Discuss the four spheres of political action in nursing. In addition, please develop a brief argument sharing how these spheres are interconnected and overlapping
Discuss the four spheres of political action in nursing. In addition, please develop a brief argument sharing how these spheres are interconnected and overlapping by applying an example from your practice. What are some ethical considerations here?
Expert Answer and Explanation
Four Spheres of Political Action in Nursing
The very act of being a nurse makes one politically involved even though most nurses view themselves as politically powerless. (Cameron, Ceci, & Salas 2011). The four spheres of political action are areas where nurses have an opportunity for political involvement. Even though each sphere has its own independent function, they all work together to create change.
The four spheres of political action in nursing include the workplace, government, professional organizations and the community. (Mason, Leavitt, & Chaffee, 2013).
Workplace
It addresses affecting jobs and patient care. Nurses should advocate for the issues that require a change in the workplace and also those that affect patient care. They should be politically informed to ensure that policies that regard their workplace are adequately addressed. (Cameron, Ceci, & Salas 2011).
Government
It addresses rules, laws and regulations governing nursing practice. (Mason, Leavitt, & Chaffee, 2013). The government is the main influencer in the health care-related changes due to their role in political action. We as nurses ought to work closely with the government to create change.
Professional Organizations
They address issues that shape nursing practice. They influence policy changes in health care as contributors and also implementers. They also lobby for the political backing of the health care policies they deem beneficial to them and the community they serve.
Community
It addresses issues that affect community health. Since they have a good understanding of the specific health needs of the population, they should work closely with nurses to address them.
For a political action in nursing to be realized, it requires input from all spheres hence they are interconnected.
In an area I was attached to, there were many incidents of domestic violence with a large number of patients being victims. Through nursing political action, we formulated policies to protect victims and stop the violence. Professional organizations were able to influence change and involve the government in implementing the changes.
The hospitals served as the center for members of the community to be sensitized about the issue and also for treatment of victims. Through collaborative action from all the spheres we were able to reduce the number of cases of domestic violence reported.
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Four spheres of political action in nursing
political activities can occur and where nurses can engage in advocacy and political action to shape the future of healthcare and the nursing profession. The four spheres of political action in nursing are:
- Micropolitics: Refers to the political actions that occur within the workplace and involve individual nurses and their interactions with patients, colleagues, and healthcare organizations.
- Mesopolitics: Involves the political dynamics of healthcare organizations and the relationships between nurses, managers, and administrators.
- Macropolitics: Relates to the larger societal and political forces that shape healthcare policy and the nursing profession, such as government regulations, funding, and laws.
- Global politics: Concerns the impact of international and global factors on nursing and healthcare, including international health policies, migration of healthcare professionals, and cross-border health initiatives.
In each of these spheres, nurses can engage in political action and advocacy in order to shape the future of healthcare and the nursing profession. This can involve participating in the development and implementation of healthcare policies, lobbying, and working to improve patient care and working conditions for nurses.
To which branch of government does the medpac report to?
The Medicare Payment Advisory Commission (MedPAC) is an independent legislative branch agency in the United States government. It was established by the Balanced Budget Act of 1997, and is tasked with providing advice and recommendations to the U.S. Congress on issues related to the Medicare program.
MedPAC is not a part of any executive branch agency, such as the Department of Health and Human Services, but instead operates under the jurisdiction of the legislative branch of government. Specifically, MedPAC reports directly to the U.S. Congress, and its recommendations are used by Congress to inform its policy decisions related to the Medicare program.
What are the 4 spheres of accountability in nursing?
The four spheres of accountability in nursing refer to the different domains in which nurses can be held accountable for their actions. These spheres are:
- Legal accountability: This refers to the legal obligations and responsibilities of nurses, including those related to patient care, informed consent, and confidentiality.
- Ethical accountability: This refers to the ethical obligations and responsibilities of nurses, including those related to patient autonomy, beneficrimination, respect for patients, and maintaining confidentiality.
- Professional accountability: This refers to the responsibilities and obligations of nurses as members of a professional organization, including adherence to professional standards, continuing education requirements, and compliance with professional codes of conduct.
- Organizational accountability: This refers to the responsibilities and obligations of nurses within their healthcare organizations, including compliance with policies and procedures, and upholding organizational standards for patient care and safety.
It is important for nurses to be accountable in all of these spheres in order to maintain the highest standards of patient care and to protect the integrity of the nursing profession.
