Nursing Leadership Engaging in Political Waters - PowerPoint Presentation

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Nursing Leadership Engaging in Political WatersGeorgia Association of Nursing Deans and Directors

Lauren Inouye, MPP, RNDirector of Government AffairsAmerican Association of Colleges of NursingOctober 6, 2017Atlanta, GASlide2

Represents 819 schools of nursingStanding Policy/Advocacy memberships: Government Affairs Committee, Health Policy Advisory Council, State Grassroots Liaisons,

Grassroots Network (11,000 advocates), Graduate Nursing Student Academy Policy Committee (7 members)Advocacy Opportunities: Hill days (fall and spring), Student Policy Summit (200 students), Faculty Policy Intensive (4 faculty), advocacy toolkits and webinars, weekly newsletter2017-2019 Federal Policy Agenda priority areas:WorkforceResearchHigher Education Models of CareSlide3

The Current State of AffairsSlide4

2016 Congressional Election Results

*One vacant seat in the House: Utah’s 3

rd

districtSlide5

Political Advocacy…

Bring on the Nurses!Slide6

Public’s perception of ethical/trusted professions

(2016)Slide7

Nursing Leadership and Political Engagement

Nurses

If you are not at the at table, you are on the menu...Slide8

Recent examples:

Table (where nursing has made strides in the policy realm)Menu (where nursing’s influence is needed/should be further recognized)APRN full practice in Veterans Health AdministrationRecognition in national health reform discussions Advocating for nursing education and research funding“Medical and Health Professionals” listening session with HHS Secretary Tom Price State scope of practice

State scope of practice

…Just to name a few!Slide9

Building Political Capital with Nursing Education Leaders Slide10

Nursing Expertise

Academic institutions are uniquely positioned to provide expertise (such as subject-matter experts, research/data) to help formulate sound policy.Rally for Medical Research- NINR-funded nurses educate legislators on how their research improves health. Goal of the rally is to increase funding for NIH.Slide11

When in the policy process is science most useful?

Times of disagreement to resolve conflict and “save face.”Times of chaos when there is a need to solve major problem and provide directionWhen the policy maker is “looking for” substantiation for a previously held position.When there is a “window of opportunity” or policy receptor for the results.

Research (should!) Inform Policy

Source:

Hinshaw

, A., & Grady, P. (2011).

Shaping health policy through nursing research.

New York: Springer Publishing Company.Slide12

Resources

Whether giving our time or financial resources, nursing needs to to overcome “Free-Rider Syndrome” Mancur Olsen’s Theory of Collective Action (1965): individuals have incentives to be “free-riders” (as an attempt to preserve their own resources)Slide13

Organization

Total

Receipts

Spent

End Cash on Hand

D to R Spending

American Association

of Nurse Anesthetists

$1,342,328

$1,150,972

$504,174

48% D

52% R

American Society of Anesthesiologists

$3,962,647

$4,119,006

$434,621

37% D

63% R

American Academy of Nurse Practitioners

$451,259

$380,690

$414,037

57%

D

43% R

American

Academy of Family Physicians

$921,028

$1,042,658

$317,818

59% D

41% R

American Nurses Association

$489,687

$458,218

$111,501

83% D

18%

R

American

Medical Association

$2,114,478

$2,047,840

$619,10338% D62% RAmerican Colleges of Nurse-Midwives$156,725$89,402$206,73861% D39% RAmerican College of Obstetricians and Gynecologists$1,194,076$1,092,417$272,75253% D47% R

PAC Spending Election Cycle 2016

Source: Opensecrets.org Slide14

Relationships with PolicymakersSlide15

Direct constituent interactions have more influence on lawmakers' decisions than other advocacy strategies. In three surveys of congressional staff over a 10-year span, 99% (2004), 97% (2010), and 94% (2015) said that "in-person visits from constituents" would have "some" or "a lot" of influence on an undecided lawmaker. Congress places a high value on groups and citizens who have built relationships with the legislator and staff.

When asked what advocacy groups should do more of to build relationships with the office, 79% of staff surveyed said "meet or get to know the Legislative Assistant with jurisdiction over their issue area" and 62% said "meet or get to know the District/State Director."Source: Congressional Management Foundation. Citizen-Centric Advocacy: The Untapped Power of Constituent Engagement: http://www.congressfoundation.org/projects/communicating-with-congress/citizen-centric-advocacy-2017

Impact of Face-to-Face with Constituents Slide16

Senators and Representatives are more inclined to use social media than they were in the past. Both communications and legislative staffers indicated their bosses have become more open to social media in recent years. Most of the respondents (84%) said Members of Congress have become more inclined to use social media while only 1% said their bosses had become less inclined to use it.Thirty

or fewer similar comments on a social media post are enough to get an office's attention, but they need to be posted quickly or they may not be seen. About one-third (35%) of the respondents said it takes fewer than 10 similar comments for their offices to pay attention, and nearly half (45%) said their offices will pay attention to between 10 and 30 similar comments. However, the more time that passes after an office posts on social media, the less likely it will be that staff will review the response.

Source: Congressional Management Foundation. #SocialCongress2015

: http://www.congressfoundation.org/projects/communicating-with-congress/social-congress-2015

Impact of Social MediaSlide17

Twitter 101

Twitter Terminology:Twitter allows individuals/groups to compete for visibility in the virtual platform, or Twittersphere”Your Tweets are limited to 140 characters, so get creative in your messages!When you tweet you can add

hashtags (#advocacy), which allow users to see other Tweets that have used that hashtag. You want your hashtag to go viral (high usage) as this will raise its visibility. Quantity counts.

Hashtag= the “what”

You can tweet at someone by tagging their

Twitter handle

(@GANDD).

Twitter handle= the “who”

I’m thrilled to be speaking with

@GANDD

members to discuss

#advocacy

!

(71 characters)Slide18

To create an account on the web (or download the app on your smart phone):1. Go to http://twitter.com and find the sign up box, or go directly to

https://twitter.com/signup2. Enter your full name, phone number, and a password3. Click Sign up for Twitter4. Will have to verify via your email account or text message5. Create username and add a photo (optional)6. “Follow” other users to populate your feed with their Tweets!

Twitter 101Slide19

Nurse Representation in Public Office

In 2010, Gallup surveyed 1,504 opinion leaders, including university faculty, insurance, corporate, health services, government and industry thought leaders. The objective was to examine their views of nursing and nursing leadership with an emphasis on determining the role of nursing in the future, and potential barriers to nurses taking leadership roles in our health care system today.Slide20

Nursing Leadership from Bedside to Boardroom: Opinion Leaders’ Perceptions (RWFJ, Gallup 2010)Who Will Influence Health Reform in the United States in the Next 5-10 Years

Source: Robert Wood Johnson Foundation & Gallup. (2010). Nursing Leadership from Bedside to Boardroom: Opinion Leaders’ Perceptions

. https://www.rwjf.org/en/library/research/2010/01/nursing-leadership-from-bedside-to-boardroom.htmlSlide21

Barriers to Nurses’ Ability to Contribute to Improvements in Planning Policy Development, and Management of Health Systems and Services

Source: Robert Wood Johnson Foundation & Gallup. (2010). Nursing Leadership from Bedside to Boardroom: Opinion Leaders’ Perceptions

. https://www.rwjf.org/en/library/research/2010/01/nursing-leadership-from-bedside-to-boardroom.htmlSlide22

How to Ensure That Nurses Take on More Leadership in Improving Health Status and Delivering Healthcare Services

Source: Robert Wood Johnson Foundation & Gallup. (2010). Nursing Leadership from Bedside to Boardroom: Opinion Leaders’ Perceptions

. https://www.rwjf.org/en/library/research/2010/01/nursing-leadership-from-bedside-to-boardroom.htmlSlide23

115

th CongressTop professions of legislators prior to serving in Congress (many self-identified more than one) Source: Congressional Research Service. (2017). Membership of the 115

th Congress: A Profile. Retrieved from: https://fas.org/sgp/crs/misc/R44762.pdf. Slide24

115

th CongressSource: Congressional Research Service. (2017). Membership of the 115th Congress: A Profile. Retrieved from: https://fas.org/sgp/crs/misc/R44762.pdf. Health Professions by the Numbers:

Physicians: 14Dentists: 4Veterinarians:

3

Psychologists:

3

Optomotrist

:

1

Pharmacist:

1

Nurses:

2

Rep. Diane Black (R-TN-06)

Rep. Eddie Bernice Johnson (D-TX-30)Slide25

Administration

Deputy Surgeon GeneralRear Admiral (RADM) Sylvia Trent-Adams, Ph.D., R.N., F.A.A.N.Slide26

Normalizing a Culture of Advocacy

Faculty and students provide a tiered approach to advocacy. Integrating policy and advocacy should start at the undergraduate level. Urge membership in national/state organizations that have an advocacy arm.Slide27