1. NURSE AS ADVOCATE IN PUBLIC POLICY MAKING

2. OBJECTIVES Articulate professional nursing’s role in the American healthcare system. Identify opportunities in the community setting to participate in institutional and/or legislative efforts to promote health and meet national health objectives.

3. HISTORIC BARNS PARK TRAVERSE CITY STATE PSYCHIATRIC HOSPITAL

4. DEFINITION OF NURSING Knowledge Base Nursing science philosophy, ethics, biology, technology Scientific knowledge Scholarly inquiry Influence public policy to promote social justice Human Experience Promotion of health and wellness Decision making Social policies Systems costs Environment

5. SOCIAL POLICY STATEMENT Social Context of Nursing Property of society Authority for Nursing Practice Social responsibility

6. SOCIAL POLICY STATEMENT Nursing's’ Social Contract Unity body, mind, spirit Human experience Context of values & beliefs

7. SOCIAL POLICY STATEMENT Social Concerns of Nursing Organization & Financing Public Safety/Public Parks Public Health Environmental protection Resources and Policy Planning for policy & regulation Placemaking & Walkable communities Public policy and Health care delivery system Accessibility & Transportation

8. CODE OF ETHICS Historical Context 1893-Nightingale pledge 1926-Suggested Code provisionally adopted 1950-Code for Professional Nurses 1956-Code amended 1960-Code revised 1968-Code substantively revised 17 Provisions-10 Provisions 1976-Code for Nurses with Interpretive Statements 2001-Code revised 2010-Code revised

9. CODE OF ETHICS Ethical tenants of Feminism Communitarianism Social ethics

10. CODE OF ETHICS Provision 8: The nurse collaborates with other health professionals and the public in promoting community, national, and international efforts to meet health needs 8.1 Health Needs and Concerns 8.2 Responsibilities to the public

11. 8.1 HEALTH NEEDS AND CONCERNS The nurse has a responsibility…to be aware of broader health concerns such as world hunger, environmental pollution, violation of human rights, and inequitable distribution of nursing and health care resources Hunger & Homelessness Clean Air Clean Water Human rights Health Care Resources

12. 8.2 RESPONSIBILITIES TO THE PUBLIC Nurses individually and collectively…supports initiatives to address barriers to health, such as poverty, homelessness, abuse and violence, and lack of access to health care services Barriers Access Transportation Diversity Violence

13. BUILDING EFFECTIVE COALITIONS ENGAGING THE STAKEHOLDERS Stakeholder Credibility IOM AARP Consensus Model for APRN Regulation Organization & Financing

14. NATIONAL PREVENTION STRATEGY Safe Environment Preventive Services Empowering people to make healthy choices Eliminating health disparities

15. CODE OF ETHICS Provision 9: The profession of nursing as represented by associations and their members is responsible for articulating nursing values, for maintaining the integrity of the profession and its practice, and for shaping social policy. 9.2 Professional Associations 9.4 Social Reform

16. 9.2 PROFESSIONAL ASSOCIATIONS The profession carries out its collective responsibility through professional associations Code of Ethics Standards of Nursing Practice Knowledge through theory, scholarship, and research to guide nursing actions Educational requirements for practice Certification Evaluation of professional nursing actions

17. 9.4 SOCIAL REFORM Nurses work individually or collectively through political action to bring about social change. It is the responsibility of the professional nursing association to speak for nurses collectively in shaping and reshaping health care within our nation specifically Accessibility Quality Cost Extending to health related sociocultural issues Human rights Homelessness Hunger Violence Stigma of illness