Presentation is loading. Please wait.

Presentation is loading. Please wait.

Susan McCarthy MSN, RN, CNRN PA Nurse Alliance, SEIU Quality Care Summit 2012 September 25, 2012.

Similar presentations

Presentation on theme: "Susan McCarthy MSN, RN, CNRN PA Nurse Alliance, SEIU Quality Care Summit 2012 September 25, 2012."— Presentation transcript:

1 Susan McCarthy MSN, RN, CNRN PA Nurse Alliance, SEIU Quality Care Summit 2012 September 25, 2012

2  Identify professional nurse role, taking responsibility to shape social policy.  Discuss policy, politics and power in nursing  Identify barriers to nursing political activism  Explore skills to achieve political competence  List points of access for policy development  Recognize past and current nurse activists

3  Roots of activism, social justice embedded in professional practice laws, standards, ethics  A social contract with society, demands professional responsibilities.  The Pennsylvania Code : State Board of Nursing  Regulates by licensing: protects public health  ANA Code of Ethics, advocate for profession  Nurses should act individually, collectively through political actions for social change.

4  Provision 9.4 : Social Reform  Professional Nursing associations speak for nurses in reshaping health care policy, legislation  Accessibility, Quality, Cost  Violation of human rights, homelessness, hunger, violence, stigma of illness


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

7  Poverty, cruelty rise, level of social awareness  Political action is taken, Acts, U.S. Congress.  The 1935 Social Security Act  1946 Mental Health Act  1964 Civil Rights Act  1965 Medicare Act  1990 Americans with Disabilities Act  2010 Affordable Care Act (

8  Florence Nightingale (1850’s), Environment, British Army, Educational Reform  Clara Barton (1881), Founded USA Red Cross  Lillian Wald,(1893), Founded Public Health Nursing  Diane Carlson Evans (1993), Vietnam Women’s Memorial  Karen Daley (2000), Needle-Stick Prevention and Safety Act

9 Lillian Wald,(1893) Public Health Nursing Diane Carlson Evans (1993) Vietnam Women’s Memorial

10 Spanish American War Nursing Memorial Arlington Cemetery Civil War Nursing Memorial Dupont Circle Washington D.C.

11  U.S. Healthcare System in Crisis  2012, U.S. will spend $2.8 trillion  Cost of healthcare is unsustainable  Environment ↑ complex, inefficient, stressful  Waste $750 billion/year  Plan: Best Care at Lowest Cost  Do more, with less $, increase efficiency (IOM, 2012)



14  ~15% of hospital patients still being harmed  20% discharged elderly patients readmitted, 30 days  Nurses spend 30% time, direct patient care (IOM, 2012)

15  “ When we are hospitalized, in a nursing home, managing a chronic illness, nurses are the ones we will encounter, spend most time, be dependent upon.” (Keeping Patients Safe, IOM,2004)  Gallup Poll 2011, 12th time/13 years, Nurses #1, ethics and honesty  Nurses full partners, with physicians, health care professionals, redesign health care in U.S. (IOM, 2008)  Opinion leaders, 90% want nurses to improve quality, safety, reduce medical errors (GallupPoll,2010)

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

17  Powerlessness  Lack a structure to be heard  Limited leadership opportunities  HIPPA, fear to breach confidentiality  Differing levels of education  Lack of education in policy development  Overwhelmed by complex policies  Need more mentors, leaders (Des Jardin, 2001)

18  ACA Implementation  Safe, Healthy Work Environments  Eliminate Manual Patient Handling  Reduce Work Place Violence  Mandate Safe Staffing  Education, Recruitment, Retention

19  Policy is a course of action.  Politics, process of influencing allocation of scarce resources. The result is policy.  Power enables a group to influence others through political process.  To effect policy, must be involved in politics so others do not speak for nursing practice.  If we understand process around policy formation we can target our nursing leadership into influence. (Hughes, F., 2005)

20  Expert:  Combines science, technology, caring  Interpersonal:  Excellent negotiators, communicators, problem solvers, team players  Power in Numbers: 2.9 million  # will grow 26%, 2010 to 2020  Latent Power:  Untapped, underused

21  Eddie Bernice Johnson ( D-TX), first nurse elected to U.S. House of Representatives (1992)  Carolyn McCarthy, LPN ( D-NY), elected 1996, US House, leader on gun control, nursing  Lois Capps (D-CA), third nurse elected to House 1998, school nurse, Medicare Reform, Nursing, School Health and Safety  Virginia Trotter Betts, national nurse leader, mental health policy  As of 2011, seven nurses in U.S. House of Representatives  Mary Wakefield, Ph.D., R.N., current administrator of the Health Resources and Services Administration (HRSA)

22  Workplace:  Procedures, budget, practice, bargaining table shared governance committees  Government:  Local, state, national legislation, run for office  Professional Organizations:  Provide information, activities, leaders  Community, Public Education:  ↑ Nurse visibility, health fairs, endorse candidates

23 1. Nursing Expertise as Valued Currency  Clinical experience, policy connections  Values: caring, health promotion, informed and self care, holism (Cohen et al, 1996)  Observation, decision making skills 2. Networking, crucial for action, change  Establish, maintain interdisciplinary relationships, asking for help is OK 3. Powerful Persuasion  Passion, thoughtful analysis of ideas, clarity, ability to communicate, important to audience

24  4. Collective Strength  Professional organizations, interdisciplinary  Voices louder, persuasion greater  Group consensus, strengthen the individual  5. Strategic Perspective  Stepping back, place health in broad context  See Nursing as political activity  Questions emerge, government influence on populations, health, environments of care  6. Perseverance  Remain Optimistic, you don’t always win

25  SEIU Nurses share political action experiences

26  Stage One: Buy-In Individual nurses take position/react to issue affecting profession, public. Decide to take action.  Stage Two: Self-Interest Individuals begin establish political identity, voice. Organize, develop strategies to resolve issue.  Stage Three: Political Sophistication Seek to influence policymakers, ↑awareness,value contributions of nursing to public, health policy. Testify before legislative committees, appointed to policy-making bodies.  Stage Four: Leading the Way Very involved, setting agenda, initiating policy development, often enacted through legislative process. Copyright © 2003, New Jersey Collaborating Center For Nursing Workforce Development.

27  Keep informed of issues affecting nurses and public  Join Professional organizations, SEIU committees/actions  Find a Mentor, be a mentor  Participate in public demonstrations  Participate in shared governance councils,  Meet with elected officials in their offices  Write a letter to elected officials  Publish

28  Political actions bring social change  Nurse laws, ethics code support political action  Keep informed  Join professional organizations  Take Action  Achieve political competency

29  Nurse Alliance Round Up  CDC  AHRQ  World Health Organization  IOM  ANA Smart Briefs  Professional Journals  www.  Project Vote-Smart (PVS),Non-profit, non- partisan, collects and distributes information, U.S elected official’s voting records and candidate’s positions,  The Pennsylvania Health Access Network (PHAN) is a statewide coalition of organizations working to protect high quality health insurance coverage for individuals and businesses and to expand coverage to the uninsured

30  Abood, S. (January 31, 2007). "Influencing Health Care in the Legislative Arena". OJIN: The Online Journal of Issues in Nursing. Vol. 12 No. 1, Manuscript 2.  Antrobus S (2003) What is political leadership ? Nursing Standard. 17, 43,  Chitty, K. K., Black, B.P. (2011). Professional Nursing—Concepts and Challenges. 6 th Edition. Philadelphia, PA: Elsevier, Saunders.  Cohen, S.S., Mason, D.J., & Kovner, C., Leavitt, J.C., Pulcini, J., & Sochalski, J. (1996). Stages of nursing’s political involvement: Where we’ve been and where we ought to go. Nursing Outlook, 44(6),  Des Jardin, K. (2001) Political involvement in Nursing: education and empowerment. AORN Journal. (74)4.  Des Jardin, K. (2001). Political Involvement in Nursing: Politics, Ethics, and Strategic Action. AORN Journal, (74) 5.

31  Hughes, F. ( 2005) Role of nursing management in health care policy development. Retrieved from of-nursing-management-in-health-care-policy-development  IOM (Institute of Medicine) Best care at lower cost: The path to continuously learning health care in America. Washington, DC: The National Academies Press.  Robert Woods Johnson Foundation (2010). Nursing Leadership from Bedside to Boardroom: Opinion Leaders' Perceptions. Retrieved from  SEIU (2001) The Fight for Our Lives: How We Won Safer Needles. Retrieved from B9zpEk  Warner, J. ( 2003). A Phenomenological Approach to Political Competence: Stories of Nurse Activists. Policy, Politics, & Nursing Practice. (4).2.

Download ppt "Susan McCarthy MSN, RN, CNRN PA Nurse Alliance, SEIU Quality Care Summit 2012 September 25, 2012."

Similar presentations

Ads by Google