Advocacy Through Legislation – Best Assignment Sample Solutions(2022)
This article provides solution to the assignment on Advocacy Through Legislation : “Identify a problem or concern in your state community or organization that has the capacity to be advocated through legislation. Research the issue and complete the sections below.”
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Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.
For this assignment, identify a problem or concern in your state, community, or organization that has the capacity for advocacy through legislation. Research the issue and use the \”Advocacy Through Legislation\” template to complete this assignment.
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Solution
Advocacy Through Legislation
Identify a problem or concern in your state community or organization that has the capacity to be advocated through legislation. Research the issue and complete the sections below. For each topic that requires the listing of criteria, a minimum of two criteria should be identified and discussed. Add more rows as is appropriate for the topic/proposal.
| Problem In no more than 250 words, describe the problem, who is affected, and the current ramifications. Explain the consequences if the issue continues. | ||
| Pennsylvania is facing an opioid crisis as it has one of the highest death rates from opioid overdoses in the country. NIH reports that in the state, 65% of drug overdose deaths involved opioids in 2018—a total of 2,866 fatalities at a rate of 23.8. This is despite the fact that Pennsylvania providers wrote 49.9 opioid prescriptions for every 100 persons compared to the average U.S. rate of 51.4 prescriptions. Opioid addiction has been characterized as a chronic disease with health, social and economic implications. Opioids’ mechanism of action is by acting on the nervous system to produce feelings of pleasure and pain relief. However, misuse of opioids alters the chemistry of the brain and lead to drug tolerance. Long-term misuse leads to dependence, which on withdrawal results in withdrawal symptoms such as muscle cramping, diarrhea, and anxiety. A significant number of opioid dependent individuals progress to an opioid addiction, which is classified with a higher risk of overdose and death as well as fatal interactions with other legal and illegal medications. The opioid epidemic affects all demographics. The wide range makes the problem a significant health problem with extensive ramifications on communities and the state at large. The position of nurses at the front lines of care can be used to fight against the epidemic and helping patients battling the addiction. | ||
| Idea for Addressing Solution In no more than 250 words, outline your idea for addressing the issue and explain why legislation is the best course for advocacy. | ||
| At an organizational level, identifying and treating individuals with opioid use disorder (OUD) at critical care areas such as ED can help address the problem. In the ED, clinicians can screen for opioid use disorder, provide interventions and facilitate referral to ongoing treatment. Medication initiation in the ED, and treatment of withdrawal symptoms has been cited as an opportunity for harm reduction and decreasing the use of illegal opioids. This entails the use of opioid agonist treatment, including methadone and buprenorphine/naloxone on individuals with OUD in ED. Initiating treatment upon diagnosis should include the identification of treatment goals, the conditions for changing or stopping treatment and the contingencies for non-adherence such as reassessments for addiction, and more intensive treatment. The benefits include low costs of intervention compared to community based interventions and increased engagement in addiction treatment. | ||
| Research the Issue Perform research and compile information for your idea. Present substantive evidence-based findings that support your idea for addressing the problem (studies, research, and reports). Include any similar legislation introduced or passed in other states. | ||
| Evidence 1 | According to D’Onofrio et al. (2015) among opioid dependent patients’ ED-initiated buprenorphine treatment vs brief intervention and referral significantly increased engagement in addiction treatment, reduced self-reported illicit opioid use, and decreased use of inpatient addiction treatment services. | |
| Evidence 2 | According to Busch et al. (2017) emergency department-initiated buprenorphine intervention for patients with opioid dependence provides high value compared with referral to community-based treatment or combined brief intervention and referral. | |
| Evidence 3 | In Massachusetts, OUD treatment and medication initiation in ED is a standard of care is already required by law. | |
| Stakeholder Support Discuss the stakeholders who would support the proposed idea and explain why they would be in support. | ||
| Stakeholder(s) Supporting 1 | Nursing organizations such as ANA, support the incorporation of screening at the point of care for drug dependence and the initiation of treatment. | |
| Stakeholder(s) Supporting 2 | Internal stakeholders, focused on reducing the costs of OUD treatment and enhance its effectiveness. Includes clinicians, nurses and physicians. This is because the approach would help reduce readmissions and contribute to lower cases of OUD related deaths in the community. | |
| Stakeholder Opposition Discuss the stakeholders who would oppose the proposed idea. Explain why they would be in opposition and how you would prepare to debate or converse about these considerations. | ||
| Stakeholder(s) Opposed 1 | Some clinicians may oppose the proposal as it necessitates the expansion of practice to include the treatment of opioid addiction is that the emergency department. | |
| Stakeholder(s) Opposed 2 | Emergency provider who might cite increased admissions by more difficult patients who may want to abuse Buprenorphine or take part in prescribed buprenorphine diversion. | |
| Financial Incentives/Costs In no more than 250 words, summarize the financial impact for the issue and the idea (added costs, cost savings, increased revenue, etc.). Provided support. | ||
| The initiative may require the training on ED-initiated buprenorphine and have decision support during the initial stages. The costs of the interventions will be low due to the minimal health care resources used in the ED-based component of the intervention. Busch et al. (2017) highlights that ongoing investment for EDs to provide the ED-initiated buprenorphine strategy will be minimal. Further, the approach would reduce patient time costs as well as the crime costs associated with substance use disorders. The long-term implications of the intervention will have a high value in addressing the highly prevalent opioid crisis in Pennsylvania. | ||
| Legislature: Information Needed and Process for Proposal Discuss the how to advocate for your proposal using legislation. Include the following: | ||
| Provide the name and complete contact information for the legislator. | Name, Contact | |
| Describe the steps for how you would present this to your legislator. | Define the main message of the proposal, which is to address rampant opioid addictions and crisis in the state. Establish credibility, by underlining qualification related to the crisisProvide a brief yet accurate description of the proposal, use simple language and adopt visuals where appropriate. Make a connection by underlining how the approach will lead to better outcomes in the legislators’ district. | |
| Outline the process if your legislator chooses to introduce your idea as a bill to congress. | Begins with the creation of the Bill and assigning of a legislative number, followed by the development of a committee where expert input is heard from all stakeholders. The bill is then returned to the floor for further debate and approval. This is followed by a vote on the proposed bill. | |
| Christian Principles and Nursing Advocacy In no more than 250 words, discuss how principles of a Christian worldview lend support to legislative advocacy in health care without bias. Be specific as to how these principles help advocate for inclusiveness and positive health outcomes for all populations, including those more vulnerable, without regard to gender, sexual orientation, culture, race, religion/belief, etc. | ||
| Christianity principles calls for advocates for those in need, by utilizing the resources we have to serve and help others. Hence at a position of influence, one should adopt the belief that they are ambassadors for God. This would guide our belief on speaking up for others and finding solutions that would help those in need. The principle guides on the adoption of perspectives that approach each individual with respect and dignity and championing for inclusiveness as we are all made in the image and likeness of God. Besides we are required to take a proactive role in protecting the more vulnerable members of our society, as captured in Proverbs 31:8-9 “Speak up for those who cannot speak for themselves, for the rights of all who are destitute. Speak up and judge fairly; defend the rights of the poor and needy.” I believe this perspective and understanding should lead each nurse to legislation advocacy with the intention of helping those in need through the best way possible. | ||
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References
Busch, S. H., Fiellin, D. A., Chawarski, M. C., Owens, P. H., Pantalon, M. V., Hawk, K., Bernstein, S. L., O’Connor, P. G., & D’Onofrio, G. (2017). Cost-effectiveness of emergency department-initiated treatment for opioid dependence. Addiction (Abingdon, England), 112(11), 2002–2010. https://doi.org/10.1111/add.13900
D’Onofrio, G., Chawarski, M. C., O’Connor, P. G., Pantalon, M. V., Busch, S. H., Owens, P. H., Hawk, K., Bernstein, S. L., & Fiellin, D. A. (2017). Emergency Department-Initiated Buprenorphine for Opioid Dependence with Continuation in Primary Care: Outcomes During and After Intervention. Journal of general internal medicine, 32(6), 660–666. https://doi.org/10.1007/s11606-017-3993-2
D’Onofrio, G., Edelman, E. J., Hawk, K. F., Pantalon, M. V., Chawarski, M. C., Owens, P. H., Martel, S. H., VanVeldhuisen, P., Oden, N., Murphy, S. M., Huntley, K., O’Connor, P. G., & Fiellin, D. A. (2019). Implementation facilitation to promote emergency department-initiated buprenorphine for opioid use disorder: protocol for a hybrid type III effectiveness-implementation study (Project ED HEALTH). Implementation science : IS, 14(1), 48. https://doi.org/10.1186/s13012-019-0891-5
Question
Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.
For this assignment, identify a problem or concern in your state, community, or organization that has the capacity for advocacy through legislation. Research the issue and use the \”Advocacy Through Legislation\” template to complete this assignment.
You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
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