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This presentation highlights the importance of nurses integrating political processes into their practice to further decisions made by policy makers. It focuses on the nursing agenda in Michigan and current state legislation affecting the nursing profession. The speaker provides recommendations and resources for nurse advocates.
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The Nurse as Advocate for the Nursing Profession Jeanette Klemczak, MSN, RN, FAAN Healthcare Market Talent Director Workforce Development Agency Presentation to the 2012 RN-AIM Annual Conference September 20, 2012, Bay City, Michigan
It is not enough to be professional, you must also be political…Sen. Hillary Clinton(address to American Nurses Assoc., 1998)
good News Dr. Mary Wakefield, Ph.D., RN, has been appointed by President Obama as the new head of the Health Resources and Services Administration (HRSA)
What is “HRSA?” HRSA is the nation’s access agency – improving health and saving lives by making sure the right services are available in the right places at the right time.
POLICY • The standing decisions of an organization (Evlau & Prewitt, 1973) reflects the beliefs of an administration • Provide direction to philosophy or mission of an organization.
Legislation • One stage of the policy making process.
politics • Exercise of interpersonal influence (political) • Characterized by: Communication, COLLECTIVITY, and COLLEGIALITY • We get more done when we work together
Nurses must integrate political processes into their practices to further decisions made by policy makers. (Milstead, 2002)
Michigan’s agenda for nursing • Why do we need and “agenda?” • Who are the “stakeholders?” • How do we get there?
ten key items • Workplace • Workforce • Diversity • Nursing Education • Image and Culture
ten key items (Cont.) • Nursing Licensure and Regulation • Financing and reimbursement • Economic Impact of Nursing • Maximum efficient use of workforce • Protect integrity and standards of professional nursing
Current State Legislation SB 635 (Hune-R, Howell) Requires national nursing organization accreditation for all Michigan nursing education programs • Recommendation #1 MDCH Task Force on Nursing Education (2009) HB 5516 (Potvin-R Cadillac) Allows volunteer nursing licenses • Support from Coalition of Michigan Organizations of Nursing (COMON) • Leadership and Advocacy by MI-AARP • Recommendation #2 MDCH Task Force on Nursing Regulation (2007)
Current State Legislation HB 4774 (Liss-D, Warren) SB 0481 (Jansen-R, Grand Rapids) Addresses definitions and scope of practice for four advanced practice nursing roles • Status: Senate workgroup convened 7/12 • Recommendation #3 MDCH Task Force on Nursing Practice (2012)
MDCH Task Force on Nursing Practice Recommendations • Improve Practice for Advanced Practice Registered Nurses • APRN Regulatory Recognition • APRN Statutory Changes • Direct Payment/Reimbursement for APRN Healthcare Services • Modernize Registered Nurses’ Scope and Standards of Practice • Title Protection for “Nurse” • Nursing Scope of Practice • Nurse Licensure Compact
MDCH Task Force on Nursing Practice Recommendations 3. Clarify Delegation of Nursing Functions • Define Nursing Delegation • Delegation of Nursing Functions to Licensed Practical Nurses (LPNs) and Nursing Assistive Personnel (NAPs) • Nursing Delegation Curriculum 4. Delineate the Practice and Role of Licensed Practical Nurses • Define LPN Scope of Practice • Eliminate Nursing Delegation Conflicts
MDCH Task Force on Nursing Practice Recommendations 5. Update Regulation of Nursing Assistive Personnel • NAP Regulation • NAP Titling and Core Competencies • Framework for NAP Training 6. Mitigate Human Factors in Patient Care Quality and Safety • Nurses: Human Factors Proposed Solutions • Nurse-Employers: Human Factors Proposed Solutions • Nurse-Educators: Human Factors Proposed Solutions • Government Regulators: Human Factors Proposed Solutions
MDCH Task Force on Nursing Practice Recommendations 7. Increase Practice Efficiencies in Nursing and Healthcare • Engage Nurses • Efficient Communication and Use of Patient Care Information • Modernize Federal and State Policies and Rules 8. Advance Technology in Nursing Practice and Healthcare • Effective HT Development • Integrating HT Systems into Practice • HT Requirements for Healthcare System Changes • Telehealth Technologies • Simulation Technologies
MDCH Task Force on Nursing Practice Recommendations • Enable Competition and Entrepreneurship in Healthcare Markets • Competition and Access to Care • Demographics, Healthcare Markets, and Access to Care • Remove 19th Century Healthcare Restrictions 10. Establish the Michigan Nursing Practice Council
Advocacy = VOTING
Websites • Task Force on Nursing Regulation, Education, and Practice Final Reports • www.michigan.gov/mdch/ocne • www.micnwp.org • www.michigancenterfornursing.org • Nursing Agenda for Michigan 2011-2015 • www.micnwp.org
Contact Information Jeanette Klemczak, MSN, RN, FAAN Healthcare Market Talent Director 517-241-7656 klemczakj@michigan.gov