Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning company Chapter 18 Power, Politics and Public Policy
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 Power, Politics and Public Policy Politics Local, state, national and international communities Nursing involvement in politics Barriers to involvement in politics
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 Caring and the Political Activist Historical Perspectives Lillian Wald Lavinia Dock Adelaide Nutting Lina Rogers Struthers
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 The Nursing Profession’s Involvement in Politics American Nurses Association (ANA) Key documents Social Policy Statement Nursing’s Agenda for Health Care Reform
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 Power Definition: “The ability to influence others; the ability to do or act” Are nurses powerless? What are some of the barriers that have prevented nurses from having power? Challenge to Nursing Power is in numbers; unified stance
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 Policy Health care policy Who determines policy? Coalition formation
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 Politics Political action Four stages Spheres of political influence
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 Political Processes: How Legislation is Made Legislative Process Levels of government Federal State Local
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 Branches of Federal and State Government Legislative Executive Judicial
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 Legislative Branch Law-making body of government Federal level – U.S. Senate and House of Representatives
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 General Process by which a Bill Becomes a Law Bill introduced into house of origin Committee – discussion & vote Full vote by house of origin Repeat process in other legislative house Both houses vote on amended bill Presidential action – signed or vetoed
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 How can Nurses Influence the Legislative Process? Provide information on issue of concern Provide testimony Lobby legislators Write to the President
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 Participation in Health Policy Formation What is healthy public policy? Involves major stakeholders Defines a problem Analyzes the actual, potential, and unforeseen outcomes
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 Examples of Healthy Public Policy Healthy Communities Program Healthy People 2010
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 Nursing and the Political Network ANA – voice for nursing at Federal level Nurses Coalition for Action in Politics (N- CAP) Political Action Committee (PAC) Nurses Strategic Action Team (N-STAT) Recognizing and Prioritizing the Issues
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 Nursing’s Role in Shaping Health Policy Communication with Legislators Tips for writing, telephoning, or meeting your legislator Participation in events featuring legislators
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 Levels of Political Sophistication Basic Political awareness Political activism Political sophistication
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 After a Bill Becomes Law Role of executive branch of government Interpretation of law Role of judicial branch of government Legal challenge of law
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 Sources of Information Books Magazines and newsletters Specialty organizations Political internships
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 Organizations Involved in Politics and Policy ANA and State Nurses Associations National League for Nursing Tri-Council for Nursing Specialty Nursing Organizations
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 International Health Issues International policy Direct U.S. involvement Indirect U.S. Involvement International health organizations International nursing organizations
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 Laws that Affect Community Health Nursing Practice Statutory law Health ordinances Administrative law Judicial or common law Professional law