Reply 1 4 posts Re: Topic 4 DQ 2 Advocacy is a very significant pillar of nursing. Nurses have a responsibility to advocate for their fellow nurses and their patients, both in their workplaces and in their communities at large. Advocacy at the legislative and political level is also crucial to improve national health care delivery and develop a safe work environment for health workers (Brent, 2018). Nurses’ input contributes significantly to how policy is introduced, interpreted, and finally implemented. In 2018, The Childhood Cancer Survivorship, Treatment, Access, and Research Act of 2018 (S. 292), also referred to as the STAR Act, was signed into law by the President of the United States, Donald Trump on June 5, 2018. The act created new authorities, expanded and upgraded existing ones relating to childhood and adolescent cancer research, testing, tracking, treatment, and survivorship. It was a piece of bipartisan legislation that was introduced by U.S. Senators Shelley Moore Capito (R-WV) and Jack Reed (D-RI) with the help of patients, care providers, and the whole cancer community (Stone, 2018). The legislation helped to fill specific gaps that were prevalent in the treatment of cancer among children and adolescents. Due to the advancements made in cancer treatment, more than eighty percent of children survive more than the projected five years. The enactment of this bill was a step in the right direction; however, additional effort needs to be put to ensure every individual child affected by cancer can access medical treatment. There needs to be legislation that promotes the prevention of this disease and more rigorous ways to manage it. References Brent, N. J. (2018). The American Nurses Association declared 2018 the Year of Advocacy. Advocacy is defined as pleading for or actively supporting a cause or proposal, but what does it mean to nurses and their patients? Nurse.com . Stone, A. (2018). Key Federal Health Policy Legislation Updates for 2018. ONS Voice . Reply 2 The Nurse Staffing Standards for patient Safety and Quality Care Act of 2017 is a bill that amends the public Health Service Act, and requires hospitals to implement and submit a staffing plan that complies with specified minimum nurse-to-patient ratios by unit to the Department of Health and Human Services (HHS). The bill states that nurses have a duty and right to act based on their professional judgement and provide care in the exclusive interest of patients (Congress.gov, 2018). In addition, the bill recognizes the fact that nurses are often put into difficult situations where they are pressured to care for too many patients, which results in poorer care overall. The Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act, also seeks to empower nurses by obligating RNs to act in the best interest of the patient and advocate for patients without regard to bureaucratic and budgetary concerns of fear of being reprimanded for putting the pati.

1. Reply 1
4 posts
Re: Topic 4 DQ 2
Advocacy is a very significant pillar of nursing. Nurses have a
responsibility to advocate for their fellow nurses and their
patients, both in their workplaces and in their communities at
large. Advocacy at the legislative and political level is also
crucial to improve national health care delivery and develop a
safe work environment for health workers (Brent, 2018).
Nurses’ input contributes significantly to how policy is
introduced, interpreted, and finally implemented. In 2018, The
Childhood Cancer Survivorship, Treatment, Access, and
Research Act of 2018 (S. 292), also referred to as the STAR
Act, was signed into law by the President of the United States,
Donald Trump on June 5, 2018. The act created new authorities,
expanded and upgraded existing ones relating to childhood and
adolescent cancer research, testing, tracking, treatment, and
survivorship. It was a piece of bipartisan legislation that was
introduced by U.S. Senators Shelley Moore Capito (R-WV) and
Jack Reed (D-RI) with the help of patients, care providers, and
the whole cancer community (Stone, 2018).
The legislation helped to fill specific gaps that were prevalent
in the treatment of cancer among children and adolescents. Due
to the advancements made in cancer treatment, more than eighty
percent of children survive more than the projected five years.
The enactment of this bill was a step in the right direction;
however, additional effort needs to be put to ensure every
individual child affected by cancer can access medical
treatment. There needs to be legislation that promotes the
prevention of this disease and more rigorous ways to manage it.

2. References
Brent, N. J. (2018). The American Nurses Association declared
2018 the Year of Advocacy. Advocacy is defined as pleading
for or actively supporting a cause or proposal, but what does it
mean to nurses and their patients?
Nurse.com
.
Stone, A. (2018). Key Federal Health Policy Legislation
Updates for 2018.
ONS Voice
.
Reply 2
The Nurse Staffing Standards for patient Safety and Quality
Care Act of 2017 is a bill that amends the public Health Service
Act, and requires hospitals to implement and submit a staffing
plan that complies with specified minimum nurse-to-patient
ratios by unit to the Department of Health and Human Services
(HHS). The bill states that nurses have a duty and right to act
based on their professional judgement and provide care in the
exclusive interest of patients (Congress.gov, 2018). In addition,
the bill recognizes the fact that nurses are often put into
difficult situations where they are pressured to care for too
many patients, which results in poorer care overall. The Nurse
Staffing Standards for Hospital Patient Safety and Quality Care
Act, also seeks to empower nurses by obligating RNs to act in
the best interest of the patient and advocate for patients without
regard to bureaucratic and budgetary concerns of fear of being
reprimanded for putting the patient first. In addition, the bill is
designed to clearly dictate that nurses should always put the
well-being of the patient above all other concerns (Nurse.org,
2018).

3. Research has shown that “adding RNs to unit staffing decisions
can reduce the length of stay for hospital patients as well as the
risk of adverse events, such as falls, injuries, infections and
bleeding. Increasing the number of RNs can yield a cost savings
of nearly $3 billion – the result of more than 4 million avoided
extra hospital stays for adverse events – and lower costs from
hospital readmissions” (ANA, 2018). To date, seven states have
enacted safe staffing legislation using the committee approach:
Connecticut, Illinois, Nevada, Ohio, Oregon, Texas, and
Washington. In addition to advocating for legislation at state
and federal levels, numerous initiatives have been created in
order to achieve safe and appropriate nurse-to-patient staffing
in all health care settings. Furthermore, evidence-based research
is constantly being conducted in order to achieve optimal results
as well as utilizing the results as a driving force in advocating
for The Nurse Staffing Standards for patient Safety and Quality
Care Act of 2017.
Reference:
American Nurses Association. (2018). ANA Applauds Nurse
Staffing Legislation.
https://www.nursingworld.org/news/news-releases/2018/ana-
applauds-nurse-staffing-legislation/
Congress.gov. (2018). Nurse Staffing Standards for Hospital
Patient Safety and Quality Care Act of 2017.
https://www.congress.gov/bill/115th-congress/senate-bill/1063
Nurse.org. (2018). Proposed Federal RN Ratios- What You Can
Do About It.
https://nurse.org/articles/federal-staffing-ratios/