Patrick Chiu, Greta G Cummings, Sally Thorne, Kara Schick-Makaroff
{"title":"Policy Advocacy and Nursing Organizations: A Scoping Review.","authors":"Patrick Chiu, Greta G Cummings, Sally Thorne, Kara Schick-Makaroff","doi":"10.1177/15271544211050611","DOIUrl":"https://doi.org/10.1177/15271544211050611","url":null,"abstract":"<p><p>Policy advocacy is a fundamental component of nursing's social mandate. While it has become a core function of nursing organizations across the globe, the discourse around advocacy has focused largely on the responsibilities and accountabilities of individual nurses, with little attention to the policy advocacy work undertaken by nursing organizations. To strengthen this critical function, an understanding of the extant literature is needed to identify areas that require further research. We conducted a scoping review to examine the nature, extent, and range of scholarly work focused on nursing organizations and policy advocacy. A systematic search of six databases produced 4,731 papers and 68 were included for analysis and synthesis. Findings suggest that the literature has been increasing over the years, is largely non-empirical, and covers a broad range of topics ranging from the role and purpose of nursing organizations in policy advocacy, the identity of nursing organizations, the development and process of policy advocacy initiatives, the policy advocacy products of nursing organizations, and the impact and evaluation of organizations' policy advocacy work. Based on the review, we identify several research gaps and propose areas for further research to strengthen the influence and impact of this critical function undertaken by nursing organizations.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"22 4","pages":"271-291"},"PeriodicalIF":1.8,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d9/77/10.1177_15271544211050611.PMC8600587.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39740558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cheryl B Jones, Meriel McCollum, Alberta K Tran, Mark Toles, George J Knafl
{"title":"Supporting the Dynamic Careers of Licensed Practical Nurses: A Strategy to Bolster the Long-Term Care Nurse Workforce.","authors":"Cheryl B Jones, Meriel McCollum, Alberta K Tran, Mark Toles, George J Knafl","doi":"10.1177/15271544211030268","DOIUrl":"https://doi.org/10.1177/15271544211030268","url":null,"abstract":"<p><p>As the U.S. population ages and the demand for long-term care increases, an insufficient number of licensed practical nurses (LPNs) is expected in the nursing workforce. Understanding the characteristics of LPN participation in the workforce is essential to address this challenge. Drawing on the theory of boundaryless careers, the authors examined longitudinal employment data from LPNs in North Carolina and described patterns in LPN licensure and career transitions. Two career patterns were identified: (a) the continuous career, in which LPNs were licensed in 75% or more of the years they were eligible to be licensed and (b) the intermittent career, in which lapses in licensure occurred. Findings indicated that LPNs who made job transitions were more likely to demonstrate continuous careers, as were Black LPNs. These findings suggest the importance of organizational support for LPN career transitions and support for diversity in the LPN workforce.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"22 4","pages":"297-309"},"PeriodicalIF":1.8,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/15271544211030268","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39161558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Orlando Fernandes, Kevin Morrell, Loizos Heracleous
{"title":"How can governments tax multinational enterprises more fairly? A discourse analysis","authors":"Orlando Fernandes, Kevin Morrell, Loizos Heracleous","doi":"10.1332/030557321x16292210017454","DOIUrl":"https://doi.org/10.1332/030557321x16292210017454","url":null,"abstract":"\u0000 Extant research has identified numerous causes for multinational enterprises (MNE) tax avoidance and formulated a variety of remedial policy solutions. Yet despite being consistently decried as societally unfair, these contested practices persist. We reveal the conflicting and complementary ideologies and worldviews that reside in the background of MNE tax avoidance policy deliberations. Analysis of primary interviews with accounting and tax regulatory agencies, Members of the UK Parliament, and public hearings with MNE representatives, shows these different groups draw on four different discourses: globalism, idealism, pragmatism and shareholder interest. These exist in what we show to be a kind of precarious truce that allows these contested practices to continue in the face of robust critique. Prospects for taxing MNEs are enhanced if legislators, civil servants and regulators can draw more coherently on the discourse of idealism because this is most resistant to the logic of the market.\u0000","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"23 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81275592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Can community involvement policies mitigate NIMBYism and local opposition to asylum seeker centres?","authors":"R. Dekker, C. Oliver, Karin P M Geuijen","doi":"10.1332/030557321x16305840835010","DOIUrl":"https://doi.org/10.1332/030557321x16305840835010","url":null,"abstract":"\u0000 Local governments have to take authoritative decisions about the placement of controversial but necessary facilities such as Asylum Seeker Centres (ASCs). Opposition from local residents against such facilities is often considered to be an expression of NIMBYism. This article explores whether a policy of community involvement addressing the underlying reasons for local opposition can mitigate such opposition towards an ASC. It uses a mixed methods approach combining survey data and semi-structured interviews among neighbourhood residents about an ASC in Utrecht. Local opposition is associated with experiences of economic competition and cultural threat. The policy strategy did not moderate these effects. Those who became involved were a selective group of locals who were largely already accepting of the centre and its inhabitants and involvement was often incidental. However, contact between asylum seekers and neighbours developing within and beyond the ASC mediated the effect of cultural threat – confirming Allport’s contact hypothesis.\u0000","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"105 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75565590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katy B Kozhimannil, Jennifer Almanza, Rachel Hardeman, J'Mag Karbeah
{"title":"Racial and Ethnic Diversity in the Nursing Workforce: A Focus on Maternity Care.","authors":"Katy B Kozhimannil, Jennifer Almanza, Rachel Hardeman, J'Mag Karbeah","doi":"10.1177/15271544211005719","DOIUrl":"https://doi.org/10.1177/15271544211005719","url":null,"abstract":"<p><p>Racial and ethnic inequities in health are a national crisis requiring engagement across a range of factors, including the health care workforce. Racial inequities in maternal and infant health are an increasing focus of attention in the wake of rising rates of maternal morbidity and mortality in the United States. Efforts to achieve racial equity in childbirth should include attention to the nurses who provide care before and during pregnancy, at childbirth, and postpartum.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"22 3","pages":"170-179"},"PeriodicalIF":1.8,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/15271544211005719","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9888578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Implications of State Scope-of-Practice Regulations for Pediatric Intensive Care Unit Nurse Practitioner Roles.","authors":"Kristin H Gigli, Grant R Martsolf","doi":"10.1177/15271544211021049","DOIUrl":"https://doi.org/10.1177/15271544211021049","url":null,"abstract":"<p><p>Nurse practitioner (NP) advocacy efforts often focus on attaining full practice authority. While the effects of full practice authority in primary care are well described, implications for hospital-based NPs are less clear and may differ because of hospitals' team-based care and administrative structure. This study examines associations between state scope-of-practice (SSOP) and clinical roles of hospital-based pediatric intensive care unit (PICU) NPs. We conducted a national survey to assess clinical roles of PICU NPs including daily patient care, procedural, and consultation responsibilities as well as hospital-level administrative oversight practices. We classified SSOP as full or limited (reduced or restricted SSOP) practice. We present descriptive statistics and evaluate differences in clinical roles and hospital-level administrative oversight based on SSOP. The final sample included 55 medical directors and 58 lead (senior or supervisory) NPs from 93 of the 140 (66.4%) PICUs with NPs. There were no significant differences in daily patient care, procedural, or consultation responsibilities based on SSOP (<i>p</i> > .05). However, NPs in full practice authority states were more likely to bill for care than those in limited practice states (66.7% vs. 31.8%, <i>p</i> = .003), while those in limited practice states were more likely to report to advanced practice managers (36.7% vs. 13%, <i>p</i> = .03). For PICU NPs, SSOP was not associated with variation in clinical responsibilities; conversely, there were differences in billing and reporting practices. Future work is needed to understand implications of variation in hospital-level administrative oversight.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"22 3","pages":"221-229"},"PeriodicalIF":1.8,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/15271544211021049","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9487897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Caroline K Darlington, Peggy A Compton, Sadie P Hutson
{"title":"Revisiting the Fetal Assault Law in Tennessee: Implications and the Way Forward.","authors":"Caroline K Darlington, Peggy A Compton, Sadie P Hutson","doi":"10.1177/1527154421989994","DOIUrl":"https://doi.org/10.1177/1527154421989994","url":null,"abstract":"<p><p>The rising prevalence of opioid use disorder (OUD) among those living in the United States has demanded a collaborative response from health care and policy spheres. Addressing OUD among pregnant women is especially difficult, given the controversies surrounding the medical and ethical balance between meeting maternal versus fetal/newborn needs. Most medical organizations discourage the criminalization of drug use in pregnancy due to the adverse public health outcomes of such an approach. Despite this recommendation, many states continue to use punitive law to address drug use in pregnancy. In 2014, the Fetal Assault Law in Tennessee (TN) became the first law in the United States to directly allow women to be prosecuted for drug use in pregnancy. Since its expiration in 2016, this law has been re-introduced several times to the TN legislature in support of permanent implementation. This article outlines the impact of the initial Fetal Assault Law on maternal/newborn health in TN and provides alternative immediate, short-term, and long-term health policy strategies through which health care providers and legislators can better advocate for the well-being of both mothers with OUD and their infants.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"22 2","pages":"93-104"},"PeriodicalIF":1.8,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1527154421989994","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25357215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lynette Hamlin, Lindsay Grunwald, Rodney X Sturdivant, Tracey P Koehlmoos
{"title":"Comparison of Nurse-Midwife and Physician Birth Outcomes in the Military Health System.","authors":"Lynette Hamlin, Lindsay Grunwald, Rodney X Sturdivant, Tracey P Koehlmoos","doi":"10.1177/1527154421994071","DOIUrl":"https://doi.org/10.1177/1527154421994071","url":null,"abstract":"<p><p>The purpose of this study is to identify the socioeconomic and demographic characteristics of women cared for by Certified Nurse-Midwives (CNMs) versus physicians in the Military Health System (MHS) and compare birth outcomes between provider types. The MHS is one of America's largest and most complex health care systems. Using the Military Health System Data Repository, this retrospective study examined TRICARE beneficiaries who gave birth during 2012-2014. Analysis included frequency of patients by perinatal services, descriptive statistics, and logistic regression analysis by provider type. To account for differences in patient and pregnancy risk, odds ratios were calculated for both high-risk and general risk population. There were 136,848 births from 2012 to 2014, and 30.8% were delivered by CNMs. Low-risk women whose births were attended by CNMs had lower odds of a cesarean birth, <i>induction</i>/augmentation of labor, complications of birth, postpartum hemorrhage, endometritis, and preterm birth and higher odds of a vaginal birth, vaginal birth after cesarean, and breastfeeding than women whose births were attended by physicians. These results have implications for the composition of the women's health workforce. In the MHS, where CNMs work to the fullest scope of their authority, CNMs attended almost 4 times <i>more</i> births than our national average. An example to other U.S. systems and high-income countries, this study adds to the growing body of evidence demonstrating that when CNMs practice to the fullest extent of their education, they provide quality health outcomes to more women.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"22 2","pages":"105-113"},"PeriodicalIF":1.8,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1527154421994071","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25391579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patricia M Noga, Anna Dermenchyan, Susan M Grant, Elizabeth B Dowdell
{"title":"Developing Statewide Violence Prevention Programs in Health Care: An Exemplar From Massachusetts.","authors":"Patricia M Noga, Anna Dermenchyan, Susan M Grant, Elizabeth B Dowdell","doi":"10.1177/1527154420987180","DOIUrl":"https://doi.org/10.1177/1527154420987180","url":null,"abstract":"<p><p>Workplace violence is on the rise in health care. This problem contributes to medical errors, ineffective delivery of care, conflict and stress among health professionals, and demoralizing and unsafe work conditions. There is no specific federal statute that requires workplace violence protections, but several states have enacted legislation or regulations to protect health care workers. To address this problem in their state, the Massachusetts Health & Hospital Association developed an action plan to increase communication, policy development, and strategic protocols to decrease workplace violence. The purpose of this article is to report on the quality and safety improvement work that has been done statewide by the Massachusetts Health & Hospital Association and to provide a roadmap for other organizations and systems at the local, regional, or state level to replicate the improvement process.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"22 2","pages":"156-164"},"PeriodicalIF":1.8,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1527154420987180","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38801335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}