Strategies must be created and developed to promote increased participation of registered nurses in the political process and health care policy decision making. An interaction model is presented here that illustrates the driving forces that frame and influence health care policy decisions, including motivators and inhibitors, and makes apparent the need for social responsibility and applied ethics at all levels. It illustrates entry levels into the process. Nurses can utilize this model prospectively and retrospectively in the creation and analysis of strategies to influence appropriate health care policy decisions.
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References
1.
Annis, E. R. (1993). Code blue: Health care in crisis. Washington, DC: Regnery Gateway.
2.
Callahan, S. (2000). Incorporating a political action framework into a BSN program. Journal of Nursing Education, 39, 34-36.
3.
Chang, C. F. , Price, S. A., & Pfoutz, S. K. (2001). Economics and nursing critical professional issues. Philadelphia: F. A. Davis.
4.
Cohen, S. , Mason, D., Kovner, C., Leavitt, J., Pulcini, J., & Sochalski, J. (1996). Stages of nursing’s political development: Where we’ve been and where we ought to go. Nursing Outlook, 44, 259-261.
5.
Conn, V. , & Armer, J. (1996). Meta-analysis and public policy: Opportunity for nursing impact. Nursing Outlook, 44, 267-271.
6.
Feldstein, P. J. (1999). Health care economics (5th ed.). New York: Delman.
7.
Goldwater, M. , & Zusy, M. (1990). Prescription for nurses. Effective political action. Philadelphia: Mosby.
8.
Greipp, M. (1992a). Greipp’s model of ethical decision making. Journal of Advanced Nursing, 17, 734-738.
9.
Greipp, M. (1992b). Undermedication for pain: An ethical model. Advances in Nursing Science, 15, 44-53.
10.
Greipp, M. (1993). An ethical model for pain management practitioners. American Journal of Pain Management, 3, 122-127.
11.
Greipp, M. (1995). Culture and ethics: A tool for analyzing the effects of biases on the nurse-patient relationship. Nursing Ethics, 2, 211-221.
12.
Greipp, M. (1996). The hospice choice. American Journal of Hospice & Palliative Care, 13, 28-34.
13.
Greipp, M. (1997). Ethical decision-making and mandatory reporting in cases of suspected child abuse. Journal of Pediatric Health Care, 11, 258-265.
14.
Hadley, E. (1996). Nursing in the political and economic market-place: Challenges for the 21st century. Nursing Outlook, 44, 6-10.
15.
Hanley, B. E. (1998). Policy development and analysis. In D. J. Mason & J. K. Leavitt (Eds.), Policy and politics in nursing and health care (3rd ed., pp. 125-138). Philadelphia: Saunders.
16.
Lewenson, S. B. (1998). Historical overview: Policy, politics, and nursing. In D. J. Mason & J. K. Leavitt (Eds.), Policy and politics in nursing and health care (3rd ed., pp. 41-55). Philadelphia: Saunders.
17.
Mason, D. , Backer, B., & Georges, A. (1991). Toward a feminist model for the political empowerment of nurses. Image, 23, 72-77.
18.
Mason, D. J. , & Leavitt, J. K. (1998). Policy and politics in nursing and health care (3rd ed.). Philadelphia: Saunders.
19.
Milstead, J. (Ed.). (1999). Health policy and politics. A nurse’s guide. Gaithersburg, MD: Aspen.
20.
Reutter, L. , & Williamson, D. (2000). Advocating healthy public policy: Implications for baccalaureate nursing education. Journal of Nursing Education, 39, 21-26.
21.
Torrens, P. R. , & Breslow, L. (1999). The evolution of public health: A joint public-private responsibility. In S. J. Williams & P. R. Torrens (Eds.), Introduction to health services (5th ed., pp. 207-224). New York: Delman.
22.
World Health Organization . (1988). Healthy public policy. Strategies for action (Proceedings from the 2nd International conference on health promotion).
