standing together : advocating for the future of nursing€¦ · strategic defense initiative- star...

ANA/C 2018 General Assembly

Standing Together :

Advocating for the Future of Nursing

Advocating for Our Professional Role

Maria Williams O’Rourke RN PhD FAAN

Looking Back to See the Future

“There are many gifts that are unique in man; but at the center of them all, the root from which all knowledge grows, lies the ability to draw conclusions from what we see to what we do not see, to move our minds through space and time, and to recognize ourselves in the past on the steps to the present.

Jacob Bronowski, The Ascent of Man 1973

Standing Together : Advocating for the Future of Nursing

Words Matter!

Standing … you are on your feet …. Engaged, ready for action

Together… you are acting jointly, mutually, collectively, in sync

Advocacy… means


Advocacy … A Driving Desire

“an act of publicly representing an individual, organization, or idea”

Ensure people, particularly the most vulnerable in society, are able to:

Have their voice heard on issues that are important to them.

Defend and safeguard their rights.

Have their views and wishes genuinely considered when decisions are being made about their lives.


Advocacy Starts Early:

Good Citizenship, Governance and Leadership


What lit my Advocacy fire?


Injustice

My Story: Injustice in the early years

Stereotypes about girls and women – what was defined

pretty!

Access to career opportunities- shut out of classes!

Weaker gender due to our biology- female sports were

modified!


A Sign of the Times –

Social moments had an impact on advocating for our

professional role and advancing the future of nursing


Advocacy and Social Movements

1960

Civil Rights

Vietnam - Women Against War

Women’s Rights- Liberation

Labor/Worker’s rights/Farm workers

Second Vatican Council- women in the church

Anti nuclear Movement

Hippie Movement – love and drugs

Nurse’s Protest across the nation about control of practice and work place issues - PPC came into effect.

1970

Roe vs Wade

marginalized people continued fight for equality

many Americans join protest against the ongoing war in Vietnam.

LGBT rights

Right to Life-Pro Choice-Conscientious Objection

Men's’ rights

Paternalism - Women's Professions -not at the table

Recognition that practice had outpaced the legal framework -Legislative advocacy increases


Injustice in Nursing in the 60’s and 70’s

Professional Role UN- Clarity

Normative Factor:

No question of our service orientation- patient always first

Service vs Servitude – Dependent practice

Pay not value based

Cognitive Factor:

Underdeveloped scientific base for our practice- tradition oriented

Women did not need to be smart

Fight over the need for higher education for nursing

Evaluative Factor:

Autonomy and Control of practice

Men in control of decision making

Independent vs dependent practice


Activism

“a policy of taking direct action to achieve a political or social goal”

implies a direct action or intervention such as a protest in favor of change.

part of the advocacy process or the action(s) such as organize a deliberate and direct

protest, to increase awareness and attempt to influence the political process

Lobbying – education – litigation - organizing


Success = Advocacy and Activism


Valuing Your Worth


$87.00 per week

$3.60 eves

$1.80 nights

Blue Cross

When rotate: Function in other areas

Advocacy and Activism


1974 –Advocacy for Health


1974 New Definition of Nursing

Professional Role clarity

Section 2725 Scope of Practice definition

Independent-Dependent

Inter- dependent Practice

Indirect and direct practice

Decision making authority

Expanded practice mechanism

Collaboration

Across settings


Advocacy and Social Movements:

80’s, 90’s, 2000 plus.

1980

Mount St. Helens erupts- natural disaster

Strategic Defense Initiative- Star Wars

Iran Iraq War

Anti labor government

ERA Debate

anti-globalization corporate movement

Gun control

Environments regulations

Medical establishment opposition to Nurse Practitioner

1990

Planet in trouble - Timber Wars

Political activism on the Right

Occupy Wall Street starts

IOM study on medical error

De-professionalization of the Nursing Workforce


Advocacy and Social Movements:

80’s, 90’s, 2000 plus.

2000

Iraq Was protests

Immigrants march

Technology Revolution

Social media for social change

Work Force environment issues

Population health emerges

Public health crisis

Social determinants of health


Advocacy and Activism

Vulnerable Populations: The poor


Vulnerable Population: Stop Blaming the

Sexual Assault Victims


Vulnerable Population: Children and families


What is Your Driving Force

Your core

what is the issue that will drive your effort to advocate for our professional role?

what will you do to make the change happen


Today- Advocacy and Activism

Link quality patient care, practice excellence, patient safety

………to how Professional Nursing care is key to achieving positive

outcomes for patient families and the community

Then do something to make it happen!


Thank you


standing together : advocating for the future of nursing€¦ · strategic defense initiative- star...

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