Selecting A Policy Analysis Framework

The goal of policy analysis is to provide in-depth, relevant, and evaluative information about a policy. Using a framework as a guideline for the analysis provides scaffolding for logically and carefully considering the policy issue. To select a framework, one should consider the focus of the policy being analyzed and whether the policy is intended to be predictive or prescriptive. For this Discussion, you will choose a policy issue that is important to you and after evaluating the frameworks described in the Learning Resources, select the framework most appropriate for analyzing the issue.

To prepare:

• Reflect      on your understanding of the policy process: how policy is formulated,      adopted, implemented, and evaluated.
• Review      the various frameworks presented in this week’s Learning Resources and      consider how they are applied to nursing and health policies. How do they      assist you in understanding and shaping policy?
• Brainstorm      a list of the issues that are most important to your practice (these can be      issues at the institutional, local, state, national, or international      level). Then identify a specific nursing or health care policy related to      one key issue and consider which of the frameworks you would use to      examine the issue. Selecting A Policy Analysis Framework

Note: You may not select the Patient Protection and Affordable Care Act for this analysis.

By tomorrow 03//2018, write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Include the level one headings as numbered below”

Post a cohesive response that addresses the following:

1) Identify the policy you have selected.

2) Describe the framework that you would use for this particular issue and provide your rationale.

3) At what other stages in the policy process might an analysis framework provide guidance?

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Required Readings

Blackman, V. S. (2005). Putting policy theory to work: Tobacco control in California. Policy, Politics, & Nursing Practice, 6(2), 148–155. doi: 10.1177/1527154405276289

In this article, the author applies Kingdon’s multiple streams theory to agenda setting and the public policy issue of tobacco use. In addition, the author points out two limitations of Kingdon’s model—the need to build alliances and the varying power levels among stakeholders.

Craig, R. L., Felix, H. C., Walker, J. F., & Philips, M. M. (2010). Public health professionals as policy entrepreneurs: Arkansas’s childhood obesity policy experience. American Journal of Public Health, 100(11), 2047–2052.

Fawcett, J., & Russell, G. (2001). A conceptual model of nursing and health policy. Policy, Politics, & Nursing, 2(2), 108–116. doi: 10.1177/152715440100200205

Fawcett and Russell provide a five-level conceptual model of nursing and health policy, and diagram the relationship between the model and new health policies. Guidelines for health policy analysis and evaluation are also provided.

Hewison, A. (2007). Policy analysis: A framework for nurse managers. Journal of Nursing Management, 15(7), 693–6 99. doi: 10.1111/j.1365-2934.2006.00731.x

Initially, this article presents a broad analysis of policy making and then provides a specific framework of policy analysis for nurse managers Selecting A Policy Analysis Framework.  The author focuses on the necessity for nurses to become involved in health care policy making

Policy analysis: A framework for nurse managers. Journal of Nursing Management, 15(7) by Hewison, A. Copyright 2007 by BLACKWELL PUBLISHING – JOURNALS. Reprinted by permission of BLACKWELL PUBLISHING – JOURNALS via the Copyright Clearance Center.

Howie, W. O. (2009). Mandatory reporting of medical errors: Crafting policy and integrating it into practice. Journal for Nurse Practitioners, 5(9), 649–654. doi:10.1016/j.nurpra.2009.07.012

John, P. (2003). Is there life after policy streams, advocacy coalitions, and punctuations: Using evolutionary theory to explain policy change? Policy Studies Journal, 31(4), 481–4 98. doi: 10.1111/1541-0072.0003

This article advances the use of evolutionary theory as policy theory. The author proposes that aspects of evolutionary theory such as randomness, competition, and selection be applied to policy theory but cautions that more research regarding its applicability is needed.

Rawat, P., & Morris, J. C. (2016). Kingdon’s “Streams” model at thirty: Still relevant in the 21st century? Politics & Policy, 44(4), 608-638. doi: 10.1111/polp.12168

Russell, G., & Fawcett, J. (2005). The conceptual model for nursing and health policy revisited. Policy, Politics, & Nursing, 6(4), 108–116. doi: 10.1177/1527154405283304

In this article, Russell and Fawcett revise their 2001 conceptual model of nursing and health policy and provide guidelines for nursing-specific research.

Optional Resources

Bardach, E. (2004). Presidential address—The extrapolation problem: How can we learn from the experience of others? Journal of Policy Analysis and Management, 23(2), 205. doi: 613545361 Selecting A Policy Analysis Framework.

Pathophysiology Assignment Help

Scenario

A 14-year-old boy comes to clinic with chief complaint of sore throat for 3 days. Denies fever or chills. PMH negative for recurrent colds, influenza, ear infections or pneumonias. NKDA or food allergies. Physical exam reveals temp of 99.6 F, pulse 72 and regular with respirations of 16. HEENT normal with exception of reddened posterior pharynx with white exudate on tonsils that are enlarged to 3+. Positive anterior and posterior cervical adenopathy. Rapid strep test performed in office was positive. His HCP wrote a prescription for amoxicillin 500 mg po q 12 hours x 10 days disp #20. He took the first capsule when he got home and immediately complained of swelling of his tongue and lips, difficulty breathing with audible wheezing. 911 was called and he was taken to the hospital, where he received emergency treatment for his allergic reaction. Pathophysiology Assignment Help.

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Assignment:

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:

· The role genetics plays in the disease.

· Why the patient is presenting with the specific symptoms described.

· The physiologic response to the stimulus presented in the scenario and why you think this response occurred.

· The cells that are involved in this process.

· How another characteristic (e.g., gender, genetics) would change your response.

Resources

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.

Immunity and Inflammation

https://www.youtube.com/watch?v=FXSuEIMrPQk%20%20

Acid-Base Balance #1

Acid-Base Balance #2

Hyponatremia

Answers all parts of the Discussion question(s) with reflective critical analysis, Supported by at least three current, credible sources. 1-2 pages  . Pathophysiology Assignment Help.

Common Models In Health Informatics Evaluation

Common Models in Health Informatics Evaluation

Have you ever watched a movie in which the same scene was shown several times but as viewed by different individuals? Or, have you watched a detective show in which the witnesses all had differing accounts? The same can hold true for conducting an evaluation of a health information technology project. How you plan and conduct the evaluation is largely dependent on the viewpoint you assume and the perspective with which you approach the evaluation.

Consider a new patient discharge protocol at a small hospital. Do you want to know how the patient feels about the process? Do you want to gather the opinions of nurses who are using this process? Perhaps you want to determine if it is saving the hospital money by freeing up bed space in a more timely fashion. Obtaining each of these viewpoints would require a different approach. Depending on the goal of your evaluation, the model and viewpoint you opt to use will likely vary.

In this Discussion, determine which evaluation model would be most effective for evaluating the health information technology described in one of the scenarios below. Your Instructor will assign a specific scenario by Day 1 of this week. Common Models In Health Informatics Evaluation.

• Scenario 1: You have recently provided a training program to help nurses and physicians become proficient in the use of a new bedside medication verification (BMV) system.

• Scenario 2: The Chief Medical Officer at your hospital is interested in finding out the impact of a new decision support system on the number of adverse events occurring in the past year.

• Scenario 3: You are helping with the design of a new outpatient surgery center to be built adjacent to the hospital. You are tasked with evaluating the opinions of physicians, nurses, and the general public toward this facility.

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To prepare:

• Review the information on the types of evaluation models covered in this week’s Learning Resources.
• Determine which model would be most appropriate to use for evaluation in the scenario to which you were assigned.
• Consider why the viewpoint of the scenario or situation would impact the model used.
• View the scenario from a different viewpoint, and consider how a different model might be used.
• Reflect on the importance of basing an evaluation on a model.

By tomorrow 12/13/2016 at 9pm, post a minimum of 550 words in APA format with a minimum of 3 references from the list below, which include the level one headings as numbered below:

1)      Post which scenario (1, 2, or 3) you were assigned and two different models that could be utilized to approach the evaluation.

2)      Explain why you selected those models and how you would use them.

3)       Explain why it is important to consider the intended goal of the evaluation and the viewpoint that is selected.

4)      Finally, assess the importance of basing an evaluation on a model. Justify your response. Common Models In Health Informatics Evaluation. 

Required Readings

 

Technology Acceptance Model

 

Kowitlawakul, Y. (2011). The Technology Acceptance Model: Predicting nurses’ intention to use telemedicine technology (eICU). Computers, Informatics, Nursing, 29(7), 411–418.

Retrieved from the Walden Library databases.

Nurses encounter a variety of technological tools that are used in their field. This article explores the technology acceptance model and how it applies to nurses’ intention to use telemedicine technology.

 

    Pai, F.-Y., & Huang, K. (2011). Applying the Technology Acceptance Model to the introduction of healthcare information systems. Technological Forecasting and Social Change, 78(4), 650–660.

Retrieved from the Walden Library databases.

This article focuses on the attempt to develop a model that will assist nurses in mastering the use of health information technology (HIT), thus enabling them to spend more time on patient care and less on clerical-type duties. The authors also studied how the use of HIT could increase patient safety.

 

    Rippen, H. E., Pan, E. C., Russell, C., Byrne, C. M., & Swift, E. K. (2013). Organizational framework for health information technology. International Journal of Medical Informatics, 82(4), e1–e13.

Retrieved from the Walden Library databases.

In this article, the authors highlight results of a literature review on the implementation of health information technology and the related theories and models. Based on their research, the authors developed a framework of key areas that provides a structure to organize and capture information on the use of health IT.

 

    Mohamed, A. H., Tawfik, H. M., Al-Jumeily, D., & Norton, L. (2011). MoHTAM: A Technology Acceptance Model for mobile health applications. Developments in E-systems Engineering (DeSE) Conference, 13–18.

Retrieved from the Walden Library databases.

In this article, the authors highlight a model they developed to determine how the decision to use a mobile health application is influenced by the design of the technology, the perceived ease of using it, and the perceived usefulness of the technology.

 

Diffusion of Innovations

 

Barnett, J., Vasileiou, K., Djemil, F., Brooks, L., & Young, T. (2011). Understanding innovators’ experiences of barriers and facilitators in implementation and diffusion of healthcare service innovations: A qualitative study. BMC Health Services Research, 11, 342.

Retrieved from the Walden Library databases

In this article, the authors describe the experiences of innovators in the medical field and the barriers that they have experienced in the implementation and diffusion of health care service innovations.

 

    Kaissi, A. (2012). “Learning” from other industries: Lessons and challenges for health care organizations. Health Care Manager, 31(1), 65–74.

Retrieved from the Walden Library databases. Common Models In Health Informatics Evaluation.

 

In this paper, the author explores how diffusion of innovations occurs in a variety of different industries and how these lessons can be adapted for use in the health care industries.

 

Thakur, R., Hsu, S. H. Y., & Fontenot, G. (2012). Innovation in healthcare: Issues and future trends. Journal of Business Research, 65(4), 562–569.

Retrieved from the Walden Library databases.

The medical field is a constantly evolving and improving. This article explores important innovations in the health care industry while highlighting certain issues and trends that may affect the future of the field.

 

    Dickinson, A. D., & Scott, M. (2012). Diffusion of innovations in the National Health Service: A case study investigating the implementation of an electronic patient record system in a UK secondary care trust. In UK Academy for Information Systems (UKAIS) 17th Annual Conference, 27–28 March 2012, New College, Oxford. Retrieved from http://nrl.northumbria.ac.uk/6223/2/UKAIS_2012_paperDD_MS.pdf

This article examines a case study that focuses on the implementation of an electronic patient record system in a UK secondary care trust. In particular, the study highlights how new users adopt the system.

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Valente, T. W., & Rogers, E. M. (1995). The origins and development of the diffusion of innovations paradigm as an example of scientific growth. Science Communication, 16(3), 242–273.

Copyright 1995 by Sage Publications Inc. Reprinted by permission of RISage Publications Inc. via the Copyright Clearance Center.

In this article, Valente and Rogers explore the origins and development of the diffusion of innovations paradigm. Through examining the different stages, it is possible to better understand how innovations are spread, accepted, and adopted within a health care organization.

 

Disruptive Innovation

 

Christensen, C. M., Bohmer, R., & Kenagy, J. (2000). Will disruptive innovations cure health care? Harvard Business Review, 78(5), 102–112.

 

Retrieved from the Walden Library databases

The health care field is constantly in need of new technologies to fill specific needs and niches. In this article, the authors discuss the role disruptive innovations could play in the development of the needed technologies.

 

Dhar, M., Griffin, M., Hollin, I., & Kachnowski, S. (2012). Innovation spaces: Six strategies to inform health care. Health Care Manager, 31(2), 166–177.

Retrieved from the Walden Library databases.

In this article, the authors use the disruptive innovation model as the framework to examine how innovation occurs in health care organizations. They determined six strategies to encourage innovation: dedicated times, formal teams, outside ideas, idea-sharing platforms, company/job goals, and incentives.

 

    Poll, W. (2011). Derision is the sweet spot of adoption: Unleashing disruptive growth.  Hospital Topics, 89(1), 23–25.

Retrieved from the Walden Library databases.

It is common that many people look at change and new technologies with a hint of disdain or distrust. The author of this article discusses how new ideas and disruptive innovations can be effectively presented to a somewhat hesitant organizations.

 

Sociotechnical Theory Models

 

    Ancker, J. S., Kern, L. M., Abramson, E., & Kaushal, R. (2012). The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety. Journal of American Medical Informatics Associations, 19(1), 61–65.

Retrieved from the Walden Library databases.

The authors of this article explain the Triangle Model for designing studies on the safety and quality outcomes of health information technology projects. The article focuses on the predictors of the model, including attributes of the technology in question, the technology provider, the organizational setting, and the population involved.

 

    Currie, L., Sheehan, B., Graham, P., Stetson, P., Cato, K., & Wilcox, A. (2009). Sociotechnical analysis of a neonatal ICU. Studies In Health Technology and Informatics, (146), 258–262.

Retrieved from the Walden Library databases.

In this article, the authors provide a brief overview of sociotechnical theory. The authors also describe the results of a sociotechnical analysis of a neonatal intensive care unit.

 

    Molleman, E., & Broekhuis, M. (2001). Sociotechnical systems: Towards an organizational learning approach. Journal of Engineering and Technology Management, 18(3), 271–294.

Retrieved from the Walden Library databases.

The authors of this article explore the application of sociotechnical systems (STS) theory for designing work processes to improve organizational performance. The authors examine the application of STS with four organizational performance indicators: price, quality, flexibility, and innovation.

 

    Scott‐Findlay, S., & Estabrooks, C. A. (2006). Mapping the organizational culture research in nursing: A literature review. Journal of Advanced Nursing, 56(5), 498–513.

Retrieved from the Walden Library databases.

This article provides an empirical review of the nursing literature on organizational culture and its influence on practitioners. Common Models In Health Informatics Evaluation.

 

 

Assignment: Module 07 Written Assignment – Interdisciplinary Communication

You have been invited to assemble a task force to design a medication assistance program. You need to submit a proposal, regarding who you would invite, to the CEO. Consider the perspectives of prescribers, discharge planners, financial navigators, patients, suppliers, book keepers and subsidizers. If you were to seek the input of 5-7 stakeholders, who would you invite to the planning table, and why? Consider the need for a group facilitator. Who would that person be, and why?

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Submit a 2-3 page APA style response to this query. Open with a paragraph of purpose, dedicate a paragraph to each stakeholder that you would invite, and close with a summary of what you hope to accomplish with the group, within a designated time frame. Assignment: Module 07 Written Assignment – Interdisciplinary Communication.

Case Study: Introduction To Qualitative Research

Case Study: Introduction to Qualitative Research

Instructions: Read the following case study and answer the questions below in essay form. Use APA 7th Edition. Must be at least 1 page with references no later than 5 years (2 references minimum).

(line 1) When I was bathing, I found a hard spot in my breast. I think my heart stopped and I (line 2) began sobbing. I felt as if I was dying, and I started crying [participant has tears in her eyes]. (line 3) Finally, I told myself that it could be nothing and made myself finish bathing. It was late at night so I (line 4) knew that if I called the doctor’s office, there would be no answer. So, I waited…that was a (line 5) miserable night. My husband was gone and I was all alone…..except for God.Case Study: Introduction To Qualitative Research.  I fell asleep praying to (line 6) God that what I had found would end up being nothing. I woke up the next morning, feeling like (line 7) I had been beaten because I hurt in every part of my body…where my heart was supposed to be (line 8) [participant places hand over her heart] felt like a big hole. I called the doctor’s office at 8 am (line 9) and told the person who answered that I had to see the doctor. She said I could have an (line 10) appointment in 2 weeks. I told her that I had found a lump and I thought I would go mad if I had to wait (line 11) 2 weeks. She put me on hold and went to see what could be done. I sat and prayed and waited. (line 12) When she came back on the line, she said that the nurse practitioner would see me at 11 am. (line 13) I hung up and realized that it was Monday and I was supposed to be at work. I called the (line 14) office and told the manager that I had an emergency and could not come in today. I could not (line 15) bring myself to say what the emergency was….I was not ready for anyone to know. If someone (line 16) else knew, it might be real and I wanted it all to be a bad dream that would be over soon. (line 17) I don’t remember what I did until 10 am when it was time to leave for the doctor’s clinic. I (line 18) arrived early and sat in the waiting room turning the pages of a magazine….it must have been (line 19) an hour before the nurse came to the waiting room and called my name. (line 20) I sat down in the exam room and began to cry. The nurse practitioner had not come in (line 21) yet….she was surprised to see me crying when she opened my door. The first words out of my (line 22) mouth were that my mother had died last year from breast cancer and I found a lump in my (line 23) breast. The next thing I remember I was being given a sedative. The nurse had gotten the (line 24) number of a friend from my telephone and called my friend to come to the doctor’s office to pick (line 25) me up. I knew the friend I told them to call was a kind soul and she would not ask a lot of (line 26) questions but drop what she was doing to come. (line 27) The doctor came in when I was drifting in and out of sleep on the table. My breast was (line 28) uncovered and the nurse had washed and washed it to get it all ready. I could not hold my eyes (line 29) open….I was so sleepy…but I wanted her to cover my breast. I felt naked and did not want (line 30) everyone coming in and out to see my breast. I must have fallen asleep because when I woke up, (line 31) there was a bandage on my breast and it hurt so bad. The nurse said I could go…..my friend was (line 32) here to take me home…I could not think…and she helped me up and led me to where my friend (line 33) was waiting…I had tears running down my face….I could not seem to stop crying. My friend (line 34) took my hand and led me to her car….just then I realized I drove my car and had no way of (line 35) getting it home. She said not to worry…she would take care of it. (line 36) At home, my friend asked if I had called my husband…I started crying again….how would I (line 37) ever tell him…I did not even know the diagnosis yet. I knew he would be so worried and rush (line 38) home…but we needed his job. I said I would wait until I knew something…then I thought how (line 39) mad my husband would be that I had not called. But I knew he would worry and be driving (line 40) home all worried and might get in a crash…I would never be able to stand that. (line 41) The medicine the doctor gave me was very strong and all I wanted to do was sleep. I (line 42) woke up and it was dark in my room and my husband was sitting on my bed. I asked him how he got (line 43) there and he said my friend had called and said I needed him…I started crying again…I thought (line 44) all my tears were gone but they kept coming…(line 45) I must have fallen asleep again because I woke up when the telephone rang. My husband (line 46) answered and handed the phone to me. It was the doctor. He tried to be nice but I knew it was (line 47) bad news….he said I should come in the morning to the hospital so they could run some more (line 48) tests…I was glad for the medicine the doctor gave me for pain…I hung up and took another pill. (line 49) I was too tired to think and just wanted to cry.

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Question 1

Review the case study and mark the words that indicate an emotion or a behavior related to an emotion experienced by the woman. Make a note of the line number in which the word occurs.

Question 2

List probes or statements the interviewer might use to keep the woman talking about being diagnosed.

Question 3

In the case study, the qualitative approach was identified to be exploratory-descriptive qualitative with the inference that the interview had been done recently. What additional sources of data would you collect if the qualitative approach used in the study had been historical with the aim of describing the oncology nurse’s role in the 1960s? Case Study: Introduction To Qualitative Research.