Shaping Nursing Healthcare Policy

A View from the Inside

1st Edition - June 23, 2022
Editors: Diane Seibert, Beverly Malone, Patrick DeLeon
Language: English
Paperback ISBN:
9 7 8 - 0 - 3 2 3 - 9 9 9 9 3 - 9
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 9 8 5 1 0 - 9

The next generation of nursing leadership needs in-depth exposure to the real world of health policy, its culture and history, including understanding what historical barriers an… Read more

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The next generation of nursing leadership needs in-depth exposure to the real world of health policy, its culture and history, including understanding what historical barriers and professional opposition exists to nursing functioning of its training and expertise. Shaping Nursing Healthcare Policy: A View from the Inside directly addresses the recommendations of the Institute of Medicine landmark reports on the Future of Nursing.

This important work brings to life the practical realties of advanced practice nursing’s maturation and related social change, rather than relying on excessively abstract and theoretical opinions.

Cover image
Title page
Table of Contents
Copyright
List of contributors
Foreword
1. Health policy for advanced practice nurses: the social structure of Congress
Objectives
Introduction
Know your supporters
How a bill becomes a law
Drafting a bill
The unwritten rules
Role of nurse leaders in advocating for legislative change
Federal nursing leaders
The three “P”s and the power of relationships
Summary
Appendix A
2. A historic year on Capitol Hill
Objectives
Introduction
Conclusion
3. State Action
Objectives
Introduction
History of the future of nursing reports
Key areas #1 and #2: workforce and access to care—challenges and key messages
Key area #3: education, emergency preparedness and response: challenges and key messages
Key area #4: leadership challenges and key messages
Key area #5: wellbeing challenges and key messages
Summary
4. Health policy for advanced practice nurses: From clinician to policy through promotion to crisis
Objectives
Journey from the bedside to policy
You lead, but will they follow?
Assessment of mental health disorder care
Mental health nursing
Mental health nursing care and health promotion
Building a program for prevention
Implementation of policy
Inpatient mental health (IMH): another nursing policy opportunity
Crisis intervention and deescalation
PMDB-M training
You write but will they follow?
Conclusion
5. Policymaking, equality, and Women's health in the United States
Objectives
Introduction
Equality
Reproductive freedom
Prevention and women's health
Engagement and political competency
Conclusion
6. Battlefield Acupuncture: It’s time to care for the patients and expand nursing practice
Objectives
Introduction
Auricular acupuncture
Battlefield Acupuncture (BFA)
Expansion of BFA within the DoD and VA
Adoption of BFA beyond the DoD/VA
Personal story
Conclusion
7. The evolving role of social determinants of health to advance health equity
Objectives
Introduction
Social determinants of health: the meaning and the misunderstanding
Social determinants of health and related terms: why clarity matters
Social determinants of health, health disparities, health inequities, and health equity
The history of social determinants of health
History as a determinant of health
Evolving SDH frameworks
Putting it all together: nurses role in informing policy change
8. Health policy for advanced practice nurses: from health disparities to health equities
Objectives
Social determinants of health
Equal versus equitable
Healthcare systems to support and promote equity
Adolescent healthcare and social determinants of health
Values and experiences of healthcare providers and their impact on disparities and equity
A guide
Conclusion
9. Health policy for NPs: health literacy, cultural competence, and communication
Objectives
Health literacy
Conclusion
10. Policy and cultural competence for providers
Objectives
Introduction
A culturally competent curriculum
Strategies to improve cultural competence
A culturally competent practice
Summary
11. Informatics health policy for the APRN
Objectives
Informatics health policy for the APRN
Principles
12. The role of economics and policy in shaping the healthcare workforce and care outcomes
Objectives
Introduction
APRN practice barriers and costs
Cost of care
Modeling practice patterns
Reimbursement
COVID-19
Malpractice
Military health system
Veterans administration
A case study
13. Interprofessional education: state and federal policy considerations in the tale of two professions
Objectives
Introduction
Evolution of nursing education and practice advancement
Evolution of pharmacy education and practice advancement
Overcoming siloes in health professions education
Policies shaping healthcare professions to move to IPE
Conclusion
14. Mentoring in health policy: moving more nurses into the arena
Objectives
Introduction
Conclusion
15. Health policy for advanced practice nurses: the nurse-led care evolution and policy implications for improving services for populations experiencing disproportionate health disparities
Objectives
Introduction to nurse-led care
Nurse-led care and the beginning: the nurse-managed health centers
The evolution of nurse-led care to the mainstream population
Nurse-led care internationally
The future: nurse-led specialty clinics
The case of Woods Services and nurse-led care
Policy issues and nurse-led clinics
Policies that impacted nurse-led care
Conclusion
16. Developing a rural and transcultural doctor of nursing practice program at the University of Hawaii at Hilo
Objectives
Introduction
Geography and population in Hawaii
Historical perspective of health in Hawaii
The impact of colonization on native Hawaiian health: emerging health disparities
Current population health characteristics of Hawaii
A nursing visionary
Obligation to succeed
UH Hilo campus and the school of nursing
Transcultural nursing as the link to improving health outcomes of Native Hawaiians
Rural healthcare challenges
Rural healthcare system, leadership challenges, and provider shortages
Build a DNP program with a clear mission and vision
Lead forward with courage and vision
17. Opportunities and lessons learned; humanitarian mission to American Samoa
Objectives
Introduction
Student reflections
Summary
18. In harm's way: the strategy to develop operationally competent advanced practice registered nurses for war
Objectives
Introduction
Background
What is known about the APRN and operational readiness
The military health system
Developing readiness training
Operational courses
Potential barriers
Moving forward
Appendix
Index

Diane Seibert

Dr. Diane Seibert is Professor and Associate Dean for Academic Affairs in the Daniel K. Inouye, Graduate School of Nursing. In addition to her formal position, she co-chairs the University Interprofessional Education and Practice Taskforce and is the GSN representative to the University Standing Committee on Strategic Performance and Resourcing (SPR). Dr. Seibert is a highly sought-after speaker and has served on several boards and steering committees working to improve clinician knowledge and competency in the rapidly evolving area of genetics. She has authored over 40 professional papers, books and books chapters; has given numerous national and international presentations; and served on editorial boards for referred journals. She served as an executive board member of GeneFacts, Genetics and Genomics Community and the Genetic/Genomic Competencies for Nurses Prepared at the Graduate Level. Dr. Seibert's research portfolio includes funded projects focusing on genetics, learner engagement and telehealth technology.

Affiliations and expertise

Professor and Associate Dean for Academic Affairs, Daniel K. Inouye, Graduate School of Nursing, USA

Beverly Malone

Under Dr. Beverly Malone’s leadership, the National League for Nursing (NLN) has advanced the science of nursing education by promoting greater collaboration among stakeholders, increasing diversity in nursing and nursing education, and advancing excellence in care for patients. Dr. Malone’s distinguished career has mixed policy, education, administration, and clinical practice, including as federal deputy assistant secretary for health under President Bill Clinton. She contributed to the groundbreaking IOM report, "The Future of Nursing: Leading Change, Advancing Health," and served on the Minority Health Federal Advisory Committee, a federal panel established to advise the US Secretary of Health and Human Services. She’s on the Kaiser Family Foundation Board of Directors and the Institute for Healthcare Improvement Board of Directors. A global leader, Dr. Malone served as general secretary of the Royal College of Nursing (RCN), with a membership of 400,00 nurses the United Kingdom's largest professional union of nurses.

Affiliations and expertise

President and CEO, National League for Nursing, Washington, D.C., USA

Patrick DeLeon

Pat DeLeon is the Distinguished Professor at the Uniformed Services University of the Health Sciences (DoD) in the School of Nursing and School of Medicine. He was elected to the Institute of Medicine of the National Academies of Science in 2008 and served as President of the American Psychological Association (APA) in 2000. He’s received numerous national awards including the Distinguished Service Medal, USUHS; National League for Nursing Council for Nursing Centers, First Public Policy Award; International Honor Society of Nursing, First Public Service Award; Ruth Knee/Milton Wittman Award for Outstanding Achievement in Health/Mental Health Policy, NASW; Delta Omega Honor Society Award for Outstanding Alumnus from a School of Public Health; APA Outstanding Lifetime Contributions to Psychology Award; and the American Psychological Foundation Gold Medal for Lifetime Achievement in the Practice of Psychology Hawaii. He is currently the editor of Psychological Services. He has over 200 publications.

Affiliations and expertise

Distinguished Professor, Uniformed Services University of the Health Sciences (DoD) in the School of Nursing and School of Medicine, USA