Creation of Policy or Procedure
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Assessment Overview:
Creation of Policy or Procedure In the Capella University DNP curriculum, Assessment 5 of NURS FPX 8030 marks the shift from evaluating theories to taking real steps in an organization. For the “Creation of Policy or Procedure,” doctoral students must write a formal governing document that deals with a specific safety issue or practice gap that was found in earlier assessments.
The document must be based on evidence, follow the law, and be well-structured, no matter if it is about telehealth protocols, medication safety, or staff wellness. Applying ethical principles is at the heart of this creation. It makes sure that the policy doesn’t just serve administrative purposes but also actively protects the rights and well-being of both patients and clinicians.Also visit our NURS FPX 8030 Assessment 5
How to Pass Creation of Policy or Procedure
To achieve a “Distinguished” grade at Capella, focus on these professional standards:
- Professionalism in Structure: Use a formal template that has a Policy Number, Effective Date, Revision History, and Approval Signatures.
- Evidence-Based Rationale: A peer-reviewed study or a national clinical guideline (like AHRQ) should back up every step of the process.
- Keyword clarity: Don’t just say “ethics.” Explain how using ethical principles helped settle a possible disagreement between cost and care or safety and speed.
Sample Assessment:
NURS FPX 8030 Assessment 5: Creation of Policy or Procedure
Justice: Ensuring Equitable Access and Treatment
When applying ethical principles to policy creation, “justice” requires that the governing document promote fairness across the organization. For example, a policy regarding the allocation of specialized nursing equipment must ensure that resources are distributed based on clinical acuity rather than patient status or department influence. A DNP leader ensures that the language within the policy is inclusive and addresses potential health disparities, fulfilling the ethical mandate of distributive justice.
Beneficence: Policies as Tools for Optimal Care
Beneficence—the duty to act in the best interest of the patient—should be the primary motivation for any new clinical procedure. By applying ethical principles, the doctoral nurse leader designs procedures that have been proven by evidence to improve patient outcomes. A policy on “Incentive Spirometry Post-Surgery,” for instance, is a beneficent tool because it proactively prevents complications like pneumonia. The policy becomes a medium through which clinical beneficence is standardized across a diverse workforce.
Nonmaleficence: The Ethics of Risk Mitigation
The principle of nonmaleficence (“do no harm”) is the core of safety-related policies. When applying ethical principles, a leader scrutinizes a new procedure for unintended consequences. For example, a policy requiring frequent neurological checks must be balanced against the patient’s need for restorative sleep. An ethical policymaker uses the “Just Culture” framework to ensure that the procedure focuses on preventing system failures rather than punishing individuals, thereby protecting both the patient and the professional integrity of the staff.
Autonomy: Respecting Patient and Professional Agency
Respecting “autonomy” in policy creation means ensuring that procedures do not bypass the patient’s right to self-determination. Applying ethical principles involves including requirements for informed consent and patient education within the procedure steps. Furthermore, autonomy extends to the staff; an ethical policy respects the professional judgment of the nurse, allowing for clinical exceptions when they are in the patient’s best interest. This ensures that the policy supports, rather than stifles, the autonomous practice of advanced nursing.
References (APA 7 Format)
- American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. https://www.nursingworld.org/coe-view-only
- Agency for Healthcare Research and Quality (AHRQ). (2024). Policy and procedure development tools. https://www.ahrq.gov/patient-safety/settings/hospital/index.html
- Institute for Healthcare Improvement (IHI). (2024). Strategies for sustaining improvement. https://www.ihi.org/resources/Pages/default.aspx
- Joint Commission, The. (2024). Standardizing hospital policies and procedures. https://www.jointcommission.org/standards/
- U.S. Department of Health and Human Services. (2024). HIPAA for professionals. https://www.hhs.gov/hipaa/for-professionals/index.html
Rubric Breakdown
| Competency | Basic | Proficient | Distinguished |
| Applying Ethical Principles | Ethics are mentioned in the policy draft. | Explains the ethical considerations of the new policy or procedure. | Critically evaluates how ethical principles resolve organizational tensions and protect stakeholder rights. |
| Policy Structure | Lists a few rules. | Follows a standard format for a policy or procedure document. | Creates a professional, executive-level document that is ready for organizational implementation. |
| Evidence Integration | Notes a few ideas. | Uses current literature to justify procedural steps. | Synthesizes high-level evidence (Level I/II) to create a robust, defensible clinical standard. |
| Scholarly Voice | Minimal APA 7 adherence. | Consistent APA style and professional tone. | Writing is clear, authoritative, and demonstrates a mastery of organizational communication. |
Step-by-Step Guide
- Set the Limits and Goals: Clearly say what the policy is about and why it is needed (for example, “To standardize the triage process in the Emergency Department”).
- Do a Regulatory Audit: Make sure the policy follows the rules set by state nursing boards, the Joint Commission, and federal laws like HIPAA.
- Write down the steps for the procedure: Make sure that the instructions you give to frontline staff are clear and easy to follow.
- Add moral anchors: Clearly state how the policy’s requirements were based on ethical principles like justice and autonomy.
- Give someone the job: Make it clear who is in charge of enforcing the policy and who will make sure that everyone follows it (for example, “unit managers” or “chief nursing officer”).
- Establish Review Milestones: Schedule a date for revisiting the policy based on new clinical evidence, typically every one to three years.
Frequently Asked Questions
Q: What is the difference between a policy and a procedure?
A: A policy is a high-level statement of the organization’s position or goal (the “What” and “Why”). A procedure is the step-by-step instruction on how to achieve that goal (the “How”).
Q: Why is “Applying Ethical Principles” a required keyword?
A: Capella requires DNP students to prove they are ethical leaders. Policies are the most powerful tools a leader has to enforce ethical behavior across an entire organization, as they provide clear guidelines and expectations for all employees to follow in order to maintain integrity and accountability.
Q: Do I need to include a reference section for the policy itself?
A: Yes. In Assessment 5, you must prove that your policy is not just based on opinion but is grounded in current, peer-reviewed evidence.
Integrity Note
Note: Only use this assessment example for learning and structure purpose. Do not submit as your own work.
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