Question #1
How can average nurses be involved in the political process?
In reading through various journal articles on the subject, I see how important it is for nurses to get involved in the political process. Nurses can sometimes get so focused on their job of taking care of their patients, that they fail to get involved with political matters. Nurses are great at advocating for their patients but many of them are just not prepared to voice their concerns publicly about staffing and funding shortages and also for patient’s safety (O'Connor, 2014). Nurses do have a lot of potential in contributing to the political process by participating in professional nursing organizations or through policy committees in the workplace. “To be successful
…show more content…
Give two examples of when you were a change agent or witnessed another nurse as a change agent. What happened and how did the change occur?
The meaning of a change agent is basically 2-fold; to accomplish change themselves and to also encourage the capacity to change in others (Stefancyk, Hancock, & Meadows, 2013). The nurse change agent needs to recognize the question, include the right population, intervention, compare to other groups, and expected outcomes (Eads & Maruzzella, 2016). The first example would have to be years ago when I worked on the surgical step-down unit. The nursing staff on the floor were inundated with our nurse to patient ratio, which was usually 7:1. In the surgical step-down unit, we would give hourly pain medications, multiple antibiotics, do extensive wound care, as well as ambulating patients three times a day. We had an RN patient flow coordinator that would help with bed assignments and discharges. The entire floor petitioned to do away with that position and give us another clinical nurse at the bedside instead. With the lower nurse to patient ratio, we would be able to manage our own discharges and properly take care of our patients. We fought and won and went from 7:1 to 5:1 with one nurse having 6:1 for the day. Another example was in the ICU, where I witnessed our nurse leaders advocating to change our policy on alcohol withdrawal. Our ICU has a 24-hour intensivist and as nurses, we would have to get written orders for each patient experiencing DT’s. Nationally there is a Clinical Institute Withdrawal Assessment (CIWA), that my nurse leaders wanted to initiate. Basically, it would allow the doctor to initiate the CIWA protocol and give the nurses a guideline to follow when treating alcohol withdrawal patients. It was passed due to the efforts of management and the involvement of the intensivists. We now have a standard to follow without having to call the doctor for each medication order.
Political awareness refers to sensitivity to public policy and government and an awareness of any possible agenda that could be driving politicians. In order for nursing to advance as a profession, nurses need to broaden their socio-political knowledge by speaking out on issues, influencing legislation, and participating in policy-making boards and councils. By becoming involved and politically aware, nurses can help face societies major issues. Consequently, political awareness is essential for the advocacy of the profession (Marquis & Huston, 2015).
The four spheres of political action in nursing as mentioned by Mason, Leavitt, and Chaffee (2011) includes the workplace or workforce, the government, the organizations, and the community. The authors further stated that although the four spheres overlap at times, the action performed in any one of these spheres can cause a reaction in any of the others. Nurses are a part of the community in which they live and can influence health and social policy within their workplace, which can have a profound impact on the organization. Furthermore, the government can pass health care policies, which in turn causes the organization to change their policy. Thus, affecting healthcare providers in the workplace and the community at large. An example of
Implementing a change in practice within these environments can produce anxiety or fear of failure in nurses, leading to a resistance to change. Several studies (Bozak, 2003; Lehman, 2008; Spetz, Burgess & Phibbs, 2012) expounded the need for a concise plan and clear communication between nurses and management when implementing a change of this nature. The use of Lewin’s Change Management theory can support nurses through the transitions and identify areas of strengths and resistances prior to implementing change. Without a framework for guidance, it can be difficult to keep on track.
Nurses have the ability to have their voice received which can aid with change in health care by a number of ways, one of which is to become active within the community and advocate for nursing and advanced care for the public. One way this can be done is to influence legislators by becoming active in supporting health care bills.
Political activism is an important complement for nurses in the clinical practice. Nurses are in an exceptional position not only to provide quality bed side care to their patients but also to advocate for change within the community and political field. Common problem affecting a group of people can be a political issue. Identifying the cause of this issue and advocating to solve the root cause with the help of decision makers like politicians, hospital executives, managers or government bureaucrats, nurses can bring beneficial changes in Canadian Health care system.
There are many way in which nurses could contribute leadership to improve the health care system to provide advance patient care. IOM states that, “serving as strong patient advocates, nurses must be involved in decision making about how to improve the delivery of care” (IOM, 2011, p. 222). In order to have a voice in the health care reform, nurses need to take opportunities to be involve in committees or board meetings and participate in making policies. The IOM “committee believes there will be numerous opportunities for nurses to help develop and implement care
Many would not think that nursing and politics would make good collaborators. However, nurses approach politics similar to developing a care plan for patients. We identify the problem, implement a plan and evaluate (PIE). The director of the legislative committee shared an analysis process used to establish policy priorities and to accomplish change. This process is discussed in Mason et al. (2014): (a) identify the problem; (b) list proposed solutions; (c) know the history or background of the previous challenges to resolve
Nurses are the first to deal with patients such as, the aging population in the clinical or community setting, so they are well qualified to give expert testimony on health care reform. Before nurses can take a stance and gain a voice in the political arena, they must take on a new hat as an “advocate.” They can start their journey as a patient advocate by joining an association like The American Nurses Association (ANA). Associations like the ANA can mentor nurses venturing into the profession of patient advocacy; in addition to mentoring, the nursing associations can offer legislative days, policy internships, and conduct policy workshops to educate nurses on how to positively affect the legislation and policies at the state or federal level on health care
One thing is for certain, I listen and encourage the nurses’ inputs and opinions when it comes to changes regarding the department. I empower the nurses to have their voices heard and their actions be seen throughout the company and give credit where credit is due. I also encourage them to be better nurses and utilize their skills to the max, i.e. applying their rehabilitative nursing certification through trainings throughout the company.
A positive force for change centers on the nurse’s strong desire to change current practices. The combination of the turnover rate, low morale, and higher percentage of new nurses, is the driving
Being a registered nurse affords one the option of working in many diverse healthcare settings. In any practice setting the climate of health care change is evident. There are diverse entities involved in the implementation and recommendation of these practice changes. These are led by the Robert Wood Johnson Foundation (RWJF), the Institute of Medicine (IOM), nursing campaign for action initiatives, as well as individual state-based action coalitions. Nurses need to be prepared and cognizant of the transformations occurring in health care settings as well as the plans that put them at the forefront of the future.
There has been a pandemic apathy towards political activism among the nursing fraternity, despite the fact that politics to a greater extent affects the way these medical practitioners carry out their duty of providing care. Nurses have not seen any reason for political involvement citing that no direct relationship exists between nursing and political activism (Boswell, Canon and Miller 5). They claim that nursing is about application and service, demonstration by involvement and more of ‘walking the walk’ rather than the political ‘talking the talk’ (Rains and Barton-Kriese 219). Political activism to them is a waste of the precious time that could be used to provide healthcare to
The election process in the United States is a valuable process to the election of the proper officials to satisfy the people. The people run the country which is why we live in freedom because we control what happens with major decisions by choosing whom we want to decide these decisions. The whole country goes to vote on a certain day and by the end of that day we will vote to select who will run the country, state, county, or city political positions. The most complex decision and one with the biggest impact are selecting who the President of the United States shall be. We examine what their views are and who would do a better job. Then vote in our respected states with a certain number of electoral votes
The ward attendant is getting resistance from co-workers to implement change. They feel that the patients are too unstable to have a voice in decision making. The ward attendant has officially become a “change agent” (Mandell & Schram, pg. 473). A change agent must “use their skills to bring about change in an unhealthy agency either
Nurse leaders are aware that today’s health care system has many issues complicating the goal of quality patient care and outcomes for all. Nurse leaders must stay informed and become involved as an advocate influencing changes in policy, laws, and/or regulations that govern the health care system they practice in. At times the advocacy requires a nurse leader to become more involved beyond their immediate level of practice and into the world of politics and policy.