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NURS FPX 4035 Assessment 2: Root-Cause Analysis

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NURS FPX 4035 Assessment 2
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Capella University
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August 2025

NURS FPX 4035 Assessment 2: Safety and Quality in Healthcare: Patient Education Understanding the function of health polices

Policies, which guide the activities of the healthcare systems and services, are referred to as healthcare policies. The regulations at both the national and the corporate level, rules of organizations, and clinical guidelines also play a part in the provision of care through a quality and safety performance improvement plan. Such policies are not to be regarded merely as rules- they play a significant role in clinical governance and lead to patient-oriented care. Rasheed et al. (2020) examine the relationship between policy and politics in the lives of nurses over the past two decades and draw the conclusion that they were not active, yet they could have a great impact. Easy to comprehend and up to date policies enhances the operations of the company and reduces the likelihood of mistakes. They detail the services that are offered, how they give care, and under what circumstances patients receive help. Infection control and decisions on who should receive health services, as well as the extent of such services, are some of the policies addressed within the scope of NURS FPX 4035 Assessment 2.

The direct relationship between policy and patient health Key contributors to policy development

The fact that the contact nurses regularly interact with the patients enables them to see how the healthcare policies are implemented. The experience of them demonstrates what is a good regulation and areas that should be developed. Participation in policy creation will enable the nurses to ensure that the policies are simple to follow by other doctors and healthcare providers, using a root cause analysis example to guide improvements. It examines the key factors behind participation of nurses in the formulation of policies through the aspects of culture in which nurses work, leadership opportunities, education-related advantages, and engagement platforms between nurses and policymakers. In the case nursing personnel are involved in the management, they contribute to the creation of the new rules, which have a direct impact upon patients and take into consideration the everyday life of nurses through the use of root cause analysis. Among the changes that they recommend are dealing with staffing, supports to mental health, cultural awareness, and workplace safety. These recommendations are based on the necessity of the


ideas and their practicality since they are the ones involved in making the laws, which is further emphasized in NURS FPX 4035 Assessment 2.

The importance of policy Evaluation and reforms Equity focused policy interventions

The contemporary healthcare organizations attempt to prevent disparities in health on the basis of different genders, ethnicities, or geographical location through a health and safety continuous improvement plan. It shows that when the governments act with equity, they provide more access to healthcare and better results to marginalized communities. Bayat et al. (2023) also list failure to plan and failure to involve all stakeholders as the reasons why a health system reform fails. The policies that contribute towards the funding of healthworks, transportation, or health teachings in various languages benefit the underprivileged groups. They are most effective when there is input of ideas given by nurses and other healthcare personnel into the planning, which is being examined in NURS FPX 4035 Assessment 2. Case managers in urban facilities and rural hospitals may find that certain conditions take more time to diagnose, particularly when it comes to having to wait times to transport patients, and the lack of a translator. What they observe and propose makes the policies better, primarily in the area of public health, and serving the vulnerable.

Challenges in nurse involvement in policy making Integrating research and evidence in policy

In the field of medicine, there should be sound science in the policies. Nurses, as patient care providers, are in a position to conduct studies that examine existing practices and propose how they can be improved through approaches such as root cause analysis and safety improvement plan. Mbau et al. (2023) explore various ways to assess the effectiveness of a health system operation, to determine the policy and allocate resources. Policy making is guided by evidence and politics are not in play. Etowaha et al. (2022) explore how the nurses experience the lack of powerful influence and the general challenges in the hospitals in low-income, and middle-income countries. Hajizadeh et al. (2021) note that the personality of the nurses, the work environment, and the political situation impact their involvement in policy making. Nurses are supposed to explore to ensure that care plans are helpful and efficient, identify solutions that

work through root cause analysis, and share the voices of their patients. Research projects on preventing falls in the aging population are influential over hospital regulations, and some of the learning obtained from research studies in healthcare communication can be extended into the effectiveness of offering and accepting consent, which is being analyzed in NURS FPX 4035 Assessment 2.

Conclusion

Health policies affect the ease with which people access medical care and the quality and the spaciousness of that care. These policies have a significant effect on patient outcomes since they condition access to some treatments, their effectiveness, and level of satisfaction with them. As they provide patient care and represent and advocate on behalf of patients, nurses can have policy-making impacts by applying approaches such as root cause analysis to identify underlying issues and support effective solutions. Inclusion of nurses in formulation of policy means a good, more appropriate and people-centered healthcare. The involvement of everyone is essential to provide better outcomes, reduce differences, and deliver care more effectively. Viable changes could not take place in healthcare without nurses building relationships with policymakers, a point that is being emphasized in NURS FPX 4035 Assessment 2.

References

Abdelaliem, S. M., Mugheed, K., Alzoubi, M. M., Oweidat, I., & Hamouda, G. M. (2025). The effect of nursing shared governance educational program on nurse managers’ knowledge for sustainable nursing excellence and empowerment. PLOS ONE, 20(2), e0307798. https://doi.org/10.1371/journal.pone.0307798

Bayat, M., Kashkalani, T., Khodadost, M., Shokri, A., Fattahi, H., Ghasemi, F., Younesi, F., & Khalilnezhad, R. (2023). Factors associated with failure of health system reform: A systematic review and meta-synthesis. Journal of Preventive Medicine and Public Health, 56(2), 128–144. https://doi.org/10.3961/jpmph.22.394

Bijani, M., Abedi, S., Karimi, S., & Tehranineshat, B. (2021). Major challenges and barriers in clinical decision-making as perceived by emergency medical services personnel: A qualitative content analysis. BMC Emergency Medicine, 21(1), 11. https://doi.org/10.1186/s12873-021-00408-4

Etowah, J., Vukic, A., Aston, M., Iduye, D., McKibbon, S., George, A., Nkwocha, C., Thapa, B., Abrha, G., & Dol, J. (2022). Experiences of nurses and midwives in policy development in low- and middle-income countries: Qualitative systematic review. International Journal of Nursing Studies Advances, 5, 100116. https://doi.org/10.1016/j.ijnsa.2022.100116

Hajizadeh, A., Zamanzadeh, V., Kakemam, E., Bahreini, R., & Khodayari, R. (2021). Factors influencing nurses’ participation in the health policy-making process: A systematic review. BMC Nursing, 20(1), 128. https://doi.org/10.1186/s12912-021-00648-6

Havers, S. M., Kate, E., Wilson, A., & Hall, L. (2020). A systematic review and meta-synthesis of policy intervention characteristics that influence the implementation of government-directed policy in the hospital setting: Implications for infection prevention and control. Journal of Infection Prevention, 21(3), 84–96. https://doi.org/10.1177/1757177420907696

Mbau, R., Musiega, A., Nyawira, L., Tsofa, B., Mulwa, A., Molyneux, S., Maina, I., Jemutai, J., Normand, C., Hanson, K., & Barasa, E. (2023).Analyzing the efficiency of health systems: A systematic review of the literature. Applied Health Economics and Health Policy, 21(2), 205–224. https://doi.org/10.1007/s40258-022-00785-2

McKay, M., Lavergne, M. R., Lea, A. P., Le, M., Grudniewicz, A., Blackie, D., Goldsmith, L. J., Marshall, E. G., Mathews, M., McCracken, R., McGrail, K., Wong, S., & Rudoler, D. (2022). Government policies targeting primary care physician practice from 1998-2018 in three Canadian provinces: A jurisdictional scan. Health Policy, 126(6), 565-575. https://doi.org/10.1016/j.healthpol.2022.03.006

Rasheed, S. P., Younas, A., & Mehdi, F. (2020). Challenges, the extent of involvement, and the impact of nurses’ involvement in politics and policymaking in the last two decades: An integrative review. Journal of Nursing Scholarship, 52(4), 446–455. https://doi.org/10.1111/jnu.12567



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