ANSWERED! For this assignment identify a problem or concern

Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.

For this assignment identify a problem or concern in your state community or organization that has the capacity for advocacy through legislation. Research the issue and use the “Advocacy Through Legislation” template to complete this assignment.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

ANSWER

Advocacy through Legislation

Problem In no more than 250 words, describe the problem, who is affected, and the current ramifications. Explain the consequences if the issue continues.
In the United States (U.S.), the use of substance is largely prevalent in communities across the country. Prolonged use of substances is linked to physiological as well as psychological clinical issues. Convulsions, for instance, is a physiological clinical manifestation that is drug-induced (Chen, Albertson, & Olson, 2016). Still, prolonged use of the alcoholic substance is associated with conditions such as liver cirrhosis. Conversely, cognitive impairment results from the overdependence on the drugs such as heroine. The use as well as overdependence on substance in Rocky Mount community, threatens the North Carolina health system considering that the state diverts part of its resources to cater for health needs of the victims. As a health issue, substance use affects various population groups in the Rocky Mount community. It is prevalent in individuals of teenage age considering that this is the stage in life where teenagers experience the pressure to fit into some social relationships. It also affects adult populations, across various demographic characteristics. Almost every segment of the population directly or indirectly suffers from this health problem. The tax which the community pays to the state goes to managing the clinical issues linked to overdependence. Ramifications such as increased exposure to accidents are associated with this medical issue. Sleep-deprivation, in addition to impaired cognitive functioning are other ramifications. These can have emotional and psychological implications on victims as well as their families. If the issue continues, the expenditure on medical costs will increase because of increased number of victims who need medical services.


Research the Issue Perform research and compile information for your idea. Present substantive evidence-based findings that support your idea for addressing the problem (studies, research, and reports). Include any similar legislation introduced or passed in other states.
Evidence 1	The failure to make progress in mitigating the substance use issue in American society is because of inadequate commitment, and treating this issue as a health problem and diverting efforts and resources to the treatment, instead of criminalizing it, helps manage this heal issue (Volkow et al., 2017). Florida’s Marchman Act.
Evidence 2	In a study that reviews the role of nursing professionals in addressing incidences of addiction, the findings recommended the use of the counseling instead of criminalizing of patients to promote treatment objectives (Bartlett et al., 2013). California’s S.B. 649.

Stakeholder Support Discuss the stakeholders who would support the proposed idea and explain why they would be in support.
Stakeholder(s) Supporting 1	Nursing professionals would support the bill to improve access to care for victims of substance use who have often faced discrimination because of using psychotic substances.
Stakeholder(s) Supporting 2	Learnings institutions would support this bill to reduce the number of school-dropout rates as well as incidences of school-based violence that are attributed to the use of drugs.

Stakeholder Opposition Discuss the stakeholders who would oppose the proposed idea. Explain why they would be in opposition and how you would prepare to debate or converse about these considerations.
Stakeholder(s) Opposed 1	The Rocky Mount mayor’s office which would oppose this bill on the ground that the bill would require the office to spend more on addressing the healthcare needs of the victims of substance use and abuse. To prepare for debating these issues, I would research detailed information on the clinical significance of addressing the substance use as a mental health issue.
Stakeholder(s) Opposed 2	Private prison companies would want to protect their business interest considering that the number of drug offenders who would end up in prison would reduce. To converse about this consideration, I would prepare by conducting cost-benefit analysis to determine the amount of funds North Carolina spends to treat a single case of disease related to substance use, and the amount of money it spends on a single case of incarceration. This would form the basis for my argument.

Financial Incentives/Costs In no more than 250 words, summarize the financial impact for the issue and the idea (added costs, cost savings, increased revenue, etc.). Provided support.
As a health care issue, the substance-use can financially weigh down on the existing healthcare programs intended to promote population health. Annually, the U.S. spends close to $59 billion on the health incidences related to the use of drugs (Bartlett et al., 2013). Key domains which suffer from this issue include the health sector, the public safety as well as economy. To access treatment, for instance, victims have to spend money on transportation as well as medical services. Some accidental incidences at the workplace, on roads as well as in homes are directly linked to the use of the substances. Drunk-driving is a major contributor to these incidences considering that one’s judgment becomes impaired whenever they use these substances. Considering that thousands of American workers use drugs, the drug issue impede the productivity of the American workforce, and can cause work absenteeism and impede economic progress. In addition, the country spends billions of dollars on ant-substance use and distribution campaigns and this is reflected in the soaring levels of incarceration related to the drug use (Florence et al., 2016).
Legislature: Information Needed and Process for Proposal Discuss the how to advocate for your proposal using legislation. Include the following:
Provide the name and complete contact information for the legislator.		George Holding
Describe the steps for how you would present this to your legislator.		To present the legislation, I would first have to plan on what I need to acheieve. In this case the goal is to convince the legislator to lobby for the support of the new idea. The next step entails finding the meeting date as well as the location before requesting for a meeting with legislator. After presenting the idea, the next step entails following up with the representative to know the progress.
Outline the process if your legislator chooses to introduce your idea as a bill to congress.		The bill to law process is characterized by key procedures which begins when the legislator sponsors the bill. Subsequently, a legislative committee studies it, and if this committee decides that the bill needs to be debated, the former releases it and assigns a debate date (Rouse, 2013). The governor of North Carolina signs it into law, ten days after it passes the state legislative assembly.
Christian Principles and Nursing Advocacy In no more than 250 words, discuss how principles of a Christian worldview lend support to legislative advocacy in health care without bias. Be specific as to how these principles help advocate for inclusiveness and positive health outcomes for all populations, including those more vulnerable, without regard to gender, sexual orientation, culture, race, religion/belief, etc.
The idea of advocacy or lobbying on behalf of others takes religious dimensions when one examines the idea in the perspective of the Christian worldview. The Christian faith has been persistent in advocating for the social inclusion, and this position is based on the principle of love as well as the thought that God created human in his own image. Thus, irrespective of one’s cultural background as well as their racial and religious orientation, humans are all God’s children. Having this in mind, those in positions of authorities, according to this worldview, have to use their power to better the wellbeing of the people they represent. Love is the focal for this worldview, and one can demonstrate it by responding when they see other people who are deprived of social support systems such as access to health care that is fair and is of quality.

Table of Contents

References

Bartlett, R., Brown, L., Shattell, M., Wright, T., & Lewallen, L. (2013). Harm reduction: compassionate care of persons with addictions. Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses, 22(6), 349–358.

Chen, H. Y., Albertson, T. E., & Olson, K. R. (2016). Treatment of drug-induced seizures. British journal of clinical pharmacology, 81(3), 412–419. doi:10.1111/bcp.12720.

Florence, C. S., Zhou, C., Luo, F., & Xu, L. (2016). The Economic Burden of Prescription Opioid Overdose, Abuse, and Dependence in the United States, 2013. Medical care, 54(10), 901–906. doi:10.1097/MLR.0000000000000625.

Rouse, S. M. (2013). Latinos in the legislative process: Interests and influence. Cambridge: Cambridge University Press.

Volkow, N. D., Poznyak, V., Saxena, S., Gerra, G., & UNODC-WHO Informal International Scientific Network (2017). Drug use disorders: impact of a public health rather than a criminal justice approach. World psychiatry : official journal of the World Psychiatric Association (WPA), 16(2), 213–214. doi:10.1002/wps.20428.

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