Dissertation/Thesis Abstract

Influencing Policy to Reduce Motor Vehicle Crashes in a Rural Community: A Multiple Streams Approach
by Gregg, Judy, D.N.P., Carlow University, 2017, 78; 10257349
Abstract (Summary)

The purpose of this project was to implement and examine the role of a Nurse Policy Entrepreneur in reducing Motor Vehicle Crashes (MVC) in a rural community. Applying the Multiple Streams Approach, the action research study concentrated on the role of a Nurse Policy Entrepreneur to gather data to explore specific local contributing factors and issues related to motor vehicle crashes; review current policies and best practices; and meet with stakeholders/ decision makers to create a window for policy change to reduce injury and fatalities from MVC.

The Nurse Policy Entrepreneur analyzed public MVC data from 2013–2015. Teen injury crash prevention was selected as the issue to be addressed with a local policy. Policy analysis included comparison with peer counties and current literature to identify best practice. Results found top preforming peer counties all utilized a Carteens Program for juvenile traffic offenders.

Briefings to stakeholders by the Nurse Policy Entrepreneur created an open policy window through sharing a framed message to support the Carteens Program. At the conclusion of the public stakeholder meeting, in addition to verbal support, a modified Organizational Change Recipient’s Belief Scale tool was used for assessment. Results revealed the coalition’s belief that teen injury MVC’s in the county was a problem (discrepancy), Carteens was the appropriate solution (appropriateness), along with principle support for the project. More neutral results were found for both efficacy which measured their own power to change the problem and personal impact from the change.

With support for ongoing program oversight fr county juvenile judge. After reviewing the data, and consulting advisors, the judge approved the policy change for teen traffic offenders, signifying success of the Nurse Policy Entrepreneur to effect policy.

Indexing (document details)
Advisor: Tennant, Kathleen F.
Commitee: George, Elisabeth L., Miller, Julie E.
School: Carlow University
Department: Nursing Practice
School Location: United States -- Pennsylvania
Source: DAI-B 78/11(E), Dissertation Abstracts International
Subjects: Nursing
Keywords: Motor vehicle crashes, Multilple streams, Policy entrepreneur
Publication Number: 10257349
ISBN: 978-1-369-81400-2
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