Discussion 12 nur 703 - Assignment Example

Discussion 12 Nur 703 (Program) November 06, Discussion 12 Nur 703 APRN depends on county government funds for its operations that include subsidized fees to uninsured besides offering services to people with Medicaid and Medicare. In its evaluation, APRN should begin with identification and analysis of its key stakeholders such as patients, special interest groups, and other partners and effects of continuity and closure on the stakeholders. The analysis should include the county government, its health care objectives, and its health care responsibilities.

Inability to offer affordable care to uninsured people and the Medicare and Medicaid patients, due to low imbursements, are some of the role conflicts that APRN is likely to face. Reduced activities and change in work location due to closure are other possible role conflicts. APRN might gain support for the evaluation by seeking advocacy roles of special interest groups and incorporating evidence based information on its evaluation for authenticity. The county government, the community whose members seek care services, nurse advocacy groups, human rights associations, the facility’s personnel, and civil rights activists are some of the stakeholders and their involvement will be through seeking and incorporating their opinions on significance of the facility and possibility of closure (Milstead, 2013).

Five hundred dollars is a potential budget for the evaluation that will rely on local stakeholders for data. Communication and travelling allowances for members of the evaluation team will be the main expenses. A survey design, with interviews and focus group discussion as the data collection techniques and random sampling, will be the research methodology. Possible conflict of interest, need for anonymity, beneficence, and non-malfeasance are some of the potential ethical consideration (Schneider, Whitehead, LoBiondo-Wood, & Haber, 2012).

A written report will be delivered to the county government that may publish it to the public at discretion. I have been faced with a similar advocacy issue regarding workers’ rights in a facility. The issue was about possible change in management theory and incorporating stakeholders, including the management, in evaluation led to positive outcome. The facility changed its management approach and empowered its nurses. ReferencesMilstead, J. (2013). Health policy and politics: A nurse’s guide.

Burlington, MA: Jones & Bartlett Publishers. Schneider, Z., Whitehead, D., LoBiondo-Wood, G., & Haber, J. (2012). Nursing and midwifery research 4e: Methods and critical appraisal for evidence-based practice. Melbourne: Elsevier Health Sciences.