NRS_440VN Advocacy Through Legislation Paper

NRS_440VN Advocacy Through Legislation Paper

Throughout the recorded pages of history, nursing has existed, responding to the holistic needs of the communities. The history sculpted in our nation’s and global history portrays the nursing profession’s challenges to be recognized as a noble profession. The health care system still poses several challenges to health care providers. The purpose of this paper is to explore the issue of workplace violence experienced by nurses working in the emergency department and the efforts that can be made through legislation to prevent the issue.



In no more than 250 words, describe the problem, who is affected, and the current ramifications. Explain the consequences if the issue continues.

There has been a rise in the cases of workplace violence against health care workers. An article by Gooch (2018) asserts that health care workers get injured following violence at a very alarming rate. The National Nurses United (2018) states that workplace violence is growing and a serious issue affecting health care workers, their patients, and nurses in California. Workplace violence refers to threats or acts of violence occurring at work. It involves the use or threat of physical force against a health care provider and any incidents involving dangerous weapons such as daggers and firearms, regardless of whether an individual sustains injuries or not. In the emergency department (ED), nurses and other health care providers have increased possibilities of experiencing workplace violence. Here, nurses deal with patients suffering from acute illnesses and pain, intoxicated individuals, and overly anxious relatives about their patients. Karash (2019) notes that causes of workplace violence include access to weapons, drugs, alcohol, and societal changes. D’Ettorre et al. (2018) state that other causes of workplace violence in the emergency departments include overcrowding, shortage of ED nurses, long waiting times, psychiatric comorbidities in patients, and substance abuse among individuals.

Violence against healthcare workers affects the organization and negatively impacts patient care. There is reduced productivity and quality of care by the hospital staff. There is also an increased chance of high turnover rates, lost workdays, psychological and somatic injuries experienced by nurses who continue to have fear, anxiety, and reduced job satisfaction.


Idea for Addressing Solution

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In no more than 250 words, outline your idea for addressing the issue and explain why legislation is the best course for advocacy.

Designing effective interventions to prevent workplace violence (WPV)is necessary to avoid the psychological and physical consequences experienced by health care providers. Karash (2019) notes that California is one of the few states that have not passed felony laws about violence committed within healthcare facilities. Legislation is the best course for advocacy against this issue since there are no regulations to protect nurses and other health care workers who are attacked by patients or relatives seeking medical care. Most of these perpetrators of violence regard violence as part of the nurses’ job. Lack of violence prevention programs increases the risks of assaults within hospitals. The CaliforniaOccupational Safety and Health Administration (CAL/OSHA)issues guidelines to protect nurses and health care workers against violent and aggressive behaviors against them at places of work. Stronger legislation is necessary to safeguard staff working in emergency departments and reinforce the notion that violence must never be considered part of nurses’ jobs in the ED. Despite the guidelines by OSHA, there are no laws that hospitals must abide by. Therefore, there is a tendency and possibility that health care facilities might fail to adhere to the guidelines, assess risks, and support workers to prevent or deal with potential violence. This makes legislation the best course for advocacy to address workplace violence in hospital settings.
Research the Issue

Perform research and compile information for your idea. Present substantive evidence-based findings that support your ideafor addressing the problem (studies, research, and reports). Include any similar legislation introduced or passed in other states.

Evidence 1 Violence in the ED is the most frequent and important concern of practitioners working there. Studies have revealed that violence is a culturally bound and complex issuethat can be addressed by creating a comprehensive programto create safe environments for nurses to provide comprehensive patient care in the ED(Heshmati-Nabavi et al., 2018). Creating workplace violence prevention programs reduces the risks of physical and mental effects of violence in nurses.
Evidence 2 Workplace violence is a frequent but unacceptable reality increased by a lack of governing rules, and preventative strategies must be prioritized (Davey et al., 2020). Workplace violence can be addressed through state legislation necessitating facilities to have prevention programs against workplace violence. A study by Arbury et al. (2017) identified gaps in workplace violence prevention in California, advocating for legislation to increase attention and awareness in healthcare organizations about the necessity of workplace violence prevention programs.
Similar legislation introduced or passed in other states Several states have passed legislation on the prevention of workplace violence. On June 15th, 2021, Governor Kate Brown signed into law Senate Bill 483, which amended the Oregon Safe Employment Act to ensure as far as possible healthful and safe working conditions for persons working in Oregon (Cirner, 2021). Gonzalez and Childers (2019) also observe that other states like Texas, Massachusetts, West Virginia, and Missouri have introduced legislation regarding establishing programs to prevent workplace violence and safeguard health care providers and staff.
Stakeholder Support

Discuss the stakeholders who would support the proposed idea and explain why they would be in support.

Stakeholder(s) Supporting 1 Nurses would be in full support of the proposed idea. Nurses bear much of the burden on workplace violence by patients and their relatives in emergency departments.
Stakeholder(s) Supporting 2 Nursing organizations would also support the idea. They understand the burden their members have to bear and workplace violence’s negative consequences on productivity and nurses’ general well-being. Therefore, nurses must be protected.
Stakeholder Opposition

Discuss the stakeholders who would oppose the proposed idea.Explain why they would be in opposition and how you would prepare to debate or converse about these considerations.

Stakeholder(s) Opposed 1 Employer organizations would probably be against the idea and involvement of outside agencies following cases of violence in the organization. They would be against it to protect the name of the organization. I would urge the employer organizations that prevention of workplace violence is imperative in enhancing satisfaction and productivity of nurses and, therefore, to support my proposed idea.
Stakeholder(s) Opposed 2 Developing and implementingworkplace violence prevention programs would have financial implications for the hospital. Therefore, the hospital’s management would probably oppose my idea to avoid the related costs of implementing new programs. I would develop a well-elaborated outline of the benefits of preventing workplace violence against nurses and show that the advantages of implementing the prevention programs would be far-reaching compared to the costs of implementing the proposed ideas.
Financial Incentives/Costs

In no more than 250 words, summarize the financial impact for the issue and the idea (added costs, cost savings, increased revenue, etc.). Provided support.

Legislation requiring hospitals to develop strategies to prevent workplace violence would save organizations a lot of costs. By empowering health care workers and promoting programs to prevent violence directed against them, the staff would feel valued, respected, and cared for. Consequently, they would have better job satisfaction, motivating them to offer optimal, safe, and high-quality care to their clients. This would translate to shorter hospital stays, reduced readmission rates, and increased satisfaction levels by the clients. The hospital would then save a lot of funds that would have been incurred if the earlier on mentioned parameters had not been met.Itzhaki et al. (2018) note that workplace violence prevention promotes staff safety, reduces absenteeism, and saves money and time. Violence leads to financial losses in terms of compensating assaulted staff, lost working days, and reducing the satisfaction and productivity of the affected staff. Therefore, the long-term benefits of implementing workplace violence prevention programs would be great, surpassing the costs of putting such programs into place.
Legislature: Information Needed and Process for Proposal

Discuss how to advocate for your proposal using legislation. Include the following:

Provide the name andcompletecontact information for the legislator. Frank Bigelow- Assembly member

Email address:

Describe the steps for how you would present this to your legislator. I will visit the legislator in his office and talk to him about the benefits of implementing my idea. I would urge him to develop a bill from my idea then introduce it for discussion in congress.
Outline the process if your legislatorchooses to introduce your idea as a bill to congress. If the legislator decides to introduce my idea as a bill to congress, the bill will be presented for consideration. If considered, the bill will be given a number and allotted a committee, then marked for hearing. If it passes through the committee, the bill will then be heard by the entire senate members, who will vote for it
Christian Principles and Nursing Advocacy

In no more than 250 words, discuss how principles of a Christian worldview lend support to legislative advocacy in health care without bias. Be specific as to how these principles help advocate for inclusiveness and positive health outcomes for all populations, including those more vulnerable, without regard to gender, sexual orientation, culture, race, religion/belief, etc.

In the United States, access to safe and cost-effective care is a widespread problem. The Christian worldview and principles on common good, dignity, and solidarity can assist in lending support to legislative advocacy in health care without bias. Therefore, nurses are responsible foradvocating for positive health outcomes and inclusiveness for all populations without bias, including the most vulnerable ones regardless of their sexual orientation, gender, race, faith, religion, or culture. Mary (2021) reminds us that the Bible calls us to promote social justice in several ways. Isaiah 1:17: “Learn to do good; seek justice; correct oppression; bring justice to the fatherless, and please the widow’s cause.”Isaiah 58:6 encourages us to break chains of injustice. The Bible motivates nurses to continue being advocates to showthe love God has for justice. By talking to leaders to accept and push for legislative changes and engaging with colleagues, nurses play an essential role in transforming unjust systems that may have pervasive effects on future generations. Nurses answer God’s call to seek justice for all without showing bias under any background or circumstance by participating in advocacy.


Workplace violence directed against nurses in the emergency department has many negative impacts on their productivity, physical and mental health, quality of care offered, and financial implications on health care organizations. Therefore, nurse advocates must lobby for legislative policies to be implemented in all institutions to offer preventative strategies against workplace violence. Nurses and other health care professionals who fall victim to the issue should support each other to overcome the aftermath of such incidences.


Arbury, S., Zankowski, D., Lipscomb, J., & Hodgson, M. (2017). Workplace Violence Training Programs for Health Care Workers: An Analysis of Program Elements. Workplace Health & Safety, 65(6), 266–272.

Cirner, P. E. (2021). Oregon Enhances Whistleblower Protections for Workplace Safety Complaints. Ogletree Deakins.

D’Ettorre, G., Pellicani, V., Mazzotta, M., &Vullo, A. (2018). Preventing and managing workplace violence against healthcare workers in Emergency Departments. Acta Bio-Medica :AteneiParmensis, 89(4-S), 28–36.

Davey, K., Ravishankar, V., Mehta, N., Ahluwalia, T., Blanchard, J., Smith, J., & Douglass, K. (2020). A qualitative study of workplace violence among healthcare providers in emergency departments in India. International Journal of Emergency Medicine, 13(1).

Gonzalez, G., & Childers, A. (2019). States lead the way on mitigating workplace violence in health care settings. Business Insurance.

Gooch, P. (Pidge). (2018). Hospital Workplace Violence Prevention in California: New Regulations. Workplace Health & Safety, 66(3), 115–119.

Heshmati-Nabavi, F., Hemati-Esmaeili, M., Pouresmail, Z., Mazlom, S., &Reihani, H. (2018). Educational and managerial policy making to reduce workplace violence against nurses: An action research study. Iranian Journal of Nursing and Midwifery Research, 23(6), 478.

Itzhaki, M., Bluvstein, I., Peles Bortz, A., Kostistky, H., Bar Noy, D., Filshtinsky, V., &Theilla, M. (2018). Mental Health Nurse’s Exposure to Workplace Violence Leads to Job Stress, Which Leads to Reduced Professional Quality of Life. Frontiers in Psychiatry, 9.

Karash, J. A. (2019). Scripps Health supports California bill to fight hospital violence. Modern Healthcare.

Mary, R. (2021). What does the Bible say about social justice?

National Nurses United. (2018). California Workplace Violence Prevention in Healthcare Regulations. National Nurses United.


Advocacy Through Legislation
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Start Date
Feb 7, 2022, 12:00 AM
Due Date
Feb 13, 2022, 11:59 PM
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Assessment Description
Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.

For this assignment, identify a problem or concern in your state, community, or organization that has the capacity for advocacy through legislation. Research the issue and use the “Advocacy Through Legislation” template to complete this assignment.

You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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