During these trying times, there are many policy issues, briefly discuss how a policy issue you see as a problem in which doctoral prepared nurses can influence, what evidence-based strategy could be implemented to address the problem and what quality measures could be considered to determine the effectiveness of the strategy.
Review the Full Practice Authority Policy Brief from AANP Policy Brief and the State Practice Environment Map and discuss how Florida’s restrictive practice can affect your population of interest. How can DNP prepared nurses influence policy related to our practice?
In today’s challenging times, policy issues play a significant role in shaping healthcare delivery, especially in the field of mental health. This essay examines a policy issue in which doctoral prepared nurses can exert influence, explores evidence-based strategies to address the problem, and discusses quality measures to determine the effectiveness of these strategies. Additionally, we explore the impact of Florida’s restrictive practice environment on mental health care and the potential role of Doctor of Nursing Practice (DNP) prepared nurses in influencing related policies.
Problem: Limited access to mental health care due to workforce shortages and restrictive scope of practice regulations that hinder the ability of advanced practice nurses to provide comprehensive care.
Influence of Doctoral Prepared Nurses: Doctoral prepared nurses, such as those with a DNP degree, possess the advanced knowledge and expertise to advocate for policy changes that enhance access to mental health services and expand the scope of practice for advanced practice psychiatric-mental health nurses.
Implementation: Full Practice Authority allows advanced practice nurses, including psychiatric-mental health nurse practitioners (PMHNPs), to practice to the full extent of their education and training without physician supervision or collaboration requirements.
Benefits: Full Practice Authority can increase access to mental health care by removing unnecessary barriers, improving patient outcomes, reducing healthcare costs, and addressing workforce shortages.
Patient Outcomes: Monitoring improvements in mental health outcomes, such as reduction in symptom severity, improved functioning, and decreased hospitalizations.
Timeliness of Care: Assessing the time taken for patients to receive mental health services and evaluating whether Full Practice Authority enhances access to timely care.
Patient Satisfaction: Measuring patient satisfaction with mental health services provided by advanced practice psychiatric-mental health nurses and comparing it to other providers.
Cost-effectiveness: Evaluating the impact of Full Practice Authority on healthcare costs, including reductions in unnecessary tests, emergency department visits, and hospitalizations.
Challenge: Florida’s restrictive practice environment places limitations on the scope of practice for PMHNPs, requiring physician collaboration or supervision, which may impede access to timely and comprehensive mental health care.
Influence of DNP Prepared Nurses: DNP prepared nurses can influence policy related to mental health practice by actively engaging in legislative advocacy, coalition building, and disseminating evidence demonstrating the effectiveness of PMHNPs in improving mental health outcomes and addressing access barriers.
Doctoral prepared nurses, particularly those with a DNP degree, have a critical role to play in influencing mental health policy. By advocating for Full Practice Authority, doctoral prepared nurses can enhance access to mental health care, improve patient outcomes, and address workforce shortages. Quality measures focused on patient outcomes, timeliness of care, patient satisfaction, and cost-effectiveness can provide evidence of the effectiveness of policy changes. Furthermore, DNP prepared nurses can advocate for policy reforms in restrictive practice environments, such as Florida, to expand the scope of practice for PMHNPs and improve mental health services for the population of interest. Through their expertise and commitment to evidence-based practice, doctoral prepared nurses can shape policies that promote better mental health outcomes and ensure the delivery of high-quality care to those in need.
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