Shaping Nursing Healthcare Policy

Shaping Nursing Healthcare Policy

A View from the Inside

1st Edition - June 23, 2022

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  • Editors: Diane Seibert, Beverly Malone, Patrick DeLeon
  • Paperback ISBN: 9780323999939
  • eBook ISBN: 9780323985109

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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.

Key Features

  • Provides real-life experiences of chapter authors who are on the front-line of shaping and administering health policy for nursing
  • Includes significant changes in nursing practice environment over the past several decades, such as nursing-run health clinics and the important financial foundation
  • Delivers in-depth discussion of evolving key topics for nursing practice


Clinicians (ranging from nurses, NP, PA, pharmacists, and physicians), as well as researchers in healthcare

Table of Contents

  • 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

Product details

  • No. of pages: 272
  • Language: English
  • Copyright: © Academic Press 2022
  • Published: June 23, 2022
  • Imprint: Academic Press
  • Paperback ISBN: 9780323999939
  • eBook ISBN: 9780323985109

About the Editors

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

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