Advocacy Through Legislation Article 2022

Advocacy Through Legislation
Identify a problem or concern in your state, community, or organization that has the capacity to be advocated through legislation.
Research the issue and complete the sections below. For each topic that requires the listing of criteria, a minimum of two criteria
should be identified and discussed. Add more rows as is appropriate for the topic/proposal.
Problem
In no more than 250 words, describe the problem, who is affected, and the current ramifications. Explain the consequences if the
issue continues.
Every state, community or organizations have introduced various changes and improvements in systems when they are in trouble.
Similarly in the health care system of New York is not working well and needs improvement. The major issues in the health care
system of NY are shortage or nursing and physicians and policy changes made by the government. In order to reform the system,
the nurses of New York have taken an effective step to support the changes in system (Butler, 2018). The nurses are responsible for
several duties such as patient confidentiality, patient relationship, informed consent, malpractice or negligence and other issues
related to the Physical health of patient. Due to the adverse work environment and policies, the New York faced a drastic shortage
in the number of nurses which adversely impacted the healthcare system. However the nurses have performed an advocacy role
towards the changes in the policies and laws of healthcare system to bring the positive improvements in the health care system of
nations. They raise their voices against the health care policies and demand the hiring of more nurses for adequate and safe staffing.
If these changes have not been done in the policies and laws and it continued for long period of time then it would be a worst fear
for the health care system of New York (Smith, 2018).
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Idea for Addressing Solution
In no more than 250 words, outline your idea for addressing the issue and explain why legislation is the best course for advocacy.
The issue opposed by the nurses of New York and advocacy of concerned matters by the nurses under the healthcare system gained
an immense popularity in the world. The nurses performed an act of advocacy and went into a zone of policies and politics which is
beyond their own practice. Number of nurses does not have their effective participation in the operations of less familiar fields in
which they are not comfortable as the successful advocacy needs more energy, time, strong will and sound political skills to
participate in the game related to the legislative arena. However the legislation is the best channel for the advocacy to introduce
enactments and modification in the legislation or policies under law (Kowalchuk, 2018). The nurses of united states opted for the
advocacy in legislation to influence the change in the healthcare system. They want to introduce the changes in the policies and
rules of health care system on the practicing assumptions which they face while working in real world. The major focus of the
registered nurses of New York was on the safe staffing of all the nurses in New York’s hospitals. The registered nurses were
associated with NYSNA (New York State Nurses Association) held a campaign in which they also came up with a slogan that
“SAFE RN (Registered Nurses) STAFFING SAVES LIVES” (Mason, Gardner, Outlaw, & O'Grady, 2020).
Research the Issue
Perform research and compile information for your idea. Present substantive evidence-based findings that support your idea for
addressing the problem (studies, research, and reports). Include any similar legislation introduced or passed in other states.
Evidence 1 The Health and Care (Staffing) Bill was introduced by the Scottish Parliament to
promote safe staffing in the health and care services on statuary basis. In regards of
this bill, the Health Secretary also stated that the need of this bill occurs to promote
the safe staffing in social care and health services to improve the experiences of
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patients. It will also ensure that right person is appointed at the right places according
to the skills he has.
Evidence 2 The Safe Patient Care Act, 2015 was established by the Parliament in Australia which
governs the safety of patients and staffing of nurses and midwives. This Act is
considered as a most comprehensive nursing staffing Act in the world which believes
that an appropriate and strong nursing and midwives staffing is must for the better
care of patients. Also the Act focuses on the adequate proportion in number of nurses
which can satisfy the requirements as per the number of patients in the hospitals
(Olley, Edwards, Avery, & Cooper, 2019).
Hence different countries have several Acts and laws through which they provide aid
and protection to nurses and other physician professionals along with their patients.
The Governments of each nation makes sound efforts in the field of health and care to
mitigate the upcoming troubles which might affect the overall health care system of
country (Patel, & Rushefsky, 2019).
Stakeholder Support
Discuss the stakeholders who would support the proposed idea and explain why they would be in support.
Stakeholder(s) Supporting 1 The primary stakeholder in the relevant issue is nurses who initiated the campaign to
introduce the changes in the policies and laws in context of health care system. More
than 40000 nurses in New York have associated NYSNA (New York State Nurses
Association) to make protest against the several significant matters. The major
demands of nurses in that campaign include safe staffing, open hospitals for care,
provide healthcare for all and prevent the wall street attacks on the patients (Proulx,
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Croff, Oken, Aldwin, Fleming, Bergen-Cico, & Noorani, 2018).
Stakeholder(s) Supporting 2 The other physicians, doctors and patients are also concerned under this matter as the
assistance of nursing staff provides ample aid to the main physicians and doctors in
their operations and functions. A strong and wide nursing staff ensures best health
care and better functionality in a hospital. The patients in every hospital are handled
by the nurses and midwives on regular basis not by the doctors or other physicians.
Hence the patients are also much concerned with the proper staffing of nurses (Fletcher
Hill, 2017).
Stakeholder Opposition
Discuss the stakeholders who would oppose the proposed idea. Explain why they would be in opposition and how you would
prepare to debate or converse about these considerations.
Stakeholder(s) Opposed 1 The first opposition stakeholder for the concerned matter would be hospitals. The
proper staffing of nurses stands for the appointment of nurses in adequate proportion
for taking care the patient’s health. However the hospitals are not concerned with the
large number of appointments for nursing staff as it will cause higher cost to the
hospitals.
Stakeholder(s) Opposed 2 The management and administration of hospitals and clinics can also oppose the large
appointments of nurses as it requires more attention and care towards the handling of
nursing staff. It is easier for the management to manage the staff of limited number of
members but with the increasing number of staff the responsibility of management
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also increases hence they would not be in favor of safe staffing of nurses(Dean, 2018).
Financial Incentives/Costs
In no more than 250 words, summarize the financial impact for the issue and the idea (added costs, cost savings, increased revenue,
etc.). Provided support.
The safe staffing, open hospitals for care and care to all will result into higher cost to the hospitals and government. However it is an
ethical duty of government as well as of hospitals to provide adequate care and treatments to the patients but if they will provide it
for free then it will eventually increase their cost on operations and functions. However the hospitals have trends to reduce the
nursing staff to increase its profitability by cutting the cost of remunerations to nurses but it could also be a competitive advantage
to the hospitals. If a hospital provides better nursing facilities and care to the patients then it would be the prior choice of the
patients and develop the competitive advantage among the other hospitals. Hence the large appointment of nurses can result into
more revenue to the hospital.
Legislature: Information Needed and Process for Proposal
Discuss the how to advocate for your proposal using legislation. Include the following:
Provide the name and complete contact
information for the legislator.
Name of Legislator: Alex Azar
Contact Details: US Department of Health and Human Services
330 C St SW, Washington, DC 20416, United States
Describe the steps for how you would
present this to your legislator.
I would represent my idea to the legislator or member of congress by writing a letter
to him with the particulars of my idea. The particulars will cover the source of idea,
expectations from the idea and the final outcomes for the state.
Outline the process if your legislator The process to introduce an idea as a bill is as follows:
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chooses to introduce your idea as a bill to
congress.
 The legislator will present the text of bill in the congress as the sponsor of bill.
 The bill will be introduced in the session of house.
 The bill will be sent to the appropriate committee for the acceptance or rejection.
 The bill will refer to the subcommittee for further study and analysis.
 After releasing from the committee the bill would be send to the House floor and
will be considered by the House floor.
 The final stage is when the bill is put before the member in attendance for
voting. The members will vote to pass or not to pass the bill.
 After passing with the votes of members the bill is referred to the Senate and
then sent to the President for his consent and sign. If the President sign the bill
then it will become a law (Gailmard, 2019).
Christian Principles and Nursing Advocacy
In no more than 250 words, discuss how principles of a Christian worldview lend support to legislative advocacy in health care
without bias. Be specific as to how these principles help advocate for inclusiveness and positive health outcomes for all populations,
including those more vulnerable, without regard to gender, sexual orientation, culture, race, religion/belief, etc.
The healthcare trends and solutions offered by the healthcare system of United States depend on the income social groups of the
person. The person from the low socioeconomic group will get poor healthcare outcomes. In order to improve the standards of
healthcare, the principle of Christian Worldview lend immense support to the legislative advocacy in healthcare without bias. The
traditions under the Christian healthcare teach the solidarity, common good, human dignity and subsidiarity. Hence it believes to
provide healthcare measures to all the population without considering the gender, culture, race, religion or sexual orientation of a
person. This tradition has supported the legislative advocacy in healthcare without having any biasness towards the people belongs
to a specific category (Currier, Drescher, Nieuwsma, & McCormick, 2017).
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References:
Butler, A. (2018). Nurses uniting to better healthcare globally. Australian Nursing and Midwifery Journal, 25(7), 10.
Currier, J. M., Drescher, K. D., Nieuwsma, J. A., & McCormick, W. H. (2017). Theodicies and professional quality of life in a nationally
representative sample of chaplains in the veterans’ health administration. Journal of prevention & intervention in the community, 45(4),
286-296.
Dean, E. (2018). Wales adopts safe staffing laws while the rest of the UK watches. Nursing Standard (2014+), 32(30), 12.
Fletcher Hill, J. (2017). The sin of white supremacy: Christianity, racism, & religious diversity in america. Orbis Books.
Gailmard, S. (2019). Imperial politics, english law, and the strategic foundations of constitutional review in America. American Political Science
Review, 113(3), 778-795.
Kowalchuk, L. (2018). Obstacles to Nurses’ Labor Militancy in Central America: Toward a Framework for Cross-National Comparison of Nurses’
Collective Action. Labor Studies Journal, 43(1), 5-28.
Mason, D. J., Gardner, D. B., Outlaw, F. H., & O'Grady, E. T. (2020). Policy & Politics in Nursing and Health Care-E-Book. Elsevier Health
Sciences.
Olley, R., Edwards, I., Avery, M., & Cooper, H. (2019). Systematic review of the evidence related to mandated nurse staffing ratios in acute
hospitals. Australian Health Review, 43(3), 288-293.
Patel, K., & Rushefsky, M. E. (2019). Healthcare politics and policy in America. Routledge.
Proulx, J., Croff, R., Oken, B., Aldwin, C. M., Fleming, C., Bergen-Cico, D., ... & Noorani, M. (2018). Considerations for research and development
of culturally relevant mindfulness interventions in American minority communities. Mindfulness, 9(2), 361-370.
Smith, K. (2018). Nurses and carers win wage rise. Green Left Weekly, (1166), 4.
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