Even though nursing expertise has a widening role in the health policy field, the swiftly changing environment of health care implies that clinicians require a comprehensive understanding of health policy. Consequently, nurses are assuming leadership duties in advocacy, design, and implementation of health care (Lum, Brungardt, Jordan, Phimphasone-Brady, Schilling, Lin & Kutner, 2019) . Professionals have thus realized that the activities to assure the competence performance of health center nursing, achieve working regulation of hospital costs and improve quality care quality require to be harmonized. The interview between me and health researcher helps in a deeper understanding of the health care program.
Researcher: “Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?”
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Me: Within my practice, Medicaid is one of the health care programs we embrace. This health care program ensures the primary health of the low-income as well as high-need citizens. The Congressional Budget Office prepares 10-year prediction outcomes and the current financial year cost for the program is about $0.35 trillion.
Researcher: “Who is your target population?”
Me: The target populace for this health care program is low-income together with high-need citizens.
Researcher: “What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?”
Me: Nurses can provide input for the plan of this health care program by expanding the capacity of the primary. These practitioners also referred to as middle-level providers, complement the work of primary care physicians through the provision of some facets of primary care (McGrath, Taenzer, Karon & Blike, 2016) . For instance, in areas like rural places, the nurses are importantly useful since there is a serious shortage of primary care physicians.
Researcher: “What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions?”
Me: My primary role as an campaigner for the target populace for this health care platform is to ensure the affordability of health care among the members (Williamson, Perkins, Levin, Baldwin, Lulinski, Armstrong & Massey, 2017) . For instance, the Medicaid agencies are embracing several roles to achieve this responsibility such as engaging in an operator, as well as payer-purchaser duties. My input to the design decisions is that the agencies should seek to address a myriad of competing priorities.
Researcher: “How else do you impact design?”
Me: The program should be in the frontline to identify its members since the number of consumers is rising. For instance, the members should be empowered in their decision making on the basis of care setting, care provider and treatment through technological advancements.
Researcher: “What is the role of the nurse in healthcare program implementation? How does this role vary between the design and implementation of healthcare programs? Can you provide examples?”
Me: Nurses are necessary for this health care program in the delivery of effectively high-quality care. During the program design, the staffing of the nurses should be considered since it directly proportional to quality and efficiency. It is not necessary to incorporate the nurses in this step. On the other hand, implementation requires nurses to be actively included in the achievement of quality as well as efficiency (Sheldon, 2016) . For instance, the Program agencies may set the number of staff members according to the need of a hospital without involving those staff members. However, the agency will have to involve the staff in the implementation of the decision.
Researcher: “Who are the members of a healthcare team that you believe is most needed to implement a program? Can you explain why?”
Me: The health care team will be required to have the primary care doctors and physicians to implement the program. The reason behind this is because the principal care doctors and nurse specialists offer the primary care of high quality at an affordable fee to the consumers. The nurse practitioners also complement the work of primary physicians. Most of the Medicaid subscribers require primary care.
References
McGrath, S. P., Taenzer, A. H., Karon, N., & Blike, G. (2016). Surveillance monitoring management for general care units: strategy, design, and implementation. The Joint Commission Journal on Quality and Patient Safety , 42 (7), 293-302.
Lum, H. D., Brungardt, A., Jordan, S. R., Phimphasone-Brady, P., Schilling, L. M., Lin, C. T., & Kutner, J. S. (2019). Design and Implementation of Patient Portal–Based Advance Care Planning Tools. Journal of pain and symptom management , 57 (1), 112-117.
Williamson, H. J., Perkins, E. A., Levin, B. L., Baldwin, J. A., Lulinski, A., Armstrong, M. I., & Massey, O. T. (2017). Implementation of Medicaid Managed Long-Term Services and Supports for adults with intellectual and/or developmental disabilities in Kansas. Intellectual and developmental disabilities , 55 (2), 84-96.
Sheldon, M. R. (2016). Policy-Making Theory as an Analytical Framework in Policy Analysis: Implications for Research Design and Professional Advocacy. Physical therapy , 96 (1), 101-110.
