Solution policy Week 8 discussion: Health Policy and Ethics

Description

1. Go to your state government web page. Find one health policy enacted within the last two (2) years at the state level. Write down the bill number and the sponsors of the bill and include this information in your initial post. 
2. Write a critical analysis summary of the policy. Your summary should integrate the concepts of?advocacy, population health, and the ANA ethical statements?(“The Code”), and course readings, to include a minimum of one course scholarly article (provided within the course).

Kaiser: Beyond Health Care: The Role of Social Determinants in Promoting Health and Health Equity.Links to an external site.  

I live in the state of Florida 

Policy Example

The policy at the state level that I will share is HB 607 sponsored by Rep. Cary Pigman with the following co-sponsors: Bush III, Daniels, Jacquet, Magar, Roth, Sabatini, Slosberg, Smith with the Health & Human Services Committee, Health Quality Subcommittee, that became a law upon approval of Florida Governor Ron DeSantis on March 11, 2020 (The Florida Senate, n.d.). Granting nurse practitioners and other advanced practice registered nurses full practice authority has been shown to improve the health outcomes of patients and access to essential health care services (Myers & Alliman, 2018).

This policy will strengthen advocacy in the role of nurse practitioners in population health. To further elaborate the policy following the Florida Board of Nursing (n.d.), effective July 1, 2020, the bill HB 607 creates s. 464.0123, F.S., which authorizes an APRN to engage in “autonomous practice” in primary care, including family medicine, general pediatrics, and general internal medicine, as defined by the Florida Board of Nursing. The bill defines “autonomous practice” to mean advanced nursing practice by an APRN who is registered under s. 464.0123, F.S., and who is not subject to supervision by a physician or a supervisory protocol, after documenting the following with the BON: an active,

unencumbered license under s. 464.012, F.S.; no disciplinary action against his or her license in last five years; three thousand clinical hours supervised by a physician in the past five years; completion of six college semester hours within the last five years, with three in pharmacology and three in differential diagnosis; financial responsibility to pay claims and costs arising out of the rendering of or the failure to render nursing care,

treatment, or services in an amount not less than $100,000 per claim with a minimum annual aggregate of not less than $300,000; and any additional requirements the BON may impose by rule (Florida Board of Nursing, n.d.). Qualified nurse practitioners will be able to independently operate primary care practices without an attending doctor’s supervision under a bill (HB 607) passed by the legislature. Advanced nurse practitioners with at least 3,000 hours of experience under the supervision of a physician could qualify to

References

• Abraham, S.C.S., Sheean, P., Abrams, D., et al. (1996) Health beliefs and teenage condom use: A prospective study. Psychology & Health 11;641-55
• The Acheson Report (1998) Independent Inquiry into Inequalities in Health The Stationary Office. London
• Aggleton,P. (1990) Health London. RKP
• Ajzen.I. (1988) Attitudes, Personality, and Behaviour Milton Keynes. Open University Press
• Anderson.R and Bury.M [eds] (1988)  Living with chronic illness London. Unwin Hyman
• Armstrong,D. (1983) Political Anatomy of the Body: Medical Knowledge in Britain in the Twentieth Century Cambridge. Cambridge University Press
• Armstrong,D. (1989) An Outline of Sociology as Applied to Medicine (2nd ed) London. Wright
• Armstrong,D. (1993) Public health spaces and the fabrication of Identity; Sociology 27:393-410
• Aronsson, G., Gustafsson, K. & Dallner, M. (2000) Sick but yet at work. An empirical study of sickness presenteeism. J Epidemiol Community Health 54;502-509
• Barber, M. (2012) Recovery as the new medical model for psychiatry. Psychiatric Services 63;277-279
• Barnes.M (1998) Whose Needs, whose Resources? Accessing Social Care. In Langan.M [ed]  Welfare: Needs, Rights and Risks  London. Routledge/Open University – Chapter 3.
• Barrett-Connor.E & Palinkas.L (1994) Low B/P and depression in older men, B.M.J  vol 208; 446-449
• Barry, S., Okena, B., Chaminea,I. et al. (2015) A systems approach to stress, stressors and resilience in humans. 44–154. P.150.
• Baum, F. (1995) Researching public health: Behind the qualitative-quantitative methodological debate. Social Science & Medicine 40;459-468.
• Beck.U (1992) Risk Society: towards a new modernity. London. Sage 
• Becker,H. (1963) Outsiders  New York. Free Press
• Berger,P. and Luckmann,T. (1967) The Social construction of Reality. London. Penguin Press
• Beveridge, A. (1998) R.D. Laing revisited. Psychiatric Bulletin 22;452-456
• Black, C., & Frost, D. (2011). Health at work – an independent review of sickness absence. London: TSO. Available from: http://www.dwp.gov.uk/policy/welfare-reform/sickness-absence-review/  

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