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HFMG 4999- Health & Fitness Management Capstone
Case Study # 2
Thomas is a collegiate Division II track sprinter who missed
most of his last season because of multiple lower body muscle
strains. His off-season goals are to maintain his lower body
power and strength while increasing his flexibility in order to
decrease the frequency of in season muscle strains. Thomas’s
strength coach has provided him with an offseason resistance
program, but he has asked you to create a stretching program
that will get him through his next season “injury free”. Thomas
has been working with strength coaches for 10 years and will be
using his schools weight room that is fully equipped with any
amenities he may need.
Required: Include the following:
1. Conduct a needs analysis that includes common muscular
injuries that track sprinters experience along with
recommendations to decrease these occurrences.
2. In narrative form provide a list of the recommended stretches
and the rationale for including them in Thomas’s program.
Include In the rationale:
A. Muscles stretched including cues
B. Training frequency
C. Sets and Reps
3. Discuss other methods and modalities that Thomas can add to
his program to decrease the likelihood of straining muscles in
the upcoming track season.
Policy & Politics in Nursing and Health
Care
EIGHTH EDITION
Diana J. Mason, PhD, RN, FAAN
Consultant and Journalist, Senior Policy Service Professor,
Center for Health Policy and Media
Engagement, School of Nursing, George Washington University,
Washington, DC
Professor Emerita, Hunter-Bellevue School of Nursing, City
University of New York, New York,
New York
Elizabeth Dickson, PhD, RN
Assistant Professor, College of Nursing, Center for
Participatory Research, University of New
Mexico, Albuquerque, New Mexico
Monica R. McLemore, PhD, RN, MPH, FAAN
Associate Professor, Family Health Care Nursing, Clinician-
Scientist, Advancing New Standards in
Reproductive Health (ANSIRH), University of California, San
Francisco, San Francisco, California
G. Adriana Perez, PhD, RN, CRNP, ANP-BC,
FAAN, FGSA
Assistant Professor of Nursing, Family and Community Health,
School of Nursing, Senior Fellow,
Leonard Davis Institute of Health Economics, University of
Pennsylvania, Philadelphia,
Pennsylvania
2
Table of Contents
Cover image
Title page
Copyright
About the editors
Contributors
Reviewers
Contents
Forewords
Preface
Acknowledgments
UNIT 1. Introduction to Policy and Politics in Nursing and
Health
Care
1. Frameworks for action in policy and politics
Focus on policy: What policy?
The affordable care act
Upstream factors: Social determinants of health
Nursing and health and social policy
4
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Policy and the policy process
Forces that shape health and social policy
The framework for action
Policy and political competence
Nursing essentials
Conclusion
Discussion questions
References
2. Historical perspective on policy, politics, and nursing
“Not enough to be a messenger”
Bringing together the past for the present: What we learned
from history
Conclusion
Discussion questions
References
Online resources
3. Advocacy in nursing and health care
Evolution of nursing’s advocacy role
Models of nursing advocacy
Preparing nurses for their role as advocates
Overcoming barriers to advocacy
Lived experience of advocacy
Discussion questions
References
4. Learning the ropes of policy and politics
5
Political consciousness raising: The “aha” moment
Getting started
Mentor advantage
Educational opportunities
Fellowship experience
Discussion questions
References
Online resources
5. TAKING ACTION: Just say yes: Learning to move beyond
the fear
Mentors, passion, and curiosity
Running for office
References
6. A primer on political philosophy
Political philosophy
The state
Gender and race in political philosophy
The welfare state
Political philosophy and implications for nurses
Discussion questions
References
Online resources
7. The policy process
Health policy and politics
Unique aspects of U.S. policymaking
6
Conceptual basis for policymaking
Nurses’ competence in the policymaking process
Conclusion
Discussion questions
References
Online resources
8. Political analysis and strategies
What is political analysis?
Political strategies
References
Online resources
9. Communication and conflict management in health policy
Understanding conflict
A strategic communication framework
The strategy for effective communication
General rules for successful personal interactions
Challenges
Discussion questions
References
Online resources
10. Research as a political and policy tool
So what is policy?
What is research when it comes to policy?
The chemistry between research and policymaking
7
Using research to create, inform, and shape policy
Research and political will
Research: Not just for journals
Discussion questions
References
Online resources
11. Using research to advance health and social policies for
children
Children’s rights in the United States
Childhood as a developmental stage
Child well-being in the United States
Poverty and toxic stress
Current child health policy
Opportunities for improvement in child health policy
Implications for advocacy, policy, and research
Discussion questions
References
Online resources
12. Using the power of the media to influence health policy and
politics
Media landscape
What is the media?
How does media matter?
Who controls the media?
Media to promote health
Effective use of media
Analyzing media
8
Conclusion
Discussion questions
References
13. TAKING ACTION: Billboards and a social media campaign
References
14. Health policy, politics, and professional ethics
The ethics of influencing policy
Professional ethics and moral agency
U.S. health care reform
Allocating scarce resources
Health care disparities
Ethics and work environment policies
Conclusion
References
UNIT 2. Health Care Delivery and Financing
15. The changing united states health care system
Overview of the U.S. health care system
Transforming health care through technology
Health status and trends
Opportunities and challenges for nursing in the U.S. health care
system
Discussion questions
References
Online resources
16. A primer on health economics of nursing and health policy
9
Economics as a discipline
A fundamental economic tool
Cost-effectiveness of nursing services
Impact of health reform on nursing economics
Discussion questions
References
17. Financing health care in the united states
Historical perspectives on health care financing
Government programs
The private (commercial) health insurance
The problem of continually rising health care costs
Reimbursement mechanisms and payment reform
What is next?
Discussion questions
References
Online resources
18. The affordable care act: An uncertain future
Affordable care act design elements
Affordable care act implementation and management
Impact of the affordable care act
Conclusion
Discussion questions
References
Online resources
10
19. The national association of hispanic nurses educating
multicultural communities on the
patient protection and affordable care act
Latinos and access to health insurance coverage
A call to action for the national association of hispanic nurses
Partnerships to increase coverage in communities initiative
Action that is results oriented
Lessons learned and recommendations for future efforts
References
20. Patient engagement and public policy: Emerging new
paradigms and roles
Innovative exemplars of patient engagement
Patient engagement and federal initiatives
The role of nursing in advancing patient engagement
From patient engagement to citizen health
Conclusion
Discussion questions
References
Online resources
21. The marinated mind: Why overuse is an epidemic and how
to reduce it
Commonly overused interventions
Reasons for overuse
Physician and nurse acknowledgment of overuse
Public reporting to reduce overuse
Journalists advocate for more transparency about overuse
Increase in the peer-reviewed literature on overuse
Discussion questions
11
References
Online resources
22. Policy approaches to address health disparities
Origins of health equity policies
Health disparities and social determinants of health
From the heckler report to the affordable care act: Ongoing
changes
ACA and disparities in medicaid coverage
Health disparities remain after ACA
Disparities in health care access and the need for nurses
Summary
References
23. TAKING ACTION: Policy advocacy for American
Indian/Alaska native children:
School nutrition and indigenous food sovereignty
American Indian/Alaska native health challenges
Historical influences on childhood obesity
A shift in nutritional health
Role of schools in nutritional health of AI/AN children
My role in advocacy for school nutrition
Opportunities for advocacy and policy engagement
Discussion questions
References
Online resources
24. TAKING ACTION: Addressing the health needs of
immigrant/migrant farmworkers
Historical context of migration: Farmworkers
The bracero program (1942–1964)
12
The rise of the united farmworkers union
Migrant farmworkers: Demographic profile
Migrant farmworkers: Occupational health
Epidemiological studies: Update
A call for social justice and social determinants of health
approach
TAKING ACTION: Health care in the fields
Discussion questions
References
25. The unfulfilled promise of mental health and addiction
parity
Federal legislative milestones toward achieving behavioral
health parity
Gaps, challenges, and threats to parity law
State-level implementation
Implications for mental health nurses: Issues and strategies
Discussion questions
References
Online resources: Federal enforcement agencies
Advocacy resources
26. Improving LGBTQ+ health: Nursing policy can make a
difference
Recognizing and addressing LGBTQ+ issues
Importance of sexual orientation and gender identity data
collection
LGBTQ+ across the lifespan
Recent policy issues
Nursing education policy
Health care organizations and policy
Recommendations
13
Conclusion
Discussion questions
References
Online resources
27. Reproductive health policy
Historical perspectives on women’s health and U.S. policy
When women’s reproductive health needs are not met
What is equitable reproductive health policy?
Abortion policy and contraception
Discussion questions
References
Online resources
28. Public and population health: Promoting the health of the
public
Public health, policy, and nursing
The state of public health and the public’s health
The public health system
Public health core functions
Future directions
Discussion questions
References
Online resources
29. TAKING ACTION: Influencing public health in a politically
charged environment
Not a politician
A tale of two cities in West New York
14
Safe kids day
Flu fighters
Influencing policy and revising ordinances
Advocating for social justice
References
30. Disaster response and public health emergency preparedness
Purpose statement
Background and significance
Presidential declarations of disaster and the stafford act
Post-Katrina emergency management reform act (2006)
September 11, 2001: A sentinel event
The politics underlying disaster and public health emergency
policy
Project bioshield (2004)
Public readiness and emergency preparedness act 2005
National commission on children and disasters 2009, 2013
National terrorism advisory system (2011)
National health security strategy and implementation plan
(2015–18)
Pandemic and all-hazards preparedness reauthorization act
(2013)
Office of the assistant secretary for preparedness and response
(2018)
Public health emergency preparedness act (2018)
Strategic national stockpile
Conclusion
Discussion questions
References
Online resources
15
31. Advancing new models of primary care
Primary care and social determinants of health
Access and the ACA
Team-based care
The virtualization of primary care
Primary care settings
Transitioning from fee-for-service to value-based payments
Looking to the future: Where will science take US?
Conclusion
Discussion questions
References
Online resources
32. Family caregiving and social policy
Who are the family caregivers?
What do caregivers do?
Unpaid value of family caregiving
Personal costs of caregiving
Supporting family caregivers
Family caregiving policy
The future
Discussion questions
References
Online resources
33. Dual eligibles: Challenges and innovations in care
Who are the duals?
16
What are the challenges?
Health care delivery reforms that hold promise
Implication for nurses
Policy implications
Discussion questions
References
Online resources
34. Home care, hospice, and community-based care: Evolving
policy
Fundamental underpinnings
Innovative models in the home and in the community
From grassroots to national policy
Community-based palliative care
Medicare advantage expansion of supplemental benefits
Accountable health communities
Conclusion
Discussion questions
References
Online resources
35. Long-term services and supports policy issues
Poor quality of care
Weak enforcement
Inadequate nursing staffing levels
Corporate ownership
Financial accountability
Other issues
17
Home and community-based services
Public financing
Conclusion
Discussion questions
References
Online resources
36. The united states military and veterans administration health
systems: Contemporary
overview and policy challenges
Structure of military and veterans health care
Unique care topics across the continuum
Policy challenges
Conclusion
Discussion questions
References
Online resources
UNIT 3. Policy and Politics in the Government
37. Contemporary issues in government
Six key health issues challenging policymakers
Political and sociological barriers to addressing key issues
Conclusion
Discussion questions
References
38. How government works: What you need to know to
influence the process
Government oversight of health policy and health care
Federalist system: Three levels of government
18
Influence and how it works
Discussion questions
References
Online resources
39. An overview of legislative and regulatory processes
The power structure
How a bill becomes a law
The regulatory process
Conclusion
Discussion questions
References
Online resources
40. Lobbying policymakers: Individual and collective strategies
Nurses: Advocates or lobbyists?
Is it lobbying, advocacy, or both?
Public sentiment of lobbyists
Professional standards and regulations for lobbying
Nursing and campaign contributions
Advocacy and you: Connecting with your legislators
Meeting in person
Written communications
Wrap-up
Discussion questions
References
Online resources
19
41. Political activity: Different rules for government employees
History of efforts to restrict political activities of government
employees
The Hatch Act: What is it?
Amendments to the Hatch Act
What political activities are permitted and prohibited by the
Hatch Act?
U.S. department of defense regulations on political activity
New challenges to the Hatch Act—social media and telework
Enforcement of the Hatch Act
Recent violations of the Hatch Act
Discussion questions
References
Online resources
42. TAKING ACTION: Reflective musings from a nurse
politician
Engage! mountains can be moved with three votes
The gender factor
Health in all policies!
Example #1: Creating a health and wellness campus
Example #2: Building a therapeutic justice system
Personal reflections
References
43. TAKING ACTION: Running against the odds: There’s a
nurse in the assembly
44. Political appointments
Considering political appointment?
Identifying political appointments
20
Support for appointment
Networking: Power of connections
Political party affiliation
Preparing for appointment
Holding an appointed position
Conclusion: Influencing public policy
Discussion questions
References
Online resources
45. Nursing and the courts
The judicial system
The role of precedent
The constitution and branches of government
Judicial review
Impact litigation
Enforcing legal and regulatory requirements
Roe v. Wade and access to abortion
Criminal courts
Influencing and responding to court decisions
Conclusion
Discussion questions
References
Online resources
46. Nursing licensure and regulation
The purpose of professional regulation
21
Sources of regulation
Licensure board authority and responsibilities
Licensure requirements
Disciplinary offenses
Regulation’s shortcomings
Conclusion
Discussion questions
References
Online resources
47. TAKING ACTION: Nurse, educator, and legislator: My
journey to the delaware general
assembly and as lieutenant governor
My political roots
Volunteering and campaigning
There’s a reason it is called “running” for office
A day in the life of a nurse-legislator and Lt. Governor
What I’ve been able to accomplish as a nurse-legislator and Lt.
Governor
Tips for influencing elected officials’ health policy decisions
Is it worth it?
References
UNIT 4. Policy and Politics in the Workplace and Workforce
48. Policy and politics in health care organizations
Follow the money
Health and social determinants
Population health
Disruption to the industry
22
Opportunities for nursing
Mergers and acquisition
Key merger and acquisition activities
Post-merger considerations
Conclusion
Discussion questions
References
49. Taking your place at the table: Board appointments and
service
Why nurses?
Competencies required of board members
Process for identifying readiness for board service
Which boards are the right fit?
Resources available through nurses on boards coalition
Conclusion
Discussion questions
References
Online resources
50. TAKING ACTION: Nurse leaders in the boardroom
Getting started
Alicia’s journey
Linda’s journey
References
51. Quality and safety in health care: Policy issues
Performance measures and public reporting
23
Value-based quality outcomes of care
Regulation
Unintended consequences of policies intended to improve care
Conclusion
Discussion questions
References
52. Politics and evidence-based practice and policy
The players and their stakes
The role of politics in generating evidence
The politics of research application in clinical practice
The politics of applying research in policy formulation
Discussion questions
References
Online resources
53. The nursing workforce
Characteristics of the workforce
Expanding the workforce
Increasing diversity
Retaining workers
Addressing the nursing workforce issues
Conclusion
Discussion questions
References
Online resources
24
54. Rural health care: Workforce challenges and opportunities
Defining rural
What makes health and health care different for rural
populations?
Health disparities of rural americans
Rural health care
Rural policy, rural politics
The opportunities and challenges of rural health
Actions through policy and politics
Discussion questions
References
Online resources
55. TAKING ACTION: Increasing specialty medical care access
in rural communities
New Mexico at a glance
Access telemedicine: “Access to critical cerebral emergency
support services”
Access project origins
Access nursing roles and responsibilities
Building brick by brick
Lessons learned: It’s all about relationships
Discussion questions
References
56. Nurse staffing ratios: Policy options
The establishment of California’s regulations
What has happened as a result of California’s minimum nurse
staffing ratios?
Are hospitals meeting the minimum nurse staffing ratios?
Has the mix of staff changed?
25
Did wages for nurses increase?
Have hospitals reduced services and uncompensated care?
Have hospitals suffered financial losses?
Are nurses more satisfied?
Did the minimum nurse staffing ratios improve the quality of
care?
What’s next?
Financial incentives for nurse staffing improvement
Discussion questions
References
Online resources
57. The contemporary work environment of nursing
Definitions
Introduction
Demographics of the new workforce
Hidden curriculum
Case scenario
Process for organizational policy development for case scena rio
Harassment
Bullying and microaggressions
Curriculum on diversity
Conclusion
Discussion questions
References
58. TAKING ACTION: Racism in the workplace
Racism
26
Policies to eradicate racism
Racism in the workplace
Actionable steps to eradicate structural racism
Summary
References
59. Collective strategies for transformation in the workplace
Transformation
Creating a culture of excellence
Assessment of setting and structure
Formula for success
Implementing transformational change
Lessons learned
Examples of change decisions
Conclusion
Discussion questions
References
Online resources
60. Political context of advanced practice nursing
Advanced practice registered nurse practice, federal and state
laws
Assessing progress on the institute of medicine report
recommendation
Persistent federal barriers
Federal trade commission
State progress in increasing access to APRN care
Insurance company credentialing
Hospital privileges
27
Physician opposition
Media and messaging
Political strategy and tactics
Discussion questions
References
Online resources
61. TAKING ACTION: Never underestimate the power of a
personal story
The problem
Background
Commitment to change
Why hasn’t this policy been changed?
What is needed for change?
Welcome to policy
Relationship building
Joining forces
The meeting
Decision agenda
Concessions
Three key factors
Call to action
References
62. TAKING ACTION: Removing APRN regulatory barriers in
West Virginia
History of advanced practice registered nurse regulation in West
Virginia
Historic shift of power provides new opportunities
Coalition building
28
Strategic efforts
Trajectory of the bill
Lessons learned
References
63. TAKING ACTION: Full practice authority: A tale of two
states
A moment in time: Nurse practitioner past portends its future
A new day: The nurse practitioner movement matures
Lessons learned: Finding and using your voice
Moving forward: It takes a village to build a bench
Conclusion
Discussion questions
References
64. Policy and politics in nursing academia
Academic freedom as central to nursing education
Internal politics and policies
External politics and policies
Summary: Influence of politics and policies on academic
nursing
Discussion questions
References
Online resources
65. The intersection of technology and health care: Policy and
practice implications
Public policy support for HIT
Medicare and Medicaid Electronic Health Record Incentive
Programs and HIT
Political and clinical implications of HIT policy for nursing
29
Safety and HIT
Unintended consequences of HIT
Future direction for national HIT policy
Conclusion
Discussion questions
References
Online resources
UNIT 5. Policy and Politics in Associations and Interest Groups
66. Interest groups in health care policy and politics
Development of interest groups
Functions and methods of influence
Landscape of contemporary health care interest groups
Assessing value and considering involvement
Conclusion
Discussion questions
References
Online resources
67. Policy issues in nursing associations
What is an association?
Developmental phases
Development of American nursing organizations
Alliances
Credentialing organizations
The work of nursing associations
Policy issues affecting nursing associations
30
Challenges when addressing policy issues
Conclusion
Discussion questions
References
Online resources
68. TAKING ACTION: School nursing at the intersection of
health and education
Whole School, Whole Community, Whole Child Model
Framework for 21st Century School Nursing Practice
Opportunities and challenges with education policy
Healthy and safe schools
Opportunities and challenges with health policy
Key takeaways
Discussion questions
References
69. TAKING ACTION: The alliance of nurses for healthy
environments promoting
environmental health
Environmental health nursing in context
References
Online resources
70. Coalitions: A powerful political strategy
Birth and life cycle of coalitions
Building and maintaining a coalition: The primer
Pitfalls and challenges
Political work of coalitions
Evaluating coalition effectiveness
31
Discussion questions
References
Online resources
71. TAKING ACTION: Campaign for action
The future of nursing report
Implementing the future of nursing report
Strengthening nursing education
Conclusion
References
Online resources
72. TAKING ACTION: Why not minot? The battle over North
Dakota’s first smoke-free
ordinance
Minot’s story
Laying the groundwork
A legislative champion
Legislative process
The referendum process
“Public health improved”
Discussion questions
References
Online resources
UNIT 6. Policy and Politics in the Community
73. Where policy hits the pavement: Contemporary issues in
communities
Community defined
Community engagement
32
Contemporary policy issues affecting communities
Nurses engaging contemporary policy in community
Using health equity and SDOH framework for every population
Discussion questions
References
Online resources
74. An introduction to community activism
Key concepts
Taking action to effect change: Characteristics of community
activists and activism
Challenges and opportunities in community activism
Nurses as community activists
Discussion questions
References
Online resources
75. TAKING ACTION: From sewage problems to the
statehouse: Serving communities
Sewage changed my life
Seeing is believing
My campaigns
The value of political activity in your community
An opportunity to learn the ropes
Networking
Leadership in the International community
Mentoring other nurses for political advocacy
Recommendations for becoming involved in politics
33
76. TAKING ACTION: Contaminated water and elevated blood
lead levels in flint
Nurses call to action in lead case management
Flint’s riches to rags story
State and city fiscal challenges
Drinking from the lakes and the rivers that you are used to
Public health and clinical care linkage
A pediatrician’s observation forces the return to detroit water
Communicating lead health protective behaviors in a community
when trust is eroded
Flint forward
Calling all nurses: Power of the practitioner
Discussion questions
References
Online resources
77. Creating a culture of health and working with communities
Health care in the United States
Integrated care
Culture of health
Role of nurses in culture of health
Working with communities to transform health care
Hospital partnerships and transitions of care
Determinants of community health assessment tools and
resources
Building a sense of community and civic engagement to address
population health in
transforming health care
Advocacy and policy development to strengthen culture of
health
Conclusion
Discussion questions
34
References
78. TAKING ACTION: Activism: A community rises
From advocacy to service
Conclusion
References
79. Family and sexual violence, nursing, and U.S. policy
Intimate partner and sexual violence against women
State laws regarding intimate partner and sexual violence
Federal laws related to intimate partner and sexual violence
Health policies related to intimate partner and sexual violence
Child maltreatment
Discussion questions
References
Online resources
80. Human trafficking: The need for nursing advocacy
What is human trafficking?
Global scope of human trafficking: Overview of universal issues
and impact
U.S. responses to combating human trafficking: Policies, laws,
and consequences
Nursing advocacy, policy, and practice
Nursing organizations
Education
The workplace
Conclusion
Discussion questions
35
References
Online resources
81. TAKING ACTION: Policy, politics, and advocating for
medicinal cannabis use
History of prohibition of cannabis
Global issues
Environmental impact
Social justice and human issues
My journey
Educating nurses
Public health–related issues
References
82. Think globally, act locally: Nursing and global health
What is “global health”?
The wealth of a nation is its people
Ideals to goals to actions
Global nursing organizations
Global politics and policy
Understanding policymaking
A new story of nursing
Discussion questions
References
Online resources
83. Infectious disease in a highly connected world: Nurses’ role
to prevent, detect, respond
Context
36
Global concern, global action
Role of nurses to prevent, detect, and respond to public health
threats
Case study: Ebola virus disease outbreak: West Africa, 2014
Conclusion
Discussion questions
References
Online resources
Index
37
About the editors
DIANA J. MASON, PhD, RN, FAAN, is Senior Policy Service
Professor at the Center for
Health Policy and Media Engagement, George Washington
University School of Nursing;
and Professor Emeritus, Hunter-Bellevue School of Nursing,
City University of New York.
She is the Deputy Program Director for the International
Council of Nurses’ Global Nursing
Leadership Institute, which prepares nurse leaders around the
world to shape global,
regional, and national policies to improve the health of
populations. She is a past President
of the American Academy of Nursing, former Editor-in-Chief of
the American Journal of
Nursing, and producer and moderator of a community radio
program on health and health
policy since 1985. She has served as the only health
professional on the National Advisory
Committee for Kaiser Health News since its inception in 2009.
She blogs on policy for
HealthCetera and JAMA News Forum. Dr. Mason is the
principal investigator on a replication
of the 1998 Woodhull Study on Nurses and the Media published
in 2018 in the Journal of
Nursing Scholarship and an additional analysis of journalists’
experiences with using nurses
as sources in health news stories published in the American
Journal of Nursing.
Dr. Mason is a member of the Board of Directors of the Primary
Care Development
Corporation, a nonprofit Community Development Financial
Institution focused on
building the nation’s capacity for primary care; and of Public
Health
Solution
s, New York
City’s largest public health organization that focuses on
improving the health of vulnerable
families. She chairs the National Advisory Board of the Center
for Health and Social Care
Integration at Rush University Medical Center and is Facilitator
and Co-Chair of the
Catskills Addiction Coalition. She served as a member of the
National Academies of
Science, Engineering and Medicine Committee for the report on
Integrating Social Needs Care
into the Delivery of Health Care to Improve the Nation’s
Health, and she co-chaired the Josiah
Macy Foundation invitational conference and report on
Registered Nurses: Partners in
Transforming Primary Care.
The recipient of numerous awards for leadership, dissemination
of science, writing,
education, policy, and advocacy, Dr. Mason is a fellow of the
American Academy of
Nursing and the New York Academy of Medicine, from which
she received the Academy
Medal for Distinguished Contributions in Health Policy in 2019.
She received a BSN from
West Virginia University, an MSN from St. Louis University, a
PhD from New York
University, an honorary Doctorate of Science from West
Virginia University, and an
honorary doctorate of humane letters from Long Island
University.
ELIZABETH DICKSON, PhD, RN, is an Assistant Professor at
the University of New
Mexico, College of Nursing in Albuquerque, New Mexico and a
fellow of the Robert Wood
Johnson Foundation Nursing and Health Policy Collaborative.
Dr. Dickson’s public health
experience spans local, county, state, and federal public health
agencies, with foci on
maternal-child health, childhood immunizations, tuberculosis
management, STD/HIV
prevention, family planning, and school health programs in
California, Arizona, and New
Mexico.
40
Dr. Dickson’s program of research focuses on the intersection
of adolescent health, health
education, school health and education policy, and school
nursing. She serves on the Board
of Directors for the New Mexico Alliance for School Based
Health Care and multiple state
and local community advisory boards for projects focused on
improving LGBTQ adolescent
health and health education. Dr. Dickson testified before
legislative health and education
committees regarding her research on sexual health education in
secondary schools. Her
research collaboration includes the University of New Mexico
Center for Participatory
Research, where she serves as co-investigator for NIH/NINR-
supported research exploring
community-based participatory research within academic and
community partnerships.
Dr. Dickson received a BS in business management from
California State University,
Sacramento, an MSN from Samuel Merritt College, Oakland,
California, and a PhD in
nursing from the University of New Mexico.
MONICA R. McLEMORE, PhD, MPH, RN, FAAN is an
associate professor in the Family
Health Care Nursing Department, a research scientist with
Advancing New Standards in
Reproductive Health, and a member of the Bixby Center for
Global Reproductive Health.
Her program of research is focused on understanding
reproductive health and justice. She
has published 49 peer-reviewed articles, op-eds, and
commentaries, and her research has
been cited in the Huffington Post, Lavender Health, two amicus
briefs to the Supreme Court
of the United States, and a National Academies of Science,
Engineering, and Medicine
report. Her work has appeared in publications such as Dame
magazine, Politico, and
ProPublica/NPR, and she made a voice appearance in Terrance
Nance’s HBO series
Random Acts of Flyness. She is an elected member of the
governing council for Sexual and
Reproductive Health (SRH) section of the American Public
Health Association and became
chair-elect of the SRH section at the 2018 annual meeting. She
is a recipient of the 2015
teaching award from the American College of Nurse Midwives
and one of 10 Culture of
Health, Breakthrough Leaders in Nursing—a program of the
Robert Wood Johnson
Foundation, AARP, and the Center to Champion Nursing in
America. She currently serves
on the board of Centering Health Care International. In 2018
Dr. McLemore received the
Person of the Year Award from the Abortion Care Network, and
she was inducted as a
fellow of the American Academy of Nursing in 2019.
G. ADRIANA PEREZ, PhD, RN, CRNP, ANP-BC, FAAN,
FGSA, is an Assistant Professor
of Nursing and Senior Fellow at the Leonard Davis Institute of
Health Economics at the
University of Pennsylvania, School of Nursing. Her program of
research focuses on the
development and testing of theory-based community
interventions to promote
cardiovascular health and cognitive health in older Latinos.
Current studies are funded by
the National Institutes of Health/National Institute of Nursing
Research Supplement to
Promote Diversity in Health Related Research Program and the
Penn Center for Improving
Care Delivery for the Aging, National Institute on Aging. She
was selected as a
Congressional/Health and Aging Policy Fellow (2011-2013)
supported by the Atlantic
Philanthropies and Centers for Disease Control and Prevention.
Dr. Perez is a Fellow of the American Academy of Nursing and
the Gerontological
Society of America (GSA). She has served as Chair of the
Academy’s Expert Panel on
Aging; Chair of the Public Policy Committee for the National
Association of Hispanic
Nurses; member of the UnitedHealth Group External Clinician
Advisory Board; and
appointed board member for the American Organization of
Nurse Leaders. Dr. Perez
received the GSA 2018 Senior Service America, Senior Scholar
Award for Research Related
to Disadvantaged Older Adults. She is a board-certified Adult
Nurse Practitioner at Mercy
41
LIFE, providing community-based long-term care for diverse,
frail elders who reside in
North Philadelphia.
Dr. Perez grew up in Yuma, Arizona, near the United States–
Mexico border. She received
her BSN, MS Adult Nurse Practitioner, and PhD from Arizona
State University, College of
Nursing & Health Innovation. She received the Patricia G.
Archbold Predoctoral
Scholarship and Claire M. Fagin Postdoctoral Fellowship from
the John A. Hartford
Foundation, National Hartford Center for Gerontological
Nursing Excellence.
42
Contributors
Dawn Marie Adams, DNP, ANP Cert, MSN, BSN
Director, Office of Integrated Health, Department of Behavioral
Health and Developmental
Services, Richmond, Virginia
Adjunct Professor, Old Dominion University, Norfolk,
VirginiaAdjunct Professor, Old
Dominion University, Norfolk, Virginia
Delegate, House, Virginia General Assembly, Richmond,
Virginia
Susan L. Adams, PhD, BSN, MSN, Associate Professor,
Betty Irene Moore School of
Nursing, University of California, Davis, Sacramento,
California
Gale Adcock, BSN, MSN
Representative, District 41, North Carolina House of
Representatives, Raleigh, North
Carolina
Chief Health Officer, SAS Institute, Cary, North Carolina
Lucia Judith Alfano, RN, MA, Assistant Professor of
Nursing, Division of Nursing,
Concordia College, Bronxville, New York
Carmen Alvarez, PhD, MSN, BSN, Assistant Professor,
Community–Public Health,
Johns Hopkins University School of Nursing, Baltimore,
Maryland
Angela Amar, PhD, RN, Dean, School of Nursing, University
of Nevada, Las Vegas, Las
Vegas, Nevada
Amy L. Anderson, RN, DNP, CNE, Assistant Professor of
Professional Practice, Harris
College of Nursing and Health Sciences, Texas Christian
University, Fort Worth, Texas
Rhonda Anderson, RN, BS, MPA, DNSc(h)
Consultant Healthcare, RMA Consulting, Scottsdale, Arizona
Consultant/Surveyor, Medical Travel, Global Healthcare
Accreditation, Palm Beach
Gardens, Florida
Susan Apold, PhD, ANP-BC, AGNP, FAAN, FAANP, Dean,
School of Health Sciences
and Nursing, Concordia College, Bronxville, New York
Debra A. Banks, RN, BSN, MSN, Clinical Nurse Director of
Neurosurgery, University of
New Mexico Health Sciences Center, Albuquerque, New Mexico
Kenya V. Beard, EdD, MSN, BS, Associate Professor of
Nursing, City University of New
York, Dix Hills, New York
43
Mary L. Behrens, MS, BS, FNP-BC, FAANP, President,
Wyoming Center for Nursing,
Casper, Wyoming, Board Member/Nursing, University of
Wisconsin, Madison, Wisconsin
Susan I. Belanger, PhD, RN, MA, NEA-BC, Interim SVP
Mission Integration and System
Ethicist, Covenant Health, Tewksbury, Massachusetts
Laurie S. Benson, BSN, Executive Director, Nurses on
Boards Coalition, Washington, DC
Virginia Trotter Betts, RN, MSN, JD, FAAN, President and
Chief Executive Officer,
Health Futures, Inc., Nashville, Tennessee
Mary Blankson, DNP, APRN, FNP-C, Chief Nursing Officer,
Community Health Center,
Inc., Middletown, Connecticut
Linda Burnes Bolton, RN, DrPH, FAAN, Senior Vice
President, Cedars-Sinai Health
System, Los Angeles, California
Patricia K. Bradley, PhD, RN, MSN, FAAN, Associate
Professor, Fitzpatrick College of
Nursing, Villanova University, Villanova, Pennsylvania
Sherl Brand, RN, BSN, Senior Vice President, Strategic

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HFMG 4999- Health & Fitness Management CapstoneCase Study # 2

  • 1. HFMG 4999- Health & Fitness Management Capstone Case Study # 2 Thomas is a collegiate Division II track sprinter who missed most of his last season because of multiple lower body muscle strains. His off-season goals are to maintain his lower body power and strength while increasing his flexibility in order to decrease the frequency of in season muscle strains. Thomas’s strength coach has provided him with an offseason resistance program, but he has asked you to create a stretching program that will get him through his next season “injury free”. Thomas has been working with strength coaches for 10 years and will be using his schools weight room that is fully equipped with any amenities he may need. Required: Include the following: 1. Conduct a needs analysis that includes common muscular injuries that track sprinters experience along with recommendations to decrease these occurrences. 2. In narrative form provide a list of the recommended stretches and the rationale for including them in Thomas’s program. Include In the rationale: A. Muscles stretched including cues B. Training frequency C. Sets and Reps 3. Discuss other methods and modalities that Thomas can add to his program to decrease the likelihood of straining muscles in the upcoming track season. Policy & Politics in Nursing and Health Care
  • 2. EIGHTH EDITION Diana J. Mason, PhD, RN, FAAN Consultant and Journalist, Senior Policy Service Professor, Center for Health Policy and Media Engagement, School of Nursing, George Washington University, Washington, DC Professor Emerita, Hunter-Bellevue School of Nursing, City University of New York, New York, New York Elizabeth Dickson, PhD, RN Assistant Professor, College of Nursing, Center for Participatory Research, University of New Mexico, Albuquerque, New Mexico Monica R. McLemore, PhD, RN, MPH, FAAN Associate Professor, Family Health Care Nursing, Clinician- Scientist, Advancing New Standards in Reproductive Health (ANSIRH), University of California, San Francisco, San Francisco, California G. Adriana Perez, PhD, RN, CRNP, ANP-BC, FAAN, FGSA Assistant Professor of Nursing, Family and Community Health, School of Nursing, Senior Fellow, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania 2 Table of Contents
  • 3. Cover image Title page Copyright About the editors Contributors Reviewers Contents Forewords Preface Acknowledgments UNIT 1. Introduction to Policy and Politics in Nursing and Health Care 1. Frameworks for action in policy and politics Focus on policy: What policy? The affordable care act Upstream factors: Social determinants of health Nursing and health and social policy 4
  • 4. kindle:embed:0006?mime=image/jpg Policy and the policy process Forces that shape health and social policy The framework for action Policy and political competence Nursing essentials Conclusion Discussion questions References 2. Historical perspective on policy, politics, and nursing “Not enough to be a messenger” Bringing together the past for the present: What we learned from history Conclusion Discussion questions References Online resources 3. Advocacy in nursing and health care
  • 5. Evolution of nursing’s advocacy role Models of nursing advocacy Preparing nurses for their role as advocates Overcoming barriers to advocacy Lived experience of advocacy Discussion questions References 4. Learning the ropes of policy and politics 5 Political consciousness raising: The “aha” moment Getting started Mentor advantage Educational opportunities Fellowship experience Discussion questions References Online resources
  • 6. 5. TAKING ACTION: Just say yes: Learning to move beyond the fear Mentors, passion, and curiosity Running for office References 6. A primer on political philosophy Political philosophy The state Gender and race in political philosophy The welfare state Political philosophy and implications for nurses Discussion questions References Online resources 7. The policy process Health policy and politics Unique aspects of U.S. policymaking 6
  • 7. Conceptual basis for policymaking Nurses’ competence in the policymaking process Conclusion Discussion questions References Online resources 8. Political analysis and strategies What is political analysis? Political strategies References Online resources 9. Communication and conflict management in health policy Understanding conflict A strategic communication framework The strategy for effective communication General rules for successful personal interactions Challenges Discussion questions
  • 8. References Online resources 10. Research as a political and policy tool So what is policy? What is research when it comes to policy? The chemistry between research and policymaking 7 Using research to create, inform, and shape policy Research and political will Research: Not just for journals Discussion questions References Online resources 11. Using research to advance health and social policies for children Children’s rights in the United States Childhood as a developmental stage
  • 9. Child well-being in the United States Poverty and toxic stress Current child health policy Opportunities for improvement in child health policy Implications for advocacy, policy, and research Discussion questions References Online resources 12. Using the power of the media to influence health policy and politics Media landscape What is the media? How does media matter? Who controls the media? Media to promote health Effective use of media Analyzing media 8
  • 10. Conclusion Discussion questions References 13. TAKING ACTION: Billboards and a social media campaign References 14. Health policy, politics, and professional ethics The ethics of influencing policy Professional ethics and moral agency U.S. health care reform Allocating scarce resources Health care disparities Ethics and work environment policies Conclusion References UNIT 2. Health Care Delivery and Financing 15. The changing united states health care system Overview of the U.S. health care system Transforming health care through technology
  • 11. Health status and trends Opportunities and challenges for nursing in the U.S. health care system Discussion questions References Online resources 16. A primer on health economics of nursing and health policy 9 Economics as a discipline A fundamental economic tool Cost-effectiveness of nursing services Impact of health reform on nursing economics Discussion questions References 17. Financing health care in the united states Historical perspectives on health care financing Government programs
  • 12. The private (commercial) health insurance The problem of continually rising health care costs Reimbursement mechanisms and payment reform What is next? Discussion questions References Online resources 18. The affordable care act: An uncertain future Affordable care act design elements Affordable care act implementation and management Impact of the affordable care act Conclusion Discussion questions References Online resources 10 19. The national association of hispanic nurses educating multicultural communities on the
  • 13. patient protection and affordable care act Latinos and access to health insurance coverage A call to action for the national association of hispanic nurses Partnerships to increase coverage in communities initiative Action that is results oriented Lessons learned and recommendations for future efforts References 20. Patient engagement and public policy: Emerging new paradigms and roles Innovative exemplars of patient engagement Patient engagement and federal initiatives The role of nursing in advancing patient engagement From patient engagement to citizen health Conclusion Discussion questions References Online resources 21. The marinated mind: Why overuse is an epidemic and how to reduce it
  • 14. Commonly overused interventions Reasons for overuse Physician and nurse acknowledgment of overuse Public reporting to reduce overuse Journalists advocate for more transparency about overuse Increase in the peer-reviewed literature on overuse Discussion questions 11 References Online resources 22. Policy approaches to address health disparities Origins of health equity policies Health disparities and social determinants of health From the heckler report to the affordable care act: Ongoing changes ACA and disparities in medicaid coverage Health disparities remain after ACA Disparities in health care access and the need for nurses
  • 15. Summary References 23. TAKING ACTION: Policy advocacy for American Indian/Alaska native children: School nutrition and indigenous food sovereignty American Indian/Alaska native health challenges Historical influences on childhood obesity A shift in nutritional health Role of schools in nutritional health of AI/AN children My role in advocacy for school nutrition Opportunities for advocacy and policy engagement Discussion questions References Online resources 24. TAKING ACTION: Addressing the health needs of immigrant/migrant farmworkers Historical context of migration: Farmworkers The bracero program (1942–1964) 12
  • 16. The rise of the united farmworkers union Migrant farmworkers: Demographic profile Migrant farmworkers: Occupational health Epidemiological studies: Update A call for social justice and social determinants of health approach TAKING ACTION: Health care in the fields Discussion questions References 25. The unfulfilled promise of mental health and addiction parity Federal legislative milestones toward achieving behavioral health parity Gaps, challenges, and threats to parity law State-level implementation Implications for mental health nurses: Issues and strategies Discussion questions References Online resources: Federal enforcement agencies
  • 17. Advocacy resources 26. Improving LGBTQ+ health: Nursing policy can make a difference Recognizing and addressing LGBTQ+ issues Importance of sexual orientation and gender identity data collection LGBTQ+ across the lifespan Recent policy issues Nursing education policy Health care organizations and policy Recommendations 13 Conclusion Discussion questions References Online resources 27. Reproductive health policy Historical perspectives on women’s health and U.S. policy
  • 18. When women’s reproductive health needs are not met What is equitable reproductive health policy? Abortion policy and contraception Discussion questions References Online resources 28. Public and population health: Promoting the health of the public Public health, policy, and nursing The state of public health and the public’s health The public health system Public health core functions Future directions Discussion questions References Online resources 29. TAKING ACTION: Influencing public health in a politically charged environment Not a politician
  • 19. A tale of two cities in West New York 14 Safe kids day Flu fighters Influencing policy and revising ordinances Advocating for social justice References 30. Disaster response and public health emergency preparedness Purpose statement Background and significance Presidential declarations of disaster and the stafford act Post-Katrina emergency management reform act (2006) September 11, 2001: A sentinel event The politics underlying disaster and public health emergency policy Project bioshield (2004) Public readiness and emergency preparedness act 2005
  • 20. National commission on children and disasters 2009, 2013 National terrorism advisory system (2011) National health security strategy and implementation plan (2015–18) Pandemic and all-hazards preparedness reauthorization act (2013) Office of the assistant secretary for preparedness and response (2018) Public health emergency preparedness act (2018) Strategic national stockpile Conclusion Discussion questions References Online resources 15 31. Advancing new models of primary care Primary care and social determinants of health Access and the ACA Team-based care
  • 21. The virtualization of primary care Primary care settings Transitioning from fee-for-service to value-based payments Looking to the future: Where will science take US? Conclusion Discussion questions References Online resources 32. Family caregiving and social policy Who are the family caregivers? What do caregivers do? Unpaid value of family caregiving Personal costs of caregiving Supporting family caregivers Family caregiving policy The future Discussion questions References
  • 22. Online resources 33. Dual eligibles: Challenges and innovations in care Who are the duals? 16 What are the challenges? Health care delivery reforms that hold promise Implication for nurses Policy implications Discussion questions References Online resources 34. Home care, hospice, and community-based care: Evolving policy Fundamental underpinnings Innovative models in the home and in the community From grassroots to national policy Community-based palliative care
  • 23. Medicare advantage expansion of supplemental benefits Accountable health communities Conclusion Discussion questions References Online resources 35. Long-term services and supports policy issues Poor quality of care Weak enforcement Inadequate nursing staffing levels Corporate ownership Financial accountability Other issues 17 Home and community-based services Public financing Conclusion
  • 24. Discussion questions References Online resources 36. The united states military and veterans administration health systems: Contemporary overview and policy challenges Structure of military and veterans health care Unique care topics across the continuum Policy challenges Conclusion Discussion questions References Online resources UNIT 3. Policy and Politics in the Government 37. Contemporary issues in government Six key health issues challenging policymakers Political and sociological barriers to addressing key issues Conclusion Discussion questions
  • 25. References 38. How government works: What you need to know to influence the process Government oversight of health policy and health care Federalist system: Three levels of government 18 Influence and how it works Discussion questions References Online resources 39. An overview of legislative and regulatory processes The power structure How a bill becomes a law The regulatory process Conclusion Discussion questions References Online resources
  • 26. 40. Lobbying policymakers: Individual and collective strategies Nurses: Advocates or lobbyists? Is it lobbying, advocacy, or both? Public sentiment of lobbyists Professional standards and regulations for lobbying Nursing and campaign contributions Advocacy and you: Connecting with your legislators Meeting in person Written communications Wrap-up Discussion questions References Online resources 19 41. Political activity: Different rules for government employees History of efforts to restrict political activities of government employees
  • 27. The Hatch Act: What is it? Amendments to the Hatch Act What political activities are permitted and prohibited by the Hatch Act? U.S. department of defense regulations on political activity New challenges to the Hatch Act—social media and telework Enforcement of the Hatch Act Recent violations of the Hatch Act Discussion questions References Online resources 42. TAKING ACTION: Reflective musings from a nurse politician Engage! mountains can be moved with three votes The gender factor Health in all policies! Example #1: Creating a health and wellness campus Example #2: Building a therapeutic justice system Personal reflections
  • 28. References 43. TAKING ACTION: Running against the odds: There’s a nurse in the assembly 44. Political appointments Considering political appointment? Identifying political appointments 20 Support for appointment Networking: Power of connections Political party affiliation Preparing for appointment Holding an appointed position Conclusion: Influencing public policy Discussion questions References Online resources 45. Nursing and the courts The judicial system
  • 29. The role of precedent The constitution and branches of government Judicial review Impact litigation Enforcing legal and regulatory requirements Roe v. Wade and access to abortion Criminal courts Influencing and responding to court decisions Conclusion Discussion questions References Online resources 46. Nursing licensure and regulation The purpose of professional regulation 21 Sources of regulation Licensure board authority and responsibilities
  • 30. Licensure requirements Disciplinary offenses Regulation’s shortcomings Conclusion Discussion questions References Online resources 47. TAKING ACTION: Nurse, educator, and legislator: My journey to the delaware general assembly and as lieutenant governor My political roots Volunteering and campaigning There’s a reason it is called “running” for office A day in the life of a nurse-legislator and Lt. Governor What I’ve been able to accomplish as a nurse-legislator and Lt. Governor Tips for influencing elected officials’ health policy decisions Is it worth it? References
  • 31. UNIT 4. Policy and Politics in the Workplace and Workforce 48. Policy and politics in health care organizations Follow the money Health and social determinants Population health Disruption to the industry 22 Opportunities for nursing Mergers and acquisition Key merger and acquisition activities Post-merger considerations Conclusion Discussion questions References 49. Taking your place at the table: Board appointments and service Why nurses? Competencies required of board members
  • 32. Process for identifying readiness for board service Which boards are the right fit? Resources available through nurses on boards coalition Conclusion Discussion questions References Online resources 50. TAKING ACTION: Nurse leaders in the boardroom Getting started Alicia’s journey Linda’s journey References 51. Quality and safety in health care: Policy issues Performance measures and public reporting 23 Value-based quality outcomes of care Regulation
  • 33. Unintended consequences of policies intended to improve care Conclusion Discussion questions References 52. Politics and evidence-based practice and policy The players and their stakes The role of politics in generating evidence The politics of research application in clinical practice The politics of applying research in policy formulation Discussion questions References Online resources 53. The nursing workforce Characteristics of the workforce Expanding the workforce Increasing diversity Retaining workers Addressing the nursing workforce issues
  • 34. Conclusion Discussion questions References Online resources 24 54. Rural health care: Workforce challenges and opportunities Defining rural What makes health and health care different for rural populations? Health disparities of rural americans Rural health care Rural policy, rural politics The opportunities and challenges of rural health Actions through policy and politics Discussion questions References Online resources
  • 35. 55. TAKING ACTION: Increasing specialty medical care access in rural communities New Mexico at a glance Access telemedicine: “Access to critical cerebral emergency support services” Access project origins Access nursing roles and responsibilities Building brick by brick Lessons learned: It’s all about relationships Discussion questions References 56. Nurse staffing ratios: Policy options The establishment of California’s regulations What has happened as a result of California’s minimum nurse staffing ratios? Are hospitals meeting the minimum nurse staffing ratios? Has the mix of staff changed? 25 Did wages for nurses increase?
  • 36. Have hospitals reduced services and uncompensated care? Have hospitals suffered financial losses? Are nurses more satisfied? Did the minimum nurse staffing ratios improve the quality of care? What’s next? Financial incentives for nurse staffing improvement Discussion questions References Online resources 57. The contemporary work environment of nursing Definitions Introduction Demographics of the new workforce Hidden curriculum Case scenario Process for organizational policy development for case scena rio Harassment
  • 37. Bullying and microaggressions Curriculum on diversity Conclusion Discussion questions References 58. TAKING ACTION: Racism in the workplace Racism 26 Policies to eradicate racism Racism in the workplace Actionable steps to eradicate structural racism Summary References 59. Collective strategies for transformation in the workplace Transformation Creating a culture of excellence Assessment of setting and structure
  • 38. Formula for success Implementing transformational change Lessons learned Examples of change decisions Conclusion Discussion questions References Online resources 60. Political context of advanced practice nursing Advanced practice registered nurse practice, federal and state laws Assessing progress on the institute of medicine report recommendation Persistent federal barriers Federal trade commission State progress in increasing access to APRN care Insurance company credentialing Hospital privileges 27
  • 39. Physician opposition Media and messaging Political strategy and tactics Discussion questions References Online resources 61. TAKING ACTION: Never underestimate the power of a personal story The problem Background Commitment to change Why hasn’t this policy been changed? What is needed for change? Welcome to policy Relationship building Joining forces The meeting Decision agenda
  • 40. Concessions Three key factors Call to action References 62. TAKING ACTION: Removing APRN regulatory barriers in West Virginia History of advanced practice registered nurse regulation in West Virginia Historic shift of power provides new opportunities Coalition building 28 Strategic efforts Trajectory of the bill Lessons learned References 63. TAKING ACTION: Full practice authority: A tale of two states A moment in time: Nurse practitioner past portends its future
  • 41. A new day: The nurse practitioner movement matures Lessons learned: Finding and using your voice Moving forward: It takes a village to build a bench Conclusion Discussion questions References 64. Policy and politics in nursing academia Academic freedom as central to nursing education Internal politics and policies External politics and policies Summary: Influence of politics and policies on academic nursing Discussion questions References Online resources 65. The intersection of technology and health care: Policy and practice implications Public policy support for HIT Medicare and Medicaid Electronic Health Record Incentive Programs and HIT
  • 42. Political and clinical implications of HIT policy for nursing 29 Safety and HIT Unintended consequences of HIT Future direction for national HIT policy Conclusion Discussion questions References Online resources UNIT 5. Policy and Politics in Associations and Interest Groups 66. Interest groups in health care policy and politics Development of interest groups Functions and methods of influence Landscape of contemporary health care interest groups Assessing value and considering involvement Conclusion Discussion questions
  • 43. References Online resources 67. Policy issues in nursing associations What is an association? Developmental phases Development of American nursing organizations Alliances Credentialing organizations The work of nursing associations Policy issues affecting nursing associations 30 Challenges when addressing policy issues Conclusion Discussion questions References Online resources 68. TAKING ACTION: School nursing at the intersection of
  • 44. health and education Whole School, Whole Community, Whole Child Model Framework for 21st Century School Nursing Practice Opportunities and challenges with education policy Healthy and safe schools Opportunities and challenges with health policy Key takeaways Discussion questions References 69. TAKING ACTION: The alliance of nurses for healthy environments promoting environmental health Environmental health nursing in context References Online resources 70. Coalitions: A powerful political strategy Birth and life cycle of coalitions Building and maintaining a coalition: The primer Pitfalls and challenges
  • 45. Political work of coalitions Evaluating coalition effectiveness 31 Discussion questions References Online resources 71. TAKING ACTION: Campaign for action The future of nursing report Implementing the future of nursing report Strengthening nursing education Conclusion References Online resources 72. TAKING ACTION: Why not minot? The battle over North Dakota’s first smoke-free ordinance Minot’s story Laying the groundwork
  • 46. A legislative champion Legislative process The referendum process “Public health improved” Discussion questions References Online resources UNIT 6. Policy and Politics in the Community 73. Where policy hits the pavement: Contemporary issues in communities Community defined Community engagement 32 Contemporary policy issues affecting communities Nurses engaging contemporary policy in community Using health equity and SDOH framework for every population Discussion questions References
  • 47. Online resources 74. An introduction to community activism Key concepts Taking action to effect change: Characteristics of community activists and activism Challenges and opportunities in community activism Nurses as community activists Discussion questions References Online resources 75. TAKING ACTION: From sewage problems to the statehouse: Serving communities Sewage changed my life Seeing is believing My campaigns The value of political activity in your community An opportunity to learn the ropes Networking Leadership in the International community
  • 48. Mentoring other nurses for political advocacy Recommendations for becoming involved in politics 33 76. TAKING ACTION: Contaminated water and elevated blood lead levels in flint Nurses call to action in lead case management Flint’s riches to rags story State and city fiscal challenges Drinking from the lakes and the rivers that you are used to Public health and clinical care linkage A pediatrician’s observation forces the return to detroit water Communicating lead health protective behaviors in a community when trust is eroded Flint forward Calling all nurses: Power of the practitioner Discussion questions References Online resources
  • 49. 77. Creating a culture of health and working with communities Health care in the United States Integrated care Culture of health Role of nurses in culture of health Working with communities to transform health care Hospital partnerships and transitions of care Determinants of community health assessment tools and resources Building a sense of community and civic engagement to address population health in transforming health care Advocacy and policy development to strengthen culture of health Conclusion Discussion questions 34 References 78. TAKING ACTION: Activism: A community rises
  • 50. From advocacy to service Conclusion References 79. Family and sexual violence, nursing, and U.S. policy Intimate partner and sexual violence against women State laws regarding intimate partner and sexual violence Federal laws related to intimate partner and sexual violence Health policies related to intimate partner and sexual violence Child maltreatment Discussion questions References Online resources 80. Human trafficking: The need for nursing advocacy What is human trafficking? Global scope of human trafficking: Overview of universal issues and impact U.S. responses to combating human trafficking: Policies, laws, and consequences Nursing advocacy, policy, and practice
  • 51. Nursing organizations Education The workplace Conclusion Discussion questions 35 References Online resources 81. TAKING ACTION: Policy, politics, and advocating for medicinal cannabis use History of prohibition of cannabis Global issues Environmental impact Social justice and human issues My journey Educating nurses Public health–related issues
  • 52. References 82. Think globally, act locally: Nursing and global health What is “global health”? The wealth of a nation is its people Ideals to goals to actions Global nursing organizations Global politics and policy Understanding policymaking A new story of nursing Discussion questions References Online resources 83. Infectious disease in a highly connected world: Nurses’ role to prevent, detect, respond Context 36 Global concern, global action Role of nurses to prevent, detect, and respond to public health
  • 53. threats Case study: Ebola virus disease outbreak: West Africa, 2014 Conclusion Discussion questions References Online resources Index 37 About the editors DIANA J. MASON, PhD, RN, FAAN, is Senior Policy Service Professor at the Center for Health Policy and Media Engagement, George Washington University School of Nursing; and Professor Emeritus, Hunter-Bellevue School of Nursing, City University of New York. She is the Deputy Program Director for the International Council of Nurses’ Global Nursing Leadership Institute, which prepares nurse leaders around the world to shape global, regional, and national policies to improve the health of populations. She is a past President of the American Academy of Nursing, former Editor-in-Chief of the American Journal of Nursing, and producer and moderator of a community radio program on health and health
  • 54. policy since 1985. She has served as the only health professional on the National Advisory Committee for Kaiser Health News since its inception in 2009. She blogs on policy for HealthCetera and JAMA News Forum. Dr. Mason is the principal investigator on a replication of the 1998 Woodhull Study on Nurses and the Media published in 2018 in the Journal of Nursing Scholarship and an additional analysis of journalists’ experiences with using nurses as sources in health news stories published in the American Journal of Nursing. Dr. Mason is a member of the Board of Directors of the Primary Care Development Corporation, a nonprofit Community Development Financial Institution focused on building the nation’s capacity for primary care; and of Public Health Solution s, New York City’s largest public health organization that focuses on improving the health of vulnerable families. She chairs the National Advisory Board of the Center for Health and Social Care Integration at Rush University Medical Center and is Facilitator and Co-Chair of the Catskills Addiction Coalition. She served as a member of the
  • 55. National Academies of Science, Engineering and Medicine Committee for the report on Integrating Social Needs Care into the Delivery of Health Care to Improve the Nation’s Health, and she co-chaired the Josiah Macy Foundation invitational conference and report on Registered Nurses: Partners in Transforming Primary Care. The recipient of numerous awards for leadership, dissemination of science, writing, education, policy, and advocacy, Dr. Mason is a fellow of the American Academy of Nursing and the New York Academy of Medicine, from which she received the Academy Medal for Distinguished Contributions in Health Policy in 2019. She received a BSN from West Virginia University, an MSN from St. Louis University, a PhD from New York University, an honorary Doctorate of Science from West Virginia University, and an honorary doctorate of humane letters from Long Island University. ELIZABETH DICKSON, PhD, RN, is an Assistant Professor at
  • 56. the University of New Mexico, College of Nursing in Albuquerque, New Mexico and a fellow of the Robert Wood Johnson Foundation Nursing and Health Policy Collaborative. Dr. Dickson’s public health experience spans local, county, state, and federal public health agencies, with foci on maternal-child health, childhood immunizations, tuberculosis management, STD/HIV prevention, family planning, and school health programs in California, Arizona, and New Mexico. 40 Dr. Dickson’s program of research focuses on the intersection of adolescent health, health education, school health and education policy, and school nursing. She serves on the Board of Directors for the New Mexico Alliance for School Based Health Care and multiple state and local community advisory boards for projects focused on improving LGBTQ adolescent
  • 57. health and health education. Dr. Dickson testified before legislative health and education committees regarding her research on sexual health education in secondary schools. Her research collaboration includes the University of New Mexico Center for Participatory Research, where she serves as co-investigator for NIH/NINR- supported research exploring community-based participatory research within academic and community partnerships. Dr. Dickson received a BS in business management from California State University, Sacramento, an MSN from Samuel Merritt College, Oakland, California, and a PhD in nursing from the University of New Mexico. MONICA R. McLEMORE, PhD, MPH, RN, FAAN is an associate professor in the Family Health Care Nursing Department, a research scientist with Advancing New Standards in Reproductive Health, and a member of the Bixby Center for Global Reproductive Health. Her program of research is focused on understanding reproductive health and justice. She
  • 58. has published 49 peer-reviewed articles, op-eds, and commentaries, and her research has been cited in the Huffington Post, Lavender Health, two amicus briefs to the Supreme Court of the United States, and a National Academies of Science, Engineering, and Medicine report. Her work has appeared in publications such as Dame magazine, Politico, and ProPublica/NPR, and she made a voice appearance in Terrance Nance’s HBO series Random Acts of Flyness. She is an elected member of the governing council for Sexual and Reproductive Health (SRH) section of the American Public Health Association and became chair-elect of the SRH section at the 2018 annual meeting. She is a recipient of the 2015 teaching award from the American College of Nurse Midwives and one of 10 Culture of Health, Breakthrough Leaders in Nursing—a program of the Robert Wood Johnson Foundation, AARP, and the Center to Champion Nursing in America. She currently serves on the board of Centering Health Care International. In 2018 Dr. McLemore received the Person of the Year Award from the Abortion Care Network, and
  • 59. she was inducted as a fellow of the American Academy of Nursing in 2019. G. ADRIANA PEREZ, PhD, RN, CRNP, ANP-BC, FAAN, FGSA, is an Assistant Professor of Nursing and Senior Fellow at the Leonard Davis Institute of Health Economics at the University of Pennsylvania, School of Nursing. Her program of research focuses on the development and testing of theory-based community interventions to promote cardiovascular health and cognitive health in older Latinos. Current studies are funded by the National Institutes of Health/National Institute of Nursing Research Supplement to Promote Diversity in Health Related Research Program and the Penn Center for Improving Care Delivery for the Aging, National Institute on Aging. She was selected as a Congressional/Health and Aging Policy Fellow (2011-2013) supported by the Atlantic Philanthropies and Centers for Disease Control and Prevention. Dr. Perez is a Fellow of the American Academy of Nursing and the Gerontological
  • 60. Society of America (GSA). She has served as Chair of the Academy’s Expert Panel on Aging; Chair of the Public Policy Committee for the National Association of Hispanic Nurses; member of the UnitedHealth Group External Clinician Advisory Board; and appointed board member for the American Organization of Nurse Leaders. Dr. Perez received the GSA 2018 Senior Service America, Senior Scholar Award for Research Related to Disadvantaged Older Adults. She is a board-certified Adult Nurse Practitioner at Mercy 41 LIFE, providing community-based long-term care for diverse, frail elders who reside in North Philadelphia. Dr. Perez grew up in Yuma, Arizona, near the United States– Mexico border. She received her BSN, MS Adult Nurse Practitioner, and PhD from Arizona State University, College of
  • 61. Nursing & Health Innovation. She received the Patricia G. Archbold Predoctoral Scholarship and Claire M. Fagin Postdoctoral Fellowship from the John A. Hartford Foundation, National Hartford Center for Gerontological Nursing Excellence. 42 Contributors Dawn Marie Adams, DNP, ANP Cert, MSN, BSN Director, Office of Integrated Health, Department of Behavioral Health and Developmental Services, Richmond, Virginia Adjunct Professor, Old Dominion University, Norfolk, VirginiaAdjunct Professor, Old Dominion University, Norfolk, Virginia Delegate, House, Virginia General Assembly, Richmond, Virginia Susan L. Adams, PhD, BSN, MSN, Associate Professor, Betty Irene Moore School of
  • 62. Nursing, University of California, Davis, Sacramento, California Gale Adcock, BSN, MSN Representative, District 41, North Carolina House of Representatives, Raleigh, North Carolina Chief Health Officer, SAS Institute, Cary, North Carolina Lucia Judith Alfano, RN, MA, Assistant Professor of Nursing, Division of Nursing, Concordia College, Bronxville, New York Carmen Alvarez, PhD, MSN, BSN, Assistant Professor, Community–Public Health, Johns Hopkins University School of Nursing, Baltimore, Maryland Angela Amar, PhD, RN, Dean, School of Nursing, University of Nevada, Las Vegas, Las Vegas, Nevada Amy L. Anderson, RN, DNP, CNE, Assistant Professor of Professional Practice, Harris College of Nursing and Health Sciences, Texas Christian
  • 63. University, Fort Worth, Texas Rhonda Anderson, RN, BS, MPA, DNSc(h) Consultant Healthcare, RMA Consulting, Scottsdale, Arizona Consultant/Surveyor, Medical Travel, Global Healthcare Accreditation, Palm Beach Gardens, Florida Susan Apold, PhD, ANP-BC, AGNP, FAAN, FAANP, Dean, School of Health Sciences and Nursing, Concordia College, Bronxville, New York Debra A. Banks, RN, BSN, MSN, Clinical Nurse Director of Neurosurgery, University of New Mexico Health Sciences Center, Albuquerque, New Mexico Kenya V. Beard, EdD, MSN, BS, Associate Professor of Nursing, City University of New York, Dix Hills, New York 43 Mary L. Behrens, MS, BS, FNP-BC, FAANP, President,
  • 64. Wyoming Center for Nursing, Casper, Wyoming, Board Member/Nursing, University of Wisconsin, Madison, Wisconsin Susan I. Belanger, PhD, RN, MA, NEA-BC, Interim SVP Mission Integration and System Ethicist, Covenant Health, Tewksbury, Massachusetts Laurie S. Benson, BSN, Executive Director, Nurses on Boards Coalition, Washington, DC Virginia Trotter Betts, RN, MSN, JD, FAAN, President and Chief Executive Officer, Health Futures, Inc., Nashville, Tennessee Mary Blankson, DNP, APRN, FNP-C, Chief Nursing Officer, Community Health Center, Inc., Middletown, Connecticut Linda Burnes Bolton, RN, DrPH, FAAN, Senior Vice President, Cedars-Sinai Health System, Los Angeles, California Patricia K. Bradley, PhD, RN, MSN, FAAN, Associate Professor, Fitzpatrick College of
  • 65. Nursing, Villanova University, Villanova, Pennsylvania Sherl Brand, RN, BSN, Senior Vice President, Strategic