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Strategies and Approaches to Policymaking: A Nursing Perspective.

Malone BL
NIOSH 1987 Jul:51-56
Strategies and approaches to policymaking from the perspective of nursing were discussed. Nurses have traditionally declared themselves to be patient advocates, a role that usually excludes policymaking. It is noted that the nursing concept of patient advocacy is very limited; it is restricted to an 8 hour shift in a hospital setting. The author asserts that patient advocacy should extend beyond the 8 hour shift to embrace a concept of 24 hour hands/on accountability and responsibility and even further into the area of policymaking. If patient advocacy is not extended to the policymaking level, the nursing profession may experience premature discharge or ineffective treatment of patients, conferring of professional licenses by the place of employment, and the determination by lawyers, legislators, and lobbyists of the ability to provide nursing care. It is noted that physicians have realized the importance of policymaking, as manifested by their creating the American Medical Association. Policymaking can be considered to be a form of patient advocacy in its broadest and most comprehensive sense. It is asserted that nursing has the clinical and theoretical knowledge to determine the direction that health care in the United States should take. Strategies that nurses can use to influence health care policymakers can be categorized as individual, dyadic, or group oriented. Nurses can take individual steps by asserting their individuality, such as by being elected to political office or becoming an effective administrator of a health care institution. Dyadic strategies involve teaching and guiding fellow nurses into expanding their patient advocacy roles into the legislative area. Group based strategies involve joining professional organizations and influencing state legislators or Congress by lobbying.
Occupational-health-nursing; Regulations; Health-protection; Occupational-health-services; Occupational-health; Humans; Medical-care;
Publication Date
Document Type
Conference/Symposia Proceedings;
Horvitz IA;
Fiscal Year
Source Name
Proceedings of the National Occupational Health Nursing Symposium: State of the Art and Directions for the Future, Cincinnati, Ohio, June 1-3, 1983
Page last reviewed: February 11, 2022
Content source: National Institute for Occupational Safety and Health Education and Information Division