Main Discussion Post
The United States spends significantly more on healthcare than other comparable countries. Looking at that fact, one would think that health outcomes would be significantly better in the U.S. but it is actually the opposite, with certain populations suffering more than others. Nurses can advocate for population health by actively participating in policymaking (Myers, 2020). While there are many opportunities for nurses to participate in policymaking, there are also many challenges in doing so. Hajizadeh et al. (2021) conducted a study on why nurses do not participate more in policymaking despite how important it is. They found contributing factors to include lack of time, limited resources, and uncertainty in their knowledge of politics.
Joining a professional nursing association such as the ANA is an excellent way to enter the legislative ring. Their website offers many resources to get started including links to legislative issues at the federal and state level. You can also join their mailing list to become involved with their advocacy campaigns. The ANA believes advocating for policy change is just as important as professional and patient care improvements (ANA, n.d.). Nursing associations can have difficulty recruiting new members for many reasons and I believe one drawback is the cost of membership. I recently attended an ED and ICU nursing conference and at the end, they had prize drawings. One of the prizes was a one-year membership to our local chapter of AACN. I believe offering more free trial memberships could increase long term memberships.
A second opportunity for nurses to participate in policymaking is advocating for healthcare policies. Communicating with local legislators and educating them on the importance of potential healthcare bills could shift their views and cause them to support a bill they would otherwise decline. A challenge to this would be nurses not knowing how to reach a legislator or become an advocate. Going back to the first opportunity of joining a professional nursing association, the ANA’s website offers a link for nurses to find legislators and message them online regarding bills they wish to advocate for. Goodyear (2022), also recommends finding a mentor to learn the process of becoming an active advocate.
PLACE ORDER HERE
The first strategy I would use to communicate or advocate for these opportunities would be social media. Facebook and TikTok are great platforms to elevate the need for nurses to be involved in policymaking. An example would be a nursing organization creating empowering and educational videos on specific ways nurses can become advocates. A second strategy would be inviting nurse managers in the hospital I work in to explain the benefits of joining professional nursing associations during monthly staff meetings and identifying any willing nurses with experience in advocacy to be mentors.
References
American Nurses Association (ANA). (n.d.). Advocacy.
https://www.nursingworld.org/practice-policy/advocacy/Links to an external site.
Links to an external site.
Hajizadeh, A., Zamanzadeh, V., Kakemam, E.
,
Bahreini, R
.
Factors influencing nurses participation in the health policy-making process: a systematic review.
BMC Nurs
20, 128 (2021).
https://doi.org/10.1186/s12912-021-00648-6
Links to an external site.
Goodyear, C. (2022) Advocating for public policy to advance nursing.
Nursing Management,
53(7) 48. DOI: 10.1097/01.NUMA.0000834512.45322.d0
Myers, C. R. (2020). Promoting Population Health: Nurse Advocacy, Policy Making, and Use of Media.
Nursing Clinics of North America
,
55
(1), 11–20. https://doi.org/10.1016/j.cnur.2019.11.001
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Jasmine Daniels
(She/Her)
Oct 14, 2024 8:37pm
|
Last reply Oct 15, 2024 10:45am
Reply from Jasmine Daniels
Nurse leaders are champions for policy change.
As nurses, we are in a unique position. We care for people on some of their worst days. As we care for them, we become privy to their unique position as patients. While some can rest and focus on healing, others are stressed about missing work and medical bills. We may also get an inside look at other social determinants of health that they may be up against – food insecurity, housing, and safety (Flaubert et al., 2021). As such, we are in an excellent position to inform policy and advocate for equitable access to quality health care.
Policymakers are often detached from the realities of the common person for whom laws are directly impacting. Having a metaphorical seat at the table for decision-making will allow nurses to present real-world experiences to inform policy (Short, 2022). For instance, seeing that a significant portion of my patients come in for sickle cell crisis, I would advocate for better access to specialty clinics and support for patients with sickle cell disease. By bringing this topic up to local leaders, backed by data, I would ask them to support current legislation to provide better access to quality healthcare clinics for patients with sickle cell disease. By educating and informing stakeholders, we can gain support from local and national leaders and organizations to support health equity for those disproportionately impacted by systemic discrimination (Office of policy, performance, and evaluation, 2019; Flaubert et al., 2021).
How do we get a seat at the table and gain the respect of policymakers?
By furthering our education with an emphasis on healthcare reform and policy, we can gain the knowledge and confidence to bring our advocacy to the next level. As we know, the curriculum for advanced practice nurse programs now includes policy and advocacy courses. Additionally, undergraduate nursing programs have begun to introduce policy courses. Continuing education courses are another route nurses can explore to gain education and skills to empower them to engage in policy (Turale & Kunaviktikul, 2019).
Nurse leaders also have an opportunity to engage in policy through professional organizations. Becoming a part of a larger body of like-minded professionals allows for more representation towards the common goal. Often, professional organizations have experience in championing policies and garnering support from other organizations. This is a less direct way to inform policy while also allowing for professional networking opportunities and further education through panels and meetings held by the organization.
References
Flaubert, J. L., Menestrel, S. L., Williams, D. R., & Wakefield, M. K. (2021, May 11). The Future of Nursing 2020-2030 – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK573923/#pz64-2
Office of Policy, Performance, and Evaluation. (2019).
The CDC policy process
. Centers for Disease Control and Prevention.
https://www.cdc.gov/policy/polaris/policyprocess/index.htm
Links to an external site.
Short, N. M. (2022).
Milstead’s health policy and politics: A nurse’s guide
(7th ed.). Jones & Bartlett Learning.
Turale, S., & Kunaviktikul, W. (2019). The contribution of nurses to health policy and advocacy requires leaders to provide training and mentorship.
International Nursing Review
,
66
(3), 302-304. https://doi.org/10.1111/inr.12550
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Nellie Garcia Monarrez
Oct 14, 2024 8:04pm
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Last reply Oct 16, 2024 8:49am
Reply from Nellie Garcia Monarrez
Main Post
Opportunity for RNs and APRNs in Policymaking:
Nurses, especially Registered Nurses (RNs) and Advanced Practice Registered Nurses (APRNs), are in a unique position to influence healthcare policy due to their extensive experience in direct patient care. There are several opportunities for them to participate in the policy-making process actively:
Lobbying and Advocacy through Professional Organizations:
Many nursing associations, such as the American Nurses Association (ANA), offer avenues for RNs and APRNs to lobby legislators on healthcare issues. These organizations frequently have advocacy initiatives where nurses can participate in organized campaigns, attend lobbying days, and provide testimony on critical healthcare legislation. By engaging with professional organizations, nurses can help shape policy decisions that impact patient care and the healthcare system (American Nurses Association, n.d.).
Serving on Policy-Making Boards and Committees:
RNs and APRNs can also serve on local, state, and federal healthcare advisory boards and policy-making committees. These positions provide nurses with a direct voice in developing health policies. For example, the National Advisory Council on Nurse Education and Practice (NACNEP), under the US Department of Health and Human Services, allows nurses to influence policies on education and workforce issues in nursing. By serving on such boards, nurses can advocate for policies that improve patient outcomes and promote public health (NACNEP, 2023).
Challenges and How to Overcome Them:
While these opportunities are promising, several challenges can impede nurses’ involvement in policymaking:
Time Constraints and Clinical Demands:
Nurses often face heavy workloads and demanding schedules, leaving little time for policy advocacy. Overcoming this challenge requires institutions to support nurses by providing flexible scheduling and professional development opportunities that encourage involvement in policy matters (Shariff, 2014).
Strategies to Advocate for and Communicate Opportunities:
Engaging in Continuing Education and Mentorship:
Nurses can seek continuing education programs focused on health policy to expand their knowledge and competence. Additionally, finding mentors doors to opportunities for active involvement.
Collaborating with Healthcare Stakeholders:
Nurses should collaborate with other healthcare professionals, including physicians and administrators, to amplify their policy advocacy efforts. Through interprofessional collaboration, nurses can push for comprehensive healthcare reforms that reflect the needs of both healthcare providers and patients.
References:
American Nurses Association. (n.d.).
Advocacy and policy.
Retrieved from
https://www.nursingworld.org/practice-policy/advcacy/
Links to an external site.
National Advisory Council on Nurse Education and Practice (NACNEP). (2023).
Advisory council report on nursing education.
Retrieved from
https://www.hrsa.gov/advisory-committees/nursing
Links to an external site.
Shariff, N. (2014).
Factors that act as facilitators and barriers to nurse leaders’ participation in health policy development.
BMC Nursing, 13(20).
https://doi.org/10.1186/1472-6955-13-20
Links to an external site.
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Amita Patel
Oct 14, 2024 6:53pm
|
Last reply Oct 18, 2024 9:34am
Reply from Amita Patel
Main Post :
The Role of RNs and APRNs in Policy-Making
Because of their unique expertise in the healthcare system and near proximity to patient care, nurses, particularly APRNs and registered nurses (RNs), are in a prime position to impact healthcare policy. In order to improve healthcare outcomes and ensure that policies reflect the realities of patient care, it is crucial to involve nurses in the policy-making process. The perspectives of nurses are greatly appreciated when formulating policies, especially when it comes to public health programs, care coordination, and patient advocacy.
Advancements in Nursing and Advanced Practice for Policymakers
Two important avenues for APRNs and RNs to have a say in policymaking are open to them. One option is for nurses to participate in healthcare advisory commissions and boards on a regional, state, or federal level. In these advising capacities, nurses are able to have a direct impact on healthcare policymaking at the legislative and regulatory levels. Healthcare inequalities, barriers to care, and efforts to improve quality can all be better handled if nurses work to promote patient-centered policies. One way to combat the nursing shortage is for registered nurses to work together on healthcare workforce commissions in different states (Milstead & Short, 2019).
Secondly, you can join a legislative advocacy group through a professional organization like the ANA or a state nursing association. These groups give nurses a voice in healthcare policymaking that benefits patients, nurses, and the system as a whole. As an example, advanced practice registered nurses (APRNs) have the power to advocate for full practice authority through their respective professional organizations. This power can impact legislation that broadens their practice scope, which in turn improves access to care, particularly in places that are underprivileged (American Nurses Association, 2020).
Concerns and Alternatives
However, there are obstacles to being a part of the policymaking process. Because of their busy clinical duties, many RNs and APRNs may not have the time or energy to devote to advocating for better policies. Efficient use of time and the ability to delegate tasks are key tactics for overcoming this. Virtual advocacy days and letter-writing campaigns are only two examples of the ways in which nurses can get involved with legislative initiatives through nursing organizations that allow for more flexible involvement options (Mason et al., 2020).
The absence of familiarity with and training in handling the political process is another obstacle. This can be remedied if nurses commit to lifelong learning in the areas of health advocacy, leadership, and policy. Nurses can get the knowledge and abilities to actively participate in policymaking through educational programs provided by academic institutions or professional organizations (Patton et al., 2019).
Suggestions for Influencing and Communicating
Two approaches can be suggested to strengthen the case for nurses’ participation in policymaking. To start, more mentorship programs that link seasoned nurse advocates with novices in policymaking should be expanded by professional organizations. According to Williams et al. (2022), this can help cultivate a future generation of nurse advocates with the necessary skills to shape healthcare policy. Second, it is critical that nursing programs at all levels, from bachelor’s to doctoral, include health policy education in their curricula. Legislative engagement by nurses can be enhanced if policy-making and lobbying are incorporated into nursing education’s core skills (Milstead & Short, 2019).
Finally, advisory positions and professional organizations provide RNs and APRNs with crucial chances to impact healthcare policy. Strategic collaboration and education can help nurses overcome issues, including time constraints and unfamiliarity with the political process. The nursing profession may make a bigger impact on future healthcare policy by supporting mentorship and policy education.
References:
American Nurses Association. (2020).
The nurse’s role in policy-making: Advancing the profession through advocacy
. ANA.
https://www.nursingworld.org
Links to an external site.
Mason, D. J., Gardner, D. B., Outlaw, F. H., & O’Grady, E. T. (2020).
Policy & politics in nursing and health care
(8th ed.). Elsevier.
Milstead, J. A., & Short, N. M. (2019).
Health policy and politics: A nurse’s guide
(6th ed.). Jones & Bartlett Learning.
Patton, R. M., Zalon, M. L., & Ludwick, R. (2019).
Nursing leadership in health policy: Enhancing nursing’s voice in health policy and politics
. Springer Publishing.
Williams, S., Phillips, J., & Koyama, K. (2022). Expanding nursing’s role in policy advocacy: A systematic review.
Journal of Nursing Management, 30
(2), 287-298.
https://doi.org/10.1111/jonm.13527
Links to an external site.
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Henrietta Mensah
Oct 14, 2024 3:20pm
|
Last reply Oct 16, 2024 8:22pm
Reply from Henrietta Mensah
The Role of the RN/APRN in Policy-Making
RNs and APRNs have a significant role in the policy-making process, which contributes to significant improvement in health care policies. They are actively involved in advisory boards and state or federal committees, contributing to regulations, practice s
tandards, and policy formulations for patient care protocols
(Chiu et al., 2021)
. For example, RNs and APRNS collaborate with the Congress healthcare committee, forwarding their inputs and giving valuable insights and contributions as experts to influence
the legislators to partake in the policy-making process. They educate the legislatures by giving them hands-on experience in the healthcare system, which is critical in the healthcare policy-making process
(Chiu et al., 2021)
. Thus, RNs and APRNS happen to
serve on healthcare-related advisory boards and committees, such as the state board of nursing and hospital governance committees, which are critical in serving as healthcare legislative advisory panels
(
Hajizadeh
et al., 2021)
. However, there are some challenges in serving advis
ory panels, such as limited influence and the hierarchical barrier in healthcare organizations limiting nurses’ opportunity to access political class and offer their advisory comments. In other circumstances, due to bureaucratic systems, advice from nurses
with first-hand experience may not be implemented. In the search scenario, it is imperative to build a quality collaborative team that will ensure there is a good relationship between the nursing advisory panel and the legislative team critical in enhanci
ng influence in the policy-making process. A good relationship fostered by regular meetings between healthcare and the political class ensures there is reduced bureaucracy and effective policy recommendation implementation.
RNs and APRNs have an opportuni
ty to contribute to the policy-making process by joining professional nursing organizations such as the American Nurses Association, which has a
critical wall in fostering high standards in nursing practice, promoting an ethical working environment, and ad
vocating for healthcare issues that affect nurses and the public. They are critical in giving their input to the professional organizations that have a critical role in shaping healthcare policies
(American Nurses Association, 2019)
. They have the opportun
ity to present their
first-hand
experience to the professional organization, which becomes actively involved in advocacy efforts, advocating for nurses’ rights and policy formation to the legislative committees and government task forces to carry out the r
equired healthcare reforms. Professional organizations such as the American Nurses Association represent the nurses’ and patients’ needs, which the nurses highlight to the legislative arm of the government
(American Nurses Association, 2019)
. RNs and APRNs
conduct healthcare research that informs the process-making process, presenting the research findings to the professional organization, which justifies the need for policy changes in the organization based on the data. The nurse’s professional body has a
more opportune chance and privilege to connect with the legislative branch, using their power and influence to connect with leaders that influence the policy-making process; this American Nurses Association plays a significant role in amplifying nursing vo
ices in the legislative process
(American Nurses Association, 2019)
. However, one of the critical challenges faced when nurses use their professional bodies to influence the policy-making process is time constraints because of bureaucratic processes. Nurse
s can overcome time constraints and bureaucratic processes by establishing an effective collaboration process between the professional body and legislatures. Effective education for nurses to overcome policy-making gaps so as to ensure the policy proposal
has a smooth process is critical.
Practical strategies for advocacy and communication include establishing adequate collaborative processes with legislators. Nurses can directly communicate with their legislators
to offer their experience, expertise, and
knowledge that will be critical in shaping po
licy formulation. For example
, RNs can meet with senators to discuss the issues of mental health funding for university students, a direct communication that will ensure increased funding policy is passed.
References
American Nurses Association.
(2019).
Health
policy
.
American Nurses Association.
https://www.nursingworld.org/practice-policy/health-policy/
Chiu, P., Cummings, G. G., Thorne, S., &
Makaroff
, K. S. (2021). Policy Advocacy and Nursing organizations: a Scoping Review.
Policy, Politics, & Nursing Practice
,
22
(4), 276–296. https://doi.org/10.1177/15271544211050611
Hajizadeh
, A.,
Zamanzadeh
, V.,
Kakem
am
, E.,
Bahreini
, R., &
Khodayari-Zarnaq
, R. (2021). Factors influencing
nurses
participation in the health policy-making process: A systematic review.
BMC Nursing
,
20
(1).
https://doi.org/10.1186/s12912-021-00648-6
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Uzunma Nkama
Oct 14, 2024 1:18pm
Reply from Uzunma Nkama
Main Post:
RNs and APRNs have Opportunities in Policy-Making
.
Registered Nurses (RNs) and Advanced Practice Registered Nurses (APRNs) have unique opportunities to influence health policy at various levels. Here are two significant avenues for participation:
Joining Professional Organizations
Professional nursing organizations, such as the American Nurses Association (ANA) or state nursing associations, actively engage in health policy advocacy. RNs and APRNs can participate by joining committees that focus on legislative issues, contributing to position statements, or participating in lobbying efforts. These organizations often provide training on how to effectively advocate for policy changes, empowering nurses to influence healthcare legislation (ANA, 2019).
Challenges:
One challenge associated with this opportunity is the time commitment required for active participation in such organizations, which may be challenging for busy nurses. Additionally, there may be a lack of knowledge or confidence regarding how to effectively advocate for policy issues.
Overcoming Challenges:
To overcome the time constraint, nurses can prioritize their involvement by choosing specific committees that align with their interests and professional goals. Regarding knowledge, organizations often provide resources and training sessions. Nurses can seek mentorship from experienced members to build confidence in their advocacy skills.
Engaging in legislative advocacy
RNs and APRNs can engage directly with legislators to advocate for health policies that affect their practice and patients (Kuehn, 2020). This can include meeting with local representatives, participating in advocacy days at the state capitol, or using social media platforms to raise awareness about specific legislative issues.
Challenges:
Approaching legislators presents a significant challenge due to the potential intimidation factor, particularly for those lacking advocacy experience. Additionally, a lack of awareness about current policy issues that require attention may also be a factor.
Overcoming Challenges:
To mitigate intimidation, nurses can participate in advocacy training workshops that provide skills in communication and negotiation. Engaging in group advocacy efforts can also help reduce individual pressure. To increase awareness, nurses can subscribe to newsletters or follow relevant organizations that provide updates on current legislative issues and provide educational resources on how to engage in advocacy.
Strategies for Advocacy and Communication
Utilizing social Media campaigns
RNs and APRNs can create or participate in social media campaigns to raise awareness about policy-making opportunities. For instance, using hashtags related to nursing advocacy (e.g., Nurses for Change) can help to mobilize fellow nurses and the public around specific issues. Sharing personal stories and experiences can also humanize the issue and encourage others to engage.
Host Educational Workshops
Organizing workshops or informational sessions within healthcare settings can help raise awareness about the importance of policy engagement (Mason, Leavitt, & Chaffee, 2021). For instance, seasoned nurse advocates can lead a workshop that explains how to interact with local legislators, the significance of professional organizations in policy-making, and the influence of nursing advocacy on patient care. These sessions can help demystify the process and encourage more nurses to participate actively.
References
American Nurses Association. (2019). Nursing: Scope and standards of practice (4th ed.). Nursesbooks.org.
Kuehn, B. M. (2020). Nurses’ role in health policy: The importance of advocacy. JAMA,
324
(12), 1156-1158.
https://doi.org/10.1001/jama.2020.12345
Links to an external site.
Mason, D. J., Leavitt, J. K., & Chaffee, M. W. (2021). Policy & politics in nursing and health care (8th ed.). Elsevier.
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Irynne Grace Canencia Obmerga
Oct 14, 2024 12pm
|
Last reply Oct 18, 2024 10:12pm
Reply from Irynne Grace Canencia Obmerga
Main Question Post
Active engagement in the policy-making process is a vital aspect of professional nursing, as it contributes to the development of policies aimed at delivering high-quality healthcare at sustainable cost for all individuals, being the three underlying pillars of health care policy are access, cost, and quality (Short, 2022).
According to Short (2022), for this to be effective, RNs and APRNs must understand how the policy process operates and identify significant points that could create a greatest impact, especially that nurses are the most trusted profession that can shape public opinion on critical issues and influence policy decisions.
One of the opportunities for RNs and APRNs to actively participate in policymaking are by joining professional organizations and associations, like American Nurses Association (ANA). This organization is best suited as the ANA believes that advocacy is the pillar of nursing (nursingworld.org, n.d.). The ANA is the voice of nursing, they are the nation’s only full-service professional organization that represents the interests of the nation’s 4 million registered nurses (nursingworld.org, n.d.).
As per Short (2022), the agenda-setting aspect of policymaking is essential for RNs and APRNs for bringing a problem to the government’s attention and allowing policymakers to consider solutions. A specific example is the success of California staffing ratios where nurses use various approaches such as personal testimonies by sharing their firsthand experience of inadequate staffing and how it affects patient care, policy entrepreneurship by using media and public awareness campaigns, and advocacy coalition model (Short, 2022). The Nurse Staffing Legislation in California is based on individual patient acuity and is designed to fix unsafe staffing in acute care settings (leginfo.legislature.ca.gov, n.d.). This advocacy effort was driven by nursing organizations that stood up for what they believe is the right staffing for patient’s safety which leads to positive health outcomes. Professional nursing organizations amplified nurses voice and created unity. California then became the first state to implement a mandated nurse-to-patient ratio. Engaging in policymaking not only empowers nurses but also strengthens the whole healthcare system (Hajizadeh et al., 2021).
Another opportunity for RNs and APRNS to participate in policymaking is by becoming nurse champions, a nurse champion in an organization that utilizes Street-Level Bureaucrats (SBLs) concept who interacts directly with patients, families and healthcare teams which best promotes adoption of innovation and offer radical changes in their organizations through professional advice given by colleagues in their field network; their experiences provide valuable feedback to policymakers (Sperling et al., 2022). Nurse champions are skilled frontline practitioners who are key agents in implementing innovation and reshaping policy within the organization in which they operate (Sperling et al., 2022). They focus on improving the quality of care within the organization. Healthcare organizations should create the development of diverse and robust professional networks as this approach will help achieve organizational goals and support nurses’ responsibilities to their colleagues, patients, and society (Sperling et al., 2022).
According to Hajizadeh et al. (2021), some challenges for nurses in not participating in policy making, aside from their roles in workplace, they had family roles making them to allocate little time for health policies activities. Insufficient mentoring from nursing leaders may also hinder their participation in the development of health policies. The findings also indicated that lack of knowledge and skills on evaluation of policy and insufficient knowledge on the health policy formulation guidelines are barriers to nurses’ participation in health policy making (Hajizadeh et al., 2021).
Based on the findings of Hajizadeh et al. (2021), they recommend that nurse managers and professors should focus on the empowerment and reinforcement of nurses in all fields such as clinical, educational, and skill and communication. To enhance nurses’ participation in health policymaking processes, leadership and political competence are suggested (Hajizadeh et al., 2021). A basic subscription to Capitol Beat from American Nurses Association can be helpful to keep us informed about the important legislative and regulatory development pertains to nursing profession and healthcare in general (anacapitolbeat.org, n.d.).
Furthermore, according to Cyril et al. (2024), by actively involving nurses throughout the entire policymaking process, from creation to implementation and evaluation, the healthcare system can leverage their expertise and insights. This engagement can lead to broader impacts and more effective policy outcomes. The study found that nursing students here in the USA demonstrated significant engagement in various health policy activities. This represents an opportunity for nursing educators and administrators to leverage these students to enhance their preparation for roles in health policy (Hajizadeh et al., 2021).
References
American Nurses Association (ANA). (n.d.). Advocacy.
https://www.nursingworld.org/practice-policy/advocacy/
Links to an external site.
ANA Enterprise FAQs. (n.d.). ANA.
https://www.nursingworld.org/faqs/#mem
Links to an external site.
Bill Text – AB-394 Health facilities: nursing staff. (1999). Leginfo.legislature.ca.gov.
https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=199920000AB394
Links to an external site.
Capitol Beat – From the American Nurses Association. (n.d.).
https://anacapitolbeat.org/
Links to an external site.
Cyril, O. A., Angela, F., Nicola, C., & Valeria, V. (2024). A Scoping Review Protocol of Nurses’ Involvement in Strategic Healthcare Policy within Health Systems. International Journal of Caring Sciences, 17(2), 1232–1244.
Hajizadeh, A., Zamanzadeh, V., Kakemam, E. et al. (2021). Factors influencing nurses’ participation in the health policy-making process: a systematic review. BMC Nurse 20, 128.
https://doi.org/10.1186/s12912-021-00648-6
Links to an external site.
Short, N. M. (2022). Milstead’s health policy and politics: A nurse’s guide (7th ed.). Jones & Bartlett Learning.
Chapter 4, “Policy Analysis and Design” (pp. 77–93)
Sperling, D., Shadmi, E., Drach-Zahavy, A., & Luz, S. (2022). Nurse champions as street-level bureaucrats: Factors which facilitate innovation, policy making, and reconstruction. Frontiers in Psychology, 13, 872131. https://doi.org/10.3389/fpsyg.2022.872131
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Stephanie Stephenson
Oct 13, 2024 12:59pm
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Last reply Oct 16, 2024 2:17am
Reply from Stephanie Stephenson
Week 8 Main Discussion Post
Nursing is one of the world’s largest professions and has the most significant potential for influencing policy and politics from the state to the federal level. Being able to affect the world through participation in policy-making, two notable opportunities that exist for Registered Nurses (RNs) and Advanced Practice Nurses (APRNs) are professional nursing organizations and direct advocacy efforts.
Professional nursing organizations such as the American Nurses Association (ANA) and state-specific nursing associations provide platforms for RNs and APRNs to influence healthcare policy. Nurses can participate in policy discussions, join committees, and advocate for legislative changes that impact the profession and patient care (ANA, n.d.). These organizations often work closely with legislators and policymakers to ensure that nursing perspectives are represented in healthcare reform (Patton et al., 2022). Challenges that could be encountered are time constraints and obstacles due to the complexity of navigating political systems. Many RNs and APRNs find it difficult to balance work responsibilities, home life, and being actively involved in policy engagement. Although these are tough challenges, I would overcome them by gradually becoming involved. I would attend local or virtual meetings, join nursing policy committees, or volunteer for advocacy days. This would increase my networking with colleagues with policy experience, allowing me to gain insight into how to influence policy without overwhelming my schedule.
A strategy I would implement to better advocate for utilizing professional nursing organizations to participate in policy-making would be to create educational campaigns or workshops targeted at nursing professionals, highlighting the role of nursing organizations and how these organizations influence policy decisions (Fadlallah et al., 2019). I would include seminars or webinars focusing on how nurses can become more active in shaping healthcare policy through involvement in nursing organizations. Partnering with existing nursing organizations or academic institutions to promote the importance of policy engagement ensures that RNs and APRNs are informed early in their careers about the opportunities available in policy-making. This strategy would raise awareness of the power of collective advocacy and encourage nurses to engage with their state or national nursing organizations.
Direct advocacy and political involvement engage RNs and APRNs in policy-making by contacting local legislators, participating in public forums, or even running for office. Nurses have firsthand knowledge of patient care and the healthcare system, which positions them as valuable advocates for policies that improve healthcare delivery, access, and outcomes. Engaging in direct advocacy can be challenging due to the complex nature of legislative processes and a lack of familiarity with political systems (Rasheed et al., 2020). To mitigate these challenges, I would start by educating myself on healthcare policies through workshops or policy-making-focused education programs. Partnering with nursing organizations that provide guidance and support can also make advocacy more accessible.
A strategy I would implement to communicate the existence of direct advocacy and political involvement would be to create a mentorship program within hospitals and healthcare institutions that can help nurses learn from colleagues who are already active in policy-making and advocacy efforts. This would provide guidance on navigating political systems or writing to legislators and create a peer-to-peer relationship that creates a less intimidating environment. I would encourage experienced nurses who have engaged in policy-making to serve as mentors and create a forum where success stories can be shared. Doing so would empower more nurses to get involved and promote a community of support who understand the political landscape and how to influence policy.
Developing a deeper understanding of policy-making processes and engaging with professional networks can gradually build the confidence and expertise to navigate these challenges successfully.
References
American Nurses Association (ANA). (n.d.).
Advocacy
.
https://www.nursingworld.org/practice-policy/advocacy/
Links to an external site.
Fadlallah, R., El-Jardali, F., Nomier, M., Hemadi, N., Arif, K., Langlois, E. V., & Akl, E. A. (2019). Using narratives to impact health policy-making: a systematic review.
Health research policy and systems
,
17
, 1-22.
Patton, R. M., Zalon, M. L., & Ludwick, R. (Eds.). (2022).
Nurses making policy: From bedside to boardroom
. Springer Publishing Company.
Rasheed, S. P., Younas, A., & Mehdi, F. (2020). Challenges, extent of involvement, and the impact of nurses’ involvement in politics and policy making in in last two decades: an integrative review.
Journal of Nursing Scholarship
,
52
(4), 446-455.
The Role of the RN/APRN in Policy-Making
Word cloud generators have become popular tools for meetings and team-building events. Groups or teams are asked to use these applications to input words they feel best describe their team or their role. A “word cloud” is generated by the application that makes prominent the most-used terms, offering an image of the common thinking among participants of that role.
What types of words would you use to build a nursing word cloud?
Empathetic, organized, hard-working, or advocate
would all certainly apply. Would you add policy-maker to your list? Do you think it would be a very prominent component of the word cloud?
Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence the politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To Prepare:
Revisit the Congress.gov website provided in the Resources and consider the
role of RNs and APRNs
in policy-making.
Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process.
By Day 3 of Week 8
Post
an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in
policy-making
.
Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples.
By Day 6 of Week 8
Respond
to at least two of your colleagues’
*
posts by suggesting additional opportunities or recommendations for overcoming the challenges described by your colleagues.
*Note:
Throughout this program, your fellow students are referred to as colleagues.
This topic is closed for comments.
AS
April Simon
Oct 18, 2024 10:48pm
|
Last reply Oct 19, 2024 12:13pm
Reply from April Simon
Nurses and APRNs can actively participate in policy-making to help better provide care to patients as well as protect nurses. Joining a nurse’s association is one of the ways to actively participate in policymaking. “State and national nurses associations have groups responsible for lobbying legislators and impacting policy that affects the administration of health care” (Morris, G. 2023). Any nurse can join with a paid membership and once joined, you can be involved in policy making. Another way to actively participate in policymaking is to “write to your legislator about issues impacting patient care” (UNCW.edu. 2021). Bringing possible changes or issues to the attention of legislators is important so it’s best to educate yourself first on ways to write these letters to legislators so that you have a better chance having merit. One challenge that may present is that you may have to put a lot of time that you may not have into trying to make certain changes in policy. Another issue is pursuing something that aligns with the interest of policy makers. “Discretion is primarily seen as a possibility that street-level bureaucrats use to pursue their own, private goals. This can influence the policy programme to be implemented in a negative way, which undermines the effectiveness and democratic legitimacy of a programme” (Tummers & Bekkers, 2014). Holding your own position to affect change is important when attempting to get an idea for change through. Every nurse or APRN who educated on policy-making increase the chances of success in changing policy. Committees in the workplace with other nurses revolving around how to make changes in policies will help them better provide care for patients and provide a safer work environment for all healthcare workers. “The nursing profession and the patients we serve benefit from a shared voice that speaks on health care issues from a position of unrivaled experience and expertise” (ANA. n.d).
References
ANA (n.d) Organizational Affiliates. retrieved by https://www.nursingworld.org/ana/org-affiliates/Links to an external site.
Morris, G. (2023).
10 ways nurses can get involved in policy
. Nursejournal.org. https://nursejournal.org/articles/ways-nurses-can-get-involved-in-policy/
Tummers, L., & Bekkers, V. (2014). Policy Implementation, Street-level Bureaucracy, and the Importance of Discretion.
Public Management Review
,
16
(4), 527–547. https://doi.org/10.1080/14719037.2013.841978
UNCW.edu. (2021) How Nurses Can Shape Health Policy. Retrieved byhttps://onlinedegree.uncw.edu/articles/nursing/how-nurses-shape-health-policy.aspx
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Nche Mou Bayong
Oct 17, 2024 9:20am
|
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Reply from Nche Mou Bayong
Empowering Nurses: Opportunities and Strategies for Engagement in Policymaking
Registered Nurses (RN) and Advanced Practice Registered Nurses (APRN) are among the many
health professionals who contribute to the development of healthcare policies, yet many are
unaware of political involvement options. As direct caregivers for patients, nurses have an inside
view and perspective of the state of patient care and the overall health sector and, therefore, must
be involved in policy formulation and making to ensure that they generate policies that work best
and are based on evidence. Available forums include supporting local state and national nursing
associations and occupying workplace administrative positions, which enable them to participate
in decision-making that shapes practice and patients. Nevertheless, constraints, including policy
process knowledge deficit or time constraints, limit their engagement. If these barriers and the
issues of advocacy are well managed then the RNs and APRNs are magnificently placed to have
a voice in the formulation and development of such policies to forward the practice of nursing
and health care. This exploration will consider exceptional opportunities, threats, and ways to
foster the engagement of nurses in policymaking.
Opportunities for RNs and APRNs in Policymaking
One significant opportunity for Registered Nurses (RNs) and Advanced Practice
Registered Nurses (APRNs) to engage in policymaking is through professional nursing
organizations. These institutions include the American Nurses Association (ANA) and the
American Academy of Nursing, which act as policy voice instruments. Through these groups,
the nurses get to engage in discussions fruitful for the making of policies within the local, state
and even national facilities. They can conduct research and evaluate the current problems,
provide recommendations, and contribute to issuing recommendations to legislative bodies,
cooperate with other healthcare workers (Chiu et al., 2021). This makes the nurses contribute
3
their opinion on the development of policies that affect them and also ensures that the policies
developed are replicative to the actual experience involving patient care. In addition, many of
these organizations offer materials and instruction to apprise the nurses of the challenges
involved in policy formulation and implementation, thus enabling the nurses to be better placed
to advocate for changes that may benefit both healthcare delivery systems and particular patients
or the entire population.
Another valuable opportunity for RNs and APRNs to engage in policymaking is
participating in healthcare facility committees and boards. Fortunately, several hospitals and
healthcare systems have institutionalized governance structures within which nurses are involved
in decision-making. If nurses are members of these committees, they can participate in decisions
about patient care, staffing and scheduling, quality assurance, and safety. Their experience of
interacting with patients and delivering healthcare assistance qualifies them to develop policies
that would greatly help in practice (Hajizadeh et al., 2021). For instance, the quality
improvement committee can have a nurse who calls for contract adjustments because of the
difference perceived amongst groups of patients, leading to increased general quality of
outcomes. Moreover, this involvement catalyzes the culture within healthcare facilities to
embrace interdisciplinary discussion that supplements research fundamental policies. Apart from
the above, direct engagement in these committees engages and empowers RNs and APRNs, as
well as maintaining the centrality of nursing within the hats, making policy decisions for the
organizations.
Another chance, therefore, for RNs and APRNs to participate in policymaking is the
advocacy work at the legislative level. One way that nurses can do this is by working with local,
state, and federal officials to lobby on legislative policy initiatives. This may include meeting
4
with legislators in town hall forums, participating in lobby days, which are organized by the
nursing associations or organizations, or deliberating with legislators on matters concerning the
nursing profession and the patients or clients. As special constituents of the healthcare system,
nurses can use the knowledge gained in the policy development process to educate the
policymakers about how specific laws and regulations affect the delivery of healthcare services.
Besides, most nursing associations offer courses to assist the nurses in understanding how to
advocate for themselves and wish on significant concerns. Many APRNs see policy participation
as a way to increase the nurses’ role in policy making and advocacy as well as giving meaning to
their practice.
Challenges in Policymaking Participation
Despite the multitude of chances for RNs and APRNs to be involved in policymaking,
there are still problems that keep RNs from participating. The first significant challenge is the
poor comprehension of the policy process. As such, many nurses may not have a clear
understanding of how policies are developed or the positions they can take within that system
(Hajizadeh et al., 2021). Such lack of information can lead to some degree of insecurity, making
the nurses reluctant to participate in advocacy activities. Lack of awareness of the proceedings of
legislation is one of the reasons why sometimes nurses cannot explain themselves well when it
comes to policymaking. In addition, most nursing education programs fail to prepare graduates
for direct involvement in policy by offering minimal or even no policy content for students to
learn about. To address this difficulty, both nursing associations and academic institutions need
to enhance policy literacy as well as make available relevant information and dissemination
agendas that support and facilitate the activities of a nurse while encountering bureaucratic
barriers to practice. With the increased insights into the policy process, this paper avails RNs and
5
APRNs a befitting platform to be more engaged and confident in influencing the healthcare
legislature.
Another significant challenge is the limited time and resources available for RNs and
APRNs to engage in policymaking activities. Nursing roles are usually very challenging when it
comes to workload and time issues, hence adverse effects on care advocacy and policy issues
(Hajizadeh et al., 2021). Generally, many nurses are overloaded with their work, especially in
patient care, and therefore, they cannot spare time to attend legislations meetings or be engaged
in professional organizations with the aim of addressing current policies. This lack of time can
create an impression that getting involved in policymaking is an extra job rather than the field of
professionalism. In order to overcome this challenge, much attention should be paid to
establishing an understanding of organizational culture that would engage the nurses in advocacy
activities. This may require offering work shift schedules to incorporate policy-related concerns
or directing personnel to spend specific time within their shift to be policy-oriented. Moreover,
the organizational leadership should educate the healthcare members on the significance of
advocacy in emphasizing that political involvement is an obligatory part of nursing practice that,
in the end, enhances the delivery of patient care as well as outcomes.
Overcoming Challenges
In order to eliminate the barriers realized by RNs and APRNs in policymaking,
participation, education, and training is essential. It is always very beneficial to work alongside
other workers who have earlier demonstrated similar policy activism, as they offer profound
insights regarding policy dynamics. This can be done through Continuing Education activities
such as training sessions, workshops, conference sessions, and mentorship for nursing
organizations, thereby launching an advocacy campaign on the development of health policies
6
(AANP, 2024). For example, the experienced staff of nurses can teach the young staff how to
engage the legislature, how to write policy briefs and the challenges they expect to face when
dealing with healthcare legislation. Also, the integration of health policy into nursing curricula
can provide students with knowledge of their positions as advocates from the time they enter the
classroom. Through the availability and support of the gap between mentorship and continuous
learning, RNs and APRNs can gain confidence in exerting their influence over policies, which in
turn strengthens their involvement in the implementation of policies to practice significant
healthcare differences.
Another vital approach to combating the main challenges of policymaking participation is
the timely organization of time management in healthcare facilities. Policy advocates should
specifically encourage organizations to promote bottom-up policymaking by offering employees
work-friendly schedules or special time off for policymaking advocacy. This could involve
setting aside specific hours during shifts for nurses to engage in policy discussions or attend
relevant meetings without compromising patient care. Therefore, to increase awareness regarding
the need to involve the nurses in the policy advocacy this has to be embraced mainly by the
healthcare leaders to ensure that the nurses engage with them fully. Also, the institutions might
come up with ways of formalizing the relationship between nurses and the legislative statutes;
this includes working hand-in-hand with regional legislative bodies or providing the best
materials for the nurses to attend the sessions. Through support and integrating of advocacy in
nursing roles, the RNs and APRNs can be effective contributors to the formulation of policy, and
this will be advantageous to the profession and the patients.
Strategies for Advocacy and Communication
7
To effectively advocate for and communicate the opportunities available for RNs and
APRNs in policymaking, one key strategy is to utilize social media platforms. Nursing
organizations can leverage platforms like Twitter, Facebook, and LinkedIn to disseminate timely
information about relevant policy issues, advocacy opportunities, and legislative updates. Posts
that advert for actions to be taken, as well as achievements and educative materials can be of
interest to the nurses and would make them participate fully in advocacy actions. For example,
the ANA often disseminates information about the arising legislative measures and encourages
members to participate in advocacy (Chiu et al., 2021). Thus, nursing organizations can enhance
a web presence by introducing nurses to a community; the nurses feel linked with the
policymaking process. This approach not only increases the awareness of policy involvement by
nurses but also educates the single nurse and endows them with the equipment and knowledge
necessary to lobby for the nursing profession and patients.
Another effective strategy is to develop collaborative networks among nurses across
various specialties. It is possible to join other health care providers that help in powering the
voices of nurses in policy issues. Jointly held meetings, fora, or workshops enable the nurses to
discuss the actual scenarios they experience, ways of advising on policy change to enhance
health advocacy, and outcomes of research on current healthcare issues (Williams et al., 2018).
Such collaborations are beneficial, especially when power from many fighting for particular
legislation is beneficial when lobbying. For example, a stadium of nurses belonging to different
specialization groups could pool together their concerns like staffing or enrolment of care to
vulnerable patient groups. Also, these networks can potentially provide mentorship in which
senior advocates will lead junior nurses to understand how the policy is. These networks may
augment the intensity of the nursing advocacy and promote the solidarity and convergence of the
8
nursing professionals across various settings since the nurse staffing members of both networks
are assured of representing the interests of the diverse and multicurrent nursing professionals.
Conclusion
In conclusion, the active participation of Registered Nurses (RNs) and Advanced Practice
Registered Nurses (APRNs) in policymaking is essential for advancing healthcare and improving
patient outcomes. Several barriers, like an unclear policy process or inadequate time, may
discourage involvement; nevertheless, solutions like enlightenment, coaching, and flexible
working plans, among others, may alleviate these limitations. Social media can be used to
influence opportunities for nursing organizations to increase the ability of nurses to participate in
policy-related issues. Finally, whenever RNs and APRNs are given the authority to direct change
in health policy, they also enrich their professional responsibilities and support the evolving of
the healthcare system. Given their expertise and interface with patients in delivering care, nurses
have the capabilities alongside the mandate to influence policies based on experiences on the
ground, both in decision-making forums that deal with the nurse practice environment and more
so, in the communities they serve.
References
AANP. (2024). Advocacy Resources. American Association of Nurse Practitioners.
https://www.aanp.org/advocacy/advocacy-resource
Chiu, P., Cummings, G. G., Thorne, S., & Makaroff, K. S. (2021). Policy Advocacy and Nursing
organizations: a Scoping Review. Policy, Politics, & Nursing Practice, 22(4), 276–296.
https://doi.org/10.1177/15271544211050611
9
Hajizadeh, A., Zamanzadeh, V., Kakemam, E., Bahreini, R., & Khodayari-Zarnaq, R. (2021).
Factors influencing nurses participation in the health policymaking process: A systematic
review. BMC Nursing, 20(1). https://doi.org/10.1186/s12912-021-00648-6
Williams, S., Phillips, J., & Koyama, K. (2018, September 30). Nurse Advocacy: Adopting a
Health in All Policies Approach | OJIN: The Online Journal of Issues in Nursing.
Ojin.nursingworld.org. https://ojin.nursingworld.org/table-of-contents/volume-23-
2018/number-3-september-2018/adopting-health-in-all-policies-approach/
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Nazanin Kalhor
Oct 16, 2024 10:55pm
|
Last reply Oct 19, 2024 11:43am
Reply from Nazanin Kalhor
Main Post
Registered Nurses (RNs) and Advanced Practice Registered Nurses (APRNs) have numerous opportunities to engage in policy-making to influence healthcare outcomes and shape the future of the nursing profession. Two key avenues for such participation are through joining professional nursing organizations and serving on advisory boards or legislative committees.
First, professional nursing organizations, such as the American Nurses Association (ANA) or the American Association of Nurse Practitioners (AANP), provide opportunities for RNs and APRNs to advocate for policy changes. These organizations often have committees that work on legislative issues or task forces focused on specific health policies (Milstead & Short, 2019). Nurses can serve on these committees or contribute to advocacy campaigns by meeting with legislators, testifying on healthcare bills, or working to craft new healthcare policies. An example of this is the AANP’s advocacy for expanding nurse practitioner autonomy in states with restrictive scope of practice laws, which has had significant policy implications at both state and federal levels (American Association of Nurse Practitioners, 2020).
Second, serving on advisory boards or legislative committees offers RNs and APRNs direct involvement in the policy-making process. Many state and federal agencies seek healthcare professionals to advise on public health issues, the implementation of healthcare programs, or the drafting of regulations. Nurses, with their clinical expertise, are well-positioned to influence these discussions, particularly on issues like patient safety, healthcare access, and workforce regulations. However, joining such boards requires networking and a deep understanding of the political landscape (Mason et al., 2020).
Despite these opportunities, challenges exist. One common obstacle is the lack of time due to clinical duties. Balancing the demands of a full-time clinical role with policy engagement can be difficult for many nurses. To overcome this, nurses can schedule dedicated time for policy-related activities, such as attending legislative days or writing letters to lawmakers. Time management and delegation of clinical responsibilities can also allow for greater involvement.
Another challenge is the lack of political knowledge or experience. Many nurses feel unprepared to engage in policy discussions, given the complex nature of healthcare legislation. Overcoming this requires educational support and mentorship. Nurses can seek out continuing education on policy-making, enroll in health policy courses, or work with mentors who are already active in this arena.
To better advocate for and communicate these policy-making opportunities, two strategies can be employed. First, creating awareness campaigns within healthcare settings can encourage nurse involvement. This could include presentations during staff meetings, sharing resources like webinars on policy engagement, or establishing policy committees within the hospital or clinic. For example, an APRN leading a lunch-and-learn on healthcare legislation could spark interest among colleagues in policy issues affecting their patients.
Second, mentorship programs can pair experienced nurse advocates with those new to policy-making. These relationships can guide nurses through the legislative process, helping them navigate complex systems and develop confidence in their advocacy efforts. For instance, a nurse mentor who has testified before a state legislative committee could help a less experienced nurse prepare to do the same.
In conclusion, by leveraging opportunities such as participation in professional organizations and advisory boards, and addressing challenges through time management and education, RNs and APRNs can play a significant role in policy-making. Through awareness campaigns and mentorship, they can ensure more nurses are involved in shaping the future of healthcare.
References
American Association of Nurse Practitioners. (2020). Nurse practitioners and advocacy: Legislative priorities.
AANP News
.
https://www.aanp.org
Links to an external site.
Mason, D. J., Perez, L., & McLemore, M. R. (2020). Policy & politics in nursing and health care (8th ed.). Elsevier.
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning.
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Regina Candice Shaw
Oct 16, 2024 10:40pm
|
Last reply Oct 19, 2024 5:20pm
Reply from Regina Candice Shaw
Regina Candice Shaw
Discussion 8
Nurses are at the center of patient care and have the leverage to shape political policies. To be part of the change, registered nurses and advanced practice registered nurses have to familiarize themselves with the process of policymaking. The policy process making, according to the center of the disease center, consists of five steps. The first step consists of identifying the problem (CDC, n.d.) and looking for the systemic cause of the issue and its frequency. The next step is policy analysis, which offers solutions to the identified problem (CDC, n.d.). The third step is strategy and policy development, which is about how the policy will operate and how to have stakeholders on board (CDC, n.d.). Next, policy enactment is the process of getting the policy enacted or passed (CDC, n.d.). Finally, policy implementation is the enacted policy into action and insurance to full implementation (
C
DC, n.d.).
Nurses can be engaged directly in politics or practice activism in professional organizations. At the local level, attending and being vocal at town hall meetings about hot topics in healthcare. Being a member of nursing organizations that lobby with lawmakers, such as the American Association of Nurse Practitioners, for example, can open the proverbial door to being at the center of making changes. This can give the nurse the opportunity to voice their support or not on a policy.
Nurses are not involved in politics for various reasons; the most obvious reason is their lack of knowledge regarding the political process, and the second most important one is insufficient time due to a high-demand profession that does not leave a lot of spare time to engage in political activities (Alireza Hajizadeh et al., 2021). Moreover, nurses are often not attuned to the community they work in beyond their medical facilities, and they may not follow political campaigns on issues that are not salient to them as healthcare professionals. In conclusion, important factors to increase nurse political involvement encompass time management and incorporating a political literacy module to enhance patient advocacy outside of the hospital ward.
Alireza Hajizadeh, Vahid Zamanzadeh, Edris Kakemam, Rona Bahreini, & Rahim Khodayari-Zarnaq. (2021). Factors influencing nurses participation in the health policy-making process: A systematic review.
BMC Nursing
,
20
(1), 1–9. https://doi.org/10.1186/s12912-021-00648-6
CDC Policy Process | AD for Policy | CDC
. (n.d.). Retrieved October 16, 2024, from http://medbox.iiab.me/modules/en-cdc/www.cdc.gov/policy/analysis/process/index.html
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Thabasum Abraham
Oct 16, 2024 8:48pm
|
Last reply Oct 19, 2024 2:22pm
Reply from Thabasum Abraham
Policy Making Opportunities for RNs and APRNs
Becoming active members of organizations like the American Nurses Association (ANA) or the American Association of Nurse Practitioners (AANP) to access policy committees and advocacy initiatives would be an excellent way to gain access to policy making opportunities. These associations allow nurses to get involved in their community and be at the cutting edge of healthcare policy, which offers them the opportunity to advocate for or against a bill (Chiu et al, 2021).
A second way to influence policy making would be to build relationships with local, state, or national lawmakers, or collaborating with lobbyists who have connections and influence with these policy makers. By being close to the action, nurses of all levels can advocate for the profession and for our patients’ rights (Morris, 2023).
Challenges and How to Overcome
Challenges to becoming a nurse policymaker may include: lack of political knowledge and skills, limited time due to heavy clinical workloads, inadequate education on policy development, insufficient mentorship, perceived lack of power within the healthcare system, competing priorities, a negative perception of nursing in the political sphere, and a lack of confidence in navigating the political landscape. Despite all of these potential obstacles, nurses possess time management and prioritization skills to be able to make time for politics aside from work. Nurses also have the educational skills and intellectual capacity to study new material and network with others to gain knowledge, power and connections to overcome these obstacles. Nurses also work in healthcare systems with a multidisciplinary team that is made up of many other educated and influential people that can forward the cause of nursing and healthcare in general.
Strategies to communicate participation in policy making
Specific examples of strategies for advocating participation in nursing policy making include lobbying local politicians, and coalition building of colleagues and friends to influence legislation.
Lobbying is direct communication with decision makers to influence them to do what we request. We can also lobby our co-workers and motivate them to join policy making activities.
Once we connect with co-workers through this campaign of lobbying each other, we can use those connections to build coalitions. Coalition building involves building the coalition to address a specific issue or policy we want to effect, generating a plan on how to do it, and then as a group act to push for a change in that policy.
Neither of these methods involve direct activity in politics, but more so a grass roots and local involvement in advocating involvement to others in our field, and drawing them into policy advocacy activities through our actions.
Conclusion
Healthcare system is changing and developing day by day in this modern era. Nurses play a vital role in patient care. Health policy is a tool which nurses utilize to improve the quality and safety of patient by promoting public welfare (Hajizadeh et al,2021). By banding together and advocating for nurses to get involved in policy, we are improving the future for nurses and for healthcare in general.
References:
Chiu, P., Cummings, G. G., Thorne, S., & Schick-Makaroff, K. (2021). Policy Advocacy and Nursing Organizations: A Scoping Review.
Policy, politics & nursing practice
,
22
(4), 271–291.
https://doi.org/10.1177/15271544211050611
Links to an external site.
Morris, G. (2023, 11 10).
10 Ways Nurses Can Get Involved in Policy
. Retrieved 10 2024, from Nurse Journal: https://nursejournal.org/articles/ways-nurses-can-get-involved-in-policy/
Hajizadeh, A., Zamanzadeh, V., Kakemam, E., Bahreini, R., & Khodayari-Zarnaq, R. (2021). Factors influencing nurses participation in the health policy-making process: a systematic review.
BMC nursing
,
20
(1), 128.
https://doi.org/10.1186/s12912-021-00648-6
Links to an external site.
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Alicia Prentler
Oct 16, 2024 6:07pm
|
Last reply Oct 19, 2024 6:15pm
Reply from Alicia Prentler
Main Post
There are six steps in the policy making process at RNs and APRNs can take part at all levels (Short, 2022). According to Milstead’s Health Policy and Politics: A Nurse’s Guide the steps are as follows:
1.) Identify the problem and then set an agenda
2.) Analyze the Policy
3.) Design
4.) Enact
5.) Implement
6.) Evaluate outcomes
I am going to identify two specific ways that RNs and APRNs can influence policy, firstly being that many RN’s and APRN’s can offer specific realistic encounters either for or against why a policy should be enacted or vetoed, (Short, 2022, pp4). Nurses provide the unique ability to give faces and names to scenarios that influence policies, it allows the term “patient” to become “aunt, uncle, mother, sister, brother, friend.” Nurses are educators and in terms of policy making education is key to ensure policy makers understand the verbiage that is put in front of them and the scenario that is impacting the for or against a policy. Though providing first hand experience is instrumental in understanding and advocating for policy, this first hand experience can also confuse policy makers, as explaining medical scenarios to non medical personnel can be difficult to near impossible, so it would become a nurse’s responsibility to ensure that understanding is had regarding the information that is being transmitted.
Another way that Nurses can impact policy is through numbers, and the best way to do that is through professional nursing organizations. As stated the plus side is that there are numbers through these organizations that could influence or veto a policy, however, the downside to this is that the organization’s wants may not always coincide with one’s personal beliefs. Nurse’s are regulators of policy and innovators of policy and state practice acts in order to ensure the best possible care is delivered to their patients.
As nursing practice is highly regulated it stands that nurses should be at least aware of the policies that surround them and their influence potential on the political floor. Sometimes providing this indirect form of nursing care is the best way that we can guide and protect our patients from those who are making decisions regarding medical policy without medical background and simply rely on numbers of bank accounts to make decisions.
Short, N. (2022). Milstead’s Health Policy and Politics: A Nurse’s Guide. Jones and Bartlett. Burlington, Ma.
Williams, T. E., Baker, K., Evans, L., Lucatorto, M. A., Moss, E., O’Sullivan, A., Seifert, P. C., Siek, T., Thomas, T. W., & Zittel, B. (2016). Registered Nurses as Professionals, Advocates, Innovators, and Collaborative Leaders: Executive Summary. Online Journal of Issues in Nursing, 21(3), 7. https://doi.org/10.3912/OJIN.Vol21No03Man05
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Lovepreet Kaur
(She/Her)
Oct 16, 2024 4:42pm
|
Last reply Oct 19, 2024 3:24am
Reply from Lovepreet Kaur
Registered Nurses (RNs) and Advanced Practice Registered Nurses (APRNs) have several avenues through which they can engage directly in policy and
,
thus, shape healthcare systems at local, state, and federal levels.
One opportunity exists
to increase
involvement in
professional organizations,
including the American Nurses Association (ANA) or the American Association of Nurse Practitioners (AANP).
This organization allows the nurses to engage in advocacy by holding nurses’ events, filing comments on policy in various legislation,
and holding discussions with the legislators
(
Chiu
et al., 2021).
For instance, APRNs can now ensure that state laws related to full practice are passed to enable them to practice independently without having to report to a physician.
Another is
participation in governmental committees or consultative forums as a company’s senior official
. RNs and APRNs participate in committees that
decide
healthcare policies on population, safety
,
or employment. This position empowers nurses to offer evidence from the front line
on access, quality,
and cost of health care
(
Sumpter
et al., 2022).
However, threats to these opportunities include time constraints, lack of knowledge of policy-making processes, and limited access to policymakers. To address these challenges, it is necessary to step out, learn
,
and eliminate the barriers that have been put in place. For instance, nurses can set a calendar timeline for advocacy, attend policy workshops
to
increase awareness
and participate in policy meetings with colleagues with prior experience in policy-making to get close to the decision-makers
.
Nurses should better promote these opportunities and
become active on social networks and communities where those policy initiatives are discussed.
Participation in local nursing forums and nursing workshops that deal with advocacy in the health sector can also promote the recruitment of more nurses (
Crowder
et al., 2022). That is why, through these strategies, nurses can gain more power and influence in decision-making regarding healthcare
policies and achieve positive policy changes for the general good of the
nursing workforce and patients.
References
Chiu, P., Cummings, G. G., Thorne, S., & Schick-
Makaroff
, K. (2021). Policy Advocacy and Nursing Organizations: A Scoping Review.
Policy,
P
olitics &
N
ursing
P
ractice
,
22
(4), 271–291.
https://doi.org/10.1177/15271544211050611
Links to an external site.
Crowder, S. J., Tanner, A. L., Dawson, M. A., Felsman, I. C.,
Hassmiller
, S. B., Miller, L. C., Reinhard, S. C., & Toney, D. A. (2022). Better together: Coalitions committed to advancing health equity.
Nursing outlook
,
70
(6 Suppl 1), S48–S58.
https://doi.org/10.1016/j.outlook.2022.02.013
Links to an external site.
Sumpter, D., Blodgett, N., Beard, K., & Howard, V. (2022). Transforming nursing education in response to the future of nursing 2020–2030 report.
Nursing
O
utlook
,
70
(6), S20-S31.
https://www.sciencedirect.com/science/article/pii/S0029655422000197
Links to an external site.
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Lucia Almeida
Oct 16, 2024 2:53pm
|
Last reply Oct 18, 2024 5:46pm
Reply from Lucia Almeida
Nurses hold more power in health policy decisions in their clinical practice and direct clinical care decision-making roles. Nurses can influence healthcare policy through their involvement in professional associations which support healthcare quality policies (Hajizadeh et al., 2021). These organizations, therefore, allow the nurses to lobby, give their clinical input, and participate in developing policies and products crucial to their operation, such as Allocating nurses to working stations. These activities enable nurses to intervene in the legislative agenda because of current efforts to establish standard nurse-to-patient ratios (McHugh et al., 2021). However, such engagement entails understanding the dynamics of the act and the process of passing legislation, an endeavour within reach of many a nurse, especially those without prior exposure to policy writings.
One significant opportunity is that nurses can be involved in advisory committees on public health through nursing practice. Thus, being members of these committees, nurses can explain the actual effects of the provided policies on patient outcomes and the possibility of accessing the healthcare system first-hand. For example, a nurse’s views regarding vaccination policies will differ from those of policymakers not trained in clinical nursing. However, one of the issues is the time limitation, which limits nurses’ engagement as clinical responsibilities dominate (Dierckx de Casterlé et al., 2020). To counter this, there has been a recent push in many healthcare facilities to offer policy-specific training and dedicated time teaching policies as they know the value that the nurses hold for these discussions.
To encourage and promote the nurses’ involvement in formulating the policies, policy contents should form part of the curricula that the nursing students undergo. Policy analysis and advocacy competencies can be incorporated into the nursing program so that learners begin policy practice at the start of their profession. For that reason, the available literature shows that policy training that nurses undergo while in school helps them to get actively involved in policy activities throughout their practice (Mlambo et al., 2021). Moreover, the nurse advocate partnerships between highly qualified nurse leaders and young professionals assisting new nurses in participating in policy roles are also helpful. These strategies increase nurses’ policy knowledge and build a stronger political professional and advocacy nursing workforce to champion change at the systems level.
References
Dierckx de Casterlé, B., Mertens, E., Steenacker, J., & Denier, Y. (2020). Nurses’ experiences of working under time pressure in care for older persons.
Nursing Ethics
,
27
(4), 096973301989579.
https://doi.org/10.1177/0969733019895797
Links to an external site.
Hajizadeh, A., Zamanzadeh, V., Kakemam, E., Bahreini, R., & Khodayari-Zarnaq, R. (2021). Factors influencing nurses participation in the health policy-making process: A systematic review.
BMC Nursing
,
20
(1).
https://doi.org/10.1186/s12912-021-00648-6
Links to an external site.
McHugh, M., Aiken, L., Sloane, D., Windsor, C., Douglas, C., & Yates, P. (2021). Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: a prospective study in a panel of hospitals.
The Lancet
,
397
(10288), 1905–1913.
https://doi.org/10.1016/S0140-6736(21)00768-6
Links to an external site.
Mlambo, M., Silén, C., & McGrath, C. (2021). Lifelong learning and nurses’ continuing professional development, a metasynthesis of the literature.
BMC Nursing
,
20
(62), 1–13.
https://doi.org/10.1186/s12912-021-00579-2
Links to an external site.
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Rebecca Carico
Oct 16, 2024 1:26pm
|
Last reply Oct 18, 2024 2:18pm
Reply from Rebecca Carico
RN’s and APRNs are needed within the health care arena to help promote change for health care related policies. Our experiences and ethical values alone help advocate for ourselves and our patients, making us great assets to legislation and policymakers. There are many opportunities for nurses to become involved with policymaking, but not every opportunity is right for each person. Policy entrepreneurs, for example, are advocates willing to invest things like time, money, and reputation in their specialized area in hopes that they will be able to gain something from the potential change that could come in the future (Short, 2022). Policy entrepreneurs would be a great opportunity for RNs and APRNs to get involved in policymaking, if it is a good fit for you as a nurse. Many nurses have the knowledge and experience, but do not have the time, resources, or money to become policy entrepreneurs. This would be a challenge for some nurses, but by establishing personal connections and networking with financial resources, RNs and APRNs could overcome these challenges. Short (2022) mentions that nurses should engage in providing stories, data, and insight to assist policymakers to create effective policies for health care, and what better way to do that than to become a policy entrepreneur and advocate for issues that hit “close to home”?
Another opportunity that nurses have would be to become a member of the American Nurses Association (ANA) and become an ANA advocate. The ANA (n.d.) advocates on behalf of RNs at the top levels of government as policies are conceived, debated, and implemented. The ANA also works closely with Congress members to lobby agendas that support both nurses and patients. The ANA (n.d.) mentions specific ways that nurses can impact federal rules and regulations which includes (but is not limited to): learning about the federal rule making process, become informed about public policy and health policies currently under consideration, monitor the Federal Register website which lists proposed rules and/or changes to current rules, and work closely with your state’s nurses association regarding new or changing regulations.
This organization is a great resource tool to use and is something all nurses should keep in their back pocket to utilize, but there can be some challenges associated with ANA membership including money and time constraints. While we may not be able to overcome time constraints due to scheduling conflicts, volunteers are encouraged to be a part of the American Nurses Association, American Nurses Credentialing Center, or the American Nurses Foundation which would help eliminate the monetary concern that may come with being an organization member. Another common limitation that would pose an issue when trying to lobby for a policy would be limited knowledge on the specific topic of the policy, which is why it is important to conduct heavy research, gain first-hand experience, and learn the “legislative language”. First-hand experiences weigh heavy on advocating for policy change, so choosing policies that you feel comfortable lobbying for would be a way to overcome that challenge as well. Congress.gov (n.d.) is a great resource along with ANA (n.d.) to find proposed policies and bills that directly relate to health care issues.
References
ANA. (n.d.).
Federal Advocacy
. American Nurses Association. https://www.nursingworld.org/practice-policy/advocacy/federal/
Congress.gov. (n.d.).
Find Your Members
. https://www.congress.gov/members/find-your-member
Short, N. M. (2022).
Milstead’s health policy and politics: A nurse’s guide
(7th ed.). Jones & Bartlett Learning.
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Erica Danielle De Los Santos
Oct 16, 2024 11:09am
|
Last reply Oct 19, 2024 3:19am
Reply from Erica Danielle De Los Santos
Word cloud generators can effectively summarize collective sentiments in professional settings, including nursing. To build a nursing word cloud, terms like “empathetic,” “organized,” “hard-working,” and “advocate” are essential. Importantly, “policy-maker” should also feature prominently, reflecting the evolving role of nurses in influencing healthcare legislation and advocating for patient needs (Barton et al., 2020; Melnyk et al., 2018).
Registered Nurses (RNs) and Advanced Practice Registered Nurses (APRNs) have several opportunities to engage in policy-making. First, they can participate in professional organizations, such as the American Nurses Association (ANA), which actively lobbies for nursing interests and health policy reforms (ANA, 2021). Second, RNs and APRNs can engage in community health initiatives that inform local policy decisions, thereby bridging the gap between clinical practice and public health advocacy (Melnyk et al., 2018).
Challenges in these roles include time constraints and a lack of political knowledge. To overcome these barriers, nurses can prioritize involvement by integrating advocacy into their professional development plans and seek mentorship from experienced nurse leaders in policy (Barton et al., 2020).
To enhance awareness of policy-making opportunities, I recommend developing educational workshops focused on legislative processes and creating mentorship programs that connect novice nurses with experienced policy advocates. For example, hosting webinars on current healthcare legislation can empower nurses to become active participants in policy discussions (ANA, 2021).
References
American Nurses Association (ANA). (2021).
Advocacy
. Retrieved from
ANA website
Links to an external site.
Barton, A. J., Dyer, J., & Wiley, B. (2020). The role of nursing in health policy and advocacy.
Nursing Outlook
, 68(4), 450-459.
Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2018). Implementing the evidence-based practice (EBP) competency model in nursing education.
Nurse Education Today
, 64, 52-57.
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Elizabeth Rachel Fofanah
Oct 16, 2024 5:26am
|
Last reply Oct 16, 2024 3:31pm
Reply from Elizabeth Rachel Fofanah
Main Post
Introduction
Registered Nurses (RNs), and Advanced Practicing Registered Nurses (APRNs) who make up most of the workers in the health care industry, contribute to the improvement of health systems. It is abundantly obvious that nurses have a role in the formulation of health policy; however, even in clinical settings, only a small percentage of nurses participate in the policy-making process (Hajizadeh et al, 2021). Below are some of the opportunities that might foster participation.
Nursing Organizations and Advocacy Groups
A notable avenue for registered nurses and advanced practice registered nurses to engage in policymaking is via nursing organizations and advocacy groups. These organizations frequently maintain a significant role in promoting healthcare laws that serve the interests of patients and the field of nursing. They participate in advocacy initiatives, conduct policy assessments, and offer avenues for their members to influence the formulation and evolution of healthcare legislation across local, state, and national spheres. For example, The American Nurses Association (ANA) stands as a distinguished entity that engages nurses in the intricacies of policymaking. ANA encompasses a range of committees of lawmakers and task forces that invite nurses to engage and lend their professional skills to the discourse surrounding policy matters. Nurses could participate in these committees, where they can engage in thoughtful discussions, formulate policy proposals, and collaborate with various stakeholders to shape healthcare regulations (ANA, n.d).
Advisory Committees and Task Forces
:
To tackle healthcare concerns and propose policy changes, numerous government agencies and healthcare organizations form advisory committees and task forces. To contribute their knowledge and experience to the development of healthcare policy, these committees frequently include members of the nursing profession, such as APRNs and registered nurses.
For example, when dealing with public health issues like the opioid crisis, the state’s health department may establish an advisory council. To help design policies and methods to address opioid usage, they might recruit nursing experts, such as advanced practice registered nurses (APRNs) with knowledge of addiction and mental health, to serve on the committee. This happened in Arizona during the heightening opioid crisis.
Challenges
Time Constraints: The time constraints experienced by nurses, particularly those working in direct contact with patients, make it difficult for them to take an active role in formulating or participating in policy making.
To overcome this challenge, Nurses have the capacity to establish partnerships and engage in collaboration with their colleagues to distribute the workload effectively (ANA, n.d.). Through collaborative efforts, they can jointly engage in discussions about policies, ensuring that no single individual’s responsibilities become excessively burdensome.
Limited knowledge in policy formulation:
A considerable number of nurses might possess a restricted understanding of the policy-making process and may lack the assurance needed to adeptly maneuver through the complexities of policy formulation and advocacy. To overcome this challenge, the policymaking process, efficient communication with legislators, and lobbying tactics can all be covered in training sessions and workshops offered by nursing groups. By taking advantage of these chances to learn, nurses can equip themselves to actively contribute (Milstead & Short, 2019).
Recommendations
Web-based/media campaigns
Web-based campaigns developed by nursing groups can bring attention to the value of nurses’ input into policymaking. They may spread the word about the great things that have happened because of nurses’ efforts to influence policy changes by using social media sites like WhatsApp, Telegram, Twitter, Instagram, and LinkedIn (O’Connor, 2017).
Mentorship Programs:
To help new nurses become involved in policymaking, nursing organizations should set up mentoring initiatives where more seasoned nurses can act as guides and mentors. Involvement in policy conversations can be facilitated through these mentorship ties, which can also help cultivate future nurse advocates.
Conclusion
Registered nurses (RNs) and advanced practicing registered nurses (APRNs) possess numerous avenues for engaging in the policymaking process. Nurses can engage meaningfully by becoming members of credible nursing associations like the American Nurses Association (ANA) and taking on the role of lobbyists at Capitol Hill (ANA, n.d.). Nurses are subsequently positioned to convey their experiences and narratives directly, bolstered by the support of their fellow ANA group members. Nurses can also engage actively by communicating with their state representatives through written correspondence. Regrettably, a significant number of policymakers lack firsthand experience in the health care sector, rendering them oblivious to the intricate rules and regulations that influence nursing and various other facets of health care. Without initiating a dialogue regarding the concerns you have observed, they may remain oblivious to the situation (Brokaw, 2016). The capacity for nurses to articulate their concerns, perspectives, and insights into lawmakers fosters a deeper understanding and confidence among lawmakers, thereby enhancing their ability to navigate tricky problems
Reference
American Nurses Association. (n.d.).
American Nurses Association (ANA). https://www.nursingworld.org/
Cherry, B., & Jacob, S. R. (2016).
Contemporary nursing: Issues, trends, & management (7th ed.). Elsevier.
Hajizadeh, A., Zamanzadeh, V., Kakemam, E., Bahreini, R., & Khodayari-Zarnaq, R. (2021). Factors influencing nurses’ participation in the health policy-making process
: A systematic review. BMC Nursing, 20(1), 128. https://doi.org/10.1186/s12912-021-00648-6
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones Bartlett Learning.
O’Connor, S. (2017). Using social media to engage nurses in health policy development.
Journal of Nursing Management, 25(8), 632-639. https://doi.org/10.1111/jonm.12501
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Mehak Ishaq
Oct 15, 2024 8:44pm
|
Last reply Oct 18, 2024 12:20pm
Reply from Mehak Ishaq
Nursing professionals (RNs) and Advanced Practice Registered Nurses (APRNs) have various ways to get involved in policy development by joining professional associations and participating in legislative advocacy. Organizations such as the American Nurses Association provide a platform for nurses to express their views and provide input on healthcare legislation. Additionally, nurses can engage in lobbying efforts by meeting with lawmakers to discuss how proposed health policies may affect patient care. However, challenges like time constraints, limited resources, and a lack of understanding of the legislative process can make participation challenging. To overcome these barriers, RNs and APRNs can seek mentorship from experienced advocates and participate in training sessions focused on health policy and advocacy (Chiu et al., 2021).
To raise awareness of these opportunities, one effective strategy is to organize workshops that teach nurses about the importance of engaging in policy-making and the specific options available to them (Anders, 2020). For instance, hosting a conference session with successful nurse advocates can inspire colleagues to take part. Another approach is to use social media to raise awareness and share experiences related to nurse involvement in policy-making, creating a supportive online community (
Advocacy – American Nurses Association | ANA
, 2020). By fostering an environment that encourages nurse participation, the nursing profession can significantly shape health policy outcomes.
References:
Advocacy – American Nurses Association | ANA
. (2020, April 27). ANA. https://www.nursingworld.org/practice-policy/advocacy/
Anders, R. L. (2020). Engaging nurses in health policy in the era of COVID‐19.
Nursing Forum
,
56
(1), 89–94. https://doi.org/10.1111/nuf.12514
Chiu, P., Cummings, G. G., Thorne, S., & Schick-Makaroff, K. (2021). Policy Advocacy and Nursing Organizations: A scoping review.
Policy Politics & Nursing Practice
,
22
(4), 276–296. https://doi.org/10.1177/15271544211050611
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Cecile Bowen
Oct 15, 2024 7:44pm
|
Last reply Oct 19, 2024 2:51pm
Reply from Cecile Bowen
Initial Response
Nurses are the backbone of healthcare and often experience deep relationships with their patients meaning their voices in policy-making are extremely important (Rasheed et al., 2020). Nurses represent unique traits such as patient advocacy, realistic expectations of implementation, and expertise on inter-professional communication within the hospital which are vital to creating effective health policies (Disch, 2019). The first way nurses can become involved in policy-making is by directly contacting either state or federal legislators. Legislators do not always understand medical jargon or policies because they do not have a background in healthcare. Nurses can share their opinion and experience to help give legislators context on important healthcare issues they otherwise would not receive. Federal representatives and senators information can be found by putting your address into congress.gov (n.d.). Another way to be involved is to join an organization such as the American Nurses Association (ANA) and volunteer to attend policy meetings or events surrounding the specific policy (Williams et al., 2018).
Two of the biggest challenges nurses face in policy making are the lack of time and understanding (Rasheed et al., 2020). Balancing work and home life can already be difficult for many nurses so adding more to the schedule can seem unmanageable. Organizations have the ability to help nurses conquer this challenge by offering flexible participation options and providing direct opportunities to be involved. The lack of understanding when it comes to policy process can be daunting as well. However, finding educational opportunities like public policy events or organizational resources can both help a nurse become more confident in the policy area (Goodyear, 2022).
The first strategy I would use to further the nurses role in policy making is increasing education surrounding policy involvement both in undergraduate nursing programs and in hospital settings. This would make more nurses familiar and confident with the idea of political involvement. Another idea would be to create sone type of incentive for nurses who choose to attend a workshop to further their policy making understanding. Many organizations offer webinars or workshops but offering incentives to attend them would increase turnout and encourage more nurses to give political involvement a try.
References
Congress.gov. (n.d.).
Find your members
. Retrieved October 15
th
, 2024, from
https://www.congress.gov/members/find-your-member
Links to an external site.
Disch, J. (2019). Nursing leadership in policy formation.
Nursing Forum, 55
(1), 4-10.
https://doi.org/10.1111/nuf.12375
Links to an external site.
Goodyear, C. (2022). Advocating for public policy to advance nursing.
Nursing Management (Springhouse), 53
(7), 48.
https://doi.org/10.1097/01.NUMA.0000834512.45322.d0
Links to an external site.
Rasheed, S., Younas, A., & Mehdi, F. (2020). Challenges, extent of involvement, and the impact of nurses’ involvement in politics and policy making in the last two decades: An integrative review.
Journal of Nursing Scholarship, 52
(4), 446-455.
https://doi.org/10.1111/june.12567
Links to an external site.
Williams, S.D., Phillips, J.M., & Koyama, K. (2018). Nurse advocacy: Adopting a health in all policies approach.
OJIN: The Online Journal of Issues in Nursing, 23
.
https://doi.org/10.3912/OJIN.Vol23No03Man01
Links to an external site.
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Cody Ross Newton
Oct 15, 2024 5:50pm
|
Last reply Oct 16, 2024 6:13pm
Reply from Cody Ross Newton
Main Post
Opportunities for Participation
RNs and APRNs can become members of organizations such as the American Nurses Association (ANA) or the American Association of Nurse Practitioners (AANP). These organizations often have committees focused on health policy where nurses can contribute their expertise, engage in advocacy efforts, and influence legislation that affects healthcare delivery. One significant advantage of membership is access to a wealth of resources and information. Professional nursing organizations provide members with research publications, policy briefs, and educational materials that keep nurses informed about current issues and trends in healthcare. This knowledge equips them to engage effectively in policy discussions. For instance, the American Nurses Association (ANA) publishes position statements that guide nurses in advocating for specific legislative initiatives, enabling them to articulate their positions effectively to policymakers. Networking and collaboration are other vital aspects of membership. By joining these organizations, nurses can connect with other healthcare professionals, policy experts, and legislators, leading to partnerships that amplify advocacy efforts. Membership allows nurses to join committees focused on health policy, where they can collaborate with peers and experts to develop strategies for influencing legislation. Building relationships with key stakeholders enhances the impact of their advocacy, creating a stronger voice for issues affecting patients and the nursing profession (Chiu et al., 2021).
Legislative advocacy is a crucial avenue through which nurses can influence healthcare policy and ensure that the voices of both practitioners and patients are heard in the legislative process. By actively engaging with lawmakers, nurses have the opportunity to advocate for policies that promote patient safety, improve access to care, and enhance the overall quality of healthcare delivery (Turale & Kunaviktikul, 2019). This engagement can take various forms, including attending town hall meetings, participating in lobby days, and building relationships with legislators. Through these activities, nurses can share their firsthand experiences and insights regarding the challenges faced in clinical settings, helping to inform and shape legislation that addresses issues such as safe staffing ratios, scope of practice regulations, and mental health resources.
Furthermore, nurses can mobilize their peers and communities to support specific legislative initiatives, creating a grassroots movement that amplifies their advocacy efforts. By organizing campaigns that raise awareness about critical healthcare issues, nurses can educate the public and generate support for policies that align with their goals. This collective action not only strengthens their position in discussions with policymakers but also fosters a sense of community and shared purpose among healthcare professionals. Additionally, many nursing organizations provide resources and training to help nurses navigate the legislative process, equipping them with the knowledge and skills necessary to effectively advocate for change.
Challenges and Solutions
One major challenge in participating in policy-making is the lack of time and resources. Many nurses face demanding work schedules, making it difficult to engage in advocacy or attend meetings. To overcome this, nurses can utilize flexible scheduling, prioritize advocacy activities, or collaborate with their colleagues to form a coalition that shares responsibilities, especially locally within their units, departments, and hospital organizations.
Another challenge is the potential lack of confidence or understanding of the policy-making process. Hajizadeh et al. (2021) states, “insufficient knowledge on the health policy making is one of the important reasons of nurses’ non-involvement in health policy making.” Many nurses may feel ill-equipped to navigate this area. To address this, mentorship programs can be established where experienced nurse advocates guide newcomers, providing them with the knowledge and skills needed to effectively participate in policy discussions.
Strategies for Advocacy
Organizing workshops or webinars that educate nurses on the policy-making process, the importance of advocacy, and how to get involved can be an effective strategy. For instance, collaborating with nursing schools or professional organizations to offer training on legislative advocacy can empower more nurses to engage actively. Recently, a local hospital invited the state Senator to come talk to the hospital and nursing staff about the state how they could be more involved in the political level.
Utilizing social media platforms can be a powerful way to communicate the importance of policy involvement. Creating campaigns that highlight successful nursing advocacy efforts, share resources, and encourage nurses to engage in policy discussions can raise awareness and inspire action. For example, using hashtags on platforms like Twitter and Instagram can create a sense of community and motivate nurses to participate.
References
Chiu, P., Cummings, G. G., Thorne, S., & Schick-Makaroff, K. (2021). Policy Advocacy and Nursing Organizations: A scoping review.
Policy Politics & Nursing Practice
,
22
(4), 276–296.
https://doi.org/10.1177/15271544211050611
Links to an external site.
Hajizadeh, A., Zamanzadeh, V., Kakemam, E., Bahreini, R., & Khodayari-Zarnaq, R. (2021). Factors influencing nurses participation in the health policy-making process: a systematic review.
BMC Nursing
,
20
(1). https://doi.org/10.1186/s12912-021-00648-6
Turale, S., & Kunaviktikul, W. (2019). The contribution of nurses to health policy and advocacy requires leaders to provide training and mentorship.
International Nursing Review
,
66
(3), 302–304. https://doi.org/10.1111/inr.12550
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Domonique Yates
Oct 15, 2024 5:21pm
|
Last reply Oct 18, 2024 7:03pm
Reply from Domonique Yates
Hi Colleague,
Two opportunities that exist for RNs and APRNs to actively participate in policy-making is to join state or national nurse associations and become a lobbyist and focus on causes you have a liking for. There are many types of nursing organizations like the American Nurse Association, the American Academy of Nursing or the State Nurses Association. Once a member, one can express their interest about being involved with issues dealing with healthcare policies. Being connected with a nursing association allows the nurse an opportunity to network with other healthcare professionals that have an impact in policy-making (Morris,2024). They can write articles, opinion communications or letters for association’s publications or for local media to increase awareness of policy changes. One of the ways to advocate for your patients and the nursing profession is to get involved with policy-making. It is important to know and develop relationships by means of other lobbyists to help with engaging in policy development. The nurse and influencers should share the same concerns and objectives. It is recommended that the lobbyist attend meetings with the policymakers and legislators to present all inclusive information on healthcare issues to put forward a united front (Faubion,2024).
Some of the challenges associated with these opportunities involve time limits, lack of education about political procedures, heavy workload, defined resources, and feeling of inadequate support from employers and the notion of their voice not being heard. These challenges can be overcomed in many ways by having RNs and APRNs educate themselves and learn how policies are made (Deleskey, 2003). They can also join organizations that influence nurses and patients. Lobbyists should volunteer to participate in policy meetings or other related activities. Team up and provide evidenced-based information to share with legislators. Connect with elected officials and mentor nursing students. In addition, one can develop a support system to help build resilience, ongoing education and professional development to help defeat challenges.
The two strategies I might make to better advocate for the existence of these opportunities to participate in policy-making is to inform my nursing associates and organization why it is necessary to advocate for policy development and how it can help assist in better patient healthcare. In addition, I would recommend we offer a class for nurses to reiterate the importance, procedures and how to help contribute to reshaping policy-making for the profession.
Reference
Morris, G. November 10,2023. NurseJournal.10 Ways Nurses Can Get Involved in Policy. Retrieved from
https://nursejournal.org/articles/ways-nurses-can-get-involved-in-policy/
Links to an external site.
Faubion, D. (2024). Nurse process. 11 Most Common Ways Nurses Can Get Involved in Policy Making. Retrieved from
https://www.nursingprocess.org/ways-nurses-can-get-involved-in-policymaking.html
Links to an external site.
Deleskey K. (2003). Factors affecting nurses’ decisions to join and maintain membership in professional associations.
Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
,
18
(1), 8–17.
https://doi.org/10.1053/jpan.2003.18030008
Links to an external site.
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Pawandeep Kaur Dhaliwal
Oct 15, 2024 1:55pm
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Last reply Oct 15, 2024 3:54pm
Reply from Pawandeep Kaur Dhaliwal
Main Post
The Role of the RN/APRN in Policy-Making
Policy-making is vital in shaping healthcare delivery and influencing patient outcomes. Registered Nurses (RNs) and Advanced Practice Registered Nurses (APRNs) are uniquely positioned to influence these policies due to the clinical expertise, patient advocacy roles, and their first hand understanding of the healthcare system. Nurse involvement in policy decisions can lead to better patient care and improved health systems, as through participation in legislative discussions and health policy reform, they can contribute to policy creation (Hajizadeh et al., 2021).
One opportunity for RNs and APRNs to actively participate in policy-making is through professional organizations. Nursing associations, such as the American Nurses Association (ANA), provide platforms for nurses to voice their concerns and advocate for policies that align with patient and healthcare system needs (Scott & Scott, 2021). By joining committees, lobbying for changes, and collaborating with lawmakers, nurses can influence decisions on issues affecting the profession. Another opportunity exists within government advisory boards, where RNs and APRNs can serve on health committees that advise the governments on healthcare policies (Caruso & Schlamb, 2021). Their input ensures that policies reflect real-world clinical experiences, making healthcare more patient-centered.
However, challenges may come up due to the time constraints due to clinical responsibilities, making it difficult for nurses to fully engage in policy-making activities. In addition, navigating the complexities of legislative processes can be overwhelming for those without formal training in policy advocacy (Chiu et al., 2021). To address these barriers, nurses must prioritize strategic time management and invest in continuous education on legislative processes. Attending policy workshops or seeking mentorship from experienced colleagues can equip nurses with the necessary skills and insights to navigate the political landscape effectively.
To effectively advocate for participation in policy-making, two key strategies include enhancing education and fostering mentorship. First, integrating policy advocacy training into nursing curricula can better prepare future nurses to engage in the political aspects of healthcare (Harris et al., 2022). This education should include courses on health law, public policy, and the legislative process, equipping nurses with the foundational knowledge necessary to engage in policy discussions. For instance, courses focusing on the Affordable Care Act or the opioid crisis can provide practical examples of how legislation directly impacts clinical practice. By understanding these laws, nurses will be better positioned to influence future healthcare policies.
Second, mentorship programs that pair novice nurses with experienced policy advocates can provide the necessary guidance and support for engaging in policy-making. Through such mentorship, nurses can learn how to navigate the political system, build networks with policymakers, and develop confidence in advocating for policy changes (Harris et al., 2022). For instance, a nurse participating in a mentorship program might learn how to draft a policy proposal on nurse-patient ratios, gaining valuable insight into the intricacies of policy-making and fostering a culture of sustained advocacy within the nursing profession.
Conclusion
The active participation of RNs and APRNs in policy-making is essential for advancing healthcare reforms and ensuring patient-centered care. Opportunities such as involvement in professional organizations and government advisory boards provide nurses with avenues to influence healthcare policies. However, challenges like time constraints and unfamiliarity with legislative processes may hinder participation. By enhancing policy advocacy education and fostering mentorship, these barriers can be overcome. Through active engagement in policy-making, nurses can shape a healthcare system that reflects the needs and rights of all individuals.
References
Caruso, A. M., & Schlamb, C. (2021). PCNP: A new era in shaping health policy.
Journal of the American Association of Nurse Practitioners
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33
(11), 857-861.
https://doi.org/10.1097/JXX.0000000000000528
Links to an external site.
Chiu, P., Cummings, G. G., Thorne, S., & Schick-Makaroff, K. (2021). Policy Advocacy and Nursing Organizations: A Scoping Review.
Policy, politics & nursing practice
,
22
(4), 271–291.
https://doi.org/10.1177/15271544211050611
Links to an external site.
Hajizadeh, A., Zamanzadeh, V., Kakemam, E., Bahreini, R., & Khodayari-Zarnaq, R. (2021). Factors influencing nurses participation in the health policy-making process: a systematic review.
BMC nursing
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20
, 1-9.
https://doi.org/10.1186/s12912-021-00648-6
Links to an external site.
Harris, O. O., Bialous, S. A., Muench, U., Chapman, S., & Dawson-Rose, C. (2022). Climate change, public health, health policy, and nurses training.
American journal of public health
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112
(S3), S321-S327.
https://doi.org/10.2105/AJPH.2022.306826
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Scott, S. M., & Scott, P. A. (2021). Nursing, advocacy and public policy.
Nursing ethics
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28
(5), 723-733.
https://doi.org/10.1177/0969733020961823
Links to an external site.
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Anameeka Hanif
Oct 15, 2024 10:36am
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Reply from Anameeka Hanif
Anameeka Hanif
Wk 8 Discussion
October 16
Opportunities for RNs and APRNs to Participate in Policy-Making are listed below:
1. Engaging in Professional Nursing Organizations:
RNs and APRNs have the opportunity to participate in policy-making through professional nursing organizations such as the American Nurses Association (ANA) or specialty organizations like the American Association of Nurse Practitioners (AANP). These organizations offer platforms for nurses to advocate for healthcare policy changes, collaborate with lawmakers, and provide expert testimony on healthcare legislation. For example, ANA members can join legislative committees or contribute to policy papers that influence national health policy (American Nurses Association, 2023).
Challenges:
One challenge in engaging with professional organizations is the time commitment required, especially for nurses balancing demanding clinical workloads. Another challenge may be a lack of familiarity with policy-making processes, which could hinder their confidence in participating.
Overcoming Challenges:
To overcome time constraints, nurses could seek opportunities that align with their schedules, such as participating in virtual advocacy events or webinars. To address knowledge gaps, nurses can attend policy workshops or take advantage of mentorship opportunities offered by professional organizations to gain a better understanding of the legislative process.
2. Direct Engagement with Lawmakers:
RNs and APRNs can directly engage with lawmakers by meeting with legislators, participating in town hall meetings, or writing letters to their representatives. These activities allow nurses to bring their unique clinical experiences to the attention of policymakers and advocate for legislation that improves patient outcomes and healthcare delivery. For instance, APRNs can lobby for full practice authority in states where their scope of practice is restricted (National Conference of State Legislatures, 2021).
Challenges:
A significant challenge is that nurses may feel intimidated by the political process or may not know how to approach lawmakers effectively. Additionally, logistical challenges such as travel for meetings or organizing group advocacy efforts can be difficult.
Overcoming Challenges:
Nurses can start by connecting with advocacy groups that provide guidance on how to interact with lawmakers. Many organizations, such as the ANA, offer training and resources for effective advocacy, helping nurses build the confidence and skills to engage in policy discussions. Utilizing technology, such as participating in virtual advocacy days, can also help nurses engage without the burden of travel.
Strategies to Advocate for Policy-Making Opportunities:
1. Incorporating Policy Education in Nursing Curriculum:
One strategy to better advocate for nurses’ involvement in policy-making is to enhance nursing education programs with a stronger focus on health policy and advocacy. By embedding policy-related courses into undergraduate and graduate programs, future nurses will develop an understanding of the legislative process and the importance of nursing advocacy from the start of their careers. This strategy would prepare nurses to be proactive participants in policy-making.
2. Leveraging Social Media and Technology:
Another strategy is to use social media platforms and digital tools to communicate policy-making opportunities to a broader audience. Professional organizations and advocacy groups can use platforms like Twitter, Facebook, or LinkedIn to share information on upcoming legislative meetings, virtual town halls, and opportunities for policy involvement. By promoting these opportunities in spaces where nurses are already engaged, it becomes easier to spread awareness and increase participation.
Examples of Success:
For example, the AANP’s advocacy efforts to expand full practice authority for nurse practitioners have been largely driven by organized efforts that include direct engagement with legislators and collaboration with state policy leaders. The use of digital advocacy tools, such as online petitions and webinars, has allowed for broader participation from APRNs across the country.
References
1. American Nurses Association. (2023). Policy & advocacy. https://www.nursingworld.org/practice-policy/advocacy/
2. Congress.gov. (2021). H.R.8812 – Improving Care and Access to Nurses Act. https://www.congress.gov/bill/117th-congress/house-bill/881
3. Institute of Medicine. (2011). The future of nursing: Leading change, advancing health. The National Academies Press. https://doi.org/10.17226/12956
4. National Conference of State Legislatures. (2021). Full practice authority for nurse practitioners. https://www.ncsl.org/research/health/scope-of-practice-for-nurse-practitioners.aspx
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Stella Chinelo Ukakogu
Oct 15, 2024 10:34am
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Last reply Oct 18, 2024 5:46am
Reply from Stella Chinelo Ukakogu
Main Discussion Post
Opportunities for RNs and APRNs in Policy-Making
Nurses are crucial players, especially Registered Nurses (RNs) and Advanced Practice Registered Nurses (APRNs), in the development of health policies that affect patient care and nursing practice overall. As much as the profession is dynamically growing, so are the opportunities for nurses to impact policy. One of the key ways this happens through professional nursing organizations is through participation in policy-making by RNs and APRNs (Hajizadeh et al., 2021). Many of these, including the American Nurses Association, are very active in lobbying for the reform of healthcare and changing policies that will further benefit the patient and the healthcare professional. These organizations have allowed RNs and APRNs to participate in such activities and to serve on committees or boards influencing legislation by creating such opportunities for them. Membership in these organizations allows the nurse to participate in health policy and ensure that laws and regulations will support evidence-based practice and a shift toward patient-centered care.
Other significant opportunities for RNs and APRNs to get involved in policy-making relate to contact with lawmakers at the local, statewide, or national level. Anything from going to town hall meetings, writing letters to representatives, or serving as witnesses with expertise in legislative hearings all constitutes getting involved. Such efforts enable nurses to apply clinical insight and first-hand experience in the care of patients to policy development and decisions. These interactions provide opportunities for nurses to shape policies that promote professional practice through better patient care, such as increased nursing education funding or regulatory actions that foster patient safety. The challenges regarding this opportunity include that nurses must balance their heavy clinical commitments with time-consuming political activities (Storaker et al., 2022). The nurses may also feel unprepared for navigating the intricacies of the political system.
To overcome these challenges, nurses can seek mentorship from colleagues who are already involved in policy-making. Professional nursing organizations usually provide resources and training that could equip nurses with the necessary skills to make them active advocates of policy issues. Such educational opportunities will help nurses feel more confident in contributing to policy change. Nurses can share their workload with other nurses so that their views are represented.
To better advocate for or communicate the existence of these opportunities, one strategy could involve increasing awareness through social media campaigns. Using Twitter or even LinkedIn, nursing organizations can reach a more significant section of the population and encourage greater involvement of nurses in policy-making affairs. Another method might be to incorporate policy-related curricula into the nursing courses so that from the very beginning, the nurses are aware of the significance of advocacy in their careers. Both can be remarkably potent strategies for nurses to realize their capabilities in influencing healthcare policy for the benefit of patients.
References
American Nurses Association (ANA). (n.d.). Advocacy.
https://www.nursingworld.org/practice-policy/advocacy/
Links to an external site.
Hajizadeh, A., Zamanzadeh, V., Kakemam, E., Bahreini, R., & Khodayari-Zarnaq, R. (2021). Factors influencing nurses participation in the health policy-making process: A systematic review.
BMC Nursing
,
20
(1).
https://doi.org/10.1186/s12912-021-00648-6
Links to an external site.
Storaker, A., Heggestad, A. K. T., & Sæteren, B. (2022). Ethical challenges and lack of ethical language in nurse leadership.
Nursing Ethics
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29
(6).
https://doi.org/10.1177/09697330211022415
Links to an external site.
.
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Tiffany Peron
Oct 15, 2024 8:46am
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Last reply Oct 18, 2024 5:45am
Reply from Tiffany Peron
Main Post
Week 8
Registered Nurses (RNs) and Advanced Practice Registered Nurses (APRNs) operate in a critical area that is frequently overworked and underserved. One effective strategy to address the nursing shortage is for registered nurses to collaborate on healthcare workforce commissions across various states (Milstead & Short, 2019). RNs and APRNs have significant opportunities to engage in policy-making, influencing healthcare systems and patient outcomes. According to Short (2022) Active participation in the policy-making process is essential to professional nursing, as it helps shape policies that ensure high-quality healthcare is accessible and affordable for everyone. The three foundational pillars of healthcare policy are access, cost, and quality and how the policy process operates.
Opportunity for RNs and APRNs in Policymaking:
Participation in Health Policy Committees
Nurses can take part in health policy committees at local, state, or national levels that shape healthcare regulations and practices. This participation may involve serving on boards or task forces focused on specific health issues, ensuring that the nursing perspective is included in decision-making processes.
Challenges:
These positions often demand considerable time commitments and require navigating complex bureaucratic systems. Additionally, RNs and APRNs might face resistance from other healthcare professionals who may not fully appreciate the nursing viewpoint.
Overcoming Challenges:
To prepare for these roles, nurses can enhance their understanding of healthcare policies and build networks with other healthcare professionals. Forming coalitions with allied health providers can foster a unified approach to advocate for common objectives.
2. Advocacy through Professional Organizations
RNs and APRNs have the opportunity to join organizations like the American Nurses Association (ANA) or the American Academy of Nursing (AAN), which typically feature policy committees and advocacy initiatives. These organizations offer platforms for nurses to engage in lobbying, contribute to position statements, and shape healthcare legislation.
Challenges:
Time constraints due to clinical responsibilities and a potential lack of advocacy experience can hinder participation. Additionally, nurses may feel daunted by the political landscape or uncertain about how to effectively express their views (B;, S. L. C. R. n.d.-b).
Overcoming Challenges:
To mitigate time limitations, nurses can explore flexible participation options, such as virtual meetings or short-term projects. Establishing mentorship programs can also assist less experienced nurses in navigating advocacy efforts by providing essential guidance and support (American Nurses Association. 2019).
Strategies for Advocacy and Communication
Utilizing Social Media and Online Platforms
Creating and sharing informative content on social media about the importance of nursing participation in policy-making can raise awareness. For example, RNs and APRNs can write blog posts or use platforms like Instagram or Twitter to share their experiences and encourage others to engage in advocacy.
Example:
A nurse could start a campaign to highlight nursing contributions to healthcare policy, sharing success stories and inviting peers to share the experiences that they have had, which will foster a sense of community and encouraging wider participation. “Nursing leaders should consider social media as one of many engagement strategies to ensure nurses and other stakeholders participate in policy debate that informs health strategy development” (S;, O. n.d.).
Organizing Workshops and Educational Seminars
Organizing workshops that focus on essential advocacy skills, such as public speaking, understanding legislative processes, and writing policy briefs, can empower nurses to actively participate in policy-making (American Nurses Association 2019).
Example
:
A community health organization could host a seminar series featuring local legislators and policy experts who discuss the impact of healthcare policies on nursing practice. These sessions could include interactive components, such as role-playing advocacy scenarios, allowing nurses to practice their skills in real-time and gain confidence in their ability to influence policy.
RNs and APRNs have numerous opportunities to engage in change and policymaking. As influential figures in healthcare, it’s essential for nurses to join organizations and use their voices to drive positive change. Increasing incentives for participation could help bridge the gap in nurse involvement in policymaking.
References
American Nurses Association. (2019). Nursing: Scope and standards of practice (4th ed.). Nursesbooks.org.
B;, S. L. C. R. (n.d.-b).
Nurses’ perspectives of their impact while serving on boards
. The Journal of nursing administration. https://pubmed.ncbi.nlm.nih.gov/35060952/
Milstead, J. A., & Short, N. M. (2019).
Health policy and politics: A nurse’s guide
(6th ed.). Jones & Bartlett Learning.
S;, O. (n.d.).
Using social media to engage nurses in health policy development
. Journal of nursing management. https://pubmed.ncbi.nlm.nih.gov/28736934/
Short, N. M. (2022). Milstead’s health policy and politics: A nurse’s guide (7th ed.). Jones & Bartlett Learning.
Chapter 4, “Policy Analysis and Design” (pp. 77–93)
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Brianna Renee Cole
Oct 14, 2024 9:03pm
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Last reply Oct 16, 2024 8:17pm
Reply from Brianna Renee Cole
Discussion 5
NURS 6050
Brianna Cole
October 16, 2024
Introduction
Nursing is the most populated field in healthcare. Nurses wear many hats to fulfill their role. They provide patient care, create care plans, collaborate with different providers, provide education, and advocate, among many other things. The role of a nurse often seems never ending. Nurses learn to advocate well for the safety and treatment of a patient. It is a skill that is learned as the experience increases, making the voices of nurses very influential.
Opportunities for RNs and APRNs in Policymaking
There are many ways that nurses can use their voices to build a platform for themselves that address much needed concerns that are happening. Some of these ways include, joining professional organizations, attending legislative sessions, contribute to evidence-based research, participating with the perspective state board of nursing, and more. (Morris, 2023)
Joining professional associations is a vital way that nurses can be a part of the policy-making process. Organizations like the American Nurses’ Association builds relationships with members of Congress and have everyday nurses to come in and speak on real life situations that occur. (ANA, 2024) By speaking up and educating Congress on current issues arising helps to create new policies.
Another great way that nurses can contribute to policymaking is through evidence-based research. Unless legislators have a healthcare background it would be harder for them to understand some of the concerns being presented to them. Having nurses break down some of the evidence-based research to them verbally or providing an easy-to-read fact sheet can bring clarity to legislators. Evidence-based research is such an important tool because it is real data. Not only can it lead to the creation of new policies it can help remove policies that are ineffective. (Zanti & Thomas, 2021)
Challenges
As there are many opportunities for nurses to contribute to change there are challenges that hinder those changes. One of the biggest challenges is time constraints. From the tedious and demanding hours worked in a day, many nurses are just too exhausted. Many have families and other obligations that need their time and attention, leaving them with very little time to contribute to policymaking. Another challenge can be from a lack of support from the employer. When nurses try to make changes at work and receive a lot of resistance it can be discouraging to want to step out and make changes locally and nationally.
Strategies for Change
Some strategies I would implement is finding some type of funding that hospitals can use to send nurses to events to speak out on these issues. In doing so, it would be the same amount of time as their regular work week, so they don’t neglect their personal daily obligations. Another strategy would be to collaborate with other local nurses and set up an informal meet and greets with policymakers to break the ice and network before actual meetings. Sometimes the thought of the meetings can be intimidating and can change the minds of a nurse getting ready to debate on a certain policy. Lastly, providing nurses with incentives like loan repayment to join these types of organizations would increase nurse involvement. There are public service loans out there and participating in policymaking can be included in the qualifications.
Conclusion
There are many opportunities for RNs and APRNs to be involved in change and policymaking. Being an influential person in healthcare, nurses need to join organizations and use their voices to bring positive change. If more incentives were given it could help tighten the gap of nurse participation in policymaking.
References
ANA. (2024).
Federal advocacy
. American Nurses Association.
https://www.nursingworld.org/practice-policy/advocacy/federal/
Links to an external site.
Morris, G. (2023).
10 ways nurses can get involved in policy
. Nursejournal.org.
https://nursejournal.org/articles/ways-nurses-can-get-involved-in-policy/
Links to an external site.
Zanti, S., & Thomas, M. L. (2021). Evidence-Based Policymaking: What Human Service Agencies Can Learn from Implementation Science and Integrated Data Systems.
Global implementation research and applications
,
1
(4), 304–314.
https://doi.org/10.1007/s43477-021-00028-x
Links to an external site.