Nurses : The Silent Voice in Health Policy Barbara Sheer DNSc, FNP-C, FAANP ICN APNetwork...
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Transcript of Nurses : The Silent Voice in Health Policy Barbara Sheer DNSc, FNP-C, FAANP ICN APNetwork...
Nurses :Nurses :The Silent Voice in The Silent Voice in
Health PolicyHealth Policy
Barbara Sheer DNSc, FNP-C, Barbara Sheer DNSc, FNP-C, FAANPFAANP
ICN APNetwork ICN APNetwork Communications ChairCommunications Chair
ObjectivesObjectives
Identify an approach to assess the health Identify an approach to assess the health care needs, stakeholders, and policy care needs, stakeholders, and policy makers in the communitymakers in the community
Discuss methods for gaining expertise in Discuss methods for gaining expertise in speaking on health care issues, planning speaking on health care issues, planning an agenda and forming networks with an agenda and forming networks with health carehealth care
Crises in Global Health CareCrises in Global Health Care
Increase in cost of diseases such as HIV/AIDS, Increase in cost of diseases such as HIV/AIDS, malaria and tuberculosismalaria and tuberculosis
Limited resourcesLimited resources
Governmental decisions of allocation of Governmental decisions of allocation of resourcesresources
Increasing emphasis on cost effective primary Increasing emphasis on cost effective primary care and preventioncare and prevention
Nurses CountNurses Count
Formidable source in the health care Formidable source in the health care workforceworkforce
Provide primary, secondary and tertiary Provide primary, secondary and tertiary carecare
Direct knowledge and experience related Direct knowledge and experience related to patient needsto patient needs
Direct knowledge of care delivery Direct knowledge of care delivery
Nursing Voice Nursing Voice Why is it invisible?Why is it invisible?
Nurses LackNurses Lack– Knowledge of health policyKnowledge of health policy– Top leadership positions Top leadership positions – Recognition as authority to speak for health Recognition as authority to speak for health
care issuescare issues– Leadership skillsLeadership skills– Unification of the profession Unification of the profession
TOOL BOXTOOL BOX
Leadership skillsLeadership skills
Knowledge of policy and the issuesKnowledge of policy and the issues
A collective unity of nursesA collective unity of nurses
A network and communication for supportA network and communication for support
Outside support of nurses involved in Outside support of nurses involved in policy and leadershippolicy and leadership
Leadership SkillsLeadership Skills
Learn the skillsLearn the skills– SeminarsSeminars– LecturesLectures– PracticePractice– Speak out on issuesSpeak out on issues– Start smallStart small
THINK BIGTHINK BIG
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Health PolicyHealth Policy
What are the National Issues?What are the National Issues?– Regional health issuesRegional health issues– Local health issuesLocal health issues
What are the possible solutions?What are the possible solutions?– What could be done on the local, regional, What could be done on the local, regional,
and national levels.and national levels.
Look at the possible solutions?Look at the possible solutions?– Will they work? Where can you start?Will they work? Where can you start?
Unity within NursingUnity within Nursing
Identify the existing leadershipIdentify the existing leadership– Work with them to establish a collective voiceWork with them to establish a collective voice– Establish priorities Establish priorities – Encourage others to join with you and Encourage others to join with you and
contribute to the voicecontribute to the voice
Network with others Network with others – Identify others who can helpIdentify others who can help– Use consultants Use consultants
Action PlanAction Plan
Identify health issues Identify health issues in your communityin your community
Speak out on the Speak out on the issues issues
Speak in public Speak in public forums, publish in forums, publish in news news
BE HEARDBE HEARD
Identify policy makersIdentify policy makers
Contact themContact them
Make them aware of Make them aware of your expertiseyour expertise
Show them how you Show them how you can make a difference can make a difference
Policy MakingPolicy Making
Steps of policy-makingSteps of policy-making
ImplementationImplementation
Becoming an active participant in the Becoming an active participant in the policy-making arenapolicy-making arena
Policy-making Process is Policy-making Process is UniversalUniversal
Regardless of type of government policy-Regardless of type of government policy-making follows a plan or a processmaking follows a plan or a process
The process does not have cultural The process does not have cultural borders or boundariesborders or boundaries
The process is sometimes messy and The process is sometimes messy and often does not follow rulesoften does not follow rules
Are you a candidate for policy-Are you a candidate for policy-makingmaking
Are you willing to commit time, energy and Are you willing to commit time, energy and resources to the task of change?resources to the task of change?
Will you commit to communicating with Will you commit to communicating with colleagues and sharing information?colleagues and sharing information?
Do you have a network of colleagues with Do you have a network of colleagues with your same interests?your same interests?
Is your answer yes?Is your answer yes?
Then let’s talk about the policy-Then let’s talk about the policy-making process for change in making process for change in health care, nursing roles orhealth care, nursing roles or your your work situationwork situation..
What is Policy-MakingWhat is Policy-Making
A series of related activities and their A series of related activities and their consequencesconsequences
A proposed course of action moving A proposed course of action moving toward a goal and yielding outcomestoward a goal and yielding outcomes
Policy-Making ProcessPolicy-Making Process
Issue IdentificationIssue Identification
Issue AdoptionIssue Adoption
Issue Issue ImplementationImplementation
Issue evaluationIssue evaluation
Policy
Issue ID Adoption
Implementation Evaluation
Issue IdentificationIssue Identification
Awareness of needAwareness of need
Recognition of Recognition of significancesignificance
Support of peers or Support of peers or publicpublic
Issue Identification
Policy
Sorting out the issueSorting out the issue
What is meant by ‘Awareness of issue’?What is meant by ‘Awareness of issue’?
Pro and ConPro and Con
StakeholdersStakeholders
Building coalitions Building coalitions
Moving the issue forwardMoving the issue forward
Moving the issue onto the Moving the issue onto the agendaagenda
What is an agendaWhat is an agenda
How do you get an issue on the agendaHow do you get an issue on the agenda
How do you move the issue toward a How do you move the issue toward a positive resolutionpositive resolution
Issue AdoptionIssue Adoption
Does it meet the testDoes it meet the test
for relevance?for relevance?
Is it timely?Is it timely?
Is the issue readyIs the issue ready
to be placed onto be placed on
the agenda?the agenda?Issue
Adoption
Policy
Issue of ImplementationIssue of Implementation
Writing the policyWriting the policy
Language of theLanguage of the
policypolicy
Issue of Implementation
Policy
Policy EstablishedPolicy Established
Move issue throughMove issue through
the rule making the rule making
process of groupprocess of group
to become a to become a
policypolicy
Policy
Policy EvaluationPolicy Evaluation
Evaluation of policy Evaluation of policy
Revisiting the outcomesRevisiting the outcomes
Monitoring resultsMonitoring results
Adapt to meet theAdapt to meet the
needs over timeneeds over time
Policy
Evaluation
Issue Identification
Issue Adoption
Issue Implementation
Policy
Evaluation
AnalysisAnalysis
We can do this because We can do this because nurses are change agents nurses are change agents for improved health!for improved health!
Our StrengthsOur Strengths
Committed PersevereAffiliations
BenefitsBenefits
You will have learned how to make change You will have learned how to make change within the system where you work, live or within the system where you work, live or practice.practice.
The process can be applied to all The process can be applied to all situations where you want to make situations where you want to make change.change.
You have become a valued professional You have become a valued professional and change agent.and change agent.
Next StepNext Step
Begin building your network Begin building your network of colleaguesof colleagues
Have fun and make change!Have fun and make change!
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