The Role of the RN/APRN in Policy Evaluation As we all know that the healthcare system is rapidly developing, and things are changing and as such nurses as the largest part of the health care system should move forward and be part of this changes. The nurse needs to influence the formulation of health policies rather than just implementing them for us to be able to control our practice. The Role of the RN/APRN in Policy Evaluation

Introduction

The efforts to solve certain problems attracting public concerns create the necessity to formulate and implement public policies. Ridde (2009:939) defines a public policy as an action that a government deems appropriate or inappropriate for its citizens.

Put differently, public policy encompasses a set of aims coupled with a specified group of activities, which resolve a particular public problem when properly executed (Lyhne, 2011:324). From this paradigm, the processes of formulation, implementation, and evaluation of policies are defined as covering the integration of myriads of fragmented process (sub-processes) (Ridde, 2009:943).

In some situations, governments adopt policies that fail to achieve the anticipated outputs. This scenario occurs when a formulated public policy is implemented, but the problem intended to be solved by the policy continues. Such a situation attracts the attention of policy analysts, who try to determine the reasons for the policy failure. One of the most common approaches to this involves finding out the deficiencies within the policy-formulation and implementation phases (Ridde, 2009:945).

Public policy is an important aspect of contemporary government operations. Taking the above arguments as a starting point, this essay aims to discuss evaluation as an important component of policy formulation and implementation. Non-incorporation of evaluation in the two phases creates difficulties in determining eminent deficiencies in policy that has been formulated and implemented.

Deficiencies in policy formulation and implementation are risk factors for the failure of a policy to achieve the anticipated outcomes. This essay is divided into two main sections. It first describes the processes of policy formulation, policy implementation, and policy evaluation as discrete entities.

A discussion of policy evaluation as an integrated process in policy formulation and implementation then follows in the analysis section. The essay also addresses the rationale behind integrating public-policy evaluation into the formulation and implementation stages. In conclusion, the essay will hold that the evaluation, formulation and implementation of public policy cannot be separated into discrete stages.

 

Description

Formulating Public Policies

Governments, organisations and groups of people set and adopt procedural guidelines towards the achievement of their set goals and objectives. Policies are generally initiated to influence various environments, thereby addressing adverse effects that arise in those environments.

Public-policy formulation involves the processes of studying and assessing issues that emerge as a potential threat and the impact they may have on the public (Vizzard, 1995:342). The public-policy formulation process intends to limit the identified consequences of a problem for the subject environments or invoke better performance of undertakings in the public sector (Fyfe, Miller & McTavish, 2009: 214).

Well-formulated policies are rational, specific in their statements, and applicable to specific extents only (Marsh & McConnell, 2010:565). Such policies are not ambiguous and are effective in achieving the intended objectives. The process of public-policy formulation is intricate.

Creating a policy in order to oversee all stakeholders and pressure groups is a dangerous mistake. The civil society working together with the government is one way of ensuing democracy and collective representation. In the end, this enhances the effectiveness of the policy-formulation process.

For an effective policy-formulation process, it is crucial that staff is highly knowledgeable of, and conversant with, institutional processes. Institutional processes encompass the determination of policy subject matter, implementation plans, and designing and scrutinising the assessment and revision of public policies (Vizzard, 1995:344).

Thorough analysis based on the identified problems in public-policy formulation enhances the realisation of well-formulated policies; thus, mitigating the risks of unintended consequences emerging. Plans made for dealing with organisational setbacks in policy management play a significant part in raising the policy-formulation capability.

The process of creating public policy involves decision-making processes; it centres on making amendments during the implementation of public policies (Milward, 1980:256). This implies that the formulation and implementation of public policies works mutually, but not as two separate entities.

 

Implementing Public Policies

Policy implementation follows the process of policy formulation. Mazmanian and Sabatier (1983:56) describe policy implementation to include exercising particular policy decisions in a manner directed

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