{"title":"How can non-elected representatives secure democratic representation?","authors":"Karin Fossheim","doi":"10.1332/030557321x16371011677734","DOIUrl":"https://doi.org/10.1332/030557321x16371011677734","url":null,"abstract":"Research on the democratic legitimacy of non-elected actors influencing policy while acting as representatives is often lacking in governance literature, despite being increasingly relevant worldwide. Recent theories of representation argue that there are non-electoral mechanisms to appoint such non-elected representatives and hold them responsible for their actions. Consequently, democratic non-electoral representation can be achieved. Through empirical analysis, this article explores democratic non-electoral representation in governance networks by comparing how non-elected representatives, their constituents and the decision-making audience understand the outcome of representation to benefit the constituency, authorisation and accountability. The research findings conclude that all three groups mostly share the understanding of democratic non-electoral representation as ongoing interactions between representatives and constituents, multiple (if any) organisational and discursive sources of authorisation and deliberative aspects of accountability. All of these are non-electoral mechanisms that secure democratic representation. These findings make an important contribution to the literature on non-electoral representation in policymaking.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"18 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74389167","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":"Why Don't U.S. Nurses Get COVID-19 Vaccines.","authors":"Christine Kovner","doi":"10.1177/15271544211053999","DOIUrl":"https://doi.org/10.1177/15271544211053999","url":null,"abstract":"","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"22 4","pages":"243-244"},"PeriodicalIF":1.8,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39826334","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}
Andrew M Dierkes, Kathryn Riman, Marguerite Daus, Hayley D Germack, Karen B Lasater
{"title":"The Association of Hospital Magnet<sup>®</sup> Status and Pay-for-Performance Penalties.","authors":"Andrew M Dierkes, Kathryn Riman, Marguerite Daus, Hayley D Germack, Karen B Lasater","doi":"10.1177/15271544211053854","DOIUrl":"10.1177/15271544211053854","url":null,"abstract":"<p><p>The Centers for Medicare and Medicaid Services' Pay-for-Performance (P4P) programs aim to improve hospital care through financial incentives for care quality and patient outcomes. Magnet<sup>®</sup> recognition-a potential pathway for improving nurse work environments-is associated with better patient outcomes and P4P program scores, but whether these indicators of higher quality are substantial enough to avoid penalties and thereby impact hospital reimbursements is unknown. This cross-sectional study used a national sample of 2,860 hospitals to examine the relationship between hospital Magnet<sup>®</sup> status and P4P penalties under P4P programs: Hospital Readmission Reduction Program, Hospital-Acquired Conditions (HAC) Reduction Program, Hospital Value-Based Purchasing (VBP) Program. Magnet<sup>®</sup> hospitals were matched 1:1 with non-Magnet hospitals accounting for 13 organizational characteristics including hospital size and location. Post-match logistic regression models were used to compute a hospital's odds of penalties. In a national sample of hospitals, 77% of hospitals experienced P4P penalties. Magnet<sup>®</sup> hospitals were less likely to be penalized in the VBP program compared to their matched non-Magnet counterparts (40% vs. 48%). Magnet<sup>®</sup> status was associated with 30% lower odds of VBP penalties relative to non-Magnet hospitals. Lower P4P program penalties is one benefit associated with achieving Magnet<sup>®</sup> status or otherwise maintaining high-quality nurse work environments.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"22 4","pages":"245-252"},"PeriodicalIF":2.1,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9394674/pdf/nihms-1828865.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39540583","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}
I Wolbers, P C B Lalleman, L Schoonhoven, N Bleijenberg
{"title":"The Ambassador Project: Evaluating a Five-Year Nationwide Leadership Program to Bridge the gap Between Policy and District Nursing Practice.","authors":"I Wolbers, P C B Lalleman, L Schoonhoven, N Bleijenberg","doi":"10.1177/15271544211050917","DOIUrl":"https://doi.org/10.1177/15271544211050917","url":null,"abstract":"<p><p>District nurses have a crucial position in healthcare provision and are expected to use leadership practices to ensure optimal quality patient care. To better equip them, a leadership program named <i>the ambassador project</i> was developed to support the development of a liaison role between policy and district nursing practice. This research aims to evaluate from different perspectives the impact of this nationwide, five-year leadership program for district nurses at the organizational, regional, and societal levels. A mixed-methods study was conducted using two focus groups based on peer-to-peer shadowing (n = 14), semistructured interviews (n = 13), and an online questionnaire (n = 45). The analysis shows that the impact of a nationwide leadership program for district nurses was perceived as predominantly positive, and nurses experienced an increase in courage, assertiveness, professional pride, and leadership skills. They obtained confidence in representing the group of district nurses at the organizational, regional, and societal levels when speaking with various key stakeholders from the healthcare system. They were able to bridge the gaps among daily practice, policymaking, and politics by using translations and shaping actions and information into terms suiting the needs of those involved.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"22 4","pages":"259-270"},"PeriodicalIF":1.8,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39554776","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":"Legal Issues: Advocacy by and Disabilities of School Nurses.","authors":"Perry A Zirkel","doi":"10.1177/15271544211052034","DOIUrl":"https://doi.org/10.1177/15271544211052034","url":null,"abstract":"<p><p>This article summarizes the facts and rulings of a recent representative federal appeals court decision concerning the legal claims of two school nurses who lost their positions after advocating on behalf of students with diabetes. Their primary claim was the anti-retaliation protection under the pair of federal laws prohibiting disability discrimination-Section 504 of the Rehabilitation Act and the Americans with Disabilities Act. The second of the two nurses additionally asserted protection under this pair of laws based on her own asserted disabilities. The discussion reveals the sometimes significant difference between legal requirements, as determined by appellate courts, and professional norms, as perceived by practitioners and professors in school nursing.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"22 4","pages":"253-258"},"PeriodicalIF":1.8,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39536037","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}
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}
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":"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":2.1,"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}
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}