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Using advanced practice to shape public policy: agenda setting

J A Milstead1

  • 1School of Nursing, Duquesne University, Pittsburgh, Pennsylvania, USA.

Nursing Administration Quarterly
|July 1, 1997
PubMed
Summary

Advanced practice nurses (APNs) can enhance patient well-being by embracing political activism. Utilizing Kingdon

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Area of Science:

  • Nursing
  • Public Policy
  • Health Advocacy

Background:

  • Advanced practice nurses (APNs) have expanded their roles beyond traditional clinical duties.
  • However, the role of political activist is often underutilized by APNs.
  • This gap limits their influence on health policy and patient care outcomes.

Purpose of the Study:

  • To explore how advanced practice nurses (APNs) can integrate political activism into their practice.
  • To apply Kingdon's model of agenda setting as a framework for APN advocacy.
  • To provide actionable strategies for APNs to influence public policy for improved patient well-being.

Main Methods:

  • Conceptual analysis using Kingdon's agenda-setting model.
  • Review of current APN roles and their intersection with policy.
  • Development of a rationale for redefining APN specialty practice to include advocacy.

Main Results:

  • Kingdon's model provides a clear pathway for APNs to engage in policy-making.
  • Redefining APN practice to include political activism is crucial for patient advocacy.
  • Strategic action before legislative efforts can increase policy impact.

Conclusions:

  • Advanced practice nurses (APNs) are well-positioned to become effective political activists.
  • Integrating political action into APN practice is essential for advancing patient care and public health.
  • Specific strategies are recommended for APNs to influence policy at state and national levels.

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