NUR4837 All Discussions

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NUR4837 Healthcare Policy, Advocacy, and the Political Process

Unit 1 Discussion

1. Sphere of Influence: The Workforce &
Workplace: (developing a policy that impacts the workforce or the workplace)


Select a
current problem, for example, the inability of the profession to establish the
BSN as a minimum requirement for entry into practice, or the shortage of nurses
in the United States. Using the “Steps of a Political Analysis” found in Box
8-1 as a guide:

Identifying and analyzing the problem

Outlining and analyzing proposed solutions

Understanding the background of the issue: its history and previous attempts to
address the problem

4. Locating
the political setting and structures involved

Evaluating the stakeholders

6. Conducting
a values assessment

Recognizing the resources (both financial and human) needed to reach the
intended goals

Analyzing the power bases

2. Sphere of Influence: The Government (practice
influencing policy by communicating with a legislator about a current health


1. Identify
a current health problem that is being debated at the national and/or state
level (e.g., the proliferation of “pill mills” and pain clinics), and state why
it is of interest.

2. Identify
a legislator (state or federal) and state why that person is the appropriate
one to contact.

3. Draft a
letter to the legislator including the proper salutation.

Introduce yourself and your reason for writing.

5. State
concisely what you understand to be the current socioeconomic, political, and
ethical issues surrounding the problem.

6. Discuss
the implications of the problem for nursing or nursing practice.

7. Make a
clear request for action.

8. Request
a response.

3. Sphere of Influence: Associations and
Interest Groups (provides the opportunity to become familiar with different
nursing associations.) PLEASE, NO
DUPLICATION! There are enough
Associations & Interest groups to go around!


1. Choose a
nursing association.

2. List the
mission and purpose of the association

3. How is
it governed?

4. What is
the legislative agenda of the association?

5. How is
that agenda developed? Is the membership involved?

6. How is
the agenda communicated to the membership?

7. Does it
partner with any coalitions?

8. Does the
partnership influence policy on a national or state level? If yes, how?

9. When you
graduate will you join the association? If yes, why? If no, why not?

NUR4837 Healthcare Policy, Advocacy, and the Political Process

Unit 2 Discussion

Topic 1. “It was once said that the moral test of
government is how that government treats those who are in the dawn of life, the
children; those who are in the twilight of life, the elderly; and those who are
in the shadows of life, the sick, the needy, and the handicapped.”

States politician (1911-1978)

1. Do you agree or disagree with this
statement? Why or why not?

2. State your reasons based on your knowledge
of the health care system, observations in the clinical area, and personal
experience. Justify your responses with appropriate resources.

2. There are many issues currently in the
political spotlight that can impact you as a nurse, you as a citizen, and your
patients. Some of the current topics include:
Healthcare reform, safe staffing, nursing workforce development, home
health, and gun violence to name a few ~ (hint:
You may find some good information on the ANA homepage under
“issues” Link (Links to an external site.)Links to an external site.)

2. CHOOSE ONE of these topics and answer
the following questions:

1. What is the current legislative or regulatory
issue, and why is it being debated?

2. Who is most affected by the legislation?

3. What are the current socioeconomic,
political, cultural, and ethical issues surrounding this topic?

4. Who are the stakeholders?

5. What are the positions of professional
health care organizations (ANA, AHA, AMA), consumers, and the major political
parties on the issue?

6. What are the implications of the policy
issue for nursing?

3: Step 1: CHOOSE ONE of the following chapters and
answer the corresponding questions:

Chapter 34:
Taking Action: Setting Health Care in Its Social Context

Chapter 35:
Taking Action: Reimbursement Issues for Nurse Anesthetists: A Continuing

Step 2:
Answer the following questions:

1. Why did
you select the chapter?

2. What did
you learn about the role of the nurse as an activist?

3. What
problems were encountered?

4. Would
you have approached the problem differently? If so, how? If not, why not?

5. What did
you learn from the chapter about health care delivery and financing?

6. Would
you suggest another policy as an outcome? If yes, what would it be? If not, why
not? (expand on this using scholarly

NUR4837 Healthcare Policy, Advocacy, and the Political Process

Unit 3 Discussion

Topic 1:

Purpose: To
provide students with the opportunity to explore the interface of political
influence and a major health issue using tobacco use as a paradigm.

Students are to complete the following steps including answering questions:

1. Trace
the history of smoking and its effect on health (locate an article from a
nursing journal on the hazards of smoking).

2. Who were
the stakeholders in opposition to smoking?

3. Who were
the lobbyists in favor of a hands-off approach?

4. What is
the current use of tobacco products (e.g., smokeless tobacco)?

5. What is
the current research on the use of these products?

6. What are
the policy implications?

Topic 2:

Purpose: To
provide the opportunity for students to compare and contrast the roles, scope
of practice and perspectives of nurse practitioners and physicians and suggest
a policy intervention

Students are to complete the following steps including answering questions:

1. Select a
specialty (e.g., family practice, pediatrics). Define the roles you will be
addressing: physician and nurse practitioner.

Determine who regulates the scope of practice for the physician and the NP.

Summarize the scope of practice including the level of autonomy for each.

4. What are
the barriers to practice?

5. What policy
change would you suggest?

Topic 3:

Purpose: To
provide the opportunity for you to select an area of personal interest in
policy and politics in research and nursing science

Re-read the following Chapter 49 & 50: Taking Action: Truth or Dare: One
Nurse’s Political Campaign; Ch 50:
Political Appointments

1. Why
would a nurse want to seek an appointed position in government?

2. How
would one prepare for consideration to an appointed position?

3. What problems are generally/can be

4. What topic are you passionate enough about to
stand up for and identify a need for policy change? Expand on this.

5. Give an example through a library/internet
search of how a nurse has affected public policy through an appointed position.
(identify & expand on the policy)

Topic 4:

Purpose: To
provide the opportunity for you to select an area of personal interest in
policy and politics in research and nursing science

Re-read Chapter 54: Nursing Licensure
& Regulation ~ Exploring the role of the Board of Nursing

We know
that the board of Nursing investigates complaints/charges of gross negligence
and unsafe practice, but did you know that failure to repay student loans,
failure to pay child support, DUI, or failure to file or pay taxes are also
considered professional misconduct and can result in disciplinary action?

1. Review the issue of professional discipline
related to the charges of substance abuse.

2. What is an “Alternative-to-discipline
(ATD) program” (Hint: see (Links to
an external site.)Links to an external site. website) Have these been found to be effective?

3. Identify the ATD available in the state of

4. What policy(ies) do you believe should be put into place
related to substance abuse & nurses to protect patient safety?

5. Do you believe, based on your readings, that
the BON is effective in improving nursing practice? Why or why not?

NUR4837 Healthcare Policy, Advocacy, and the Political Process

Unit 4 Discussion

For this
assignment and based on your readings, we have LOTS of topic options ~ find ONE
that you are passionate about, and RESPOND to TWO different topics. REMEMBER:
Keep your sources scholarly, your opinion statements civil &
professional, BUT PLEASE: DISCUSS!!

1: IF you are a debater, this option is
for you!

Choose ONE
of the following topics and conduct the research & topic development, and
present one position of the topic up for debate ~ some of these are
state-specific. If so, please identify
the State of choice (the default is Florida).
Peers can respond to address the OTHER side with their won research and

Topic 1:
Should multiple access points to the profession be allowed for entry
into practice?

Topic 2:
Do reduced nurse-patient ratios improve patient care?

Topic 3:
Should nurses unionize?

2: If you want to explore global nursing
~ Option 2 or 3 may be for you!

Interview a
nurse/ nurse recruiter from a clinical site where foreign-born nurses were
either recruited in the past (within the last 10 years) or are currently being

1. What is
the institution’s policy on the recruitment of foreign-trained nurses?

2. If the
institution does not currently engage in foreign recruitment of nurses, why

3. From
what countries are/were the nurses recruited and why?

4. How
are/were credentials verified?

5. What
programs are/were in place to facilitate transition of these nurses into the
United States workplace?

6. Are/were
programs on cultural competence incorporated into the orientation phase?
Describe the audience for the programs.

7. What
impact did the recruitment of nurses have on the nurse-to-patient staff ratio?

What is
YOUR position on recruiting foreign-trained nurses to address the nursing

Option 3:

one of the countries from which the nurses were/are recruited.

Is it a
developing or industrialized nation?

What is the
health care system like in that country?

What are
the major health problems?

What is the
educational system for nurses?

Is the
country experiencing a nursing shortage?

What is
YOUR position on recruiting foreign-trained nurses to address the nursing

4: If you’ve been working for some time
and want to address the nursing culture in the workplace, this one may be for

This is an
option that actually is evolving in the workplace and deserves some
attention. Sexism, work place bullying,
and sexual harassment were once something as nurses, we were expected to
tolerate ~ It was “part of the job”.
Trust me, I can speak to this ~ However, times have changed. So let’s brainstorm!

Based on
your personal experiences, respond to these questions, then look at the
literature and see what is being done, what is being said on a national and
international level! (I recognize these questions are broad ~ speak to them
from your perspective. There is no
“right” perspective ~ when you read to question, what comes to
mind? I would challenge you to start
this discussion with co-workers ~ it’s
time to start talking about it!)

1. What constitutes a workplace culture of

2. How do
you recognize workplace abuse?

3. What
policies, based on your opinion AND your research, what should be done to
prevent workplace abuse? Where do we start?

NUR4837 Healthcare Policy, Advocacy, and the Political Process

Unit 5 Discussion

Choose ONE
profession organization to expand on.
Use the internet as your primary source as most of these organizations
will have up-to-date websites. No
additional scholarly resources are required this week, but as always, they are

Some ideas,
but certainly not a comprehensive list:
AACN, CCNE, ANA, WOCN, American Psychiatric Nurses Association,
Emergency Nurses, Assoc., Academy of Medical-Surgical Nurses, AORN, etc.

focus on
the theme “Which organization would I join and why”? and then complete the

Select a
nursing organization & explore its history

Mission of
the organization

Who is
eligible to join?

Benefits of

education opportunities


What is the
organizational structure?

What is the
organization’s purpose, mission statement, bylaws, and policies?

What are
the committees/task forces and ways to be involved (volunteer)?

Do they
match your professional and personal needs?

Are there
opportunities for members to be heard?

Can you
attend a local or national meeting to explore potential membership?

Are you
able to speak with current members?

What are
the products and services?

Would you
join the organization? If yes, why? If no, why not?

NUR4837 Healthcare Policy, Advocacy, and the Political Process

Professional Experiential Learning Experience Summary Discussion

As a
professional and one training to be a leader, you will have the opportunity to
participate in an professional experiential learning event. This experience involves attending a
professional nursing organization meeting ~ either in person or digitally. This would include something like a meeting
hosted by one of the following organizations: AACN, CCRN, TNCC, Florida Board
of Nursing ~ That type of thing. This
meeting can be attended in person or
on-line (If you choose to go to a virtual meeting ~ please make sure it is no
older than 90 days, and please make sure to include a working URL).

You’ll have
the opportunity to share your experience with your peers. Please include your
observations of the meeting, decisions from the meeting, & implications it
could have within the scope of application.
Address whether or not you feel this organization is impacting the
target population.

NUR4837 Healthcare Policy, Advocacy, and the Political Process

Civic Experiential Learning Experience Summary Discussion – Group 2

many health initiatives are being implemented at the community level. Because
of this, the civic experiential learning activity allows you the opportunity to
attend a governmental based meeting that affects health of that community from
the perspective of a local, state, regional or national agency ~ of course I
would love it to be nursing based, but your area of interest is what is
important here, not mine. (Again, this can be done online!)

Examples of
this would be something like a city council meeting, or a state/national
legislature meeting. Submit a formal report on the proceedings to include the
observations of the meeting and possible impacts on the health of the
associated community.

As with the
professional experiential learning, you can attend the meeting virtually. Just
access your community’s online archives to see if they have a recorded meeting
that interests you ~ Just make sure that it is no older than 90 days. A
corresponding working URL must be included in the post.

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