The process of policy-making in healthcare delivery.
Explain the process of policy-making in healthcare delivery.
Scenario Your nursing leader has asked you to provide her with information regarding the legislation on California’s nursing union negotiated staffing ratios. You will prepare a policy briefing document that details the process and outcome associated with this piece of legislation. Your nursing leader will use this briefing document to guide her decision on whether this is a good policy to support in your state.
Instructions Prepare a policy briefing document that: Part One - Process of Legislation • Explains the critical concern(s) that prompted this legislation, who proposed the issue, as well as who drafted and sponsored this legislation. • Describes how long the process took and the steps taken from the initial idea to legislation implementation as well as the critical elements of the legislation that was passed. Part Two - Outcome of Legislation • Answers the following questions: • Does the research support that mandated ratios improved nurse turnover rates? • Does the research support that mandated ratios improved patient outcomes? • Discusses recommendations on whether your nursing leader should support working with other nurse leaders on similar legislation. • Examines at least two pros and two cons for your recommendation based on research.
Figurative Language (Comparison and Image Devices)
Device
Description
Effect
Imagery
Use of descriptive language that appeals to the five senses (sight, sound, touch, taste, smell) to create mental pictures.
Engages the reader's senses and imagination; makes abstract ideas concrete; evokes specific emotions and sets a vivid scene.
Metaphor
A direct comparison between two unlike things without using "like" or "as" (e.g., "The moon was a silver coin").
Creates a powerful identity between the two things, enriching meaning and forcing the reader to view the subject in a new, often profound, way.
Simile
A comparison between two unlike things using the words "like" or "as" (e.g., "The runner was as fast as a cheetah").
Clarifies an unfamiliar idea by relating it to something familiar; provides vivid illustration and adds poetic grace.
Personification
Giving human qualities or actions to inanimate objects, abstract ideas, or animals (e.g., "The wind whispered secrets").
Makes descriptions more dynamic and relatable; brings objects to life and helps connect the reader emotionally to non-human elements.
Allusion
An indirect reference to a person, event, or well-known work of literature, history, or mythology.
Economically adds depth and context by tapping into the reader's shared cultural or literary knowledge, often enriching the theme or character.
Structural and Conceptual Devices
Device
Description
Effect
Enjambment
The continuation of a sentence or clause from one line of poetry to the next without a pause or punctuation.
Creates a sense of momentum, urgency, or forward movement; compels the reader to continue to the next line; can be used to create surprise or emphasize the word placed at the start of the following line.
Irony
A contrast between what is expected or what appears to be, and what actually is.
Creates emphasis, humor, or a sense of tragedy; often highlights the absurdity or complexity of human experience by subverting the reader's expectations.
Sample Answer
Poetic Devices and Their Effects
Poetic devices are literary techniques used to create rhythm, enhance a poem's meaning, establish mood, and engage the reader's senses.1
Sound and Musicality Devices
Device
Description
Effect
Alliteration
Repetition of consonant sounds at the beginning of words in close succession (e.g., "Peter Piper picked").
Creates a musical rhythm and flow; makes lines more memorable; can emphasize certain words or create a mood (e.g., soft sounds for peace, harsh sounds for tension).
Assonance
Repetition of vowel sounds within words that are near each other (e.g., "The rain in Spain stays mainly in the plain").
Creates a subtle internal musicality and smooth rhythm; can highlight important words or create a desired mood (e.g., long vowels for a slow, mournful mood).
Consonance
Repetition of consonant sounds within or at the end of words in close proximity (e.g., "pitter-patter" or "blob of clab").
Adds texture and density to the language; creates a strong rhythmic foundation, often lending a slightly percussive or powerful feel.
Dissonance
A deliberate use of harsh, clashing, or inharmonious sounds or rhythms, often created by a difficult combination of consonants or uneven stress.
Creates a sense of tension, discomfort, unease, or inner turmoil; reflects the harshness or fractured nature of the poem's subject matter. (Similar to, but broader than, cacophony).