Policy Making

Question 1

What about policy making is important for nurses to know? And why?

Answer 1

Competence of policy
Implementation
Modification

So that they can help influence the policies that are made.
- so a nurse needs to know the process of policy making to make an impact

Question 2

What 3 things do we as the public choose to put our time in to further health care?

Answer 2

Regulations/rules
Legislations
Funding

Question 3

Four major stages of health policy listed

Answer 3

Formulation
Adoption
Implementation
Evaluation

Question 4

Formulation stage

Answer 4

Formulate goals by establishing the problems and providing potential solutions
- know the pros and cons

Question 5

Adoption stage

Answer 5

Adopting a selection and making specifications to achieve goals

Question 6

Implementation stage

Answer 6

Implementing your policy

Question 7

Evaluation stage

Answer 7

Evaluating the policy effectiveness by comparing the outcomes to the desired effects

Question 8

What does “Policy” mean?

Answer 8

Plan of action or agent outlining steps to implement a goal

Question 9

Public policy

Answer 9

Issued at a national or state level of government

• have to deal with politics
• need stakeholders
• right timing and funding
• resources
• overlap & priorities

Question 10

Health policy

Answer 10

Policy for providing health services at local, state, national, or even international level

Question 11

Substantive Policy

Answer 11

Action or activity like funding for Indian health service activities

Question 12

Distributive Health Policy

Answer 12

Promotes nongovernment activities for society to benefit

- giving subsidies so more people would go to school become nurses for the good of everyone

Question 13

Redistributive Health Policy

Answer 13

Takes resources from one group and redistributes them to others
- medicare

Question 14

Procedural Policy

Answer 14

How something is done like how we go about voting.

Question 15

Regulatory healthPolicy

Answer 15

Puts limitations and regulations on certain activities

- age limit for purchasing alcohol

Question 16

Many policies that impact health care happen at this level of policy

Answer 16

Local level of policy

• tobacco use, farmers market, exercise, masks
• guns and speeding limits

Question 17

There is a limit to municipal powers at this level but some policies are still developed here

Answer 17

State level.

• Act as public health guardians
• healthcare purchasers
• healthcare educators
• healthcare lab services

Question 18

Medicare, Medicaid, and health research fall into this level of policy

Answer 18

National level of policy
- can impact population
- very political too
-

Question 19

Health policy issues?

Answer 19

• Problem you want to fix
• Solution or your idea
• Interested parties that can help you
• Power and influence bc you still might need more help

Question 20

Rational framework behind making a policy

Answer 20

Find the problem. Come up with the solution. Get involved with the politics. Implement it. Then evaluate it

Question 21

What did Kindgon’s framework address?

What was needed for policy to happen according to him?

Answer 21

Why some policies were focused on while others were not .

• A window of opportunity was needed and it did not stay open forever
• And then you needed a policy problem, a viable policy to fix it (solution), and politics to help you.

Question 22

Kingdon’s problem word

His word for attention getting events

Answer 22

indicators

focusing events

• Both could help you find a problem

Question 23

Grassroot efforts

Answer 23

Political movement driven by community members

Question 24

Lobbying

Answer 24

influencing policy makers to do your bidding

Question 25

Special Interest groups

Answer 25

Group of people who share a common interest and want to politically achieve their goals - BLM

Question 26

Professional Organizations can make policy how?

Answer 26

Members of a profession who can be considered a special interest group to influence policy - nurses

Question 27

What is the nursing process like with the community

Answer 27

Nurses must be deliberate but also able to adapt. And they need to remember to stay client focused. When out w community they need to interact & form partnerships

Question 28

Community needs assessments

Answer 28

Process of determining real or perceived needs of a defined community

Question 29

Empowerment

Answer 29

Explaining how communities can come together to express their values and ideas to those outside the community

Question 30

Policy analysis

Answer 30

Understanding a policy from a variety of perspectives

Question 31

Who are lobbyists

Answer 31

Professionals who know rules of state and federal govt and political process - they have connections w the policy makers

Question 32

Polarization

Answer 32

When 2 groups are split into two over a political issues

Question 33

Types of community assessments

Answer 33

Windshield Problem oriented Community subsystem Comprehensive assessment Community assets assessment

Question 34

Windshield survery

Answer 34

Driving around and recording observations

Question 35

Familiarization assessment

Answer 35

Study date already available to become familiar, then gather gather your own first hand data

Question 36

Problem orientated assessment

Answer 36

Starts from 1 problem

Question 37

Comprehensive assessment

Answer 37

Discovers all relevant community health problems and info

Question 38

Community assets assessment

Answer 38

Focused on the strengths | - asset mapping

Question 39

Coalition

Answer 39

alliance of group that work to influence outcomes of a problem

Question 40

community subsystem assessment

Answer 40

community health nurses focuses on a single dimension of community life

Question 41

How should the community dx be portayed

Answer 41

community focused

Question 42

How should the community response and related factors be included in dx?

Answer 42

Ones with a potential for change w a community health nurse | - so it needs to make sense

Question 43

What type of statements are needed

Answer 43

Narrow to guide interventions

Question 44

Should you use a risk, goal, need or community response statement in dx

Answer 44

community response

Question 45

What do the deficit and wellness diagnoses include

Answer 45

Maintenance or potential change responses

Question 46

Formative evaluation

Answer 46

Focus on process during actual interventions | - standards of performance should be develoepd

Question 47

Summative evaluation

Answer 47

Focus on outcomes of the interventions | - the effect and its impact