey. Nurse staffing patterns based on three staffing variables for registered nurses (RNs), licensed vocational nurses (LVNs), and total licensed nurses were identified: full-time equivalents per 1,000 adjusted patient days, productive hours per adjusted patient day, and RN skill mix...
August 2015: Policy, Politics & Nursing Practice
Marie Hastings-Tolsma, Tanya Tanner, Jennifer G Hensley, Jessica Anderson, Elisa Patterson, Kathleen N Dunemn, Susan K Purcell
Healthcare resources are stretched perilously thin and the demand for primary healthcare services has never been greater. Despite this demand for service, relatively little is known about the practice environment of primary healthcare providers, particularly certified nurse-midwives (CNMs), where workforce surveys frequently include these specialists within the broader nurse practitioner category. A distinct professional discipline, nurse-midwives are one type of primary care provider recommended to enhance access to services...
August 2015: Policy, Politics & Nursing Practice
Bevin Cohen, David K Vawdrey, Jianfang Liu, David Caplan, E Yoko Furuya, Frederick W Mis, Elaine Larson
The rapidly expanding use of electronic records in health-care settings is generating unprecedented quantities of data available for clinical, epidemiological, and cost-effectiveness research. Several challenges are associated with using these data for clinical research, including issues surrounding access and information security, poor data quality, inconsistency of data within and across institutions, and a paucity of staff with expertise to manage and manipulate large clinical data sets. In this article, we describe our experience with assembling a data-mart and conducting clinical research using electronic data from four facilities within a single hospital network in New York City...
August 2015: Policy, Politics & Nursing Practice
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