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Political Process

Decent Essays

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.

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