Policy Week 11 Questions and Answers

Policy Week 11 Questions and Answers What does the Latin Word Advocates mean? - Correct Answer Pleading case on behalf of patient Nurses are viewed as advocates for (3) - Correct Answer 1. Patient 2. Family 3. Community When advocating at individual level, what does this include? - Correct Answer Patient Healthcare professionals Education to teach patient Illness prevention Health promotion When advocating at systems level, what does this include? -Attempting to change: -Includes: -Make sure: - Correct Answer Attempting to change government, organization or agency: -Policies -Rules -Laws Stakeholders (such as legislators) Make sure individuals have access to care at different systems When advocating at community level, what does this include? - Correct Answer Advocating for healthier neighborhoods Mitigating social determinants Disease prevention Environmental issues (lead, fluoride in water) Per the ANA: Nurses serve as advocates for the nursing profession by: -Educating and appealing to: -Safeguarding: KNOW THIS - Correct Answer Educating and Appealing to state and federal legislators to promote safe workplaces for nurses Safeguarding the nursing scope of practice In the past, loyalty and advocacy were focused where? Why? - Correct Answer Primary goal was loyalty to the physicians because it equated faithfulness to the patient (did whatever they said regardless of whether it was right) They thought being loyal to the physician meant they provided better care (not always true) What happened in 1929 that changed how loyalty and advocacy worked? - Correct Answer Physician ordered new nurse grad to administer cocaine injections instead of procaine to patient who had tonsillectomy Patient died Physician acquitted Nurse found guilty for not questioning orders Protests from nurses - independent and accountable practice After the 1929 event, what changes happened with advocacy and loyalty? -Shift? -Nurses developed: - Correct Answer Advocacy shifted toward the patient - loyalty to the patient Patients are vulnerable and unable to care for themselves Nurses developed own professional identity Central themes to Nursing Advocacy: -Time -Influence: - Correct Answer Nurses spend the most time with patients Nurses have the most influence over the patient's experience while in hospital or during illness 3 types of nursing advocacy that influence policy, population healthy and profession of nursing: - Correct Answer 1. Issue advocacy 2. Community and public health advocacy 3. Professional advocacy What is issue advocacy? -What is it? -How does the advocacy work? -Directly does what? Not directly involving? -Almost always accomplished how? -Ex: - Correct Answer An issue we are advocating for to promote improved quality and outcomes for patients overall Directly promotes improved patient outcomes but it does not involve advocacy on behalf of any one individual Does not directly involve the patient Almost always accomplished through the formation of coalitions (or partnerships/organizations) - Need may people to advocate for the issue and bring evidence to increase credibility Ex: Advocating for better mattresses for patients to reduce pressure ulcers Community and public health advocacy -Looks at: -Role of: -Advocating for: - Correct Answer Looks at social determinants of health and how to improve them Role of community health nurses Advocating for social justice through Legislators, community leaders and politicians Social determinants of health status: -Quality of: -Nature of: -Durability of: -Justice in: - Correct Answer Quality of environment Nature of human relationships Durability of social infrastructure Justice in the social order Who do we go to in order to advocate for social justice? (3) - Correct Answer Legislators Community leaders Politicians What is the largest health care workforce? - Correct Answer Nurses Nurses deliver almost all of the care to patients in hospital setting Amount and quality of nursing care patients receive is directly related to: - Correct Answer Number of health outcomes Professional advocacy involves examining issues such as: (4) - Correct Answer Workplace safety (proper PPE) Nurse/Patient ratios (is there adequate staffing for this?) Expanded scope of practice (independence for NPs) Limitations on malpractice liability Barriers to advocacy: - Correct Answer Time consuming and significant commitment Lack of education and training during formal nursing education Fear of retribution (don't want to rock the boat) How to become politically savvy? - Correct Answer Mentors to teach, support, and believe in us - learn from failures Time and energy Strengths and skills possessed Moment of awareness (lack of support may be due to decreased reimbursement not uncaring administration What is the crucial first step to making policy change? - Correct Answer Recognizing that the problem may be caused by policy failure Become part of the solution and know that you becoming involved can be a key part What is collective mentoring? - Correct Answer Inherent in this form of mentoring is the development of networks of persons who are active in policy and who take responsibility for expanding these networks Learning the political ropes through leaders and peers in the following organizations: -NSNA -ANA -Specialty associations/State Board associations -Community partners (leaders on influential committees What is lobbying? -Lobbying should not: -If we have the right combination of (3), it will work -Need to present what? - Correct Answer When you attempt to influence key policy makers to shape policy - to make them aware and help them understand the concerns of their constituents Lobbying should not invoke fear (such as retribution) - should empower the people to voice their opinions) If we have the right combination of passion, knowledge and commitment, it will work We need to present with evidence based facts and figures so they will listen Main difference between lobbying and advocacy? -Both can: - Correct Answer Lobbyists must register with congress - this is their job and they are paid for it Advocates are usually unpaid, and spend the majority of their time doing something else BOTH CAN INTENTIONALLY INFLUENCE POLICYMAKERS How does the IRS define a lobbyist? IRS stipulates: - Correct Answer A person who represents a person who represents the concerns or special interests of a particular group or organization in meetings with lawmakers IRS stipulates limits on lobbying activities of non-profit agencies Professional lobbyists are employed by: - Correct Answer Employed by -Trade associations (such as the American Nurse's Association) -Law firms -Companies -Public interest groups -Nonprofit agencies Why lobby? -Why do most lobbyists get involved with lobbying? -We can lobby for what? -ANA? - Correct Answer Most lobbyist get involved with lobbying because they see something that needs to be changed We can lobby for the environment, safe workplaces, or anything else ANA hires lobbyist to work with lawmakers to look at scope of practice and current policies to improve them What are the 3 important things we need for effective lobbying? - Correct Answer Research (Need to be very well versed) Identify supporters (Who else supports us?) Contact policymakers (And build a partnership) When contacting policymakers for lobbying, how should the communication work with the command chain? - Correct Answer Local --> State --> Federal What are methods to lobby? (3) - Correct Answer Send letter via email Call Meet in person Why do we not want to send written letters? - Correct Answer Written letters can spark fear about certain things like anthrax Legislators depend on lobbyist to: (3) -Provide: -Support: -Help with: - Correct Answer Provide info about issues/concerns Support projects Help with campaigns If lobbyist do the research, then: - Correct Answer If lobbyists do the research, then the legislators don't have to Good for the legislators What is the most valuable tool in the policy arena? - Correct Answer Time Decisions are made and influenced by the people who - Correct Answer Show up What are 3 important steps in organizing action? - Correct Answer Networking with other professionals with same views Develop short concise message for legislators Understand timing- there are critical moments READ STEPPING OUT ARTICLE - Correct Answer