Policy politics and nursing

1. Mr. Abhay Rajpoot
Nishat College of Nursing

2. Outline
• A Historical Perspective on Policy, Politics and Nursing.
• Science, Policy, and Politics
• Research as a Political and Policy Tool
• Health Services Research: Translating Research to Policy
• The Marriage of Evidence- Based Practice and Policy
• The Society for Women’s Health Research: Advanced Health
Through Science andAdvocacy
• Using Research to Advance Healthy Social Policies for Children
• Taking Action: Reefer Madness: The Clash of Science, Politics, and
Medical Marijuana
• Taking Action: The Journey into the Hallowed Halls of Politics: How
Nurse Practitioners Changed Pennsylvania Policy

3. A Historical Perspective on Policy, Politics
and Nursing.
•Significant part of every nurse’s is to act as a patient
advocate
•Nurses have an image of trust and goodness
Many nurses feel that
“Becoming involved in the
politics would conflict with
their image and ethical
principles”.

4. •Florence Nightingale was the Perfect political
nurse.
•Understood how to influence the British
parliament to allocate funds to reform British
military hospital & fairly improve health and
sanitary condition of the troops.
Political
activism is
powerful form
of professional
involvement
Great Example

5. Science, Policy, and Politics.

6. Science
• Knowledge in the form of testable explanations and
prediction about the universe.
• Scientific finding has great role in the policy process.
• Evidence of research to inform policy database and shape
policy choices that the solution will be effective.

7. Four Cornerstones of Science & Health Reforms
• Change the way
providers are paid, to
reward care that
improve health and
minimizes waste.
• Affordable portable
transparent health
insurance for all
individual to have
choice control and
peace of mind.
• Across people function
activities, location and
time.
• Ensure active patient
participation.
• ↑in patient health
outcomes & Satisfaction
• ↓ medical errors, cost
and waste.
Create
Value
Coordin
ate care
Payment
Reform
Expand
Access

8. • A policy is a deliberate system of principles to guide decisions
and achieve rational outcomes.
• In contrast policies to assist in objective decision making are
usually operational in nature and can be objectively tested.
• A policy is a statement of intent, and
is implemented as a procedure or
protocol.
• Policies are generally adopted by a
Governance body within an
organization.
Policies can assist in
both subjective
(Assisting senior
manager)
and objective (results)
Decision making
Policy Means

9. Form of policy
1. Policies are constructed as a set of regulations (public
policy),
2. Practice standards (workplace),
3. Governance mandates (organizations),
4. Ethical behavior (research),
5. Ordinances (communities)
Forms directs individuals, groups, organizations, and systems toward the
desired behaviors and goals.
Thus, Policy is authoritative decision making related to choices about goals and
priorities of the policymaking body. (Stimpson & Hanley, 1991)

10. The Policy Process
•Problem identification. ( Interest groups &
Values)
•Agenda setting. (Policy analysis and analyst)
•Alternatives.(Advocacy &Activism,
Presidential power, Politics)
•Policy choice implementation. (Science &
Research)
•Evaluation.

11. How Public health is to influence and implement policy

12. Longest’s Policy Cycle Framework
Input
T
H
R
O
U
G
H
P
U
T
OUT PUT

13. Policies
in
Nursing
Students
policy
Faculty
Policy
Administrators
policy
Clinical Policy
HR Dept
policy
Policy for
staff nurses.
Nursing
schools have
policies
about
student
conduct and
grading &
Evaluation.

14. Policy in
Research
Research Process
Publication
Policy
Permission policy
Plagiarism Policy

15. Politics
•Aprocess by which one influences the
decision of others & exerts control
over the situation and events.
•Exercise of influence.

16. Political
influence
in diff. areas
Political
influence
Affecting the
development
of
institutional
policy
Community
&
Professional
organization
Activities
in Local
Boards
Participating
in
committees
Involvement
in campaign,
letter writing,
voting
Govt. &
Workplace

17. Classification of Politics
1.Formal Politics refers to the operation of a constitutional
system of government and publicly defined institutions and
procedures.
2.Semi-formal Politics is Politics in government associations
such as neighborhood associations, or student governments where
student government political party politics is often important.
3.Informal Politics is understood as forming alliances,
exercising power and protecting and advancing particular
ideas or goals.
• Generally, this includes anything affecting one's daily life, such
as the way an office or household is managed, or how one
person or group exercises influence over another.

18. Politics in Nursing.
Every individual is different

19. Why nurses need to be politically active?
• Politics can change the work we do.
• We can represent the interest of the Nursing profession.
• We can Advocate our patients.

20. What nurse can do?
• Actively participate in nursing union, association.
• Encourage friends to vote.
• Talk about politics with co-workers, friends, neighbors.
• Encourage them to involve directly or indirectly.

21. A Framework for Action in Policy and Politics.
• Who acts to influence health and policy? (Nurse)
• Where in what environment or area of influence the nurses act to
influence policy? (The workplace,)
• What are examples of strategies nurses use to influence policy?
(Knowledgeable about issues, Contact policy makers, media
coverage, run for office, identify policy problems, and analyze
solutions, assess beneficiaries)
• When do nurses act to influence policy? (when health problems
needs remedy)
• Why do nurses act to influence policy? (to improve human health,
Access, safety, quality of care and to reduce cost of care.)

22. Health Policy, Politics, and Professional
Ethics
• A Professional ethic is built around three essential components:
1. Its purpose. All professions develop in response to a social need, one that
the members of the profession promise to meet.
2. The skills and outcomes expected in professional practice. Nursing's
standards of practice state with some precision the obligations of nurses in
specific areas of practice. Clearly, each of these components is dynamic, that
is, subject to change and reevaluation as the profession grows, as knowledge
increases, and as social mores and expectations develop.
3. The conduct expected of the professional. The ethical code developed and
promulgated by the profession, its code of ethics, describes the conduct
society has a right to expect from professionals as they go about the duty of
the profession.

23. Communications Skills for Political Success
in Policy and Politics (7 C’s)
• Clarity – Speech
• Completeness. – Sentences
• Conciseness – Topic.
• Courtesy – Respect listener’s
feelings.
• Concreteness – Conscious use of
words
• Correctness – Grammar, composition
• Consideration – Your attitude.

24. Healthy work environment

25. Research as a Political and Policy Tool
•Research findings can influence political view.
•Presenting data to policy maker have advantage of
advocate to be short and to the point to develop policy.

26. Health Services Research: Translating
Research to Policy.

27. Using the Power of Media to Influence Health
Policy and Politics
•Media advocacy is the strategic use of media to apply
pressure to advance a social or public policy initiative
It is a tool for policy change by mobilizing
constituencies and stakeholders to support or oppose
specific policy changes. (Dorfman & Krasnow 2014; Wallack &
Dorfman, 1996).
Media can change
political view.

28. as Science
NNsugr.singPractice
Nsg.
Quality
Professional recognition
&Advancement
Evidenced Based Practice
Research
Nsg.
Informatics

29. Nursing as Research Perspectives

30. Conclusion
Nurse need to able to do:
• Practice to the full extent of there education and training.
• Achieve high level of education and training through an
education system that promotes seamless academic
progression.
• Participate as a full partner with physicians and health care
professionals in redesigning health care system.
• Develop better data collection and information, infrastructure
for effective workforce, planning and policy making.
• Be a part of politics and make positive change in nursing.

31. References:
• Mason, Diana J.; Gardner, Deborah B; Outlaw, Freida Hopkins;
O'Grady, Eileen T.. Policy & Politics in Nursing and Health Care - E-
Book (Policy and Politics in Nursing and Health) (p. 61), (p. 14)
(p.27) (p. 40) Elsevier Health Sciences. Kindle Edition.
• https://www.google.co.in/search?hl=en&authuser=0&biw=1366&bih=
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32. Thank You for your Patience