Apply the Kingdon’s Policy Streams Model along with the Longest’s Policy Cycle Model to the selected initiative Kingdon’s Policy Stream theory has three autonomous courses believed essential for the success of a policy change. These streams are independent in that they have individual characteristics that must be met; however, they interact with one another because the strength of one stream can strengthen or weaken the other streams (Babaey et al., 2019). All three of these streams meet at a window of opportunity, the point in time in which the environment is right for passage of the legislative piece. The Policy Stream is the Nursing Crisis as it effects the entire country, Political stream develops ideas to address the staffing issue such as the ratios or incentives for faculty and political stream describes the factors in the political environment that influence the agenda (Babaey et al., 2019). Longest’ s policy cycle model incorporates the three phases of formulation, implementation, and modification (Tsay et al., 2019). Formulation gathers the evidence of staffing shortages, implementation defines the goals of staffing development, and modification is the revising and editing of the plan to improving nurse staffing to eradicate the crisis. Discuss the potential impact that the following factors will have on policy implementation Economically implementation of any purposed staffing bill in congress will be an economic burden to taxpayers and institutions initially (Griffiths et al., 2021). Whether incentives are offered as sign on bonuses, or faculty are offered student loan forgiveness, these are significant monetary amounts (Wolf, 2022). However, the costs of increasing morbidity and mortality without investing to increase the nursing task force will be far more expensive. Socially the implications of policy implementation of for safe staffing will improve moral, improve overall outcomes, and decrease costs with decreased infections and errors (Lasater et al., 2021). Safe staffing also decreases length of stay for patients, therefore decreasing the burden on the hospital and nurses. Environmental factors include the recent pandemic as well as many facilities not being able continue through the challenges to remain open. Additionally, there is increasing suggestion that the physical work environment affects job performance, job satisfaction, employee injuries, worker behaviors, communication patterns, employee fatigue, employee error rates, and physical and psychological stress (Lasater, et al., 2021). References Babaey, F., Raessi, P., & Ravaghi, H. (2019). Agenda setting analysis for maternal mortality reduction: exploring influential factors using Kingdon’s Stream Model. Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit, 25(3), 160–171. https://doi.org/10.26719/emhj.18.025 Griffiths, P., Saville, C., Ball, J. E., Jones, J., Monks, T., & Safer Nursing Care Tool study team (2021). Beyond ratios – flexible and resilient nurse staffing options to deliver cost-effective hospital care and address staff shortages: A simulation and economic modelling study. International journal of nursing studies, 117, 103901. https://doi.org/10.1016/j.ijnurstu.2021.103901 Lasater, K. B., Aiken, L. H., Sloane, D., French, R., Martin, B., Alexander, M., & McHugh, M. D. (2021). Patient outcomes and cost savings associated with hospital safe nurse staffing legislation: an observational study. BMJ open, 11(12), e052899. https://doi.org/10.1136/bmjopen-2021-052899Links to an external site. Tsay, S. L., Tsay, S. F., Ke, C. Y., Chen, C. M., & Tung, H. H. (2019). Analysis of nurse practitioner scope of practice in Taiwan using the Longest policy cycle model. Journal of the American Association of Nurse Practitioners, 31(3), 198–205. https://doi.org/10.1097/JXX.0000000000000127 Wolf, L. (2022). How safe staffing can improve emergency nursing: time to cut the Gordian knot. Emergency Nurse, 30(2).
