NURS 401 Nursing Synthesis

As you have discovered through this course, nurses are influential members of the community and the political system. Therefore, for the purposes of this assignment you will identify a problem or concern in your community, organization, etc.

 

That has the capacity to be legislated. You will conduct research and state a proposal. Through the legislative process, your proposal for the problem or concern may influence an idea for change into a law.

 

First, refer to the “How a Bill Becomes a Law” media.

Modern healthcare for the elderly is increasingly taking up the client-centered concept of health care service (McCaffrey and McConnell, 2015 p.3007). A lot of efforts are being put in place to ensure that person based adult care is as improved as possible. However, as Norton (2015) posits, the implementation strategies for healthcare provision for the aged are inadequate, insufficient and devoid of legal frameworks that specifically stipulate the code of requirements in this particular area. Todres et al (2009) cites unprofessional working culture among the practicing caregivers and blatant violation of regulations among adult care centers. This forms the contextual rationale for designing, developing and implementation proper legal frameworks to ensure responsibility and the rule of law in adult healthcare nursing. The aim of this paper is to, therefore, front a bill proposal for minimum requirements to be met by adult care centres before being registered to operate.  The background of the problem, the current healthcare issue, and the proposed measures are herein discussed. The paper winds up by justifying the need to pass this bill into law.

Approximately 3.2 million Texas residents are aged above 65 years, representing 12 percent of the state population (World Health Organization, 2015). This ballooning figure is expected to hit 20 percent by 2050. This expansion of the more elderly populace will probably mean an increase in the requirement for a wide range of health services as well as improvement in the nature of services being rendered.

In Texas, adult nursing homes are inadequately staffed and overflowing with infringement of basic requirements that need to be met by such establishments (Agarwal, 2017). Last session, the assembly reacted by passing a law requiring all the more preparing for individuals giving direct consideration. Argwal (2017) further laments that at the point when the state administrative office finds an infringement, it rarely makes authorization move, as indicated by an examination by the Texas part of the American Association of Retired People (AARP)..

This bill, therefore, seeks to enforce laws requiring all nursing practitioners in adult healthcare centres operating in Texas to obtain a special practicing license specifically for this area of specialization. A nurse in the adult care centre shall be required to undergo special training and certification examination so as to be more professional and give more compassionate services to the elderly. Each centre shall be required to observe a minimum 1:5 nurse-patient ratio as prescribed by the World Health Organization (2016).  The Texas Health and Human Services, the Texas law enforcement agencies together with the AARP shall be responsible for enforcing this bill is turned into law. All the activities including but not limited to enforcement of this law shall be funded by the state government. Failure to adhere to these regulations will lead to necessary legal measures taken against specific individual and or the management of the facility. It is suggested that the law goes into effect six months after being passed to allow for the compliance window.

Upon passing of this bill into a law, sanity will be restored in the adult care homes, patients will receive better quality services and the patients will be shielded from rampant professional malpractices currently being reported in the majority of the institutions

References:

Agarwal, V. (2017). Implementing Quality Healthcare Strategies for Improving Service Delivery at Private Hospitals in India. Journal of Health Management, 19(1), 159-169.

McCaffrey, G. and McConnell, S. (2015). Compassion: a critical review of peer?reviewed nursing literature. Journal of clinical nursing, 24(19-20), 3006-3015.

Norton, E. (2015). The application of humanization theory to health-promoting practice. Perspectives in public health, 135(3), pp.133-137.

Todres, L., Galvin, W., and Holloway, G.  (2009).Humanization framework

World Health Organization. (2015). Health statistics and information systems: definition of an older or elderly person. Proposed Working Definition of an Older Person in Africa for the MDS Project.

World Health Organization. (2016). Elder abuse (No. WPR/2016/DNH/010). Manila: WHO Regional Office for the Western Pacific.