Policies and evaluation term paper

Legislative Process, Evaluation, Nurse To Sufferer Ratio, General public Policy

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Policy Procedure: Evaluation, Examination and Modification

The Nationwide Nursing Shortage Reform and Patient Advocation Act was designed to address the public health workforce shortage that is seen, especially wherever nurses are concerned. It is no secret that healthcare professionals are leaving the profession in record numbers, and as they do it is becoming more and more difficult to replace these others who would like to do the same type of job (Buerhaus Retchin, 2013; Iglehart, 2013). As a result of all the nursing staff retiring, so many of them encountering burnout, the gap between number of needed nurses and others who can be obtained continues to widen (Negron Cohen, 2013). The problem here is how that Act turns into a policy, so it can provide more help to a public health workforce that is battling. In order for the Act becoming a policy, it should first always be evaluated. The Act reviewed here was introduced to the Senate in April of 2013, and has been examine twice (S. 739, 2014). It was after that referred to the Committee in Health, Education, Labor, and Pensions (S. 739, 2014). Since then, no further action continues to be taken into it.


Deficiency of action in Congress does not always mean that absolutely nothing is happening to the Act. The Act need to go through a procedure to help make sure it is ready to be passed, also to have the maximum chance of getting through the Senate when it is the very best on. It must also pass the House, in support of then can it have an opportunity of becoming legislation. So many expenses “die” in the home or the United states senate because they are not acceptable to both sides of Congress, or because they have riders or perhaps other charges attached to all of them that stop them by going through. The Act will probably be evaluated for every these things. It can be based on legislation that required better nurse-to-patient staffing proportions, and targets that same type of issue (Buerhaus Retchin, 2013). You will find too many patients and not enough nurses to soundly and correctly care for these people (Buerhaus Retchin, 2013). Even though the Act is around nurses, it happens to be about sufferers, in that it truly is designed to deliver more nurses into the field to maintain all the individuals who happen to be there and who will be there in the foreseeable future (Buerhaus Retchin, 2013).


After the complete evaluation the Act receives, it will in that case be came into the examination stage, where anything that could prevent that from moving forwards will be mentioned and known (Iglehart, 2013). If there have been serious issues that could end the Act from improving, they could be caught in the examination stage and adjusted. Elements that permit the policy in order to meet objectives also have to be considered, in order to determine the overall strength of the policy. Presently, the insurance plan is still with the committee where it was assigned in 04 of 2013 (S. 739, 2014). The government’s costs tracker internet site shows that it has a 0% chance of being passed. However , that addresses it is chances in terms of how it was originally introduced. Job is being done on the Take action in panel to provide it with a better chance of completing. An analysis of the Take action shows that it would require tight patient to nurse ratios throughout all hospitals (Buerhaus Retchin, 2013).

There would be implications for those who did not keep these types of ratios, and that could expense these private hospitals funding and other needs items that would be very important to them (Iglehart, 2013). Understanding that, hospitals oppose these kinds of expenses, because they will force the hospitals in to different staffing requirementws plans than they currently have, and impose after them something that is based just on a numbers game (Buerhaus Retchin, 2013). This makes various hospitals uneasy, and is likely why identical bills released in 2009 and 2011 passed away in panel and would not advance through Congress (Buerhaus Retchin, 2013).

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