Health Policy, Ethics & Resilience
Health Policy, Ethics & Resilience
Resources for DNP Practice Hours
Resources for DNP Practice Hours
To be eligible for a Doctorate in Nursing Practice Degree, candidates for the DNP degree must have a minimum of 500 practice hours related to the DNP Essentials. A portion of these hours will be required experiences with associated assignments in the DNP core project courses, but most are chosen by the student.
Health policy involves goal directed decision-making about health that is the result of an authorized public decision-making process (Keller & Ridenour, 2021). Nurses can have a profound influence on health policy by becoming engaged in the policy process on many levels, which includes interpreting, evaluating, and leading policy change.
Ethics refers to principles that guide a person’s behavior. There are commonly accepted principles in bioethics that include autonomy, beneficence, non-maleficence, and justice (ANA 2015; ACNM, 2015; AANA, 2018; ICN, 2012). The study of ethics as it relates to nursing practice has led to the exploration of other relevant concepts, including moral distress, moral hazard, moral community, and moral or critical resilience.
Policies often come with ethical questions. For example,
A patient wants doctors to turn off his pacemaker. Would doing so be physician-assisted suicide?
What does informed consent look like when it comes to prenatal testing? Is giving parents pages of information with medical terms and statistics they likely don't understand ethical? Is this really informed consent?
Should parents be allowed to terminate a pregnancy when the diagnosed condition of the fetus is not severe (e.g., hemophilia)? Should parents be allowed to terminate pregnancies in the case of mental retardation? Who defines conditions that are “severe”?
Should patients with alcoholic liver disease be sober for 6 months before they can get on the waiting list for a liver replacement?
The Public Health Commute. A medical school curriculum supplement developed for Columbia Vagelos College of Physicians and Surgeons.
Each topic has text, videos, podcasts, references, and a section on how to learn more. Plan 1-1/2 - 3 hours for each.
American Health Planning Association
AHPA's basic mission is the promotion and improvement of community-based health service planning and decision-making. This page has a sampling of state & county rankings for health facilities, services & health status. You need patience and time. Lots of data.
National Health Law Program. Resource Library
They are working to shape public policy on decisions on Reproductive Health, Children & Adolescent Health, Disability Rights, and Health Equity and Civil Rights.
O’Neill Institute for National and Global Health Law. Georgetown University Law Center.
They bring together Georgetown resources, including the School of Nursing and Health Studies, the School of Medicine, the McCourt School of Public Policy, and the Kennedy Institute of Ethics to focus on innovative solutions to global health concerns.
Bazelon Center for Mental Health Law
Its mission is to advance the civil rights of adults and children with mental illness or developmental disabilities via policy, advocacy, and litigation. See their Resource Library for recorded webinars and publications.
Elisabeth Haub School of Law. Health Law Research Guide: National Agencies and Organizations. Pace University.
This libguide is a gateway to online resources, including federal, state, and international health law, health law topics, legal and medical journals and newsletters, legal and medical agencies and organizations, and relevant discussion groups.
Centers for Disease Control & Prevention (2019). Public Health Policy. U.S. Department of Health & Human Services.
These resources provide information about CDC offices and programs that focus on policy-related matters and on various laws, regulations, and policies that have public health implications.
Colins, P. (2021, March 2). Reducing Racial & Ethnic Disparities in Mental Health Care Through Practice & Policy [video]. Northwest Mental Health Technology Transfer Center Network, University of Washington. (58:29)
Lee & Adams (2021, April 27). Health Policy and the Fight for Equitable Healthcare Outcomes: Why Access Isn’t Enough [video]. Institute for Health Policy Studies. (24:07)
Gest, J. (host) (2020, November 13). Power Lunch: Health Care Policy [video]. The Schar School of Policy and Government, George Mason University. (1:02:30)
The Power Lunch featured Tom Daschle, former US Senator (D-SD), Sarah Kliff of the New York Times and Saskia Popescu, infections disease expert and Professor at George Mason University.
MACPAC (2021, April). Racial and Ethnic Disparities in Medicaid: An Annotated Bibliography. Medicaid and CHIP Payment and Access Commission.
The studies annotated in this PDF document that Black, Hispanic, and AIAN Medicaid beneficiaries experience poorer outcomes and experience more barriers to care than white beneficiaries. The articles provide a useful overview across a broad range of policy targets (e.g., coverage, access to specific types of services, data) and across multiple age and racial and ethnic groups.
Internet Encyclopedia of Philosophy: Health Care Ethics (a peer-reviewed academic resource)
This chapter provides detailed, scholarly, peer-reviewed information on Truth-Telling, Informed Consent, The Question of a Right to Life, The Rights of Subjects, Reproductive and Genetic Technologies, and The Allocation of Health Care Resources among others.
Magnus, D. (Moderator) (2020, November 9). Ethics of AI in Healthcare [video]. The American Journal of Bioethics. (1:14:27)
Anderson, R. (Moderator) (2020, November 20). The Social Dilemma: Ethics of Technology and Its Impact on Public Health [video]. The Center for Bioethics at NYU. (1:23:22)
CDC (2020). 2020 Public Health Ethics Forum: Ethical Dilemmas in Rural Health. U.S. Department of Health & Human Services.
The 4-hour forum featured a diverse group of speakers that spoke on ethical issues for improving health within rural populations. There are 3 videos. The first two videos are approximately 1 hour and the third is about 2 hours. Continuing Ed credits (CEs) are available.
CDC (2019). 2019 Public Health Ethics Forum: Ethical Dilemmas in Child and Adolescent Health. U.S. Department of Health & Human Services.
This 6-hour forum discussed the factors that affect healthy development among children and adolescents, particularly youth of color, and how to identify and address ethical implications for public health interventions. Continuing Ed credits are available.
The Ethics Center (2021). Video playlist.
Films Media Group. (2016). Practical ethics: Addressing the real-life challenges confronting healthcare professionals — a lecture. Films On Demand.
There are 24 segments in this 5-1/2 hour video series. This video seminar presents ethical decision-making tools and explains how to apply them in practical situations. It reviews key cases and codes in the development of healthcare ethics, discusses the role of ethics committees, considers key theories of ethics and ethical principles, and examines the four-quadrant approach and the Bennett-Woods Eight-Step Model of ethical decision making. It also looks at precedent-setting and controversial cases and discusses ethical leadership. [CSS login required]
Nelson, W. (2009). Handbook for rural health ethics: A practical guide for professionals. Dartmouth College Press. [CSS login required]
Dewey, A. & Holecek, A. (2018). The Nurse’s Healthcare Ethics Committee Handbook. Sigma. [CSS login required]
Leading Higher. Take A Free Resilience Questionnaire!
This site has 5 questionnaires with a descriptor of each.
WISE Initiative for Stigma Elimination. (n.d.). Compassion Resilience Toolkit For Health and Human Services.
Compassion fatigue and resilience will impact you differently depending on your organization's history, identity, and social position. This toolkit aims to help people start on their path to compassion resilience. The content of this toolkit has been strongly informed by research and best practices related to resilience, equity, positive psychology, compassion fatigue, organizational psychology, trauma, and mindfulness.
Newman (2016, Nov 9). Five Science-Backed Strategies to Build Resilience. Greater Good Science Center at the University of California, Berkeley.
The Greater Good Science Center has collected many resilience practices on our website Greater Good in Action, alongside other research-based exercises for fostering kindness, connection, and happiness. Here are 12 of those resilience practices (squeezed into five categories), which can help you confront emotional pain more skillfully.
Reivich, K. Positive Psychology: Resilience Skills. A Coursera course offered by Penn University of Pennsylvania.
You will learn to understand the protective factors that make one resilient, describe thinking traps and how they undercut resilience, make use of non-cognitive strategies that decrease anxiety and create a buffer of positivity that boosts resilience in stressful situations.
Hone, L. (2019, Aug). 3 Secrets of resilient people [video]. TED Conferences. (15:57)
Everyone experiences loss, but how do you cope with the tough moments that follow? Resilience researcher Lucy Hone shares three hard-won strategies for developing the capacity to brave adversity, overcome struggle and face whatever may come head-on with fortitude and grace.
Rose, R. (2019, Mar). How failure cultivates resilience [video]. TED Conferences. (12:56)
In his research for NASA, clinical psychologist Raphael Rose discovered that failure is key to creating resilience. He explains how leaning into trials and setbacks builds the emotional callouses that help us value what's good in life.
Winch, G. (2015, Feb). Why we all need to practice emotional first aid [video]. TED Conferences. (17:24)
Too many of us deal with common psychological-health issues on our own, says Guy Winch. But we don't have to. He makes a compelling case to practice emotional hygiene — taking care of our emotions, our minds, with the same diligence we take care of our bodies.
Brooks, R. (2018, Nov 18). The Power of Resilience [video]. Harvard Medical School. (1:02:03)
Therapist and author Robert Brooks highlights the importance of emphasizing personal control, maintaining connections to minimize feelings of loneliness, practicing therapeutic lifestyle changes, engaging in contributory activities and expressing gratitude towards others.