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1.
J Adv Nurs ; 75(1): 119-128, 2019 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-30109719

RESUMEN

AIM: The aim of this study was to describe and analyse Facebook and Twitter content associated with three United States national nursing organizations during the month preceding the 2016 United States presidential election. BACKGROUND: Social media is increasingly significant in political and civil society dialogue. Many professional nursing organizations have an explicit commitment to advancing health policy and have established a presence on social media platforms; yet, little is known about what policy topics professional nursing organizations choose to disseminate. DESIGN: Descriptive study of qualitative data from three national nursing organizations' social media posts 1 month prior to the 2016 United States presidential election. METHODS: Content analysis of social media content was guided by the Conceptual Module of Nursing and Health Policy and the Culture of Health Action Framework. RESULTS: A total of 2,137 social media units were collected. National Nurses United shared more policy-related content on Facebook and Twitter than the American Nurses Association and the American Academy of Nursing. Two policy issues relevant in the 2016 national election-expanded use and regulation of marijuana and containing the cost of prescription drugs-received considerable attention on the nursing organizations' social media feeds, while a substantial percentage of analysed content was not related to health policy. CONCLUSION: Professional nursing organizations often represent the voice of nurses in policy discussions. Organization leaders and members should consider how social media content could enhance nurses' policy participation and advance dialogue about health and well-being in the context of high-stakes healthcare debates.


Asunto(s)
Política de Salud , Política , Medios de Comunicación Sociales/legislación & jurisprudencia , Medios de Comunicación Sociales/estadística & datos numéricos , Sociedades de Enfermería/organización & administración , Sociedades de Enfermería/estadística & datos numéricos , Humanos , Estados Unidos
2.
Policy Polit Nurs Pract ; 18(1): 44-56, 2017 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-28558520

RESUMEN

Nurse leaders and health-care experts agree that nurses have a responsibility to address the health problems facing the nation by participating in health policy development. However, nurses have not fully realized their potential when it comes to engaging in health policy advocacy and leadership. Nurse leaders, professional nursing organizations, accrediting bodies, and the Institute of Medicine have all identified the need to educate nurses in heath policy. Valuable recommendations for content and learning activities in health policy have been made. We argue that nursing education in health policy and the many recommendations offered have been broad and overly ambitious. This article presents a proposal for a staged approach to educating nurses. This approach would tailor content to the role of the nurse at each level of nursing education. The focus of health policy content would progress from the organizational level to local, state, and finally national level health policies. The goal of this approach is to better prepare all levels of nursing students to participate in shaping effective health policies.


Asunto(s)
Educación en Enfermería/organización & administración , Política de Salud , Liderazgo , Rol de la Enfermera , Competencia Profesional/normas , Curriculum , Humanos , Investigación en Educación de Enfermería , Mejoramiento de la Calidad , Estados Unidos
3.
Policy Polit Nurs Pract ; 18(4): 195-205, 2017 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-29667864

RESUMEN

This study was designed to describe and quantify the experiences of nurse leaders working to influence policy and to build consensus for priority skills and knowledge useful in policy efforts within the context of a nursing conceptual framework. The conceptual model for nursing and health policy and the Adams influence model were combined into a conceptual framework used to guide this two-round modified Delphi study. Twenty-two nurse leaders who were members of a state action coalition participated in the Round 1 focus group; 15 of these leaders completed the Round 2 electronic survey. Round 1 themes indicated the value of a passion for policy, the importance of clear communication, and an understanding the who and when of policy work. Round 2 data reinforced the importance of clear communication regarding policy engagement; knowing the who and when of policy closely followed, and having a passion for policy work was identified as least important. These themes inform learning objectives for nursing education and preparation for interactions with public officials because influencing policy requires knowledge, skills, and persistence. Study findings begin to describe how nurse leaders influence policy within the context of a nursing conceptual framework and generate implications for research, education, and professional practice.


Asunto(s)
Política de Salud , Liderazgo , Enfermeras Administradoras/organización & administración , Rol de la Enfermera , Atención de Enfermería/organización & administración , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estados Unidos
4.
Nurs Sci Q ; 29(4): 340-4, 2016 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-27641285

RESUMEN

We describe a framework used to analyze health policy content in baccalaureate nursing program courses that combines the conceptual model for nursing and health policy and the Adams influence model to account for knowledge and skills needed for health policy work. Our analysis of health policy content in courses in one baccalaureate nursing program focused on what policies were emphasized and how educational content supported the development of personal influence. The analysis revealed course content focused on public sources of health policies and lack of overt course content about policies from organizational and professional sources. Additionally, we identified little course content about the development of personal influence skills except for communication and message articulation components. As the nursing profession continues to build influence in the policy arena, educators must continue to prepare future nurses for such work.


Asunto(s)
Curriculum , Toma de Decisiones en la Organización , Bachillerato en Enfermería/normas , Política de Salud , Humanos , Enfermeras y Enfermeros , Pensamiento
5.
Policy Polit Nurs Pract ; 17(1): 15-23, 2016 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-26880725

RESUMEN

The Legislative Action Interest Group (LAIG) is a hospital-based health policy forum that engages nurses in exploring clinical implications of existing and pending health policies and regulations, while also creating a feedback loop to inform policy makers about the realities nursing practice and patient care. The LAIG is a collaborative effort between the hospital's Department of Nursing and Patient Care Services and the Office of Government Relations at an academic children's hospital. Nurses participating in the LAIG forums build a working knowledge of health policy and can articulate the practice realities for policy decision makers. Participants explore the political context of nursing and pediatric policies while learning about the state legislative process. Beyond the monthly meetings, members build policy advocacy skills and have testified at public hearings, met with state and federal legislators, and led tours for policy makers through the hospital. The LAIG model also benefits the government relations staff by providing time for them to discuss clinical implications of pending policies with nurses from practice settings in the hospital. Forum discussions enhance the ability of the hospital's lobbyists to articulate practice implications of health policy to lawmakers. This case study, describing the origin, structure, operations, and outcomes of the LAIG model, and has implications for nurses in hospitals and academic settings who are interested in engaging in policy work. Opportunities to research the sustainability, replicability, and patient-centered outcomes of LAIG forums represent future work needed to advance nursing's participation in policy.


Asunto(s)
Actitud del Personal de Salud , Política de Salud/legislación & jurisprudencia , Rol de la Enfermera , Personal de Enfermería en Hospital/psicología , Defensa del Paciente/legislación & jurisprudencia , Defensa del Paciente/psicología , Adulto , Femenino , Humanos , Estudios Interdisciplinarios , Relaciones Interprofesionales , Masculino , Massachusetts , Persona de Mediana Edad , Estados Unidos
6.
J Prof Nurs ; 27(6): 334-43, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-22142909

RESUMEN

The progression from nursing student into the RN role remains difficult, despite over 30 years of effort to ease the transition for new graduates. We review the research on programs designed to help new graduates move into practice and propose a model for new nurse transition that starts during nursing education and continues 2 years into practice. The model illustrates the frequent detachment between efforts taken by nursing schools and employers to facilitate this transition. We offer recommendations for the design of future research to capture all transition efforts, from student to functioning RN, and better identify the critical elements of new nurse transition programs. Evidence such as this is needed to allow schools and employers to use their limited resources most effectively to support graduate nurses.


Asunto(s)
Modelos de Enfermería , Rol de la Enfermera , Estados Unidos
7.
Am J Nurs ; 110(1): 54-8, 2010 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-20032670

RESUMEN

OVERVIEW: Inspired by a presentation at an educational conference, two operating room (OR) nurses at Children's Hospital Boston raised concerns at the hospital's perioperative evidence-based practice committee meeting about the potential hazards associated with exposure to surgical smoke and aerosols. The nurses initiated a safety project involving the use of smoke evacuation devices in ORs. The subsequent policy development took two years and involved a literature review, a survey of other institutions, and the support of numerous stakeholders. A utilization review and supportive educational initiatives are ongoing.


Asunto(s)
Aerosoles/efectos adversos , Exposición Profesional/prevención & control , Quirófanos , Lesión por Inhalación de Humo/prevención & control , Ventilación , Enfermería Basada en la Evidencia , Implementación de Plan de Salud , Humanos , Enfermería de Quirófano , Estados Unidos
8.
Am J Nurs ; 109(11): 53-7, 2009 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-19858858

RESUMEN

Blending a shared governance model with the concept of evidence-based practice (EBP) creates a dynamic situation for both nurses and hospitals: staff nurses are directly involved in improving the care they provide while growing in their practice and becoming more invested in their institution. Shared governance enables staff nurses to assume leadership roles in identifying areas for change and driving the change through an EBP process, while nursing leaders provide the tools and maintain an environment that will allow such a process to take place.


Asunto(s)
Enfermería Basada en la Evidencia , Modelos de Enfermería , Rol de la Enfermera , Supervisión de Enfermería/organización & administración , Toma de Decisiones en la Organización , Humanos , Relaciones Interprofesionales , Liderazgo , Innovación Organizacional , Garantía de la Calidad de Atención de Salud
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