Instructions  

Nursing leaders are often presented with problems and issues, some that are departmental and organizationally focused, and others that have wide national impact. Consider the different levels of challenge for the nursing leader that move from local to state to national health policy agenda. Consider one project, either one that is local OR one that has national implications, that created policy change and was implemented in your organization. What are the greatest challenges on the project for the leader within the context of healthcare policy and use of evidence support?

SOLUTION 

Building Research Locally; Supporting Research Nationally

Smoking and tobacco use are significant risk factors for a variety of chronic disorders such as stroke, lung cancer, and coronary heart disease. According to the CDC, cigarette smoking is responsible for more than 480,000 deaths per year in the United States, including more than 41,000 deaths resulting from secondhand smoke exposure (2017). Approximately 13 years ago a common scene at the Cleveland Clinic and many other neighboring hospitals was to see a group of employees in scrubs stand on the front lawns of hospitals smoking, only to return inside shortly to take care of patients suffering from tobacco-related diseases. On November 2006, voters approved the indoor smoking ban making Ohio the first Midwestern state and the first tobacco-growing state to enact such a ban (Ohio Department of Health, 2008). Ohio also became the 12th state to protect all workers and the public from exposure to secondhand smoke in workplaces and public places. The Cleveland Clinic’s campuses went smoke-free in July 2005. In September 2007, the Cleveland Clinic’s non-smoking hiring policy went into effect and in July 2008 the organization began offering free tobacco cessation courses and a two-month supply of nicotine patches for workers in its employee health plan.….please click the purchase button below to access the entire solution at $10