Policy Analysis Discussion
Hello , your discussion regarding policy analysis is great. I agree that policy analysis is a complicated process, involving several sequential steps. The first step involves identifying problems facing the clinical care setting, compromising the delivery of quality and safe healthcare services. According to Maphumulo and Bhengu (2019), challenges facing healthcare providers in medical facilities contribute to poor-quality healthcare. Thus, addressing these challenges would result in quality care and superior health outcomes. The second phase of policy analysis is the comparison of available options, which can be applied in addressing the identified clinical problems. The benefits and shortcomings of all options are considered before selecting the best alternative. The most feasible, effective, and efficient option should be selected. Additionally, the tolerability and safety of the proposed intervention should be considered. Patients will not adhere to or support an intervention, which is associated with safety issues or intolerability. According to Walsh et al. (2019), adverse drug-related effects significantly contribute to medication non-adherence. Thus, an intervention will only be effective in addressing the clinical issue if it is safe and can be tolerated by the targeted patient population.
Furthermore, I support your claim that motivating patients contribute to adherence to the prescribed medication, resulting in superior health outcomes. Hartley et al. (2020) reported that the therapeutic relationship between psychiatrists and their patients determines the quality of care and health outcomes. Thus, a good therapeutic relationship between a psychiatrist and patient enables the psychiatrist to encourage the patient to adhere to the prescribed dosage, enhancing the effectiveness of the medication in improving presented symptoms and preventing symptom relapse. Thus, sticking to a care plan is a key determinant of patient outcomes in the treatment of patients with psychiatric and substance abuse disorders.
Hartley, S., Raphael, J., Lovell, K., & Berry, K. (2020). Effective nurse-patient relationships in mental health care: A systematic review of interventions to improve the therapeutic alliance. International Journal of Nursing Studies, 102, 103490. https://doi.org/10.1016/j.ijnurstu.2019.103490
Maphumulo, W. T., & Bhengu, B. R. (2019). Challenges of quality improvement in the healthcare of South Africa post-apartheid: A critical review. Curationis, 42(1), 1-9. Doi: 10.4102/curationis.v42i1.1901.
Walsh, C. A., Cahir, C., Tecklenborg, S., Byrne, C., Culbertson, M. A., & Bennett, K. E. (2019). The association between medication non‐adherence and adverse health outcomes in ageing populations: a systematic review and meta‐analysis. British journal of clinical pharmacology, 85(11), 2464-2478. Doi: 10.1111/bcp.14075.
Policy Analysis Discussion
Policy analysis involves identifying problems encountered in the delivery of services in a clinical setting and comparing options that can be used to solve these problems. To decide on the best option, you need to look at the available options and decide on the best option which you see to be the most feasible, effective, and efficient. In a psychiatric clinic, you need to develop policies that work best with your patients since here, you meet patients with different kinds of needs, and each requires a personalized approach. This is why you need an individual care plan for every patient. In a psychiatric clinic, most patients have psychological problems which require a solution that will bring about psychological changes (Weimer et al., 2017).
The most relevant measure to help in this case is motivational interviews with the patients. Motivational interviews aim at motivating the patient to adhere to the medication suggested by the medic since the success of the treatment being carried out and effective use of the resources depends on how well the patient sticks to the care plan. Without taking the medication as suggested by the medical practitioners, there is a high chance that the medication won’t work and thus the need to start the prescription from scratch. By doing so, the clinical resources won’t be used as effectively and also congest the clinic, thus preventing others from accessing the medical services. This technique is essential in ensuring that patients with a minor level of enthusiasm to change develop that enthusiasm, enabling them to improve their lives and contribute to their overall well-being and health at large. For instance, some patients have turned to substance abuse as a form of dealing with their problems, and most of the time, these patients do not like any form of medication, especially if it requires them to stop using the drugs they usually use. This will require the practitioner to find a way to convince them to move from a position of complacency to one of more ambivalence about their current state and develop a desire to change for the better. The psychiatrist here will be seeking to evoke the patient’s desire to change. If you can evoke the patient’s desire to change, you will be able to convince them to take their medication seriously and hence improve their chances of recovery (Keeley et al., 2018).
However, previous studies have shown these approaches’ success in treating patients who are primarily struggling with substance abuse. Without the individual desire to get better, making these patients follow the prescription that is laid for them will be hard. There is also the need to develop a one-to-one connection with the patient to know what exactly is ailing them and the best possible solution to their problem. You have to make them more uncomfortable where they will begin to feel within themselves the desire to turn their life around. This desire should only be from the patient and not anyone else, as this is the only way this medication will work (Czyz et al., 2019).
Czyz, E. K., King, C. A., & Biermann, B. J. (2019). Motivational interviewing-enhanced safety planning for adolescents at high suicide risk: A pilot randomized controlled trial. Journal of Clinical Child & Adolescent Psychology, 48(2), 250-262. https://www.tandfonline.com/doi/abs/10.1080/15374416.2018.1496442
Keeley, R., Engel, M., Reed, A., Brody, D., & Burke, B. L. (2018). Toward an emerging role for motivational interviewing in primary care. Current psychiatry reports, 20(6), 1-12. https://link.springer.com/article/10.1007/s11920-018-0901-3
Weimer, D. L., & Vining, A. R. (2017). Policy analysis: Concepts and practice. Routledge. https://www.taylorfrancis.com/books/mono/10.4324/9781315442129/policy-analysis-david-weimer-aidan-vining