The Four Spheres of Political Action in Nursing / Ethics in Policy Making

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A threaded discussion for Healthcare Policy in Nursing.

Part A. (1page, 2 references)
The Four Spheres of Political Action in Nursing
Please 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.

As you develop your responses, think about your position on issues of health policy. We know that whenever there is a policy made by the government, it will have a ripple effect to other areas.
In our text Mason, Leavitt, and Chaffee (2014) wrote that the four spheres of political action are the workplace, the government, professional organizations, and the community and that as nurses develop and use political skills the overlapping of these spheres becomes more evident.

  • Can you see how these spheres can play an integral part in policy and political action in nursing?
  • Please 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.

Part B (1 page, 2 references)
Ethics in Policy Making

A wave of pandemic illness can host a variety of ethical considerations. Please apply the importance of ethics to the process of policy making regarding pandemic outbreak and other future pandemic issues.

Example: When applying the importance of ethics to the process of policy making the H1N1 pandemic epidemic shows how ethics and policy were intertwined. For example, the policy portion deals with society and how we choose to handle certain situations. We elect policymakers to speak for the whole population and in turn, they decide who should receive the protection against H1N1 first when quantities are limited. Ethics comes into play when an elected official, speaking on behalf of the whole population, determines the “right” thing to do in a given situation like distribution of the flu shot. Was it ethical to immunize people according to their age, prior medical conditions, or occupation? Why or why not?

When looking at how to allocate funds for a future pandemic, should the frail and weak members of society be protected first, or should those who have an opportunity to contribute the most to society be first to receive protection? As a healthcare professional, do we have a duty to take care of patients who are infected even if it may put our own families at jeopardy should we become sick? When others disagree with whom to immunize first who is right? Is there a “right”? How important is it that our elected officials listen to the consensus of the population, or shouldn’t they be swayed by lay persons?
In this discussion please apply the importance of ethics to the process of policy making regarding pandemic outbreak and other future pandemic issues.

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