Автор: By far the most powerful rationale for medical involve- ment into the coverage hails from a standard under- trustworthiness of the nature away from fitness. All the more, evi- dence links wellness standing so you can psychosocial things, environmental criteria, sex stratification, and you will cultural-monetary affairs-items outside the health care stadium by itself (Amick, Lovine, Tarlov, Walsh, 1995; Reutter Williamson, 2000). This new Pew Wellness Specialities Commission (1991, 1995) envisions therapists because of the 12 months 2005 adding it large angle of wellness in their worry and you will approaching root factors that cause physical and you may social environmental risks you to definitely jeopardize health. Strategies to to-do these
To help you continuously enhance the high quality and you can liability of medical care program, prac- titioners need to understand the fresh new political, socio- monetary, and you will court determinants of the system and have the expected political feel in order to intervene rightly
goals often include political action and coverage innovation. Reutter and you will Duncan (2002) define a move inside blackfling-ondersteuning the angle to your rules advocacy one locations better emphasis on nursing’s wedding for the change of the social and you may financial affairs one influence wellness. Nurses need engage in politi- cal really works if they’re to dictate this new determinants of and you can the new environments for fitness.
Several other angle for the linkage certainly nursing, health, and you may government is seen in the social perspective (Leininger, 1995). Nursing experts need to understand the sources of strength and you can patterns within the government to help you effec- tively bring health and avoid disease for the a good cul- turally efficient way. This can be true when you look at the prac- titioner’s native community and many more very important within a great culturally varied around the world people.
The power and government embedded when you look at the for each community strongly influence of several things that will be importantly related to health, including family unit members societal construction, spiritual way of life, and recognized norms/routines
This cultural aspect out-of power and you will politics in addition to firmly influences the brand new characteristics regarding medical routine and compassionate, hence grows the explanation getting nurs- ing’s political engagement in order to framing new profes- sion and delivery away from proper care. The Pew Fitness Profes- sions Fee (1991, 1995) charges physicians into the improve of the health care program. Nurses work together in 3 ways from the creation of the latest and you may improved delivery sys- tems: “with individuals undergoing proper care; with teams from the creation of health; in accordance with their health worry colleagues regarding the establish- ment and utilization of services” (Sigma Theta Tau International, 1996, p. 18). Such region- nerships and you can obligations want governmental ability.
Another significant advantage of governmental activism is to try to bring nurses’ opinions for the governmental discus- sions and you can decisions. Backer, Costello-Nickitas, Mason, McBride, and Vance (1998) note that nurs- ing will bring a focus into the thinking out of compassionate, equivalence, multiculturalism, connectedness, and you may energy discussing in order to plan and you will governmental discussions. Gebbie, Wakefield, and you may Kerfoot (2000) note that
Nurses’ good values regarding the strength and significance of men and women to maintain by themselves differentiate nurses off their health specialities you to definitely express some of the exact same experience. So it trust will get an orientation to your plan step allow someone to simply help by themselves. (p. 311)
As modern healthcare framework becomes much more politicized, nurses’ governmental competence might possibly be important to increasing the wellness of anyone within personal and you will cumulative accounts. Governmental feel can also be extremely important from inside the raising the health care program, maintaining a powerful profes- sion, and getting breastfeeding values convincingly into the rules creation.
It phenomenological study made use of story and “rich meanings” of factors out of politically experienced elite group nurses to enhance information of thought of governmental skills. This method inside it an in-depth analysis of your “conscious lived experience” of relaxed plan works and you can governmental wedding. From this analysis emerged sun and rain that folks can be consider the well-known knowledge of governmental hobby (Fain, 1999). Benner (1994) describes interpretive phenomenology since the an effective partic- ularly rich way for knowledge “medical science, medical habit, this new lived connection with health insurance and problems, and you can medical care ethics and you can pol- icy“ (pp. xiii-xiv).
