NURSE AS ADVOCATE IN PUBLIC POLICY MAKING

OBJECTIVES

• Articulate professional nursing’s role in the American healthcare system.

• Identify opportunities in the community setting to participate in institutional and/or legislative efforts to promote health and meet national health objectives.

HISTORIC BARNS PARKTRAVERSE CITY STATE PSYCHIATRIC

HOSPITAL

DEFINITION OF NURSING

• Knowledge Base• Nursing science philosophy, ethics, biology, technology • Scientific knowledge • Scholarly inquiry • Influence public policy to promote social justice

• Human Experience • Promotion of health and wellness • Decision making• Social policies • Systems costs • Environment

SOCIAL POLICY STATEMENT

• Social Context of Nursing • Property of society

• Authority for Nursing Practice • Social responsibility

SOCIAL POLICY STATEMENT

• Nursing's’ Social Contract • Unity body, mind, spirit• Human experience • Context of values & beliefs

SOCIAL POLICY STATEMENT

• Social Concerns of Nursing • Organization & Financing• Public Safety/Public Parks

• Public Health • Environmental protection

• Resources and Policy• Planning for policy & regulation• Placemaking & Walkable communities

• Public policy and Health care delivery system • Accessibility & Transportation

CODE OF ETHICS

• Historical Context

• 1893-Nightingale pledge• 1926-Suggested Code provisionally adopted• 1950-Code for Professional Nurses • 1956-Code amended • 1960-Code revised • 1968-Code substantively revised 17 Provisions-10 Provisions • 1976-Code for Nurses with Interpretive Statements • 2001-Code revised• 2010-Code revised

CODE OF ETHICS

• Ethical tenants of • Feminism• Communitarianism• Social ethics

CODE OF ETHICS

Provision 8: The nurse collaborates with other health professionals and the public in promoting community, national, and international efforts to meet health needs

• 8.1 Health Needs and Concerns

• 8.2 Responsibilities to the public

8.1 HEALTH NEEDS AND CONCERNS

The nurse has a responsibility…to be aware of broader health concerns such as world hunger, environmental pollution, violation of human rights, and inequitable distribution of nursing and health care resources

• Hunger & Homelessness• Clean Air Clean Water • Human rights• Health Care Resources

8.2 RESPONSIBILITIES TO THE PUBLIC

Nurses individually and collectively…supports initiatives to address barriers to health, such as poverty, homelessness, abuse and violence, and lack of access to health care services

• Barriers• Access • Transportation• Diversity• Violence

BUILDING EFFECTIVE COALITIONSENGAGING THE STAKEHOLDERS

• Stakeholder Credibility• IOM• AARP• Consensus • Model for APRN Regulation • Organization & Financing

NATIONAL PREVENTION STRATEGY

• Safe Environment • Preventive Services• Empowering people to make healthy choices• Eliminating health disparities

CODE OF ETHICS

Provision 9: The profession of nursing as represented by associations and their members is responsible for articulating nursing values, for maintaining the integrity of the profession and its practice, and for shaping social policy.

• 9.2 Professional Associations

• 9.4 Social Reform

9.2 PROFESSIONAL ASSOCIATIONS

The profession carries out its collective responsibility through professional associations

• Code of Ethics • Standards of Nursing Practice • Knowledge through theory, scholarship, and research to

guide nursing actions• Educational requirements for practice • Certification• Evaluation of professional nursing actions

9.4 SOCIAL REFORM

Nurses work individually or collectively through political action to bring about social change. It is the responsibility of the professional nursing association to speak for nurses collectively in shaping and reshaping health care within our nation specifically

• Accessibility • Quality• Cost

Extending to health related sociocultural issues • Human rights• Homelessness• Hunger• Violence• Stigma of illness