Conceptual Model of Nursing and Health Policy

Contributor: Jacqueline Fawcett
August 27, 2018

Authors – Jacqueline Fawcett, RN; PhD; ScD (hon); FAAN, ANEF and Gail Russell, RN, EdD, CNAA
Year First Published – 2001

© 2018 Jacqueline Fawcett

Major Concepts

POLICY SOURCE

  • Public
  • Organizational
  • Professional

POLICY COMPONENTS

  • Personnel
  • Services
  • Expenditures

LEVELS OF POLICY FOCUS

  • Nursing practice processes
  • Nursing practice delivery subsystem and Health care delivery subsystems
  • Health care system administrative practices
  • World health administrative practices

LEVELS OF POLICY OUTCOMES

  • Efficacy of nursing practice processes
  • Effectiveness of nursing practice processes and effectiveness and efficiency of health care delivery subsystems
  • Equity of access to effective nursing practice processes and efficient nursing practice delivery systems and equity in the distribution of the costs and burdens of care delivery
  • Justice, in social changes and market interventions
    that address equity
Typology

A conceptual model of nursing

Brief Description

The conceptual model of nursing and health policy addresses the intersection of nursing and health policy. The model provides a framework for analysis and evaluation of health policies that influence the quality and cost of and access to nursing and other health care services, as well as for nursology-specific
and health services research.

Primary Sources

Fawcett, J., & Russell, G. (2001). A conceptual model of nursing and health policy. Policy, Politics, and Nursing Practice, 2, 108-116.

Russell, G.E., & Fawcett, J. (2005). The conceptual model for nursing and health policy revisited. Policy, Politics, and Nursing Practice, 6, 319-326.

Application Sources

Journal articles

Ellenbecker, C.H., Fawcett, J., & Glazer, G. (2005). A nursing PhD specialty in health policy: University of Massachusetts Boston. Policy, Politics, and Nursing Practice, 6, 229-235.

Abdallah, L., Fawcett, J., Kane, R.L., Dick, K., & Chen, J. (2005). Development and psychometric testing of the EverCare Nurse Practitioner Role and Activity Scale (ENPRAS). Journal of the American Academy of Nurse Practitioners, 17, 21-26.

Poirier, P. (2005). Policy implications of the relationship of sick leave benefits, individual characteristics, and fatigue to employment during radiation therapy for cancer. Policy, Politics & Nursing Practice, 6, 305-318.

Fawcett, J., Schutt, R.K., Gall, G.B., Riley-Cruz, E., & Woodford, M.L. (2007). The work of nurse case managers in a cancer and cardiovascular disease risk screening program. Professional Case Management: The Leader in Evidence-Based Practice (formerly, Lippincott’s Case Management), 12, 93-105.

Hickey, P., Gauvreau, K., Connor, J., Sporing, E., & Jenkins, K. (2010). The relationship of nurse staffing, skill mix, and MAGNET recognition to institutional volume and mortality for congenital heart surgery. Journal of Nursing Administration, 40, 226-232.

Waddell, A., Adams, J.M., & Fawcett, J. (2016). Thoughts about health policy content in baccalaureate nursing programs. Nursing Science Quarterly, 29, 340-344.

Ellenbecker, C.H., Fawcett, J., Jones, E.J., Mahoney, D., Rowlands, B., & Waddell, A. (2017). A staged approach to educating nurses in health policy. Policy, Politics, and Nursing Practice, 18, 44-56.

Schutt, R.K., Siegfriedt, J., & Fawcett, J. (2017). Who cares? Case management and patient navigation in a public health program. International Journal of Care and Caring, 1, 367-387.

Waddell, A., Adams, J.M. & Fawcett, J. (2017). Exploring nurse leaders’ policy participation within the context of a state action coalition. Policy, Politics, and Nursing Practice, 18, 195-205.

Doctoral Dissertations

Abdallah, Lisa. EverCare nurse practitioners activities: Similarities and differences across five sites. Doctoral dissertation, University of Massachusetts Boston, 2003.

LaRocco, Susan. Policies and practices that influence recruitment and retention of male nurses.
Doctoral dissertation, University of Massachusetts Boston, 2004

Poirier, Patricia. Relation of sick leave benefits, employment patterns, and individual characteristics to radiation therapy-related fatigue. Doctoral dissertation, University of Massachusetts Boston, 2005.

Cestari-Long, Laura. Impact of Medicare payment policies for home healthcare on nursing services and patient outcomes. Doctoral dissertation, University of Massachusetts Boston, 2005.

Mulloy, Deborah. Evaluation of implementation of the AORN Correct Site Surgery Tool Kit and the Universal Protocol for Wrong Site Surgery. Doctoral dissertation, University of Massachusetts Boston, 2008.

Della Iacono, Donna. The effects of the collaborative implementation of practice guidelines on outcomes of patients with idiopathic normal pressure hydrocephalus. Doctoral dissertation, University of Massachusetts Boston, 2009.

Hickey, Patricia. The impact of staffing ratios, magnet recognition and institutional characteristics on risk adjusted outcomes for pediatric cardiac surgery programs in California, before and after enhancement of the California safe staffing law and relative to other states combined. Doctoral dissertation, University of Massachusetts Boston, 2009.

Alexandre, Charles. An evaluation of the Rhode Island medical marijuana program: An exploratory study. Doctoral dissertation, University of Massachusetts Boston, 2010.

Noga, Patricia. Study of the effects of voluntary public reporting on the nurse sensitive measures of falls and falls with injury in hospitals: A Massachusetts perspective. Doctoral dissertation, University of Massachusetts Boston, 2011.

Gall, Gail, Influences of health insurance and primary care on breast and cervical cancer screening among Black women in Boston. Doctoral dissertation, University of Massachusetts Boston, 2011.

O’Brien, Mary Jane. The association between the level of school wellness policy implementation, school nurse activities, and weight status of school children in Massachusetts. Doctoral dissertation, University of Massachusetts Boston, 2012.

Rideout, Leslie, Nurses’ perceptions of barriers and facilitators affecting the shaken baby syndrome education initiative: An exploratory study of a Massachusetts public policy. Doctoral dissertation, University of Massachusetts Boston, 2012.

Poghosyan, Hermine. Racial disparities in health-related quality of life following lung cancer surgery. Doctoral dissertation, University of Massachusetts Boston, 2013.

Roper, Kristin. Individual, disease, and work-related factors associated with work patterns, presenteeism and sick pay policy of the colorectal cancer survivor after treatment. Doctoral dissertation, University of Massachusetts Boston, 2014.

Connor, Linda. Pediatric nurses’ values, implementation, and knowledge of evidence-based practice and use of two patient safety goals. Doctoral dissertation, University of Massachusetts Boston,2017.

Stevens, Lori. Conscientious objection by Massachusetts nurses. Doctoral dissertation, University of Massachusetts Boston, 2018.

Waddell, Ashley. Measuring nurses’ health policy participation: WSPPIR theory and instrument. Doctoral dissertation, University of Massachusetts Boston, in progress as of 2018.

Kulik, Lindyce. Pediatric critical care nurses use of an evidence-based pressure injury prevention clinical practice guideline. Doctoral dissertation, University of Massachusetts Boston, in progress as of 2018

Authors

Jacqueline Fawcett

Jacqueline Fawcett is a professor in the Department of Nursing (Nursology) at the  University of Massachusetts Boston. Although she has conducted two major programs of research during her career, one guided by Rogers’ Science of Unitary Human Beings and the other guided by Roy’s Adaptation Model, her passion is meta-theory, that is, the nature and structure of knowledge in nursing, which is the focus of this book.

 

Gail Russell

At the time of development of the conceptual model, Dr. Russell was an associate professor of community nursing at the University of Massachusetts Boston. She went on to teach at the University of Massachusetts Dartmouth and has since retired.