Currently, the legislative environment is not completely ready to initiating such changes. For this reason, it is necessary to develop a complex strategy that will demonstrate the potential benefits of such reforms to all parties involved. Abood (2007) stresses that corresponding political skills should be developed to influence the legislative arena successfully. It seems that both theoretical and practical preparations are needed. On the one hand, I should be aware of the recent statistical and legislative information to support my claims and proposals. On the other hand, I should develop my persuasive abilities and be able to explain all my claims and proposals thoroughly.
As the state and local levels are organized differently, it is reasonable to use different strategies to maximize the general positive results. The local level is more oriented towards the current problems and potential benefits, while the state level is more concerned with strategic issues and the impact of the population in general. Therefore, it is reasonable to use my personal experience and qualification at the local level. It is also possible to demonstrate that minimizing the nurse-to-patient ratios will lead to positive results in the short perspective. At the state level, I may appeal to objective facts and global trends. I may demonstrate the decline in risks and the substantial increase of the benefits that may be generated from the proposed reforms.
More specifically, I should demonstrate the role of nurses in initiating any legislative changes at the local level. As all the healthcare issues are highly practically-oriented, it is reasonable to consult professionals that have the corresponding experience and qualification (Abood, 2007). In such way, I may explain the unique role of nurses and the need for taking their position into account. I may also appeal to my practical experience and qualification. Due to the fact that the nurses’ potential is always limited, they may demonstrate the highest possible productivity only when nurse-to-patient ratios are comparatively low. For this reason, the reforms similar to the ones implemented in California may be introduced.
Moreover, I may explain the problem present in the current legislative environment. Considering the fact that the workload is disproportionately large, nurses have to reorient towards quantitative rather than qualitative aspects of their operations. However, the decline in quality is inadmissible under any conditions because all healthcare professionals should be orient towards promoting the health standards of their patients. The available statistical information shows that the level of nurse-to-patient ratios affect other health indicators considerably (Aiken et al., 2010). Therefore, it is the first step towards reforming the whole healthcare system in the state. The corresponding advantages for the local level may be stressed.
To influence votes, I may also stress that the innovative potential may increase considerably if nurse-to-patient ratios are minimized. The reason is that a high workload does not allow implementing all recent technologies. If such ratios are reduced to the level adopted in California, it may lead to substantial positive results. Nurses will have an opportunity to concentrate on the needs of a given patient and use the tools that are relevant and optimal under the current conditions. Additionally, I may try to determine the supporters of my initiatives. The coordination of mutual efforts will allow economizing time and delivering the need for the reform to a higher number of people. Finally, I should stress that the positive results can be achieved even in the short perspective, if the changes are implemented consistently.
The state level requires a different approach because the decision-makers in such case are aimed at other issues. They are interested in developing patterns of the sustainable social development. I should construct my arguments in a professional and scientific way. On the one hand, my major thesis should remain the same: it is necessary to reduce the current level of nurse-to-patient ratios. On the other hand, I should support all my claims by corresponding statistical figures and calculations. I may calculate the correlation coefficient between mortality levels and nurse-to-patient ratios in different states. Taking into account that such indicators are closely correlated, it may become evident that the changes are crucial for encouraging health standards of the population.
I may also construct several statistical models that extrapolate the future dynamics of mortality rates and other health indicators under different scenarios. The first one is the current trend (if the proposed reforms are not implemented). The second scenario is the new trend (if the needed changes are implemented). Correspondingly, it is possible to assess the state’s comparative positions at the national level. Such argumentation may be persuasive for legislators. It is also possible to address the corresponding organizational and financial aspects. Nurses may become more responsible and professional if their workload declines (Abood, 2007). As a result, the likelihood of conflicts or other organizational problems may diminish. Financial issues should not create additional problems as a higher quality will lead to the positive cash flows. In general, the interests of all parties can be balanced. It may be expected that legislators will be eager to initiate the necessary changes after examining the delivered arguments.
The above strategies may be effective as they address the interests and concerns of legislators at the local and state levels differently. However, the above strategies may be insufficient as not all people may be ready to innovations. Moreover, some alternative suggestions and proposals may exist. For this reason, it is crucial to develop a complementary strategy for increasing my power. I believe that I should increase my credentials as they influence the likelihood of other people’s supporting my initiatives. I should be able to prove my high qualification and skills with the help of relevant certificates, especially the international ones. Therefore, it is reasonable to participate in professional conferences and forums. In such way, I can also find new supporters and explain my position to a larger audience. In any case, the received feedback may be highly helpful for my future professional and personal development. As my credentials increase, my proposals may become more influential in the legislative sphere.
In addition, I may coordinate my actions with the well-known nursing organizations. For example, I can cooperate with American Forensic Nurses or American Association of Nurse Practitioners. Every nursing organization has its specialization, and it may allow understanding of some aspects of nursing better (Abood, 2007). It seems that my higher credentials may be important both at the local and state levels. At the local level, they may be applied directly as I would be able appeal to my knowledge and certificates, as well as make persuasive proposals. At the state level, I may introduce relevant theories and statistical information available to me. In any case, I may utilize my higher potential successfully.
It is also possible to participate in networking with people who have legislative power. Various forms of communication with such people are possible. On the one hand, I may provide consulting services for them. If they appreciate my help and qualification, they may become more responsive to my suggestions and proposals. On the other hand, I may address my messages through forums and even social media. Modern technologies can be highly effective in sharing information. I should also adjust the means used to the needs and preferences of my audience.
Although all above methods are effective, they may also be insufficient if the strong opposition exists. Therefore, some complementary strategies are necessary. I may address the specific points important for legislators. For example, some of them may be concerned with the ways of reducing the budget deficit. I may develop the complex program that will demonstrate the substantial deficit reduction in the case the proposed changes are implemented. Other legislators may be concerned with the health standards of minority groups. In such case, I may develop another strategy that will show the reduction of mortality rates among the mentioned group of people. It seems that addressing the specific concerns of legislators may be effective even if the substantial opposition in the field exists. If the major concerns are indentified and addressed correctly, the maximum positive results may be achieved (Abood, 2007). Reducing nurse-to-patient ratios is one of the first and major steps towards improving the overall state’s healthcare system.