NR 506 Week 1 TD
Please discuss the four spheres of political action in nursing. In addition,
please develop a brief argument sharing how these spheres are
interconnected and overlapping by applying an example from your practice.
What are some ethical considerations here?
The nursing profession was not meant to exist as a task oriented job to only
provide basic patient care. Nightingale had much higher aspirations in mind and I do
believe she would be proud of the profession overall today. In today’s world, nurses are
responsible for promotion, advocacy, protection and prevention of disease and injury not
only for the patient but also for family members, the community, and other populations.
Perhaps this is the reason nurses have decided to become more politically involved, so
they can influence and effect change so that the care they provide can be improved upon.
Per our textbook, the four spheres that nurses engage in are: the workplace or the
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workforce, the government, the community, and professional organizations or interest
groups (Mason et al., 2016). The purpose of these spheres is to assist people in the
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comprehension of the policies. Each sphere has it’s own purpose or function but the
spheres can also overlap, creating the capability of influencing others spheres as well
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(Mason et al., 2016).
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Nurses have the ability to impact policy making and in doing so can help create
the change that is needed to improve healthcare as a whole. According to the ANA
(2013), registered nurses have become looked upon as leaders in revamping healthcare
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and policy issues in order to meet the charge for change within wellness, prevention, and
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primary care services while also increasing the quality of care and managing the costs of
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it all.
I do not have a personal example of how these spheres can be applied to practice
but I was able to find an article with a great example. The article by McCracken (2010),
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provides an example of a group of nurse practitioners from Kentucky that noticed a
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significant amount of children, those with and without any sort of private insurance, had
problems when it came to healthcare access. These nurse practitioners banded together
and formed school-based health clinics for these children. A snag came when Medicaid
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would only pay them if a physician were onsite. Since this was near impossible they
began working with state committees, state legislators, and a sponsor to prove nurse
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practitioners could provide quality care without a physician being present. These nurse
practitioners were able to effect change and a bill was passed allowing nurse practitioners
to practice without a physician being present. All four spheres are represented at some
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point in this example with overlapping in government, workforce, and community.
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