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The Professional Nurse and Political Activism The Professional Nurse and Political Activism

The Professional Nurse and Political Activism - PowerPoint Presentation

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The Professional Nurse and Political Activism - PPT Presentation

Susan McCarthy MSN RN CNRN PA Nurse Alliance SEIU Quality Care Summit 2012 suemac1128aolcom September 25 2012 Objectives Identify professional nurse role taking responsibility to shape social policy ID: 676474

political nursing policy health nursing political health policy nurse care nurses professional social http www public politics practice power action elected involvement

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Slide1

The Professional Nurse and Political Activism

Susan McCarthy MSN, RN, CNRNPA Nurse Alliance, SEIUQuality Care Summit 2012suemac1128@aol.comSeptember 25, 2012Slide2

Objectives

Identify professional nurse role, taking responsibility to shape social policy. Discuss policy, politics and power in nursingIdentify barriers to nursing political activismExplore skills to achieve political competenceList points of access for policy developmentRecognize past and current nurse activistsSlide3

Laws, Standards, CodesRoots of activism, social justice embedded in professional practice laws, standards, ethics

A social contract with society, demands professional responsibilities.The Pennsylvania Code : State Board of NursingRegulates by licensing: protects public healthANA Code of Ethics, advocate for profession

Nurses should act individually, collectively through political actions for social change.Slide4

and for Social Justice Provision 9.4 : Social Reform

Professional Nursing associations speak for nurses in reshaping health care policy, legislation Accessibility, Quality, CostViolation of human rights, homelessness, hunger, violence, stigma of illnessSlide5

Is Healthcare the New Civil Right?

http://www.seiuhealthcarepa.org/nursealliance/Supreme_Court_Upholds_Health_Reform_Law.aspxSlide6

The Nurse Alliance of SEIU

Politics and Policy Statement: Good healthcare policy happens when practicing RNs are sitting at political and policy-making tables Effective partners with a strong, clear agenda Advocate for more nurse political involvement

Current focus on healthcare reform implementation.Slide7

Politics and Social Justice

Poverty, cruelty rise, level of social awarenessPolitical action is taken, Acts, U.S. Congress. The 1935 Social Security Act1946 Mental Health Act1964 Civil Rights Act1965 Medicare Act1990 Americans with Disabilities Act2010 Affordable Care Act

(http://www.nih.gov/about/almanac/historical/legislative_chronology.htm)

Slide8

Nurse Activists

Florence Nightingale (1850’s), Environment, British Army, Educational Reform Clara Barton (1881), Founded USA Red CrossLillian Wald,(1893), Founded Public Health NursingDiane Carlson Evans (1993), Vietnam Women’s MemorialKaren Daley (2000), Needle-Stick Prevention and Safety ActSlide9

http://upload.wikimedia.org/wikipedia/commons/thumb/b/b2/Lillian_Wald_

Lillian Wald,(1893)

Public Health Nursing

http://blog.tcs-inc.us/Portals/39196/images/needle_stick.jpg

http://georgiainfo.galileo.usg.edu/statues/vietnam-women2.jpg

Diane Carlson Evans (1993)

Vietnam Women’s MemorialSlide10

http://www.empirecontact.com/images/statuary/Sisters_memorial_right.jpg

http://www.arlingtoncemetery.mil/photos/SpanAmericanNurses.jpg

Spanish American War

Nursing Memorial

Arlington Cemetery

Civil War Nursing Memorial

Dupont Circle

Washington D.C

.Slide11

Nurse Activists Needed Now

U.S. Healthcare System in Crisis2012, U.S. will spend $2.8 trillionCost of healthcare is unsustainable Environment ↑ complex, inefficient, stressfulWaste $750 billion/yearPlan: Best Care at Lowest CostDo more, with less $, increase efficiency

(IOM, 2012)Slide12

Result: Demand ↑ AccountabilitySlide13

Joint Commission

NDNQI

Press Ganey

Department of Health

IOM

Patient Satisfaction Survey

OSHA

Never Events

CDC

Magnet Status

HCAHPS Slide14

Nursing’s Accountability

~15% of hospital patients still being harmed 20% discharged elderly patients readmitted , 30 daysNurses spend 30% time, direct patient care (IOM, 2012)Slide15

Why Nursing?

“When we are hospitalized, in a nursing home, managing a chronic illness, nurses are the ones we will encounter, spend most time, be dependent upon.” (Keeping Patients Safe, IOM,2004)Gallup Poll 2011, 12th time/13 years, Nurses #1, ethics and honestyNurses full partners, with physicians, health care professionals, redesign health care in U.S. (IOM, 2008)Opinion leaders, 90% want nurses to improve quality, safety, reduce medical errors

(GallupPoll,2010) Slide16

Nurse Political Actions

Nursing Professional Organizations/Unions advocated for and wonFederal Needlestick Safety and Prevention Act, 2000California (1999, effective 2003) , Mandated Nurse -to -Patient Staffing RatiosIncreased Scope of Practice, Advanced Practice Nurses (2007)Elimination of Mandatory Overtime (2008)Slide17

Barriers to Political Involvement

PowerlessnessLack a structure to be heardLimited leadership opportunitiesHIPPA, fear to breach confidentialityDiffering levels of educationLack of education in policy development

Overwhelmed by complex policies

Need more mentors, leaders

(Des Jardin, 2001)Slide18

There is still so much to do” Florence Nightingale, 1893ACA Implementation

Safe, Healthy Work Environments

Eliminate Manual Patient Handling

Reduce Work Place Violence

Mandate Safe Staffing

Education, Recruitment, RetentionSlide19

Making it Happen

Policy is a course of action.Politics, process of influencing allocation of scarce resources. The result is policy.Power enables a group to influence others through political process.To effect policy, must be involved in politics so others do not speak for nursing practice. If we understand process around policy formation we can target our nursing leadership into influence.

(Hughes, F., 2005)Slide20

Power in Nursing

Expert: Combines science, technology, caringInterpersonal: Excellent negotiators, communicators, problem solvers, team playersPower in Numbers: 2.9 million# will grow 26%, 2010 to 2020Latent Power: Untapped, underusedSlide21

Nurse Politicians/LeadersEddie Bernice Johnson ( D-TX), first nurse elected to U.S. House of Representatives (1992)

Carolyn McCarthy, LPN ( D-NY), elected 1996, US House, leader on gun control , nursing Lois Capps (D-CA), third nurse elected to House 1998, school nurse, Medicare Reform, Nursing , School Health and SafetyVirginia Trotter Betts, national nurse leader, mental health policyAs of 2011, seven nurses in U.S. House of RepresentativesMary Wakefield, Ph.D., R.N.,

current

administrator of the Health Resources and Services Administration (HRSA)Slide22

Points of Access for Policy DevelopmentWorkplace:

Procedures, budget, practice, bargaining tableshared governance committeesGovernment: Local, state, national legislation, run for officeProfessional Organizations: Provide information, activities, leadersCommunity, Public Education:

↑ Nurse visibility, health fairs, endorse candidatesSlide23

Six Skills for Political Competence(Warner, 2003)

1. Nursing Expertise as Valued CurrencyClinical experience, policy connectionsValues: caring, health promotion, informed and self care, holism (Cohen et al, 1996)Observation, decision making skills2. Networking, crucial for action, changeEstablish, maintain interdisciplinary relationships, asking for help is OK

3. Powerful Persuasion

Passion, thoughtful analysis of ideas, clarity, ability to communicate, important to audienceSlide24

Political Competence Skills

4. Collective Strength Professional organizations, interdisciplinaryVoices louder, persuasion greaterGroup consensus, strengthen the individual 5. Strategic PerspectiveStepping back, place health in broad contextSee Nursing as political activityQuestions emerge, government influence on populations, health, environments of care

6. Perseverance

Remain Optimistic, you don’t always winSlide25

Our Experience“We see a future where America leads not only by the example of our power, but by the power of our example.”

Joe Biden, DNC, 2012SEIU Nurses share political action experiencesSlide26

Stages of Nursing’s Political Development (Cohen et al, 1996)

Stage One: Buy-In Individual nurses take position/react to issue affecting profession, public. Decide to take action.Stage Two: Self-InterestIndividuals begin establish political identity, voice. Organize, develop strategies to resolve issue.

Stage Three: Political Sophistication

Seek to influence policymakers, ↑awareness ,value contributions of nursing to public, health policy. Testify before legislative committees, appointed to policy-making bodies.

Stage Four: Leading the Way

Very involved, setting agenda, initiating policy development, often enacted through legislative process.

Copyright © 2003, New Jersey Collaborating Center For Nursing Workforce Development. Slide27

Strategies for Political Involvement

Keep informed of issues affecting nurses and public

Join Professional organizations, SEIU committees/actions

Find a Mentor, be a mentor

Participate in public demonstrations

Participate in shared governance councils,

Meet with elected officials in their offices

Write a letter to elected officials

Publish Slide28

Key Points

Political actions bring social changeNurse laws, ethics code support political actionKeep informedJoin professional organizationsTake ActionAchieve political competencySlide29

Health Policy Resources

Nurse Alliance Round Up CDCAHRQWorld Health OrganizationIOMANA Smart BriefsProfessional Journalswww. RN.comProject Vote-Smart (PVS),Non-profit, non- partisan, collects and distributes information, U.S elected official’s voting records and candidate’s positions , www.votesmart.org

The Pennsylvania Health Access Network (PHAN) is a statewide coalition of organizations working to protect high quality health insurance coverage for individuals and businesses and to expand coverage to the uninsured.

www.paheathaccess.org 215-557-0822

Slide30

References

Abood, S. (January 31, 2007). "Influencing Health Care in the Legislative Arena". OJIN: The Online Journal of Issues in Nursing. Vol. 12 No. 1, Manuscript 2. Antrobus S (2003) What is political leadership? Nursing Standard. 17, 43, 40-44.Chitty, K. K., Black, B.P. (2011). Professional Nursing—Concepts and Challenges. 6

th

Edition. Philadelphia, PA: Elsevier, Saunders.

Cohen, S.S., Mason, D.J., & Kovner, C., Leavitt, J.C., Pulcini, J., & Sochalski, J. (1996). Stages of nursing’s political involvement: Where we’ve been and where we ought to go.

Nursing Outlook, 44(6),

259-266.

Des Jardin, K. (2001) Political involvement in Nursing: education and empowerment. AORN Journal. (74)4.

Des Jardin, K. (2001).

Political Involvement in Nursing: Politics, Ethics, and Strategic Action

. AORN Journal, (74) 5. Slide31

References, cont’d. Hughes, F. ( 2005)

Role of nursing management in health care policy development. Retrieved from http://www.slideserve.com/rubaina/role-of-nursing-management-in-health-care-policy-developmentIOM (Institute of Medicine). 2012. Best care at lower cost: The path to continuously learning health care in America. Washington, DC: The National Academies Press . Robert Woods Johnson Foundation (2010). Nursing Leadership from Bedside to Boardroom: Opinion Leaders' Perceptions. Retrieved from http://www.rwjf.org/pr/product.jsp?id=5435

SEIU (2001)

The Fight for Our Lives: How We Won Safer Needles

.

Retrieved from http://www.youtube.com/watch?feature=player_embedded&v=g51WkB9zpEk

Warner, J. ( 2003).

A Phenomenological Approach to Political Competence: Stories of Nurse Activists.

Policy, Politics, & Nursing Practice. (4).2.