Many policies have indeed been developed in order to enhance efficiency and effectiveness in the health sector. Different nurse-theory models can be used for policy making. Such models include the policy-stream model, the rational approach, instrumentalism and the stage –sequential model (Feldman and Alexander, 2012). The gaps evident in the healthcare systems undoubtedly affect people of all ages, ethnicities, races and also income levels hence the need for appropriate policies. The paper will focus on instrumentalism and the rationale for its selection.
Instrumentalism approach in policy making is largely the function of the institutions established so as to govern the society particularly that setup by governments. Research has established that existing institutions are resistant to change. Subsequently, this may be due to political gridlock among different interest groups and failure to appreciate available alternatives (Feldman and Alexander, 2012). In addition, Policymaking is a continuous process though most efforts to change various policies usually stem from the negative effects of existing policies. Therefore, evidence-based research should be undertaken in order to identify the existing gaps. The modification phase which is an aspect of Instrumentalism makes provisions for feedback to the agenda-setting process (Feldman and Alexander, 2012). Instrumentalism approach, therefore, promotes stability and the stakeholder compromise.
However, the policy makers may not use this model to pursue strategies because the instrumentalism often advocates a more conservative approach to decision making. In addition, instrumentalism does not address issues concerning unequal distribution of power especially among the interest groups (Feldman and Alexander, 2012). Nurse leaders need to deepen their commitment and also become masterful at formulating, influencing and critiquing policies that interfere with the human wholeness and health. Today, all the nurse leaders have indeed experienced the impacts of ill-conceived policies that result to inadequate health care delivery.
Reference
Feldman, H. R., & Alexander, G. R. (2012). Nursing leadership: A concise encyclopedia. New York: Springer.
