ch 6 policy

Question 1

defn of policy

Answer 1

a statement of direction resulting from a decision-making process that applies reason, evidence, and values in public or private settings

Question 2

what is public policy

Answer 2

directives that document government decisions…the process of taking problems to government agents and obtaining a decision or reply in the form of a program, law, or regulation.”

Question 3

how does health policy relate to public policy and what is health policy

Answer 3

Health policy, one aspect of public policy, includes “the principles, plans, and strategies for action guiding the behavior of organizations, institutions, and professions involved in the field of health, as well as their consequences for the healthcare system.”

Question 4

what are the sources of nursing policies

Answer 4

o Public sources- authoritative decisions, laws or operational rules determined by govt
o Organizational sources- developed by healthcare institutions to govern work places and direct behaviors
o Professional sources- discipline-specific and multidisciplinary organizations establish standards guidelines, and research-based recommendations

Question 5

does politics or policy deal with shoulds and oughts

which is proactive and which is reactive

Answer 5

policy- shoulds and oughts

policy is proactive

Question 6

what is politics

Answer 6

• Politics is the art of understanding relationships between groups in society and using that understanding to achieve particular outcomes

Question 7

t or f due to their subservience nurses havent influence much health policy

Answer 7

false nurses have long hx of influencing policy back to nightingale

Question 8

t or f nursing assns involvelmt in policy dev is dec

Answer 8

false has been inc in past 30yrs

Question 9

what are the 8 steps in the ONP policy cycle

Answer 9

1-values and beliefs
2-problem or issue emergence
3-knowledge and development of research
4-public awareness
5-political engagement
6-interest group activation
7-public policy deliberation and adoption
8-regulation, experience and revision

Question 10

what are the two phases of the policy cycle

what is each phase anchored in

Answer 10

getting to the policy agenda (anchored by values and beliefs)

moving into action (anchored by political engagement)

Question 11

what is the first stage of the policy cyce and what happens here

Answer 11

Values and cultural beliefs
• action on policy issue must be grounded in a set of values and beliefs.
• Identification, validation, and articulation of these basic values are important not only at the outset of the initiative but also in the moving forward

Question 12

after values and beliefs whats next in policy cycle

what happens here

Answer 12

emergence of problm or issue

to ID the issue you must gather info and evidence to support rationale for pursuing issue and selected solutions

Question 13

is it enough for issue to exist or what else is nec

Answer 13

issue must have urgency

Question 14

what is next step after youve identified the issue and it has emerged

what happens here

Answer 14

knowledge and dev of research

• Once issues are clear- research and evidence used to provide support for the desired outcome.
• Information gathering, research and situational analyses enable us to determine our needs, ask questions and analyze the issues and options for aaction, anticipate barriers, and pro-actively develop strategies

Question 15

once you have the
1-values and beliefs
2-emergence of issue
3-research and deve
whats next

Answer 15

public awareness

Question 16

what do you need for public awareness

Answer 16

media exposure so the public sees its an issue

o Get their attention (be strategic)
o Write an engaging news release
o Think like a reporter
o Prepare for and coduct successful interviews

Question 17

now that you have public awareness what is the next phase called
what is the next step

Answer 17

you are now in the moving into action phase

the first step in this is political engagement

Question 18

in order to have something placed on political agenda what do you need to do

Answer 18

soften it up

. This refers to the fact that people have to get used to the udea so that the support and acceptance for the solution can be

Question 19

how is political engagement accomplished

Answer 19

o Know the gov’t str and memebrs of parliament
o Target ind w interest, info, passion
o Utilize carefully considered person-to-person contacst
o Customize the message for each contact person
o Keep these indiviuals regularly updated regarding your activities, your progress, etc.

Question 20

now youve gone thru
-values and beiefs
-issue emergence
-research and dev
-public awareness
-political engagement
what is next

Answer 20

interest group activation

Question 21

what occurs in interest group activation

Answer 21

• Important to deliberately exploit every opportunity to repeat the message and if possibly build ripples of interest
• Interest groups are some of the key stakeholders in this part of the process
• Provide the opportunity for the issue and potential policy solution to be repeated over and over again through every medium

Question 22

after
values and beliefs
issue emergence
research and dev
public awareness
political engagement
interest group activation

what is next

Answer 22

public policy deliberation and adoption

Question 23

what are the criteria an issue must have if its to survive

Answer 23

: technical feasibility,
value acceptability within the policy community,
tolerable cost,
anticipated public agreement
a reasonable chance for elected officials to be receptive to it

Question 24

what occurs after policy deliberation and adoption

Answer 24

regulating, experience and revision

Question 25

regulation experience and revision what happens

Answer 25

• Proposed action becomes a formal policy, law or regulation
• New entity becomes a cultural value or norm, which is routinely experienced and revised until the next issue comes along

Question 26

what are the three typical approaches to leading change within an org

Answer 26

a strategic approach,
an organizational development or people-drive approach,
and a project management approach

Question 27

given these three typical approaches
-strategic
-people driven
-project mgmt
can you just take one approach and be successful

Answer 27

no one approach is sufficient

Question 28

what is change leadership framework made up of

Answer 28

in order to have change initiative
you need to
-being strategic
-engaging people
-managing the change

Question 29

how does the being strategic part of the change leadership framework align with the policy cycle steps

Answer 29

• being strategic aligns with

- values and beliefs, problem or issue ID, knowledge dev and researh

Question 30

what is the most imp thing a leader can bring to a changing organization

Answer 30

passion
conviction
confidence in others

Question 31

t or f its best to start work on a project before discerning your goals

Answer 31

f

you need goals

Question 32

under being strategic

beyond goals how should you frame your initiative

Answer 32

use a catchy phrase and make a vision statement

ID the values underying it

Question 33

what is the end step of the being strategic phase

Answer 33

ensure the feasibility and timeliness of your proposed policy change

Question 34

engaging people (part of the change leadership framework) aligns with what policy cycle steps

Answer 34

public awareness
political engagement
interest group activation

Question 35

what are the aspects of engaging people

Answer 35

engaging key stakeholders

developing a project team