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NUR 514 Topic 4 DQ 1

DQ 1: Leading and Patient Advocacy

As part of their humane and professional mandate, nurses are actively involved in policy
advocacy. Such advocacy is characterized by nurses’ representation of patients, nurses’ needs, or
the profession as a whole. In critical matters, nurses are involved in the legislative process to
ensure that their proposals have legal and political support. However, the process is not as
smooth as envisioned or expected. Barriers such as individuals sharing different viewpoints and
retaliation are common. Jurns (2019) further noted that lack of adequate information regarding
policy creation usually inhibits success. Due to such barriers, nurses can apply different
strategies to enable them to represent the advanced registered nurse as leaders and patient
advocates.
Always, the legislative process should be dominated by resilience and sufficient
understanding of concepts and processes. Barriers are adequately resisted and overcome when
policy promoters challenge them instead of evading them. A suitable example is where nurses or
other policy promoters use their professional knowledge and comprehension of concepts to
influence a change of opinions in individuals sharing different viewpoints. Reconciliation is
crucial to come up with a common position that benefits patients, nurses, and the health practice
at large. Safari et al. (2020) further mentioned that nurses involved in health and legislative
policies should not participate in health policy-making activities at a moderate level.
Accordingly, they should understand the procedures of the legislative process and act right while
resisting all barriers. Approaching situations with an open mindset is also highly encouraged to
reduce the chances of conflicts.
In any case, the legislative process encounters numerous barriers depending on the policy
and advocacy team. Nurses should be prepared to face different challenges mentally and through

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the necessary resources. Resilience is essential, and an adequate understanding of the legislative
and policy formulation process is part of the preparation as well.

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References

Jurns, C. (2019). Policy Advocacy Motivators and Barriers: Research Results and
Applications. OJIN: The Online Journal of Issues in Nursing, 24(3). doi:
10.3912/OJIN.Vol24No03PPT63
Safari, M. B., Bahadori, M., & Alimohammadzadeh, K. (2020). The related factors of nurses’
participation and perceived benefits and barriers in health policy making. Journal of
Nursing Research, 28(4), e103. doi: 10.1097/jnr.0000000000000385

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