Two Arms of Policy

Practice

  • Participate in researching, drafting, and/or proposing policies at the local, state, tribal, and federal health care system nationally and internationally incorporating a primordial approach with the social determinants of health and a socio-ecological approach.
  • Provide education about public health laws and regulations at the local, state, federal, and international level
  • Identify and influence public health laws and regulations throughout the policy-making processes at local, state, and federal levels
  • Utilize the nursing role to influence the role and power of local, state and federal government during national and local emergencies and communicable disease outbreaks.
  • Provide inclusion of financial impact, economic models, payment structures, and theories including the functioning of the free market and market failure in healthcare
  • Advocate on Healthcare Reform and political influences on policy and regulatory environments using a racial justice framework for health equity
  • Assess implications of policy options on PH programs and the potential impacts on individuals, families, and groups within a population.
  • Demonstrate professional behaviors and knowledge reflective of a community/public/population health nurse in advocating, organizing, researching, educating, and communicating about policy that positively impacts the population’s health.
  • Participate in community organizing as a public /community health nursing intervention that supports and influences health policy
  • Educate and advocate about the -major financing strategies that support public health service delivery
  • Provide education and communicate about the sources of funds and how they drive programming for public health services at local, state, and federal levels.
  • Utilize relationships, partnerships, power, political influences to advocate for policy development that incorporates racial justice and improved population health focusing on the greatest good (or upon population health ethical principles).
  • Utilized major sources of population-level data (e.g. Healthy People 2030 objectives, baseline and target data, County Health Rankings, and other data sources to guide policy development
  • Participate as a public/community health nurse with local government officials or local members of health boards, county, or city government to discuss public health regulation, program planning, disaster preparedness, and other topics to promote and educate about health and encourage embracing harm or risk reduction and health in all policies approach.

Association of Community Health Nurse Educators (ACHNE) (2019). Recommendations for revisions to AACN’s public health: Recommended baccalaureate competencies and curricular guidelines for public health nursing. A supplement to the baccalaureate education for professional nursing practice. Retrieved from  https://www.achne.org/aws/ACHNE/pt/sp/education-advocacy

Education

Goals of Education in Health Policy

  • Increase political skills and involvement in nursing
  • Develop the competence of nursing’s future leaders
  • Socialize students to think and act from the perspective of health policy
  • Provide a working knowledge of the process of health policy to include formulation, implementation, and modification

Policy Integration into Nursing Curriculum

  • Considerations: specific content and competencies dependent on level or nursing education and contingent on explicit nursing roles, training, and positions
  • Content leveled according to the educational stage to include all levels of government; differentiate level or preparedness according to the progression of skills
  • Topics to include basic understanding of health care policy, health care finance, regulatory environments, familiarity with the legislative process, appreciation of social determinants

Contemporary Issues in Nursing Education Educating for a New Normal

  • Pandemic influences on nursing education
    • Protecting students in clinical and classroom
    • Understand the infectious disease process and vaccination protocols
    • Supply chain management education as related to distributive justice
    • National and biological crisis and disasters
  • Advocacy Policies
    • Differences between advocacy and lobbying
    • Legislative sessions and processes
  • Classroom educational strategies
    • Increased virtual/simulated programs
    • Participating in service-learning / community-based projects
    • Internships versus clinical
    • Practicum opportunities