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Week 1: Discussion 1: The Four Spheres of Political Action in Nursing

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Week 1: Discussion 1: The Four Spheres of Political Action in Nursing Nursing should not only focus to one specific task in providing effective nursing care, perhaps, nursing today is shown to be multidimensional that provides advanced holistic care and interdisciplinary team approach. The multidi...

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  • April 2, 2022
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  • 2022/2023
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Week 1: Discussion 1: The Four Spheres of Political Action in

Nursing
Nursing should not only focus to one specific task in providing effective nursing care,

perhaps, nursing today is shown to be multidimensional that provides advanced holistic care and

interdisciplinary team approach. The multidimensional aspect of nursing includes the promotion

of health, safety, disease and illness prevention for patient, families, or within the communities.

Because of this, nursing professionals largely influenced the political actions in healthcare by

creating a change in improving the level of care as well as promotes effective rules and

regulations and work safety. In this week’s lesson is about the review of values in politics and

the Four Spheres of Political Action in Nursing (CCN, lesson 1, 2019).

According to Manton (2016), the four spheres of political action in nursing includes

government, professional organization, workplace or workforce, and community. The function of

each spheres is relatively unique from each other, but it is more effective when both spheres are

used to create a change. The sphere of workforce or workplace such as nursing home,

acute/primary care, home care, school-based clinics, or physician office etc. focuses on the

importance of effective policies and procedure that will impact and improve the patient care. The

sphere of government is focused on the laws and regulations of clinical or nursing practice

within the state or within the united states (US). For example, the government created a law that

requires health care or hospitals to keep records of immunizations, birth records, provides

protection of patient information and medical records, and also, they provide legal age limit for

drinking alcohol. In addition, the government provides vital role in the nursing industry because

it largely impacts the nursing services and impact the healthcare system (provides laws on health

, care coverage and drug price transparency). The sphere of professional organization is focused

on different areas in nursing such as American Nurses Association (ANA), nursing credentialing

system and nursing standard of practice that will help shape and strengthen the clinical practice

and the profession of nursing. In addition, professional organization is vital in the creation of

safe and high standard work environment for nurses, effective policies and procedure that will

aid in providing advanced nursing practice and effective nursing services in the community. For

example, American Nurses Association (ANA) is nationally recognized professional

organization which promotes leadership, fosters high standards of nursing care, promotes safety

and ethical work environment, and advocates for the nurses and public in regard to healthcare

issues (ANA, n.d.). Lastly, the sphere of community addresses activities that leads to the

community’s health issues. For example, improper waste disposal, and low socioeconomic are

detrimental to the people’s health in the community. Although there are special organization that

are available to help the community such as food banks, community organizations, and habitat

for humanity. The role of the nurse in the community is to promote healthy food selections,

proper waste disposal to create safe and clean environment that will aid in the disease and illness

prevention (Manton, 2016).

Nurses largely influence the creation of policies and procedure that will help improve

health care system and the quality of patient care (hospital or community). According to

Cameron, Ceci, & Salas, (2011) nurses often view themselves as individual with no power when

it comes to policy making in healthcare. Also, nurses see their profession as a normal part of

healthcare and not political opportunity to help develop change, but what nurses don’t realize is

that being a nurse makes it more involved in healthcare politics.

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