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Toallnurseswhohavemadepolicyanintegralpartoftheirlives
Tofuturenurseswhoreadthisbookandtakeaction
Tofamilies,friends,andcolleagues
Toallwhobelieveinnursingandthepowerofnurseadvocacy
Totheindividualswhoappreciateandvaluetheneedfora WashingtonFellowsProgramforNurses
Contributors
ForewordbyJoyceJ Fitzpatrick,PhD,MBA,RN,FAAN,FNAPandKateJudge,BA
Preface
Acknowledgments
SpecialAcknowledgments
Abbreviations
ShareNursesMakingPolicy:FromBedsidetoBoardroom
UNITI:MAKINGTHECASE
1. LeadingtheWayinPolicy
RebeccaM Patton,MargareteL Zalon,andRuthLudwick
2. AdvocatingforNursesandforHealth
DebbieDawsonHatmakerandKarenTomajan
3. NavigatingthePoliticalSystem
EileenM Sullivan-Marx
UNITII:ANALYZINGPOLICY
4 IdentifyingaPolicyIssue
RoseIrisGonzalezandSheilaA.Abood
5. HarnessingEvidenceinthePolicyProcess KathleenM White
6. SettingtheAgenda LindaK GroahandAmyL Hader
UNITIII:STRATEGIZINGANDCREATINGCHANGE
7 BuildingCapital:Intellectual,Social,Political,andFinancial SuzanneMiyamoto
8. ChangingOrganizations,Institutions,andGovernment TimPorter-O’GradyandKathyMalloch
9. ActivatingtheAdvocacyPlan
JeanetteIvesErickson,DeborahColton,andMarianneDitomassi
10. WorkingWiththeMedia:ShapingtheHealthPolicyProcess PamelaF Cipriano
11 ApplyingaNursingLenstoShapePolicy
JoanneDisch,MathewKeller,andEileenWeber
UNITIV:JUDGINGWORTHANDADVANCINGTHECAUSE
12. ServingthePublicThroughPolicyandLeadership VirginiaTrotterBetts,SusanTullai-McGuinness,andLorettaAlexiaWilliams
13. EvaluatingPolicyStructures,Processes,andOutcomes SeanP Clarke
14. EliminatingHealthInequitiesThroughPolicy,NationallyandGlobally ShanitaD Williams,JaniceM Phillips,andJosephaE Burnley
15 TakingActions,ExpandingHorizons
RebeccaM Patton,MargareteL Zalon,andRuthLudwick
Contributors
SheilaA.Abood,PhD,RN AdjunctFaculty,GrandValleyStateUniversity,KirkhofCollegeofNursing, GrandRapids,Michigan
VirginiaTrotterBetts,MSN,JD,RN,FAAN President,HealthFutures,Inc,Nashville,Tennessee
JosephaE.Burnley,DNP,RN,FNP-C NurseConsultant/ProjectOfficer,NursingPracticeandWorkforce Development,DivisionofNursing,HealthResourcesandServicesAdministration,US Departmentof HealthandHumanServices,Rockville,Maryland
PamelaF Cipriano,PhD,RN,NEA-BC,FAAN President,AmericanNursesAssociation,SilverSpring, Maryland;ResearchAssociateProfessor,UniversityofVirginiaSchoolofNursing,Charlottesville,Virginia
SeanP.Clarke,PhD,RN,FAAN AssociateDeanforUndergraduatePrograms;Professor,WilliamF. ConnellSchoolofNursing,BostonCollege,Boston,Massachusetts
DeborahColton,MSW SeniorVicePresidentforStrategicCommunication,MassachusettsGeneral PhysiciansOrganization,Boston,Massachusetts
JoanneDisch,PhD,RN,FAAN ProfessoradHonorem,UniversityofMinnesotaSchoolofNursing, Minneapolis,Minnesota
MarianneDitomassi,MSN,MBA,RN ExecutiveDirectorforPatientCareServicesOperationsand MagnetRecognition,MassachusettsGeneralHospital,Boston,Massachusetts
RoseIrisGonzalez,PhD,MPS,RN IndependentConsultant;PastDirector,GovernmentAffairs,American NursesAssociation,SilverSpring,Maryland
LindaK.Groah,MSN,RN,CNOR,NEA-BC,FAAN CEO/ExecutiveDirector,Associationof periOperativeRegisteredNurses,Denver,Colorado
AmyL.Hader,JD Director,LegalandGovernmentAffairs,AssociationofperiOperativeRegisteredNurses, Denver,Colorado
DebbieDawsonHatmaker,PhD,RN,FAAN ExecutiveDirector,AmericanNursesAssociation,Silver Spring,Maryland
JeanetteIvesErickson,DNP,RN,FAAN SeniorVicePresidentforPatientCareandChiefNurse, MassachusettsGeneralHospital,Boston,Massachusetts
MathewKeller,BSN,JD,RN RegulatoryandPolicyNursingSpecialist,MinnesotaNursesAssociation,St. Paul,Minnesota
RuthLudwick,PhD,RN-BC,CNS,FAAN IndependentConsultant;DirectorofNursingResearch, RobinsonMemorialHospital,Ravenna,Ohio;ProfessorEmeritus,KentStateUniversity,Collegeof Nursing,Kent,Ohio
KathyMalloch,PhD,MBA,RN,FAAN President,KMLS,LLC;AssociateProfessorofPractice,Arizona StateUniversityCollegeofNursingandHealthInnovation,Phoenix,Arizona;ClinicalProfessor,TheOhio StateUniversityCollegeofNursing,Columbus,Ohio;ClinicalConsultant,APIHealthcare,Hartford, Wisconsin
SuzanneMiyamoto,PhD,RN DirectorofGovernmentAffairsandHealthPolicy,AmericanAssociationof CollegesofNursing,Washington,DC
RebeccaM Patton,MSN,RN,CNOR,FAAN PastPresident,AmericanNursesAssociation;LucyJo AtkinsonScholarinPerioperativeNursing,FrancesPayneBoltonSchoolofNursing,CaseWesternReserve University,Cleveland,Ohio
JaniceM.Phillips,PhD,RN,FAAN DirectorofGovernmentandRegulatoryAffairs,CGFNS International,Inc,Philadelphia,Pennsylvania
TimPorter-O’Grady,DM,EdD,ScD(h),APRN,FAAN,FACCWS SeniorPartner,TimPorter-O’Grady Associates,Inc.;AssociateProfessor,LeadershipScholar,CollegeofNursingandHealthInnovation,Arizona StateUniversity,Phoenix,Arizona;ClinicalProfessor,LeadershipScholar,TheOhioStateUniversity CollegeofNursing,Columbus,Ohio;AdjunctProfessor,Dean’sAdvisor,EmoryUniversity,Atlanta, Georgia
EileenM Sullivan-Marx,PhD,RN,FAAN DeanandErlinePerkinsMcGriffProfessor,NewYork UniversityCollegeofNursing,NewYork,NewYork
KarenTomajan,MS,RN,NEA-BC Director,ProfessionalPractice,JohnMuirMedicalCenter,Concord, California
SusanTullai-McGuinness,PhD,MPA,RN AdjunctAssociateProfessor,CaseWesternReserveUniversity, FrancesPayneBoltonSchoolofNursing,Cleveland,Ohio
EileenWeber,DNP,RN,PHN,JD ClinicalAssistantProfessor,UniversityofMinnesotaSchoolof Nursing,Minneapolis,Minnesota
LorettaAlexiaWilliams,BSN,RN GraduateResearchAssistantandInstructor,JonasNursingLeadership Scholar(2012–2014),UniversityofTennesseeHealthScienceCenterCollegeofNursing,Memphis, Tennessee
ShanitaD.Williams,PhD,MPH,APRN BranchChief,NursingPracticeandWorkforceDevelopment, DivisionofNursing,HealthResourcesandServicesAdministration,US DepartmentofHealthandHuman Services,Rockville,Maryland
KathleenM White,PhD,RN,NEA-BC,FAAN Director,Master’sEntryIntoPracticeProgram; AssociateProfessor,JohnsHopkinsUniversitySchoolofNursing,Baltimore,Maryland
MargareteL Zalon,PhD,RN,ACNS-BC,FAAN Professor,DepartmentofNursing,Universityof Scranton,Scranton,Pennsylvania
Foreword
TheAmericanNursesFoundation(ANF)wasfoundedin1955asthephilanthropicarmoftheAmerican Nurses Association (ANA) for the purpose of improving health care and supporting registered nurses throughout the United States As of 2012, the strategic direction of the ANF has been to invest in key initiativestoadvanceitsmission:“Transformingthenation’shealththroughthepowerofnursing.”
Thisbook,NursesMakingPolicy:FromBedsidetoBoardroom,editedbyRebeccaM.Patton,MargareteL. Zalon,andRuthLudwick,willbeakeymarkerinthetransformationofnursing Patton,Zalon,andLudwick designed this book with a clear goal in sight: the creation of a Washington Fellows Program for Nurses, administered through the ANA and supported through the book royalties. The legacy of this commitment is far-reaching, as each new fellow will build on the successes of his or her predecessors This nursing influence, at the executive and legislative branches of our government, is viewed as a complement to existing policy programs Atthesametime,italsotakesthenursingagendatoanewlevelofinfluence
Patton, Zalon, and Ludwick have gathered the experts in nursing policy development and implementation as chapter contributors the best of the best in nursing These contributors have provided keyinsightstomovethenursingprofessionforwardandpositionnursesinleadershiprolesinthehealthpolicy arena,locally,nationally,andglobally
The editors’ generosity in supporting the ANF reflects their professional and personal commitments to thepowerofnurses’philanthropy EachhasplayedakeyroleinensuringtheFoundation’sgrowthandsuccess toensurethatnursesmaximizetheirpower
CurrentFoundationinitiativesdesignedtoempowernursesinclude:
1 Leadership programs: Supporting ANA’s Leadership Institute and increasing the number of nurses on key influential boards of directors in the following health care sectors: for profit, philanthropic, andhealthsystems
2 Educational scholarships: Provided to undergraduate and graduate students focused on leadership andunderrepresentedgroups
3. Promotion and advocacy: Promoting the contributions to health care by nurses through multiple mediaoutlets
ANFinitiativesthatarefocusedontransforminghealthinclude:
1 Nursing research grants: Annual awards to nurses to provide seed money to beginning and experienced researchers to conduct studies that advance health science and the enhancement of patientcare
2 Specific health programs: Development of a tool kit to assist nurses in recognizing posttraumatic stress disorders in the nation’s veterans and military service members, and a sleep disorders program focusedonhelpingnursesunderstandthedeleteriouseffectsofshiftwork
3. Health Nurse Project: Development of a mindfulness tool kit for nurses and sponsorship of other initiativestohighlighttheneedforimprovingnurses’health
The ANA’s board is committed to transforming the nation’s health by helping nurses solve key health issues We will accomplish this mission by generating and providing the funds for nurses to influence and lead in these key areas central to health care We applaud the work of our colleagues, the editors and contributors to this book, for taking the lead in telling nursing’s story in health policy and advancing the skills of future generationsofnurseswhoaspiretolead
JoyceJ Fitzpatrick,PhD,MBA,RN,FAAN,FNAP ElizabethBrooksFordProfessorinNursing FrancesPayneBoltonSchoolofNursing CaseWesternReserveUniversity Cleveland,Ohio Chair,AmericanNursesFoundationBoardofTrustees KateJudge,BA
Preface
This book uses a hands-on approach designed to help graduate students and nurses across a variety of settings develop health policy skills in order to advocate for patients and work empowerment at the bedside, boardroom, or in state and national politics The textbook is divided into four units: Making the Case, Analyzing Policy, Strategizing and Creating Change, and Judging Worth and Advancing the Cause. The chapters of the book take the reader on a journey though the policy-making process, from identifying a policyissue,toinitiatingaplan,to,finally,evaluatingit
Unique features of this 15-chapter book are the steps to changing policy, which are presented in detail, and actual exemplars (Policy Challenge and Policy on the Scene) that are offered in every chapter as told by nurses working locally and nationally These stories are written by direct-care nurses as well as high-profile nationallyknownleaders Throughouteachchapter,policydevelopmentisexemplifiedatboththebig“P”and little“p”levels,fromthegrandscaleofstateornationalwork,tothelocalworkenvironment Webelieveboth are essential and often the interplay between the two levels is not always recognized or acknowledged. Thus, health policy is every nurse ’ s responsibility Although the creation of the American Nurses Foundation Washington Fellows Program for Nurses endowed fund is designed to ensure nurses ’ placement at the highest policy tables, our commitment is to engage and foster nurses ’ policy activism at all levels This will enable nurses taking one step at a time to realize the full power generated by more than 3 million nurses takingstepstogethertoadvancehealth
Thebook’sintendedaudienceincludes:
• Graduatenursingstudents;inparticularstudentsindoctoralprograms
• Registerednursesenrolledinbaccalaureatedegreecompletionprograms
• Registerednursesworkingtoimprovetheirpracticeenvironments
• Leadersofstatenursesandspecialtynursesassociations
To enhance understanding of the policy process, each chapter introduces a real-life situation in a Policy Challenge, which is directly related to a specific aspect of the policy process, as well a number of Policies on theScenethatillustratekeypoints.ConcludingeachchapteristheOptionforPolicyChallengethatdescribes outcomesofthePolicyChallenge EachchapterincludesKeyConceptstoaidinlearning LearningActivities takereadersthroughthestepsofthepolicyprocessinordertoenhancetheirpolicyexpertise Alsoincludedin each chapter are E-Resources. These consist of websites, social media links, important policy documents, policy tool kits from various organizations, and additional resources to expand understanding of the policy process APowerPointpresentationofthematerial,providedinalecture/discussionformatforeachchapter, isavailableforinstructorsthroughSpringerPublishingCompany,bye-mailingtextbook@springerpubcom
RebeccaM.Patton MargareteL Zalon RuthLudwick
