| Course | NURS 6227 Current Issues in Health Policy |
|---|---|
| Week | Week 7 |
| Paper type | Advocacy brief |
| Length | About 550 words, 4 pages |
| Format | APA 7 student paper |
| School | Walden University |
| Program | Master of Science in Nursing (MSN) |
| Updated | October 2026 |
Free sample paper for NURS 6227 Week 7
Advocacy Brief to the State Nurses Association Board: Take a Position on Phased Medical-Surgical Ratios
Student Name
College of Nursing, Walden University
NURS 6227: Current Issues in Health Policy
Instructor Name
Month Day, Year
Advocacy Brief to the State Nurses Association Board: Take a Position on Phased Medical-Surgical Ratios
Summary
I ask the board to adopt, at its next meeting, a formal position supporting phased statutory nurse-to-patient ratios for adult medical-surgical units, framed within the ANA staffing principles the association already endorses. Draft language is attached for the board to amend.
Why the Board's Silence Matters
The ratio bill will be heard in the house health committee this session. Legislators on the committee have already asked, in public, what the state's nurses think. Without an association position, they hear from the hospital association, which opposes the bill, and from the nurses' union, which supports it, and they conclude that the profession is divided. A divided profession is easy to set aside. The association represents more registered nurses in the state than any other organization, and its position would carry weight with members of both parties.
Fit With the ANA Staffing Principles
The association endorses the ANA's principles for nurse staffing, which call for staffing that matches patients' needs, direct-care nurse involvement in staffing decisions, and consideration of nurses' competencies and the work environment (American Nurses Association [ANA], 2020). Some members worry that a fixed ratio conflicts with those principles by replacing judgment with a number. It does not have to. A ratio set as a floor, with staffing above the floor still determined by acuity and by the committee process the principles support, adds a minimum without removing judgment. The draft position says so explicitly.
The Evidence in Four Sentences
Large studies across many hospitals have consistently linked heavier nurse workloads to higher surgical mortality and nurse burnout (Aiken et al., 2002). The state that mandated ratios raised staffing as intended, though measured outcome effects were mixed. States that relied on staffing committees saw no significant change in nurse hours per patient day, while the ratio state's hours rose (Han et al., 2021). Our own state's eight years of committee minutes show plans adopted and, by nurses' testimony, not met.
Risks
Some members in management roles work for hospitals that oppose the bill and may object to the association taking a side. The position should acknowledge their concerns about supply and rural access, and the draft limits its support to a phased approach with a rural waiver for that reason. The board should also expect some members to argue that the position does not go far enough, since it covers only medical-surgical units. Both objections are manageable if the board explains its reasoning in its announcement.
Attached: Draft Position Language
"The [State] Nurses Association supports legislation establishing minimum registered nurse-to-patient ratios on the adult medical-surgical floors of the state's general hospitals, phased in over three years, with a time-limited waiver process for critical access hospitals that demonstrate active recruitment. The Association supports ratios as a minimum standard, not a target, beneath staffing decisions that continue to reflect patient acuity, nurse competencies and direct-care nurse input, consistent with the ANA's principles for nurse staffing."
"The Association further calls on the state to pair any ratio requirement with investment in the nursing workforce in regions where supply is limited, including loan repayment for nurses who work in rural hospitals, and to evaluate the law's effects on staffing, patient outcomes and access during the phase-in period."
References
Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J., & Silber, J. H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA, 288(16), 1987-1993. https://doi.org/10.1001/jama.288.16.1987
American Nurses Association. (2020). ANA's principles for nurse staffing (3rd ed.). Nursesbooks.org.
Han, X., Pittman, P., & Barnow, B. (2021). Alternative approaches to ensuring adequate nurse staffing. Medical Care, 59(Suppl. 5), S463-S470. https://doi.org/10.1097/MLR.0000000000001614
What the NURS 6227 Week 7 instructions ask for
Week 7 of NURS 6227 typically asks for an advocacy brief to an organization that can act. You name the recipient, make a request it can grant, explain why it matters now, show the fit with its existing commitments, summarize evidence and address risks. Faculty weigh the fit between recipient and request most, and a real recipient asked for something it cannot do fails. Cite the organization's own documents in APA 7. A professional association can adopt positions and lobby, which makes it a fitting recipient. The ANA principles call for staffing that fits patient needs and nurse input. Draft position language makes the request easy to act on.
How this NURS 6227 Week 7 example is built
Three pages in brief format, opening with a single summary paragraph that makes the request: adopt a position supporting phased statutory ratios for adult medical-surgical units at the next board meeting. A context section explains why the board's silence matters, since legislators ask what the association thinks and a divided profession is easy to set aside. A fit section shows the request sits comfortably within the ANA's principles for nurse staffing, which call for staffing matched to patient needs with direct-care nurse input, and addresses the worry that a ratio conflicts with them. The evidence section compresses the appraisal into four sentences. A risks section names possible backlash from members in management at hospitals opposing the bill. Draft position language, two paragraphs long, is attached for the board to amend.
Reading the NURS 6227 Week 7 rubric
The fit between recipient and request governs most of a brief's credit, and the frequent failure pairs a real recipient with a request it cannot grant. Here the board can adopt a position, so the ask is within reach; asking it to pass the bill would not be. Rubrics commonly weigh audience awareness, and this recipient's concerns, member division and consistency with its own principles, have to be met on their own terms. The evidence section is judged on compression, since a board brief carrying a full appraisal buries its request. Accuracy about the ANA's principles is checked, so they should be characterized from the document itself. Credit often follows a named risk the author does not minimize. Attached draft language is not always required, but where feasibility is rewarded, it tends to count.
Common NURS 6227 Week 7 mistakes, and how to avoid them
Advocacy briefs lose credit when the request is something the recipient cannot do. Match the ask to its power. Another common gap is long evidence sections. Keep evidence short. Writers also skip risks. Name them and how to manage them. Avoid ignoring the organization's existing positions. Show the fit. Attach draft language. A date for the vote, such as the board's next meeting, gives the brief urgency. Close with the motion you want the board to pass. Keep it to two pages plus the attachment.
Get a NURS 6227 Week 7 example written to your instructions
Name the body you want to persuade and what it can actually do, then add the Week 7 prompt and rubric. The NURS 6227 advocacy brief is drafted around one grantable request and delivered within 24 to 48 hours; nothing is billed the first time. Its association and board are composites, and the request is the brief's own.
More NURS 6227 papers and MSN samples
- NURS 6227 Week 1: Discussion Post
- NURS 6227 Week 2: Issue Analysis
- NURS 6227 Week 3: Evidence Appraisal
- NURS 6227 Week 4: Position Paper
- NURS 6227 Week 5: Opposition Analysis
- NURS 6227 Week 6: Discussion Post
- NURS 6227 Week 8: Testimony draft
- NURS 6227 Week 9: Discussion post
- NURS 6227 Week 10: Media and messaging plan
- NURS 6227 Week 11: Reflection
- NURS 6231 Week 7: Variation analysis
- NURS 6226 Week 7: Advocacy Letter
- NURS 6241 Week 7: Resource plan
- NURS 6224 Week 7: Survey Readiness Plan
NURS 6227 Week 7 questions, answered
Why address an advocacy brief to a professional association?
Because associations shape how legislators read an issue, and one that has not taken a position is a real decision point. The example's recipient, a state nurses association board, can adopt a position at its next meeting, which makes the request grantable. Legislators and agencies are common recipients too, and any of them works as long as your recipient can actually do what the brief asks.
What are the ANA's principles for nurse staffing?
The American Nurses Association publishes principles holding that staffing should reflect patient needs, the competencies of the nurses involved and the care setting, with direct-care nurses taking part in staffing decisions. The example treats those principles as the frame the association board already accepts and argues that a limited ratio floor fits within them. Your brief should characterize any organizational principles from the document itself.
Should the brief include draft position language?
Where the recipient would need to write something to act, attaching draft text lowers the effort of saying yes. The example includes two paragraphs the board can amend. Draft language also forces precision, since a vague request becomes obvious once it is written as a position. Your section may not require it, but a brief asking for action without text leaves the recipient to finish your work.
Where can I find a free NURS 6227 Week 7 sample paper?
The nurses association board brief is printed here with the summary, the timing, the fit with ANA principles, the evidence, risks and draft language.
What does the NURS 6227 Week 7 brief ask the board to do?
Adopt a formal position supporting phased ratios for adult medical-surgical units at its next meeting, using the attached draft language.