FNU Nursing Leadership and Management Discussion

Read Chapter on Davis Plus: Discussion of Triaxial of action: Policy, Politics,and Nursing.


References: Whitehead, D.K., Weiss, S.A. & Tappen, R.M. Essentials of Nursing Leadership and Management. (6th Ed.)


1- What is Policy?

2- Explain each of them:

Public policy—

Private policy—

Health policy—

Social policy—

Organizational policy?

3- Who was Florence Nightingale, and what was her contribution to the Nursing Field?

4- Who was Lillian Wald?

5- Who was Margaret Sanger, and in what way she helped to the developments of Nursing Field?

6_ what is (ICN), and what they do?

7- What is s (NLCA) and they do?

Jeanne Blum, RN, is a nurse on a LDRP unit. Recently, the policy and procedures manual for Jeanne’s unit included the premature rupturing of membranes of a laboring patient as a practice acceptable for nurses to perform. Jeanne and some of her coworkers shared their concern over lunch about this new responsibility.They felt uncomfortable with the possibility of cord prolapse and other potential medical complications resulting from this practice. Jeanne gathered data from her state and many others states and noted that her hospital was not in compliance with her professional organization practice standards. Jeanne shared this information with her coworkers. She volunteered to contact the state board of nursing on their behalf to request a declaratory statement on the nurse’s role in the initiation of premature rupturing of uterine membranes.

Her state board’s clinical practice committee reviewed her request for a declaratory statement and gathered information from other states. A formal declaratory statement was drafted by the board and made it available on its Web site. A letter from the board was sent to Jeanne’s institution, informing it of the declaratory statement, which stated that the task nurses were requested to perform was beyond their scope of practice based on the Nurse Practice Act.

8-Which stage of the policy model does this scenario represent?

Expert Solution Preview

In this assignment, we will be addressing questions related to policy in the nursing field. We will explore the definitions of various types of policies, discuss the contributions of influential figures in nursing history, and examine the roles of international nursing organizations. Furthermore, we will analyze a scenario and determine the stage of the policy model that it represents.

Answer to Question 1:
Policy refers to a set of guiding principles or rules that direct decision-making and actions in a particular area. In the context of healthcare and nursing, policies have a significant impact on patient care, healthcare delivery, and the overall functioning of healthcare organizations. These policies can be established by various entities, such as government bodies, healthcare institutions, professional organizations, or international associations.

Answer to Question 2:
a. Public policy: Public policy refers to regulations and actions taken by government bodies to address societal issues. It encompasses laws, regulations, and programs that aim to promote public welfare, protect the rights of individuals, and provide essential services to the population.

b. Private policy: Private policy, also known as organizational policy, refers to rules and guidelines established within a specific institution or organization. These policies govern the internal functioning of the organization, including its operations, decision-making processes, and expectations for employees or members.

c. Health policy: Health policy focuses on issues related to healthcare delivery, access to care, and the overall management of health services. It involves the development and implementation of strategies and programs to address public health concerns, improve healthcare quality, and ensure equitable healthcare access for all individuals.

d. Social policy: Social policy pertains to measures and initiatives aimed at addressing social issues and promoting social well-being. It encompasses policies related to education, employment, social welfare, and other areas that impact the overall social fabric of a community or society.

e. Organizational policy: Organizational policy, as mentioned earlier, is a subset of private policy that specifically refers to rules and guidelines within a healthcare institution or organization. These policies are designed to govern the internal operations, decision-making processes, and behaviors of employees or members within the organization.

Answer to Question 3:
Florence Nightingale, born in 1820, is widely recognized as the founder of modern nursing. She revolutionized the nursing profession through her dedicated work during the Crimean War and her subsequent efforts to improve healthcare systems. Nightingale emphasized the importance of maintaining a clean and safe environment for patients, implementing evidence-based practices, and advocating for nursing education. Her seminal work, “Notes on Nursing,” served as a guide for nurses and laid the foundation for professional nursing practice.

Answer to Question 4:
Lillian Wald, born in 1867, was a renowned nurse, social reformer, and advocate for the underserved populations. She established the Henry Street Settlement in New York City in 1893, which provided healthcare, social services, and educational opportunities for immigrant communities. Wald’s work focused on public health nursing and community-based care, emphasizing the significance of addressing social determinants of health and advocating for policy changes to improve health outcomes.

Answer to Question 5:
Margaret Sanger, born in 1879, was a nurse and reproductive rights activist who played a pivotal role in the development of the nursing field. She was an advocate for women’s reproductive rights and founded the American Birth Control League, which later became the Planned Parenthood Federation of America. Sanger’s efforts helped to break down societal taboos surrounding contraception and paved the way for advancements in reproductive healthcare, family planning, and women’s rights.

Answer to Question 6:
The International Council of Nurses (ICN) is a global federation of national nursing associations. It serves as a platform for nurses worldwide to collaborate, share best practices, and advocate for the nursing profession. The ICN aims to promote the highest standards of nursing education, practice, and ethics, and it actively engages in policy development and influencing global health agendas.

Answer to Question 7:
The National League for Nursing Accrediting Commission (NLNAC) is an accrediting body in the United States that ensures the quality and integrity of nursing education programs. It evaluates nursing programs based on established standards to determine their compliance and accreditation status. The NLNAC plays a crucial role in maintaining educational standards in nursing and promoting excellence in nursing education.

Answer to Question 8:
The scenario described represents the stage of policy implementation in the policy model. It involves the identification of a policy concern (nurse’s responsibility for the premature rupturing of uterine membranes), data gathering, advocacy, and the issuance of a formal declaratory statement by the state board of nursing. This stage focuses on the practical implementation of policies and the translation of policy decisions into action.

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