1. Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning company Chapter 18 Power, Politics and Public Policy

2. 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

3. 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

4. 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

5. 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

6. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 Policy Health care policy Who determines policy? Coalition formation

7. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 Politics Political action  Four stages Spheres of political influence

8. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 Political Processes: How Legislation is Made Legislative Process Levels of government  Federal  State  Local

9. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 Branches of Federal and State Government Legislative Executive Judicial

10. 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

11. 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

12. 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

13. 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

14. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 Examples of Healthy Public Policy Healthy Communities Program Healthy People 2010

15. 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

16. 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

17. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 Levels of Political Sophistication Basic Political awareness Political activism Political sophistication

18. 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

19. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 18 Sources of Information Books Magazines and newsletters Specialty organizations Political internships

20. 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

21. 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

22. 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