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 PARK
TRAVERSE CITY STATE PSYCHIATRIC
HOSPITAL
DEFINITION OF NURSING
• Knowledge Base
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Nursing science philosophy, ethics, biology, technology
Scientific knowledge
Scholarly inquiry
Influence public policy to promote social justice
• Human Experience
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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
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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
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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
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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
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Barriers
Access
Transportation
Diversity
Violence
BUILDING EFFECTIVE COALITIONS
ENGAGING THE STAKEHOLDERS
• Stakeholder Credibility
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IOM
AARP
Consensus
Model for APRN Regulation
Organization & Financing
NATIONAL PREVENTION STRATEGY
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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
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Human rights
Homelessness
Hunger
Violence
Stigma of illness