Chapter 7: Government, The Law And Policy Activism Flashcards
Policy
A settled course of action to be followed by a government or institution to obtain a desired end.
Health policy
Is a set course of action to obtain a desired health outcome, for an individual, family, group, community or society.
Politics
The art of influencing other to accept a specific course of action.
Three Branches of Government includes
- Executive (US Department of Health and Human Services)
- Legislative
- Judicial (police power)
Government Health Care Functions
- Direct services
- Financing (National Institute of Nursing Research)
- Information (Health, US)
- Policy Setting
- Public Protection
What are some international organizations and agencies influence health?
Word Health Organization (WHO): World Health Assembly (WHA)
What are some federal organizations and agencies that influence health?
- US Dept. of Health and Human Services
- Centers for Disease Control and Prevention
- Health Resources and Service Administration
- National Institutes of Health (National Institute of Nursing Research, Agency for Healthcare Research and Quality, Centers for Medicare and Medicaid Services
What are some federal non-health agencies that influence health?
- Department of Defense
- Department of Labor
- Department of Agriculture
- Department of Justice
State and Local Health Departments
- Programs vary depending on funding, public commitment and interest and access to other resources
- Coordinating efforts between health departments and other county/city departments is necessary.
What is one particular way government agencies have had a major impact on the practice of nursing?
Funding has shaped roles and tasks of population centered nurses. (Has led to special and more narrowly focused nursing roles such as emergency preparedness, school nursing and family planning)
Constitutional law
Provides overall guidance for selected practice situations.
Legislation
Las that comes from legislative branches of federal, state or local government.
Much legislation has an effect on nursing.
Regulations
Are specific statements of law related to defining or implanting individual pieces of legislation.
Legislation and Regulation include
The Board of Nursing and Nurse Practice Act
Judicial Law
Based on court or jury decisions.
Case Law
The opinions of the court.
Scope of Practice
Involves defining nursing, setting its credentials and distinguishing between the practices of nurses, physicians and other health care providers.
What sets the scope of practice for nurses?
Nurse practice act: licensure.
Professional Negligence
An act (or failure to act) that leads to injury of a client.
What are Legal Issues Affecting Health Care Practices
- School and Family Health
- Occupational Health
- Home Care and Hospice Care
- Correctional Health
Because the number and types of laws influencing health care are increasing, nurses need to
Be involved in the policy process and understand the importance of involvement in nursing to the clients they serve.
The nurses role in the policy process includes
Legislative action
Regulatory action
The process of regulation
Nursing advocacy