advocacy refers to actions that are intended bring about other actions At its most basic, advocacy refers to the various kinds of actions we take to get other people – usually people in positions of power, the ones who can change things like the laws and policies that affect and even control our lives and the quality of our lives – to make the changes that are our ultimate goal.
http://www.global-campaign.org/clientfiles/APCASO%20HIV%20Advocacy%20Toolkit.pdf page 13 would be good for a handout There are three different types of advocacy that we probably do in our daily work • Public advocacy –to influence behaviour, opinion and practices of the public in order to influence groups and institutions that are involved in affecting change in policies • Community advocacy – to influence groups and institutions that are involved in affecting change in policies by working • Policy advocacy – to influence policy and regulations directly
looks like a lot of the other things we do, it’s easy to think that advocacy is just a new name for everything our organisations already do. But the truth is that even the people who are doing it don’t always know that they are Barriers to advocacy can include funding opportunities, policies, etc.
PLAN - plan a way to approach the next round of experience; Planning advocacy work is similar to other kinds of planning; it is easier to come up with the right activities if we first identify our aims and objectives. DO - have an experience REVIEW - review what happened and what can be learned Greenaway, R. (1988). Powerful Learning Experiences in Management Learning and Development Burton translates this model into What? So what? Now what?
Part II – Ethical Endeavors “As much as possible, nurses individually and collectively should advocate for and work towards eliminating social inequities” (CNA Code of ethics, 2008) Resolution brought forward by RNAO, Supported by CANAC, Tour of Insite with CNA representatives prior to this resolution, need to work with each other, Position Papers Nurses release paper on harm reduction and illegal drugs – Advisory WHEN? May 12, 2011 WHAT? “ Harm reduction ” has been identified as a public health response to reduce the negative consequences associated with risky behaviours, including substance use. A great deal of evidence supports the public health and safety benefits of harm reduction strategies. WHERE? www.cna-aiic.ca WHY? Providing nursing care in the context of substance use, particularly illegal substance use, can raise questions and issues for RNs who may be caught between evidence, ethics and policy. This paper comes at an opportune time, as CNA, along with the Registered Nurses’ Association of Ontario and the Association of Registered Nurses of British Columbia, will today be presenting arguments before the Supreme Court of Canada in support of Insite, a supervised injection facility in Vancouver. Open discussion Many nurses and members of other helping professions are alarmed by the addictive misery that they see and are committed to doing something about it. It is a great loss when we, as compassionate, dedicated professionals do not respect and support each other.
Not only must you help your clients get their life-sustaining, often life-saving, daily needs met, you must do it in a non-judgmental,fair, honest and cost-effective manner. You must also document it in the internally and externally required ways that may or may not contribute to the success of the actual work. In addition, you must balance everything you do with all of the needs and requirements of all clients, your supervisor, your organisation, the government and the community. And now we are asking you to add advocacy work to all of this. Whew! p.29-31 http://www.global-campaign.org/clientfiles/APCASO%20HIV%20Advocacy%20Toolkit.pdf
Discussion here with the group, - what is planning? What is reviewing? And what is doing?
We put ourselves where networking happens. What we have learned from our experiences is that we should . . . DO SOMETHING POSITIVE TO ELICIT CHANGE
Stop Complaining & Start Advocating Advocacy in Action Susanne Nasewich, RN Greg Riehl, RN Laurel Stang, RNBe the Voice – QUALITY AND PATIENT SAFETYSaskatchewan Registered Nurses AssociationAnnual ConferenceRegina, SK May 1,2 & 3, 2012
ADVOCACY & THE CODE OF ETHICS• quality work environments• social justice issues that affect heath & well-being – including policies & programs• use of the least restrictive measure possible for those in their care• adequate relief of discomfort and pain• accessible, universal & comprehensive health-care services •access to their own health-care records• fair treatment & fair distribution of resources for those in their care• changes to unethical health & social policies, legislation and regulations; equity • ethical discussions• initiatives to reduce environmentally harmful practices• if they believe the health of those in their care is being compromised by factors beyond their control, includes decision-making of others; ethical discussions
CANAC• A national professional nursing organization committed to fostering excellence in HIV/AIDS nursing, promoting the health, rights and dignity of persons affected by HIV/AIDS and to preventing the spread of HIV infection
CANAC• Position statements • Recognition of HIV/AIDS nursing as a speciality • specialized knowledge and skills; committed to ongoing professional development to maintain skills; have acquired specialized knowledge and skill • Human rights statement • CANAC fully supports Human Rights to be extended to all people regarding access to HIV/AIDS education, prevention, treatment, care and support • HIV and criminalization • the criminal law is an ineffective and inappropriate tool to prevent HIV exposure and transmission• HIV/AIDS Nursing Guidelines
SRNAPromoting Equity Through Harm Reduction inNursing Practice (2008) • HR is a vital component in the continuum of health care services provided by RNs in SK • Gives clients choices, so they are involved in their health carehttp://www.srna.org/images/stories/promoting_equity.pdf
WHAT WOULD YOU DO?• male, history of IDU but not currently using, admitted with MRSA/osteomyelitis• reports pain at 10/10; only analgesia ordered is Tylenol, plain, q4h
WHAT IS ADVOCACY• Why advocacy?• How to start advocating?• How does the CNA Code of Ethics support professional advocacy?• What seems to work best?• Does it really make a difference?• How to put advocacy into ACTION?
WHAT IS ADVOCACY?• the act or process of supporting a cause or proposal: the act or process of advocating something – To advocate is to plead in favor of• action to lead to changes by influencing someone who can make changes http://www.global-campaign.org
TYPES OF ADVOCACYAll interventionshave impacts onadvocacy.Some impacts aredirect and othersare indirect.
WHY ADVOCACY?Unless we engage in advocacy, we will only bereacting to symptoms and not looking at theroots of the problem
WHAT WOULD YOU DO?• transgender client admitted to your unit: MTF• admitted into a private room; needs to be transferred from the private room• Charge RN asks you to move him into a male, 4-bed ward
WHO IS AN ADVOCATE?• Consider who is/is not an advocate? – What are barriers to advocacy? – who will be able to participate in the different advocacy actions and who cannot?• Need to maximize opportunities to advocate…
HOW TO START?• Support & resources – CANAC – Organized a PPG; SK HIV/HCV Nursing Education Organization• Relevancy to local situation/issue(s) – What is the problem? – How can it be addressed?
ADVOCACY: PLAN DO REVIEW • Planning – Formal and informal meetings • Do – Action is necessary – Have an experience • Review – What worked in the past, what did we learn
HOW DOES THE CNA SUPPORT?• Promoting Equity through Harm Reduction in Nursing Practicehttp://www2.cna-aiic.ca/CNA/documents/pdf/publications/Resolution1_CANAC_Harm_Reduction_2007_e.pdf• Harm Reduction and Currently Illegal Drugs – Implications for Nursing Policy, Practice, Education and Research – Discussion Paperhttp://www2.cna-aiic.ca/CNA/documents/pdf/publications/Harm_Reduction_2011_e.pdf
Nurses Praise Supreme Court Ruling:Insite Saves Lives And Improves Health "Nurses throughout Canada are incredibly encouraged by this decision," says Rachel Bard, chief executive officer of CNA. "We see firsthand the evidence of how well harm reduction programs work to improve the health of Canadians, especially vulnerable populations dealing with poverty, mental illness and homelessness. As nurses, were responsible for and committed to providing safe, compassionate, competent care and improving the health of those in need."
DOES IT MAKE A DIFFERENCE? Yes! • Able to affect attitudes, laws, policies, and the situations in need of change • Increases awareness, behaviour, and common knowledge Indicators of success? • policy change or implementation; laws or practices reviewed, revised, introduced
PUTTING ADVOCACY INTO ACTION?•Work from within the system – sitting at decision-makers’ tables (e.g., consultations,planning committees, community advisory boards, etc.)•Lobbying or petitioning government and other civic officials•Arranging face-to-face meetings with decision-makers•Writing and delivering position papers and briefing notes•Preparing and giving public presentations•Creating and performing dramatic presentations•Staging public demonstrations•Writing letters•Writing e-mails•Making phone calls•Working with the media: • Newspapers, magazines and other print media; television; radio ; internet•Working with the media in these ways: • Writing press releases and media advisories; press conferences; media interviews; website or blog
We were there . . . Keeping the Minister of Health Informed through RN Advocacy September 2012
PLANNING AND IMPLEMENTING• Step 1 – Select an issue or problem you want to address• Step 2 – Analyse and gather information on the issue or problem• Step 3 – Develop an aim and objectives for your advocacy work• Step 4 – Identify your targets• Step 5 – Identify your allies• Step 6 – Create an action plan• Step 7 – Identify your resources• Step 8 – Implement, monitor and evaluate
COSTS OF ADVOCATING• Increased work• Increased public visibility – good and bad; some negative results?• Increases in stigma and discrimination• Perception of not being politically neutral
ADVOCACY IN OUR DAILY WORK• advocacy does NOT require a complete shift of focus away from other valuable work• can actually reduce your workload by improving the environment in which you and your clients live• advocacy can happen at all levels of service delivery – advocacy work by making use of opportunities
WHAT WOULD YOU DO?• HIV+, new Canadian, female• just delivered a baby girl; you go in toasses and mom BFing; husband andexended family present; upon furtherassessment, mom discloses issues ofcultural practices r/t BF• family unaware of her dx
ADVOCACY AND OUR PPGConsider:• Client voice – peers• Nurses’ voice – Knowledge exchange, mentoring• Local issues – HIV/HCV• Strength in numbers
MISSION STATEMENTThe mission for the Saskatchewan HIV/HCV Nursing EducationOrganization is achieved through:• Providing accessible and affordable education and learning opportunities• Creating a network of members by which support and mentorship can occur• Serving as a provincial voice for issues related to HIV and Hepatitis nursing care• Advocating for the rights and dignity of people who are living with HIV/AIDS and/or HCV, or who are vulnerable to these infections• Supporting a collaborative professional practice environment• Promoting professional growth• Improving patient/client/resident outcomes
ADVOCACY=ACTION• TeleHealth• Email• Participating with PPGs/SRNA• Promoting and sharing - World AIDS Day and World Hepatitis Day• Face-to-face meetings• Partnerships• Mentoring• Networking
OUR ACTIONS- ADVOCACY SUPPORTS NURSES• Effective advocates communicate clearly and memorably. • People need to understand and remember the ideas being advocated• Effective advocates build credibility and generate affinity. • Trust and reputation is crucial to inspiring confidence.• Effective advocates build relationships that let ideas prosper. • Coordination and alliances support networking and relationships.• Effective advocates influence others. • Advocacy is about persuasion
Ask questions, get answers, stay quiet.What we have learned from our experiences is that we should . . . WITHOUT RELATIONSHIPS,WE HAVE NO POWER AS A GROUP
“It isnt that they cannot see the solution,it is that they cannot see the problem” G.K. Chesterton ADVOCACY,THIS IS WHAT WE DO…
SK HIV/HCV PPG Contact us at: firstname.lastname@example.org Save The DateFace-2-Face HIV & Hepatitis C Education Event September 8, 2012 Prince Albert, SK More information to follow – email us!