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As young American adults turn eighteen, they are reminded that it is their civic duty and responsibility to register to vote, to be aware of current policies and to make educated decisions in the voting booth. As some of these young adults become active in the nursing profession, they are taught that their ultimate responsibility is to advocate for their patients; they are to ensure their safety and well-being. That being said, does this responsibility stop at the bedside? Should nurses take an active role in the policy making that directly affects the healthcare of their patients? Conn and Armer (2012) stated that “nurses must be prepared to use multiple and varied strategies to influence public policy so that optimal health outcomes can be achieved” (p. 296). This statement alone implies that nursing’s responsibility extends beyond direct patient care.
Unfortunately, today’s nurses have not been educated to view themselves as “policy development activists” (Wolf & Robinson, 2013, p. 16). In light of this statement, I took a “Political Astuteness Inventory” and was quite surprised at my score, for I could only honestly check mark 17 of the 34 statements. My 17 checkmarks are clustered mainly around my civic duty of registering to vote as well as making decisions and working collaboratively in my workplace. I do not actively participate in influencing the legislative policy makers’ decisions. “Political astuteness is defined as awareness and understanding of legislative and policy processes and political skills” (Primomo, 2007, p. 260). I obviously am not politically astute, nor have I been challenged to be so, until now. “During the past decade, there has been a heightened awareness among nurses that the forces shaping...
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...ichigan Nurse, 85(4), 3-19.
Byrd, M. E., Costello, J., Gremel, K., Schwager, J., Blanchette, L., & Malloy,T. E. (2012). Political Astuteness of Baccalaureate Nursing Students Following an Active Learning Experience in Health Policy. Public Health Nursing, 29(5), 433-443.
Conn, V. & Armer, J. (2012). Meta-analysis and pulic policy: opportunity for nursing impact. Nursing Outlook, 60(5), 297-302.
Flyffe, T. (2009). Nursing shaping and influencing health and social care policy. Journal of Nursing Management, 17(6), 698-706.
Luparell, S. (2011). Incivility in nursing: The connection between academia and clinical setting. Critical Care Nurse, 31(2), 92-95.
Primomo, J. (2007). Changes in political astuteness after a health systems and policy course. Nurse Educator, 32(6), 260-264.
Wolf, K.C. & Robinson, Z. (2013). Unrealized potential. Pennsylvania Nurse, 68(4), 16-21.
Chaffee, M., Leavitt, J., Mason, D. (2007). Policy & Politics in Nursing and Health Care. St. Louis, MO: Saunders Elsevier.
Access to quality healthcare is a growing concern in the United States especially in light of healthcare reform coverage expansions made possible by the Patient Protection and Affordable Care Act of 2010. It is estimated that 94% of all Americans will acquire healthcare coverage under the law, an increase of nearly 30 million people (King, 2011). This dramatic influx of patients into the healthcare system has projected to cause an immediate increase in added pressure on an already challenged healthcare workforce (King, 2011). Notably, at a time when healthcare demands are growing, graduate rates from medical schools remain unchanged while advanced practice registered nurse (APRN) graduate rates are rising (Cipher, Hooker, Guerra, 2006). The increased availability of APRNs, along with enhanced delivery of healthcare skills, gives the role a unique advantage in the current state of healthcare. These specialized advanced practice nurses provide services often at a patient’s first (and in some cases, primary) point of contact into the healthcare system (Brassard, 2013). Due to this, many states have started to take action to mitigate the increased healthcare system burden by enhancing the APRN’s scope of practice by broadening prescriptive authority. This has been shown to be one of the fundamental ethical avenues of increasing not only access to healthcare, but also efficiency and quality of care (Ross, 2012).
Mason, D. J., Gardner, D. B., Outlaw, F. H., & O’Grady, E. T. (2016). Policy and politics in nursing and health care (7th Ed.). St. Louis, MO: Elsevier.
This paper focuses on providing a summary of the efforts of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research which influenced the IOM report, “Future of Nursing: Leading Change, Advancing Health.” The importance of the IOM “Future of Nursing” report related to the nursing practice, nursing education and nursing workforce development will be stated. The role of state-based action coalitions and how they advance goals of the Future of Nursing: Campaign for Action will be described. A summary on will be provided of two (2) initiatives that are spearheaded by Florida state’s Action Coalition with an explanation of ways in which the initiatives advance the nursing profession. Existing barriers to advancement currently in Florida and ways in which nursing advocates may overcome these barriers will be discussed.
The American Nurses Association (ANA) developed a foundation for which all nurses are expected to perform their basic duties in order to meet the needs of the society we serve. The ANA “has long been instrumental in the development of three foundational documents for professional nursing; its code of ethics, its scope and standards of practice, ands statement of social policy.” (ANA, 2010, p. 87) The ANA defined nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” and used to create the scope and standards of nursing practice. (ANA, 2010, p. 1) These “outline the steps that nurses must take to meet client healthcare needs.” () The nursing process, for example, is one of the things I use daily. Other examples include communicating and collaborating with my patient, their families, and my peers, and being a lifelong learner. I continually research new diagnoses, medications, and treatments for my patients. As a nurse of ...
Nurses are responsible for their own practice and the care that their patients receive (Badzek, 2010). Nursing practice includes acts of delegation, research, teaching, and management. (ANA, 2010). The nurse is responsible for the following standards of care in all practice (Badzek, 2010). The individual nurse is also responsible for assessing their own competence and keeping their practice within the standards of the current standards of care for the specialty which they are practicing and the state nursing practice acts (ANA, 2010). As the roles of nursing change, nurses are faced with more complex decisions regarding delegation and management of care (Badzek,
Whitehead, D. K., Weiss, S. A., & Tappen, R. M. (2010). Essentials of Nursing and Management. Philadelphia, PA: Davis University Press, Inc. Zerwekh, J., & Garneau, A. Z. a. The adage of the adage of the adage of the ad Nursing Today: Transitions and Trends. 7th ed.
In 1965, the American Nurses Association shared its vision for the future of nursing education. A primary goal in its message was that a Bachelor of Science in Nursing (BSN) becomes the minimum requirement for entry into nursing practice (Nelson, 2002). Fifty years later, debates on this issue continue. In its report, The Future of Nursing: Leading Change and Advancing Healthcare, the Institute of Medicine shared its recommendation that 80% of nurses possess a bachelor’s degree by the year 2020. A significant number of health care facilities have adopted the practice of hiring nurses with BSN over those with two year Associate’s Degree of Nursing (ADN) or a three-year hospital based diploma program. Stakeholders in the Registered Nurse (RN)
Truglio-Londrigan, M., & Leweson, S., (2011). Public health nursing: practicing population-based care. Second Ed. Sudbury, Mass: Jones and Bartlett Publishers.
On the path to an advanced nursing role, I have learned about the qualities that make exceptional advanced nursing role nurses. In my present Registered Nurse role I have found that I cherish values important to the success of my envisioned career. I have experienced what lack of effective leadership can entail for a nursing unit. During the progression of this class I have found that one of the best things I am doing as an RN is using persuasion as a form of starting change. In the class we learned that historically nurses have been in positions to advocate for change, however they have not been as influential as previously believed (Sullivan, 2004). At the core of effective leadership lies influence (Sullivan, 2004). According to Mintzer (2005), influencing people requires some degree of persuasion. In addition to my ability to persuade I have learned how to ...
Mason, D. J., Leavitt, J. K., & Chaffee, M. W., (2014). Policy and Politics in Nursing and Healthcare. Elsevier Saunders: St. Louis, MO.
Ressler, P., & Glazer, G. (2010). Legislative: Nursing’s engagement in health policy and healthcare through social media.The online journal of issues in nursing, 16(1), doi: 10.3912/OJIN.Vol16No01LegCol01
With the passage of the ACA, the Federal government in collaboration with the states, reformed the “healthcare system by giving more Americans access to quality, affordable health insurance” (Obama Care Facts, Summary, n.d.). Thus, the ANA Agenda for Reform had been partly achieved. In addition, the Agenda also served as a wake-up call that brought key nursing and patients’ issues to the fore, e.g., Safe Staffing, Safe Patient Handling, and Title VIII (Nursing Workforce Development) Funding (ANA, 2016), just to mention a
Are Nurses Ready for Health Care Reform? A Decade of Survey Research 2012 Nov-Dec;30(6):318-29, Peter I. Buerhaus, PhD, RN, FAAN, Catherine DesRoches, DrPH, Sandra Applebaum, MS, Robert Hess, PhD, RN, FAAN, Linda D. Norman, DSN, RN, FAAN, KAREN Donelan, ScD, http://www.ncbi.nlm.nih.gov/pubmed/23346730
Nurses are at the forefront of the healthcare system and therefore must actively engage in policies that impact the healthcare system. DNP graduates can initiate the process of change by pointing out potential problems within the healthcare delivery system and spearheading legislation through lobbyists and nursing organizations. Nurses should be the middle-man between patients and policy makers. Patient advocacy has been part of nursing for a long time. Zaccagnini and White (2014) highlighted how Florence Nightingale advocated for the British soldiers’ poor living conditions during the Crimean war once she recognized the connection between policy makers and public health. Local, national and global nursing organizations provide ways for nurses to voice issues and concerns that affect public health welfare. In the United States of America, the Center for Disease Control (CDC) and the National Council of State Board of Nursing(NCSBN) can be used as a platform to raise awareness and concerns for public health and