A Report on Nursing Policy Implementation, Strategies, and Evaluation

This report focuses on strategies for implementing and evaluating nursing policy changes, specifically addressing the need to enhance the competitiveness of the nursing domain. It outlines a comprehensive framework that includes a managed regulatory environment, education aligned with global standards, and the involvement of industry professionals. The report emphasizes the importance of risk assessment, aligning changes with organizational vision, and effective leadership in the implementation process. It details evaluation strategies based on utility, feasibility, propriety, and accuracy, with bi-annual evaluations involving nurses and physicians through structured questionnaires. Key aspects include benchmarking data and focusing on the impact of the changes. The report references relevant literature on evidence-based practice and organizational change.

1Running head: NURSING
Nursing
Name of student:
Name of university:
Author note:

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Design strategies
The focus of the policy would be on enabling nurses to practice to the full extent of
their training while assisting with primary care physician shortage. The objective would be
to bring enhancement in the competitiveness of the nursing domain in Florida. With a clear
view of the role that the nurses would play in the process, the policy would be guided by a set
of principles. The first aspect would be the promotion of a managed and well-defined
promotional, institutional and regulatory framework. The education is to be taken up to a
global standard of excellence. The training needs to be aligned with the education imparted.
Professionals from across the industry are to be involved in this process wherein they
collaborate with the institutes for regular training sessions. At least 25 health care institutes in
Florida need to utilise services and products that draw upon the rich traditions of nursing.
Enhancing an intangible and tangible quality parameter would be crucial. Creation of
awareness would also be imperative among the physicians as well as the nurses. Allocation of
funds would take the centre stage. Fundings is to be expected from the State and Federal
government (Melnyk & Fineout-Overholt, 2011)
Implementation strategies
A risk assessment would be the first stage of implementing the change. The risk
assessment would be done for determining the issues that would be addressed in the policy
change and the degree of each. Risk management principles are applicable to the phase.
Aligning the change proposed with the vision and mission of nursing practice is essential. A
shared vision among all the healthcare professionals is crucial. The idea of change must fit in
the established direction of the individual organisations. The process of articulation of a
strategic direction and vision would need to encourage input from the decision makers.
Effective leadership would be crucial in the process of bringing about a change into
practice. Ateam is to be created with professionals from all levels of the organisation who
would demonstrate effective leadership in guiding others towards a positive direction. The
leaders are to disseminate the information related to the change to every corner of the
organisation. Creating a readiness to change would be the responsibility of the manager who
would need to change the status quo and enable others to embrace the change (Schaffer et al.,
2013).

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Evaluation strategies
Evaluation of the proposed design would be based on collecting the information
regarding utility, feasibility, propriety and accuracy of the proposed change. The six steps of
evaluation would be engaging the stakeholders, describing the program, focusing on the
feasibility of design, collect credible evidence, justify conclusions and ensure shared lessons
learnt. Evaluation is to be done on a bi-annual basis, and the stakeholders for the collection of
data would be the nurses and physicians. Data collection is to be done through questionnaires
that would be structured and open-ended. The implementation of the change and impact of
the change are to be the two key focus. Benchmarking data comparing the practice's
performance on key practice indicators would be desirable (Hamer & Collinson, 2014).

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References
Hamer, S., & Collinson, G. (2014). Achieving Evidence-Based Practice E-Book: A Handbook
for Practitioners. Elsevier Health Sciences.
Melnyk, B. M., & Fineout-Overholt, E. (Eds.). (2011). Evidence-based practice in nursing &
healthcare: A guide to best practice. Lippincott Williams & Wilkins.
Schaffer, M. A., Sandau, K. E., & Diedrick, L. (2013). Evidence‐based practice models for
organizational change: overview and practical applications. Journal of Advanced
Nursing, 69(5), 1197-1209.