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Self-advocacy
Self-advocacy
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It seems we all have similar thoughts about engaging the people we serve in the policy advocacy process. We appear to be in agreement that it is our role as a professional to promote and support competence and confidence in the individuals we serve. We are all in agreement that it is our role to empower individuals we serve to make decisions directly effecting their life and situation and that we should encourage the individual to exert control over their life’s situation. Yet, we all have expressed concern with the individual’s ability to effectively advocate in the policy process. Self-advocacy is difficult, can be overwhelming. Above all, it requires a commitment from the individual to learn the process of organizing and navigating the policy
process and see the cause to the final outcome. Time is a huge factor in this process not only for the individuals to learn to complete the task but for the group leader willing to facilitate and education others on the process. Assuming, I, personally, had the understanding and abilities to navigate through the policy process I would personally be frustrated and most likely give up myself if I observed those whom I am trying to assist level of commitment drop off or wane throughout the process. It is for this reason that my attitude is sometimes negative and I take on an “it’s easier if I do it” attitude, which I know is not a mindful or helpful in the big picture of any situation. I am envious of those who don’t get caught up in this frustration and who would carry on because the vision and their own personal commitment to the greater good.
Merriam-Webster’s online dictionary defines an advocate as “one that pleads the cause of another,” or “one that supports or promotes the interest of another” (2014). Bu and Jezewski expanded on this by developing a mid-range theory of patient advocacy to implement into nursing (2007). They describe a patient as being “vulnerable and powerless” when stricken with illness and without knowledge of health care systems (Bu & Jezewski, 2007). The goal of the theory was to give the patient a voice in circumstances where they weren’t able to speak up for themselves and to maintain the patient’s integrity (Bu & Jezewski, 2007). They found three core attributes to what would make up
Nurses are at the forefront of the healthcare system and therefore must actively engage in policies that impact the healthcare system. DNP graduates can initiate the process of change by pointing out potential problems within the healthcare delivery system and spearheading legislation through lobbyists and nursing organizations. Nurses should be the middle-man between patients and policy makers. Patient advocacy has been part of nursing for a long time. Zaccagnini and White (2014) highlighted how Florence Nightingale advocated for the British soldiers’ poor living conditions during the Crimean war once she recognized the connection between policy makers and public health. Local, national and global nursing organizations provide ways for nurses to voice issues and concerns that affect public health welfare. In the United States of America, the Center for Disease Control (CDC) and the National Council of State Board of Nursing(NCSBN) can be used as a platform to raise awareness and concerns for public health and
In Nursing, there will always be instances where the patient's nurse needs to advocate for their patient. There are numerous reasons why a nurse would advocate for their patient ranging from getting the doctor to change the patient’s orders, helping the patient’s treatment team understand what it is the patient is requiring for the day, to expressing the patient’s last wishes before death. In every situation, the nurse should do what is in the patient’s best interest. Tomajan (2012), “Advocacy skills are the ability to successfully support a cause or interest on one’s own behalf or that of another. Advocacy requires a set of skills that include problem solving, communication, influence, and collaboration”(p. 2). With those skills, the nursing staff will be able to work together to advocate for their patients. Along with those skills, nurses need to keep in mind the three core attributes that are: safeguarding patients’ autonomy; acting on behalf of patients; and championing social justice in the provision of health care. (Bu & Jezewski, 2006)
...te with federal and state changes made to the policies on CHIP. I would lobby for policy changes that would improve children’s health insurance programs. I also would advocate by being an active member in the state nursing organizations to demand the reimbursements of all Nurse Practitioners as primary care providers. Nurse Practitioners are more cost effective and a way to provide more affordable healthcare. Nurse Practitioners have limitations to their scope of practice, however, this limits healthcare to the needy and vulnerable populations. Another way that I could advocate the CHIP is by educating all of my patients on the importance of preventative care. As a nurse, I could provide families with calendars that have immunization shot dates recorded to reduce missed appointments. I can also call patient’s families to give reminders about upcoming appointments.
Ressler, P., & Glazer, G. (2010). Legislative: Nursing’s engagement in health policy and healthcare through social media.The online journal of issues in nursing, 16(1), doi: 10.3912/OJIN.Vol16No01LegCol01
Advocacy in Population Health One only has to look back at the history of nursing to see why advocacy in the area of health for the population is so important. Florence Nightingale fought for change in nursing. Her advocacy for improving health care ultimately changed how nurses were viewed in our country and in the world. She knew that advocating change in the health care system was the only way to improve it. According to Mislead (2016), Involvement in policy decisions and political process is an integral part of the nursing role because of our history, practice, education, and professional organizations.
In chapter five, it talks about Engaging in Mezzo Policy Advocacy. Mezzo meaning organizations. I found in this chapter three important concepts I will list and discuss. The first one I found is identifying five skills for mezzo policy advocates. The nest one was developing a strategy to address the problems. And last was developing support for the strategy or proposal. I will first discuss the five skills. (1) Initiating is showing one cares enough to initiate policy change. This one is important because if one doesn’t initiate it shows one doesn’t care. (2) Influencing is getting people to work one to change policy. This is important to make a change. (3) Negotiating and bargaining is learning to compromise to reach policy goal. This is important
Public policy is described by Peters (as cited in Shaw & Eichbaum, 2008) as guiding the actions of a government and taking into account the effects of that action or in-action on the lives of people in the community. Dye (as cited in Shaw and Eichbaum, 2008) defines policy as “whatever governments choose to do or not to do”. Shaw and Eichbaum (2008) go on to say that public policy is the most obvious way in which government politics can affect the lives of people. As an example, Shaw and Eichbaum use the interest free loan scheme put into place by the Labour government in 2006.
My passion to help others has led me to peruse a law degree. I use what I have learned to advocate for children. Unfortunately, there are many children who are helpless and need an advocate. My search to make a difference in children's lives has lead me to become a volunteer as a CASA (court appointed special advocate) for foster children. The judge for dependency court has been my biggest inspiration. Judge Young, has an amazing job. She is a voice for the voiceless, enforcing what is in the children's best interest. She is who sparked my interest in this field of law.
Participation may be encouraged in the three phrases of policy-making process. There may be participation in the formulation, implementation and evaluation of the policy. Professionals in the health field are increasingly aware that responsible citizens, acting as advisers, can help them provide to communities meaningful programs worthy of their support (Brown, 1971). It is also an important aspect to most local government planning and policy initiatives (Kathlene & Martin, 1991). The United States Agency for International Development (USAID) recognizes ...
Policy development and formulation are considered population-based interventions useful in affecting the nation’s health in a positive way (Porche, 2012). The policies must have a purpose and be goal driven. Policy and politics go hand in hand with each directly influencing the other. Healthcare professionals in all levels of care should strive to become politically knowledgeable and actively participate in policy-making decisions (Porche, 2012). Being politically aware allows healthcare professionals to influence government, workplace, organizations, and community policies (Porche, 2012). Healthcare professionals are powerful in numbers and their passion for policy decision-making and policy outcomes can generate beneficial changes for all
Judicial activism is rarely needed, but when it is employed, it is only in the most dire of
Two years ago, I was writing my letter of intent for my application to the Master of Public Administration (MPA) with a concentration in Healthcare Administration revealing my failures, and most significantly, that I lost my passion and didn’t know where to start. I also conceded that I was relatively unaware of the field of Public Administration (PA). Little did I know, examining PA theories would enable me to connect the final dots in the big picture of my life, where I came from, who I’d come to be, what choices I’d made, the relationships I nurtured, and my dreams and desires for the future. Although confidence came slowly and awkwardly, I discovered my desire to contribute to the advancement of public health policies. I am writing to express my interest in continuing to the Doctoral program in the School of Public Administration at the University of Nebraska at Omaha (UNO). I am absolutely interested in the commitment to the advancement of knowledge, and confident my experience in higher education and academic research will contribute to my successful completion of the Ph.D. program, in the specialization area of public policy.
Public policy is a product of politics and a course of action that the government uses to address a problem (Magleby & Light, 2009). Public policies have several purposes. Climate change and opportunities are two examples of policy purposes. The policy process is difficult to achieve for several reasons. One reason is that not all citizen agree on the policy, especially if it takes away their benefits. Another reason is that policies to not always make it past the deciding to act step, which results in nondecisions (Magleby & Light, 2009). There are three types of public policy used by the government; distributive, redistributive, and counterdistributive (Magleby & Light, 2009)
Policy-makers may be confronted with several competing proposals for dealing with a problem, or they may have to struggle with devising their own alternative. Policy formulation does not always culminate in a law, executive order, or administrative rule. Policy-makers may decide not to take positive action on a problem but instead, leave it alone, to let matters work themselves out. (Anderson,