Discussion: Selecting a Policy Analysis Framework Paper

Discussion: Selecting a Policy Analysis Framework Paper

Discussion: Selecting a Policy Analysis Framework Paper

Discussion: Selecting a Policy Analysis Framework

            Different policies or laws have been enacted to resolve various clinical issues facing the United States healthcare system. Additionally, U.S. health care policies are amended to enhance the accessibility of high-quality care while reducing the cost of care. According to Shrank et al. (2021), health reforms can improve the access, equity, quality, and affordability of healthcare services in the U.S. These improvements are achieved via changes proposed in the various policies. This discussion will focus on the selected policy, framework applicable to the selected clinical issue, and policy process stages that an analysis framework would guide.

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Identifying the Selected Policy

            The identified clinical issue is nurse staffing shortage, which leads to an inappropriate nurse-to-patient ratio. The selected policy for addressing nurse staffing shortage is the “Safe Staffing for Nurse and Patient Safety Act.” Griffiths et al. (2017) state that nurse staffing impacts the quality of care, patient outcomes, and nurse job satisfaction. Hence, the policy would result in higher registered nurse staffing, reducing adverse outcomes, including hospital-related morbidity and mortality rates.

The Framework Applicable in this particular Issue

            The framework for inappropriate nurse staffing is the policy analysis model by Walt and Gilson, which is categorized into Context, Content, Actors, and Process (Gilson et al., 2018). This model was preferred since the four significant categories can be transformed and operationalized into a matrix to guide systematic analysis of the selected healthcare policy’s Context, Content, Actors, and Process.

Policy Process Stages that an Analysis Framework would guide

An analysis framework might also guide the policy formulation stage. The four categories of Walt and Gilson policy analysis framework, including Context, Content, Actors, and Process, would determine various sub-elements of the proposed healthcare policy.

Overall, various policy analysis frameworks are used to analyze different healthcare policies. Additionally, the analysis framework might guide the policy formulation stage, enhancing the effectiveness of the proposed model in addressing a particular clinical issue.

References

Gilson, L., Orgill, M., Shroff, Z. C., & World Health Organization. (2018). A health policy analysis reader: the politics of policy change in low-and middle-income countries. World Health Organization. https://creativecommons.org/licenses/by-ncsa/3.0/igo).

Griffiths, P., Dall’ora, C., & Ball, J. (2017). What does the evidence say about nurse staffing levels, quality, and care outcomes in NHS hospital wards? Evidence Brief, 1(1). https://www.researchgate.net/publication/318488680_Nurse_staffing_levels_quality_and_outcomes_of_care_in_NHS_hospital_wards_what_does_the_evidence_say

Shrank, W. H., DeParle, N. A., Gottlieb, S., Jain, S. H., Orszag, P., Powers, B. W., & Wilensky, G. R. (2021). Health Costs and Financing: Challenges and Strategies for a New Administration: Commentary recommends health costs, financing, and other priorities for a new US administration. Health Affairs, 40(2), 235-242. https://doi.org/10.1377/hlthaff.2020.01560

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

By Day 3
Post a cohesive response that addresses the following:

Identify the policy you have selected.
Describe the framework that you would use for this particular issue, and provide your rationale.
At what other stages in the policy process might an analysis framework provide guidance?