Hey. So this is the assignment I had messaged you about. These are the instruction, just so you have an overview on what it´s about. Remember it is a group project.Abstract and Position Paper Directions:For this Assignment, Abstract and Position Paper, you will search for a scholarly journal to publish to. You will follow your selected journal’s guidelines for creating a position paper, except that your word count (for the body section of your paper, which excludes the abstract, title page, and references sections) will be 1200-1800 words. You will write an abstract for your paper as if it were going to be published. (The abstract is not the type of abstract you would submit in a paper but one you would write if submitting a paper for publication.) If your selected journal has guidelines for the abstract, follow those guidelines. You must support your work with at least eight scholarly peer reviewed articles. You must also link to the journal’s publishing guidelines, at the bottom of your paper. If there is no link, include a copy of the publishing guidelines in an Appendix to your paper.You will write your position paper on your chosen policy change as if you were writing for your chosen journal. Your paper must include the following topics:1. Abstract per instructions2. Current situation necessitating the change3. The proposed policy change4. Agenda setting5. A model or theory that can be used to bring about the change6. Design strategies7. Implementation strategies8. Evaluation strategies9. ConclusionThe journal we will be writing to is — the Online Journal of Issues in Nursing. I’m attaching Author Guidelines which include formatting details for paper submissions just in case you were curious!  http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/AuthorInformation#abstractSo the project is on policy change of right to die with euthanasia methods in the state of florida. we have previously done projects on this topic, which i will attach just in case you want to use any of that information. Now my part for this project is evaluation strategies, which is the second to last topic. The model we are using to present is the Kingdon model. I am attaching what my group has turned in so far..My part should be a minimum of 300 words and have at least 2 references. Please if you have any question let me know and I will help you better understand what needs to be done. Thanks againunit_9_assignment_other_parts_.docxunit_6_debate_assingment_final.pptxCurrent situation necessitating the change & The proposed policy change
As the current law stands, “every person deliberately assisting another in the commission of selfmurder shall be guilty of manslaughter, a felony of the second degree, punishable as provided in
s. 775.082, s. 775.083, or s. 775.084 (attempted murder in the first degree)” . This law not only
criminalizes the second party, the physician or family member in assisting, but leaves one with
limited options. This proposed change in policy will give one the autonomy, option, and right to
end their suffering.
Terminal illness, with little to no hope for remission or cure, can cause one to experience
immeasurable pain and suffering. Without this change in policy, one may choose to end their life
with suicide with medications, hanging, or with a firearm. In a study performed by the Florida’s
Office of Drug Control (2005), researchers discovered that chronic illnesses, such as seizure
disorder, congestive heart failure, and chronic lung disease are associated with an increased risk
for suicide. With chronic terminal illness as these, support and all options need to be available.
Wouldn’t a close relationship with a patient and their healthcare team that can inform consent,
discuss options, and provide safe end of life care options seem like a safer approach?
Agenda Setting
Agenda setting is known as the process of getting an important issue on the official policy
agenda by stakeholders for decision-makers to address (U.S. Agency for International
Development, n.d.). The important issue of this paper is for a policy change of a patient being
able to have the right to choose to die in the state of Florida. The stakeholders represent the
community of nurses, public, and organizations who are in favor of the policy change. The issue
of being able to choose the right to die must be accepted by the decision-makers for it to reach
the agenda. Issues are more likely to reach the agenda if it is considered a public concern, has
increased awareness, and that it is an issue that can be resolved by the government (California
State University Long Beach, 2002).
One of the best ways for the right to die policy to have a chance to become an issue on the
agenda is to present to the decision makers who the issue affects, how it affects them, and show
its symbolic value of autonomy to the public (California State University Long Beach, 2002).
According to the Euthanasia Research and Guidance Organization, about an average of 70% of
the population in the United States is in favor for the right to die policy (Williams, 2014). Half of
the medical profession is in favor of the right to die to become a law. The proposed policy would
affect any individual who dying from a terminal condition with less than six months to live. It
gives the individuals the right to choose the right to die instead of suffering from severe pain and
the inability to perform daily functions.
It is more likely that an issue will get on the agenda if it can be linked to an existing public
concern. The stakeholders can make a correlation between the amounts of money that the health
care system can save through giving patients the right to die and how it will address the health
cost crisis in a positive manner. The cost of taking care of a patient with a terminal illness can
reach thousands of dollars, while the medication needed to give the patient the right to die costs
around $35.00. This would be a large decrease in the health costs of the patients thus reducing
overall health costs for the nation.
Using the Kingdon’s Model to Bring about Change
Different theories or models are used to help bring about the change to a law or policy. The
Kingdon Model is used to help in the policy agenda moving forward through the legislative
process (Coffman, 2007). The Kingdon Model focuses on three streams to accomplish this task:
problem, proposals, and politics. The problem stream is the process of influencing decisionmakers to choose to give attention to the issue of the right to die. Issues are given more attention
if they are considered a serious problem and are explained to the decision-maker in terms they
will understand. The proposal stream is the process in which the issue is created by the
stakeholders, debated on, revised based on the debates, and adopted by the decision makers for
possible policy agenda. The best way to have the issue of the right to die be successful is for it be
an issue that has a potential solution, in favor of the decision-makers and the public’s values and
beliefs, and cost contained. The political stream is considered the things that can influence the
agenda such as state officials in government at the time, election time, and the influence of
advocacy and opposition of the right to die. Accomplished agenda setting is seen when at least
two of the streams come together at the right time, called the policy window. It is imperative for
the stakeholders to be able to invest in more than one of the streams for their issue to have a
California State University Long Beach. (2002). Policy agenda. Retrieved from
Coffman, J. (2007). Evaluation based on theories of the public policy. Retrieved from
U.S. Agency for International Development. (n.d.). The process: Policy development. Retrieved
from http://www.policyproject.com
Williams, K. (2014). Do we have the right to die? Retrieved from http://www.near-death.com
The Right To Die: A Debate
Table of Contents
Part I: In Favor of Policy
Importance of Policy
Effects on
Costs to Stakeholders
Supporting Issues and
Part II: Against Policy
Importance of
Maintaining Current
Effects on
Costs to Stakeholders
Supporting Issues and
Valerie Anguilli, Stacey Bessiere, Cynthia Bantista
Part I: In Favor of
Policy Change
Importance of Policy Change
Protection of one’s treatment
Failure to do so violates
personal autonomy
(Smith, 2002).
Stakeholders in End of Life
Care (Generalized)
Users of service
Governments and national bodies
Health and social care organizations
Professionals, volunteers, etc.
(Hartley, 2014).
Effects on Stakeholders
Those in insufferable
Life expectancy of less
than six months
Provides dignity control,
Decreases undignified
(Death with Dignity, n.d.)
Positive feelings
Overall satisfaction and
contentment with
Less grief
(Kimsma, 2010)
Effects on Stakeholders Cont’d
Increased education:
Moral and ethical
Expected role of a
nurse in euthanasia
Tamayo-Velazquez, et
al., 2013)
Mixture of emotions
Deeper relationship
with patient
Provides acceptance
Shared decision
(Kimsma, 2010)
Costs to Stakeholders
Hospice care
Private insurance
(Debt.org, 2016).
Right to die
Euthanasia drug:
(The Life Resources
Charitable Trust, 2011).
Supporting Issues & Research
Dignity of the patient, focus on quality of life
(Swanton, 2015).
Mercy for a hopelessly ill and suffering patient
and respect for autonomy (Kuhse, 1992).
The right to die is intended for terminal patients
with a life expectancy of less than six months
(Death with Dignity, n.d.).
 Death with Dignity. (n.d.). Death with Dignity Acts. Retrieved from https://www.deathwithdignity.org
 Debt.org. (2016). Hospice and end–of-life options and costs. Retrieved from
 Hartley, N. (2014). End of life care: a guide for therapists, artists, and arts therapists. Philadelphia, PA: Jessica
Kingsley Publishers.
 Kimsma, G.K. (2010). Death by request in the Netherlands: Facts, the legal context and effects on physicians,
patients, and families. Med health care and philos., 13, 355-361, doi:10.1007/s11019-010-9265-0
 Kouwenhoven, P., Raijmakers, N., van Delden, J., Rietjens, J., Schermer, M., van Thiel, G., &…Heide, A. (2012).
Opinions of health care professionals and the public after eight years of euthanasia legislation in the Netherlands:
A mixed methods approach. Palliative medicine, 27(3), 273-280. doi:10.1177/0269216312448507
 Kushe, H. (1992). Euthanasia fact sheet. Retrieved from The World Federation of Right to Die Societies:
 Smith, W. (2002). Euthanasia and assisted suicide. Retrieved from the Encyclopedia of Crime and Justice:
 Swanton, D. (2015). Appendix 1. The right to die with dignity – euthanasia. Retrieved from Ethical Rights:
 Tamayo-Velazquez, M., Simon-Lorda, P., & Cruz-Piqueras, M. (2012). Euthanasia and physician-assisted suicide:
Knowledge, attitudes, and experiences of nurses in Andalusia (Spain). Nursing ethics, 19(5), 677-691.
 The Life Resources Charitable Trust. (2011). Economic aspects of euthanasia. Retrieved from
Matthew Culp, Amanda Ancheta
Part II: Against Policy
Importance of Maintaining
Current Policy
ANA prohibits
▪ (ANA, 2013)
Health care provider
▪ (Steinbock, 2005)
Effects On Stakeholders
Nurses, doctors, other health care professionals,
and patients
Personal conflict
Personal dogmas
Patient autonomy
Essential personnel with vast amount of
experience and knowledge in these situations
(Milstead, 2016)
Costs to Stakeholders
Palliative end-of-lifecare cost: $35,000$40,000
(Life Resources, 2011)
Right to Die drug:
(Life Resources, 2011)
Supporting Issues & Research
The right to die
refers to several
difficult areas
surrounding the
concept of death.
(US Legal, 2015).
In the state of Florida,
the right to die with
assisted suicide is
considered illegal. If
an individual is
convicted, the felony
is potentially
punishable to the
second degree.
(Procon.org, 2015)
Supporting Issues & Research
The Privacy Act states
that the each person has
the “right to determine
his or her course of
medical treatment,
including the option to
hasten his or her death”.
(Patients Right Council,
In the era of declining
morality and justice, there
is a possibility of misusing
euthanasia by family
members or relatives for
inheriting the property of
the patient.
(Math & Chaturvedi, 2012)
 ANA. (2013). Euthanasia, assisted suicide, and aid in dying. Retrieved from
 Dorff, E. N., Resnicoff, S. H., Sinclair, D., Keown, D., Harvey, P., Florida, R. E., &
Kapp, M. B. Law and Religion.
 Life Resources (2011). Economic Aspects of Euthanasia. Retrieved from
 Math, S. B., & Chaturvedi, S. K. (2012). Euthanasia: right to life vs right to die. The
Indian Journal Of Medical Research, 136(6), 899-902
 Milstead, J. A. (2016). Health policy and politics: A nurse’s guide. (5th ed.).
Burlington, MA: Jones & Bartlett Learning.
 Patients Right Council. (2013). Florida supreme court rejects assisted suicide.
Retrieved from http://www.patientsrightcouncil.org
 Procon.org. (2015). State-by-state guide to physician-assisted suicide. Retrieved
from http://euthanasia.procon.org
 Steinbock, B. (2005). The case for physician assisted suicide: not (yet) proven. J
Med Ethics, 31(), doi:10.1136/jme.2003.005801
 US Legal. (2015). Right to die. Retrieved from http://righttodie.uslegal.com

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