NRS 440 Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy

NRS 440 Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy

NRS 440 Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy

Senator Sherrod Brown from Ohio is the United States Senator that was the one to promote the bill focusing specifically on the registered nurse to patient rations nationwide. In 2020-2021 a legislation was placed in front of congress to help in the ongoing issue with the nurse to patient rations that is a nationwide issue. “The COVID-19 pandemic inflicted unprecedented hardship on US nursing homes (NHs) including high COVID-19 infections and mortality rates among residents, as well as disruption in day-to-day operations” (Yang,.2021). This issue has become more of a progressive issue since the COVID19 pandemic and is now necessary to make the changes to improve the way in which we care for people. “The World Health Organization (WHO) estimates that, by 2030, there will be a worldwide net shortage of 15 million doctors, nurses and other health workers” (Michaela et al,.2020). Staffing rations have been regulated on a state by state basis but with the continued concern for the wellbeing of patients and evidence based practices is having now been brought to a national level for legislation to regulate. Having government controlling rations hospital systems and healthcare settings will have to be more accountable for the direct patient care provided. “Although the impacts were myriad, early reports noted pandemic-related shortages in staffing and on-hand supplies, which may have exacerbated the ability of NHs to respond to the event itself, in addition to magnifying persistent pre-existent staffing-related challenges’(Yang,.2021). Improving these issues will ultimately aid in nurse burn, improve patient outcomes as well as decreased hospital readmissions.

Reference:

 

Michaela Senek; Steve Robertson; Tony Ryan; Rachel King; Emily Wood; Angela Tod. In: BMC Health Services Research, Vol 20, Iss 1, Pp 1-8 (2020); BMC, 2020. Language: English, Database: Directory of Open Access Journals

 

Yang, Bo Kyum; Carter, Mary W.; Nelson, H. Wayne. In Geriatric Nursing. November-December 2021 42(6):1356-1361 Language: English. DOI: 10.1016/j.gerinurse.2021.08.016, Database: ScienceDirect

Your comment about patient to nurse ratio is so very important and should be a concern to the health care industry in general. We want to improve patient care and give the patient the quality care they deserve. Still there is a nursing shortage to address, and not only the nursing shortage to be concerned about but include the ever increasing ongoing changes in health care. Both of these areas are huge tasks the professional nurse must be encouraged to be supportive of the legislative system to help. Advocacy of the nurse with legislature is not to be neglected or feared, organizations such as the American Nurses Association (ANA) is just one of many supportive organizations for the professional nurse. Nurses in unity have a major influence on health care legislation and policy, nurses are also the largest group of health care professionals (ANA, n.d.f). I now understand how when unity in nursing goes to an organization such as the (ANA) positive results in the health care industry and nurse satisfaction occur.

American Nurses Association. (n.d.f). ANA-PAC frequently asked questions (FAQS). https://ana.aristotle.com/SitePages/anapac.aspx

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As healthcare recovers from the Covid-19 pandemic, the nursing shortage becomes ever evident. Many hospitals suffer from the lack of core staff nurses, but in Arizona, this is a chronic and continuing problem. Arizona ranks “in the top 5 states experiencing the most severe staffing shortage” (Sanborn & Cato, 2022). Arizona hospitals are reliant on travel and seasonal nurses to fill in the gaps in staffing to keep staffing ratios safe. However, though travel nurses help immensely, it is not fiscally responsible for hospitals to fork out the funds to the travel companies. If Arizona could keep its own nurses, there would be less of a need for travel nurses. Thus, the hospital could use that money for increasing wages within the organization and on improving equipment within the hospital if needed.

The question that remains is why are nurses leaving their bedside positions? Some say that nurses are “overburdened” and burnt out after the past few years (Jackson, 2022). Additionally, nurses who were close to retirement when the pandemic hit often took an early retirement to get out of the virulence of healthcare (Jackson, 2022). Pay has been a frequent topic in Arizona because of the rumored amount travel nurses make but pay in Arizona is rated 15 out of 52 states (Nurse.org Staff, 2023. Thus, pay cannot be the biggest issue because it could be much worse than AZ pay.

What is Arizona doing about this shortage? A bill was recently passed to address the lack of Arizona nurses. The

NRS 440 Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy
NRS 440 Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy

“Nurse Training Grant, HB2691” is a bill that gives grants to schools and hospitals to aid in the training of new nurses (Arizona State Board of Nursing [AZBN], 2022). The bill provides grants for schools to increase the amount of nursing instructors available to enable schools to take more nursing students to increase the nursing workforce (Arizona State Board of Nursing [AZBN], 2022). Hospitals can also receive funding to aid them in taking more students for clinical rotations and then hiring them as core staff. The idea of this grant is to basically raise our own nurse in hopes that they will stay in Arizona hospitals and aid in the continuing nursing shortage.

References:

Arizona State Board of Nursing [AZBN] (2022). Nurse training grant HB2691. https://www.azbn.gov/news-and-events/nurse-training-grant-hb2691

Nurse.org Staff (2023). Nurse salaries by state + the highest paying states for RN’s. Nurse.org. https://nurse.org/articles/highest-paying-states-for-registered-nurses/

Jackson, S. (2022). Arizona’s nursing shortage expected to continue through 2030. News 4 tucson KVOA. https://www.kvoa.com/coronavirus/arizonas-nursing-shortage-expected-to-continue-through-2030/article_2f0bbde4-796b-11ec-9253-5b4c87d21810.html

Sanborn, H., & Cato, D. (2022). How does arizona solve its nursing shortage? By fixing a giant training bottleneck. AZ central. https://www.azcentral.com/story/opinion/op-ed/2022/05/14/arizona-has-nursing-shortage-and-giant-training-bottleneck/9707683002/

Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy.

The year ending 2022 was a victory for the American Nursing Association (ANA) Supported Nursing Provision from The Congressional Spending Bill legislature, it was the value of the nurse. Valuing nurses has several shapes in the legislative process and advocacy control in the United States of America. The lawmakers were encouraged to regard daily nursing duties of their work environment noticing such things as not enough staffing, nurse and patient safety, removal of barriers to practice. Lawmakers were also made aware of the increased need for nursing reimbursement and to support and strengthen measures for nursing’s future.

Describe the legislation and what was accomplished.

The American Nurses Association (ANA) Policy and Government Affairs team concentrated on the health care delivery system. In March 2022, President Joseph Biden signed the Dr. Lorna Breen Health Care Provider Act into Law. This law entails finding information for dissemination of best practices to reduce and prevent some psychological disorders such as suicide, mental health, and behavioral health. H.R. 7666 to restore hope for the Mental Health and Well-Being Act was included and supported by the (ANA). Also, included in this law was nurse burnout and increased access to evidence-based practice for individual professionals of the health care team and nurses.

 

What additional steps need to be taken to continue advocacy for this issue?

Continuation of patient advocacy will always be needed, and professional nurses will be there to implement advocacy from the local, state and federal levels (Helbig, 2018). The (ANA) will positively reinforce the (NP) role to improve success for worker’s compensation employees and continue to remove barriers for Advanced Practice Registered Nurses (APRN’s). There is also a need to continue the start of Nurse Overtime and Patient Safety Act, this is due to a survey conducted by the (ANA) that 60% of nurses were forced to work past their shift daily to weekly schedules

 

Helbig, J. (2018). Nurse as the Patient Advocate. https://lc.gcumedia.com/nrs440vn/trends-in-health-care-a-nursing-perspective/v1.1/chapter4 

 

Weger, K., Karp, S. (2022). American Nursing Association. https://anacapitolbeat.org/