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Summary C159 Assessment .docx Policy, Politics, and Global Health Trends Western Governors University Policy, Politics, and Global Health Trends Policy Proposal Public Policy Issue Patients, providers, and healthcare organizations are all affected by pu $4.99   Add to cart

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Summary C159 Assessment .docx Policy, Politics, and Global Health Trends Western Governors University Policy, Politics, and Global Health Trends Policy Proposal Public Policy Issue Patients, providers, and healthcare organizations are all affected by pu

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C159 Assessment .docx Policy, Politics, and Global Health Trends Western Governors University Policy, Politics, and Global Health Trends Policy Proposal Public Policy Issue Patients, providers, and healthcare organizations are all affected by public policy issues. Mishandled public policy...

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  • February 6, 2021
  • 23
  • 2020/2021
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Running head: POLICY, POLITICS, AND GLOBAL HEALTH TRENDS




Policy, Politics, and Global Health Trends

Western Governors University

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POLICY, POLITICS, AND GLOBAL HEALTH TRENDS

Policy, Politics, and Global Health Trends

Policy Proposal

Public Policy Issue

Patients, providers, and healthcare organizations are all affected by public policy issues.

Mishandled public policy issues frequently lead to serious complications along with errors in

medicine and treatment. Having a safe nurse-to-patient ratio is a particular public policy issue to

discuss. This specific issue is frequently reassessed and currently a trending topic. Appropriate

nurse-to-patient ratios allow for an increased quality of care given and improved patient

outcomes. Utilizing adequate nurse-to-patient ratios can decrease hospital stays, patient mortality

rates, and nurse burnout (Lang, Hodge, Olson, Romano, & Kravitz, 2004). Patients and nurses

both are affected by nurse-patient ratios. With an increased nurse-patient ratio, the safety of the

patient is put at risk and there is an increased likelihood for errors to be made. Not only do high

nurse-patient ratios lead to increased errors and adverse events, but nurses are also quicker to

experience burnout and therefore staff turnover rates increase. Currently, in the state of Texas,

the Texas Board of Nursing (BON) holds no authority over nurse staffing ratios although the

standards of care require charge nurses to consider patient safety and nursing skill competency,

experience, knowledge, and educational preparation when assembling nurse-patient assignments

(Texas Board of Nursing, 2020). The standards of care also make the nurse responsible for only

accepting patient assignments of which they feel are manageable (Texas Board of Nursing,

2020). Therefore, this is a proposal for a Texas policy to propose a decrease to the nurse-to-

patient ratio set to one nurse to four med/surg patients to improve patient safety and outcomes in

the state of Texas.

Issue Selection

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POLICY, POLITICS, AND GLOBAL HEALTH TRENDS

This public policy issue was chosen because it is an ongoing matter that directly affects

me andmy coworkers. The healthcare organization that I work for currently has no policy or

regulations regarding safe nurse-to-patient staffing ratios. As a nurse working on a

surgical/oncology unit, it is not uncommon for me to be responsible for the care of six patients at

a time. Although our unit is considered a medical/surgical unit, the patients that we care for are

often quite critical and must be watched closely, especially considering the acuteness and amount

of post-operational patients we care for. This current practice is unsafe. The nights that I come to

work and see my assignment is beginning with five or six patients I am immediately

overwhelmed and often feel unable to provide the patients with the meticulous and passionate

care they need and deserve, simply due to a lack of time and inability to be multiple places at

once. Throughout the 12-hour shift, the primary nurse is responsible for completing a thorough

assessment of the patient, administering all medications, documenting all care, and providing

passionate and patient-centered nursing care for each of their assigned patients. Completing these

tasks while maintaining a safe environment and diligent nursing care for six patients can be

demanding. There is an increased opportunity for error when caring for an increased number of

patients. The given circumstances put the health and safety of both the patient and nurse at

compromise. This issue is not only present in my place of employment but affects

med/surgnursing care throughout the state of Texas.

Issue Relevance

This public policy issue affects the health of both patients and nursing professionals

making it a relevant issue that requires some attention. The staffing of nurses strongly influences

patient outcomes and job satisfaction for nurses. Appropriate nurse-patient ratios and adequate

staffing have been associated with reduced mortality, medication errors, pressure ulcers, use of

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