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2. S E C T I O N. THE ENVIRONMENT THAT INFLUENCES NURSING CARE. 7. C H A P T E R. POLICY: ASSESSMENT, DEVELOPMENT, ANALYSIS, AND EVALUATION. Policy Overview. Entity vs. Process (Figure 7-1) Nurses both evaluate policy and participate in the process. Policy Process. Assessment

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  1. 2 S E C T I O N THE ENVIRONMENT THATINFLUENCES NURSING CARE

  2. 7 C H A P T E R POLICY: ASSESSMENT,DEVELOPMENT, ANALYSIS,AND EVALUATION

  3. Policy Overview • Entity vs. Process (Figure 7-1) • Nurses both evaluate policy and participate in the process.

  4. Policy Process • Assessment • Development • Analysis • Evaluation • See Figure 7-3 and Table 7-1

  5. Policy Process (cont.) Diagram of the Four Steps in the Policy Process

  6. Types of Policy • Public • Private • See Figure 7-4

  7. Types of Policy (cont.) Policy may be categorized as public or private.

  8. Policy Assessment • Problem, issue, or need is defined • Stakeholders identified • Objectives and outcomes are described

  9. Ethical and Legal Issues • Directly addressed by policies • Develop when policies are not followed

  10. Advanced PracticeNursing Issues • Scope of practice • Educational preparation

  11. Policy Development • Data collected and analyzed • Research reviewed • Stakeholders consulted • Plan of action selected

  12. Nursing Contributions to Policy • Expert knowledge • An understanding of patient experiences • Ability to work and communicate with people

  13. Barriers to Nurse Involvement • May be viewed as less intellectual • Political involvement not valued by nurses • May not identify themselves as nurses when working on issues

  14. Evidence Based Policy Process • Change based on valid and reliable data • Sources of data: science,providers, consumers

  15. Policy Analysis • Description of the policy/policy area • Assessment of the impact • Investigation of the consequences • Evaluation of the policy’s impact • Recommendation of a course of action

  16. Models for Policy Analysis • Steps/Stages Model (Figure 7-7) • Multiple Streams Framework (Figure 7-8) • Advocacy-Coalition Framework (Figure 7-9) • Policy Analysis Model (Figure 7-10)

  17. Models for Policy Analysis (cont.) The modified steps/stages model of policy analysis

  18. Models for Policy Analysis (cont.) The first phase of the policy analysis model involves a comprehensive assessment of the problem and all related issues.

  19. Policy Evaluation • How well a policy met the goals and objectives • Should consider ethics, research, and role of caring

  20. Nurse Involvement in Policy • Policy process is similar to nursing process • Many opportunities to participate (Figure 7-11)

  21. Nurse Involvement in Policy (cont.) Nurses can become involved in the policy process in different ways.

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