Politics in Nursing Question 1

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Politicsin Nursing


Theperson I choose is Mary Menafra she is an MSN, RN, CEN, and performsher work across the street from the Virginia state house (TheAmerican Nurse, 2016).One of the importances of her role in advocating for the improvementof health care delivery is that she can be in a position to presenther ideas based on first-hand experiences. Since she has played therole of an RN, she is capable of understanding the issues that faceRNs in a better way, which gives her the best opportunity torepresent members who work in the health care field. Also, incarrying out her responsibility as an advocate in the healthprovision area, she can be influential. This emanates from thereasoning that she has the ability to answer different questions thatcan be brought regarding the area of health because she has personalencounters that can be used as examples. The manner in which she canpresent ideas and proposals confidently can help in makinglegislators support her foundations. One of the bills that MaryMenafra has supported is the bill requiring an RN in the operatingroom at all times. Menafra was in backing for the bill since shehelped to prepare nurses to participate in the Virginia NursesAssociation’s 26thAnnual Legislative Day (TheAmerican Nurse, 2016).The bill she supported is important in the provision of health carebecause it can help in improving patient outcomes.


TheCMS reimbursement policy now offers nurses with an opportunity ofembracing a leadership role in the prevention of avoidable events.“Never events” describe conditions that patients tend to suffer,but they are not supposed to happen because they can be avoided. Whenevidence-based guidelines are followed, and nurses take up aleadership role in the avoidable events, it is feasible to eliminatecases where patients need treatments for preventable situations. Ifthe government continues to fund the treatment of the “neverevents,” there is no doubt that it is likely to use a lot ofresources for the cases. However, since they can be avoided, there isno need of using additional resources, which could have otherwisebeen used to cater for other serious and deserving conditions.

TheCMS settlement rules for the “never events” needed a change inthe patient care plan model in inpatient care by giving nurses theleadership role in ensuring that the “never events” do not arise(Grant &amp Ballard, 2011). The resources used for the treatment of“never cases” through CMS reimbursement could be utilized inhiring more nurses. Indeed, the hired nurses would be more valuablein the health facilities because they would ensure that patients donot suffer from the avoidable cases, as well as play a critical rolein the provision of other services in the delivery of health care.Apart from this, through cutting the reimbursement for the “neverevents” and having more nurses would be an advantage sinceresources would be utilized in the best way feasible, avoidingwastages that would have been incurred for the wrong course.Therefore, a shift was required in the inpatient facilities, whereinstead of reimbursing resources for the treatment of “neverevents,” more nurses could be hired to take a leadership role inthe prevention of avoidable cases amid the patients.


Grant,P. D. M. &amp Ballard, D. C. (2011). Lawfor nurse leaders: A comprehensive reference.New York: Springer Publishing Company.

TheAmerican Nurse (2016).Political Advocacy, Anyone? Retrieved fromhttp://www.theamericannurse.org/2011/06/01/political-advocacy-anyone/

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