Limitations of the approach
Over the years, various changes have been made on nursing policies to suite their working environment. These changes have had adverse effects on their duties and such includes the expansion of hospitals which have exerted pressure on the number of nurses, who could barely manage the amount of work placing. Civic awareness has also instilled adjustments in nursing policies, for example the works of Wald, who created awareness on the significance of nurses. Current changes to policy include use of scientific data which has transformed the sector. This process is rigorous and sometimes chaotic since the policies must pass through legislators. Numbers, facts and persistence are some of the challenges faced. Limitations of these proposals lie on numerous factors, according to Dickson & Flynn (2008), policy making relies on the opportunity openings which is seldom found. Whenever an opportunity presents itself, there are other factors, like the alternatives to the policies and political goodwill which again stand on the way. The proposal to use the masses since nurses form the largest workforce in the U.S can cause turmoil given that the context, message and the mode of transmission is very essential; issues politicized may loose their content and need. Besides, as long as the policies are still made by the legislators; some research based policies may not have their best interest and thereby fail. Another possible challenge to the proposal is the shifting trends in the modern approaches to healthcare issues which are advancing and becoming more evidence and research based. The fact that these issues deal with social and political decision making is another challenge for the proposal. Waiting for the window of opportunity may also be challenging in knowing the correct time and if all the relevant participants will be willing to go all the way in ensuring the policy is adopted; this is critical as some participants may back out under pressure; which could instigate a heavy setback for initiating changes to the current policies (Dickson & Flynn, 2008, p. 1-22).
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Implementation of translation in the policy making process
Various problems in the health sector have led to their mitigation in implementation of new public policies. The numerous social problems that need judgments have also created several approaches to decision making. These approaches which include Knowledge translation among others are critical in research finding for making policies. This thought is shared by Degenais (2009, p. 7).who believes that translation is essential in the development of policies. Studies show that numerous terms have been used to express knowledge; these terms have different uses and meanings in different health organizations. Translation of knowledge can be referred to as the swapping, creation or use of knowledge in an ethically sound manner. It is essential in helping decision making regarding the various social and medical problems. Nursing environment includes the interaction with numerous patients with diverse social problems. Without implementation of translation in their policies, the decisions over the same problem may be dissimilar since knowledge translation also depends on individuals. It is therefore imperative that translation be implemented to serve a common purpose with harmonization of the concepts that are agreeable. This can be done by evaluating the impacts of translation and its product. It will involve research findings based on the current translation requirements and their mapping to reach a consensus on the concept of translation. Its contextualization should also be done with a view to interfacing the platforms for a common understanding. Once a conceptualized representation of translation has been achieved, it should be entrenched into the policies for implementation which will help in decision making process when dealing with the various social problems (Oman, Duran, & Fink, 2008, p. 47-51).
Degenais et al. (2009).Knowledge translation research in population health: establishing a collaborative research agenda. Web.
Dickson G. L. & Flynn L. (2008). Nursing policy research: Turning evidence-based researchintohealthpolicy.NewYork: Springer.
Oman K. S. Duran C. & Fink, R. (2008). Evidence-based Policy and Procedure: An Algorithm for Success. Journal of Nursing Administration, 38, 47-51.