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Increasingly, health policymakers are becoming aware of the social determinants of health and the role they play in prevention disease and promoting health and wellness.

  • In the "Frameworks for Action in Policy and Politics" chapter, examine Box 1-1 (Political Aspects of the Social Determinants of Health) and Figure 1-6 (The Who, What, Where, When, and Why of Nursing's Policy Influence). Compare these with the story about Lilian Wald's work in New York City.
  • Reflect on the "what" of Wald's strategies. In your opinion, which did she use effectively?

Looking further at the "what" in Figure 1-6, answer any one of the following questions:

  • Discuss at least three competencies/strategies that you have used effectively.


Explain Detailed.....



1-1.jpg

1-1


1-6.jpg

1-6

1-1.jpg
1-6.jpg
WHO?
WHERE?
WHAT?
WHEN?
WHY?
Who acts to
In what
influence health
environments, or
What are examples of
When do nurses
Why do nurses act
and social
spheres of influence,
strategies nurses use to
act to influence
to influence
policy?
do nurses act to
influence policy?
policy?
policy?
influence policy?
Conduct political analysis
.
Become knowledgeable
. When a social or
about issues
health problem
Provide testimony
Write letters to the editor
needs a remedy
. To improve
Make campaign donations
Participate in community
. When a focusing
human health
activism
event occurs
1. The Workplace
Build coalitions
. To improve
and Workforce
.
Contact policymakers
Obtain media coverage
. When the
access to care
Conduct research to create
political
2. The
evidence
environment is
. To improve the
Government
Shape policy with evidence
Obtain appointments to
ripe
safety of care
Nurses
influential positions
3. Associations
Lobby key individuals
When the
Join influential groups
. To improve the
and Interest
Run for office
national (or local)
quality of care
Groups
Identify policy problems and
mood supports
analyze solutions
change
Publish articles
. To remove
4. The Community
Serve on boards
disparities in care
Identify focusing events
. When
. Identify goals
opportunity is
Assess political feasibility
identified
. To reduce the
Identify supporters and non-
cost of care
supporters
Volunteer on campaigns
. When a policy
Prepare issue briefs
Assess who will benefit and
has unintended
who will lose
consequences

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