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Policy, Politics & Nursing Practice

Elizabeth White
Health care systems in England and the United States are under similar pressures to provide higher quality, more efficient care in the face of aging populations, increasing care complexity, and rising costs. In 2010 and 2011, major strategic reports were published in the two countries with recommendations for how to strengthen their respective nursing workforces to address these challenges. In England, it was the 2010 report of the Prime Minister's Commission on the Future of Nursing and Midwifery, Front Line Care: The Future of Nursing and Midwifery in England...
January 1, 2018: Policy, Politics & Nursing Practice
Jean Edward, Nageen Mir, Denise Monti, Enbal Shacham, Mary C Politi
States that did not expand Medicaid under the Affordable Care Act (ACA) in the United States have seen a growth in the number of individuals who fall in the assistance gap, defined as having incomes above the Medicaid eligibility limit (≥44% of the federal poverty level) but below the lower limit (<100%) to be eligible for tax credits for premium subsidies or cost-sharing reductions in the marketplace. The purpose of this article is to present findings from a secondary data analysis examining the characteristics of those who fell in the assistance gap ( n = 166) in Missouri, a Medicaid nonexpansion state, by comparing them with those who did not fall in the assistance gap ( n = 157)...
January 1, 2018: Policy, Politics & Nursing Practice
Jackie Prokop, Marie LaPres, Brad Barron, Jon Villasurda
As the number of individuals in the United States with chronic conditions and the associated costs in caring for these individuals continues to rise, there is a need to transform how health care services are delivered. Under Section 2703 of the Affordable Care Act of 2010, the federal government provides state Medicaid programs the opportunity to improve care coordination for people with chronic conditions in a person-centered approach through the establishment of health homes. Given the complexity of care for Medicaid beneficiaries with chronic conditions, addressing the social determinants of health and providing integrated care are central to effectively improving health outcomes and generating cost-savings...
January 1, 2018: Policy, Politics & Nursing Practice
Carol L Schmitt, Laurel E Curry, Ghada Homsi, Pamela A Williams, LaShawn M Glasgow, Deanna Van Hersh, Jeffrey Willett, Todd Rogers
Obesity increases the risk for leading causes of death, including cardiovascular disease and some cancers. Midwestern and southern states have the highest obesity rates-in Kansas, one in every three adults is obese. We compared the willingness of Kansas adults and opinion leaders to pay more in taxes to fund obesity prevention policies. In 2014, we asked a representative sample of 2,203 Kansas adults (response rate 15.7%) and 912 opinion leaders (response rate 55%) drawn from elected office and other sectors, including business and health, whether they would pay an additional $50 in annual taxes to support five policies that improve access to healthy foods and opportunities for physical activity...
January 1, 2018: Policy, Politics & Nursing Practice
Sally S Cohen
No abstract text is available yet for this article.
August 2017: Policy, Politics & Nursing Practice
Lauren E Pfeifer, Judith A Vessey
Over the past several years, researchers have postulated that Magnet® organizations improve collegiality and potentially could mitigate workplace bullying and lateral violence (BLV). In order to synthesize and evaluate the existing literature on BLV in the Magnet® setting, an integrative review was conducted. The final analysis consisted of 11 articles (8 quantitative and 3 qualitative studies) and revealed that researchers still use a variety of terms to define and measure BLV. Several of the studies used blended samples of both Magnet® and non-Magnet nurses, making it difficult to evaluate for response differences...
August 2017: Policy, Politics & Nursing Practice
Sally S Cohen
No abstract text is available yet for this article.
May 2017: Policy, Politics & Nursing Practice
Lusine Poghosyan, J Margo Brooks Carthon
The growing nurse practitioner (NP) workforce represents a significant supply of primary care providers, who if optimally utilized, are well-positioned to improve access to health care for racial and ethnic minorities. However, many barriers affect the optimal utilization of NPs in primary care delivery. These barriers may also prevent NPs from maximally contributing to efforts to reduce racial and ethnic health disparities. Our review of the empirical and health policy literature sought to elucidate factors that affect NPs' potential and ability to narrow or eliminate health disparities...
May 2017: Policy, Politics & Nursing Practice
Janet H Van Cleave, Brian L Egleston, Sarah Brosch, Elizabeth Wirth, Molly Lawson, Eileen M Sullivan-Marx, Mary D Naylor
Providing affordable, high-quality care for the 10 million persons who are dual-eligible beneficiaries of Medicare and Medicaid is an ongoing health-care policy challenge in the United States. However, the workforce and the care provided to dual-eligible beneficiaries are understudied. The purpose of this article is to provide a narrative of the challenges and lessons learned from an exploratory study in the use of clinical and administrative data to compare the workforce of two care models that deliver home- and community-based services to dual-eligible beneficiaries...
May 2017: Policy, Politics & Nursing Practice
Lynette Hamlin
This study examines maternity care in a rural state by birth attendant, place of birth, and payer of birth. It is a secondary analysis of birth certificate data in New Hampshire between the years 2005 and 2012. Results revealed that in New Hampshire, the majority of births occurred in the hospital setting (98.6%). Physicians attended 75.8% of births, certified nurse midwives attended 17%, and certified professional midwives attended 1%. Medicaid coverage was the payer source for 28% of all births, compared with 44...
May 2017: Policy, Politics & Nursing Practice
Betty A Rambur
The U.S. presidential election of 2016 accentuated the divided perspectives on the Patient Protection and Affordable Care Act of 2010, commonly known as Obamacare. The perspectives included a pledge from then candidate Donald J. Trump to "repeal and replace on day one"; Republican congressional leaders' more temperate suggestions in the first weeks of the Trump administration to "repair" the Affordable Care Act (ACA); and President Trump's February 5, 2017 statement-16 days after inauguration-that a Republican replacement for the ACA may not be ready until late 2017 or 2018...
May 2017: Policy, Politics & Nursing Practice
Sally S Cohen
No abstract text is available yet for this article.
February 2017: Policy, Politics & Nursing Practice
Carol Hall Ellenbecker, Jacqueline Fawcett, Emily J Jones, Deborah Mahoney, Beth Rowlands, Ashley Waddell
Nurse leaders and health-care experts agree that nurses have a responsibility to address the health problems facing the nation by participating in health policy development. However, nurses have not fully realized their potential when it comes to engaging in health policy advocacy and leadership. Nurse leaders, professional nursing organizations, accrediting bodies, and the Institute of Medicine have all identified the need to educate nurses in heath policy. Valuable recommendations for content and learning activities in health policy have been made...
February 2017: Policy, Politics & Nursing Practice
Tina R Sadarangani, Christine Kovner
No abstract text is available yet for this article.
February 2017: Policy, Politics & Nursing Practice
Melinda J Ickes, Mary Kay Rayens, Amanda Wiggins, Ellen J Hahn
Tobacco-free (TF) college campus policies have potential to be a high-impact tobacco control strategy. The purposes of the study presented here were to (a) determine the demographic and personal characteristics associated with students' beliefs about and perceived effectiveness of a TF campus policy and (b) assess whether tobacco use status and exposure to secondhand smoke (SHS) predicted beliefs and perceived effectiveness. Five thousand randomly selected students from a large southeastern university were invited by e-mail to participate in an online survey in April 2013, three and a half years after policy implementation...
February 2017: Policy, Politics & Nursing Practice
Christine Duffield, Susan Chapman, Samantha Rowbotham, Nicole Blay
Increasing demands for health care globally often lead to discussions about expanding the involvement of nurses in a range of nontraditional roles. Several countries have introduced nurse endoscopists as a means of easing the burden of demand for a range of endoscopic procedures. A shortage of medical staff in Australia combined with increasing demand for endoscopy led to the implementation of nurse endoscopists as a pilot program in the state of Queensland, where a nurse practitioner model was implemented, and Victoria, where an advanced practice model was used...
February 2017: Policy, Politics & Nursing Practice
Meriel McCollum, Christine T Kovner, Melissa T Ojemeni, Carol Brewer, Sally Cohen
Nurses are often recognized for their volunteer efforts following disasters and international humanitarian crises. However, little attention is paid to the activities of nurses who promote a culture of health in their communities through local volunteer work. In this article, we describe nurses' perceptions of how they promote health in their communities through formal and informal volunteer work. Using 315 written responses to an open-ended question included in a 2016 survey of the career patterns of nurses in the U...
February 2017: Policy, Politics & Nursing Practice
Whitney A Thurman, Tracie Harrison
Racial disparities in health are persistent and pervasive in the United States. Researchers and policymakers have known for decades that access to health care is not sufficient for addressing health disparities because of the socially situated roots of the disparities. We argue that the lack of progress in alleviating health disparities is the result of a lack of overarching framework to guide both policymakers and researchers in their efforts. We propose Amartya Sen's capabilities approach as a theoretical framework that is expansive enough to address both the social context in which health occurs as well as the quality of health care provided...
February 2017: Policy, Politics & Nursing Practice
Cheryl Perry, Jan Emory
Nurses are one of the largest groups of policy stakeholders in the health-care workforce, yet their influence on policy is not necessarily commensurate with their numbers. Since 2011, grassroots action coalitions have emerged to advance the profession's impact on health-care policy. In one state, a partnership among professional nursing organizations, policy stakeholders, and academics resulted in educational presentations focused on political advocacy knowledge and skills. The goal of this project was to bring awareness to nurses and nursing students about their potential contributions to the political and advocacy processes that shape health policy...
January 1, 2017: Policy, Politics & Nursing Practice
Nancy C O'Rourke, Sybil L Crawford, Nancy S Morris, Joyce Pulcini
Twenty-eight states have laws and regulations limiting the ability of nurse practitioners (NPs) to practice to the full extent of their education and training, thereby preventing patients from fully accessing NP services. Revisions to state laws and regulations require NPs to engage in the political process. Understanding the political engagement of NPs may facilitate the efforts of nurse leaders and nursing organizations to promote change in state rules and regulations. The purpose of this study was to describe the political efficacy and political participation of U...
January 1, 2017: Policy, Politics & Nursing Practice
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