| Foreword | |
| Preface | |
| Introduction | |
| 1 | Policy and Politics: A Framework for Action | 1 |
| 2 | Pride in Our Past: Nursing's Political Roots | 19 |
| 3 | Learning the Ropes of Policy and Politics | 31 |
| Vignette: The Nurse in Washington Internship | 44 |
| Vignette: The White House Fellowship | 46 |
| Vignette: Learning the Ropes as a Congressional Staffer | 51 |
| 4 | Policy Development and Analysis | 55 |
| 5 | Political Analysis and Strategies | 71 |
| Vignette: Abottsford Community Health Center and Pennsylvania Politics | 87 |
| 6 | Communication Skills for Political Success | 93 |
| Policy Spotlight: Achieving Health Literacy | 107 |
| 7 | Conflict Management | 113 |
| 8 | Coalitions: A Powerful Political Strategy | 121 |
| Policy Spotlight: Success through Unity: A Coalition's Efforts to Expand the U.S. Military Health Program | 130 |
| Vignette: The International Nursing Coalition on Mass Casualty Education | 135 |
| 9 | Research as a Political and Policy Tool | 141 |
| 10 | Role of Media in Influencing Policy: Getting the Message Across | 157 |
| Vignette: Free Media Coverage: Using Letters (Messages) to the Editor and Calls to Radio Talk Shows | 171 |
| Vignette: The Nurse on a TV News Team | 172 |
| 11 | Ethical Issues in Health Care, Public Policy, and Politics | 177 |
| Case Study: Transforming Vision Into Reality: The Vietnam Women's Memorial | 185 |
| 12 | Organization and Delivery of Health Care in the United States: A Patchwork System | 201 |
| Policy Spotlight: Could a National Health System Work in the United States? | 214 |
| Policy Spotlight: Managed Care and Mental Health: A Mixture of Optimism and Caution | 218 |
| Policy Spotlight: Racial and Ethnic Disparities in Health and Health Care | 222 |
| 13 | Health Economics | 229 |
| 14 | Health Care Financing | 241 |
| Vignette: Managing Managed Care: A Nurse Practitioner Response to Barriers to Direct Third-Party Reimbursement | 265 |
| Policy Spotlight: Medicare at the Crossroads | 272 |
| Policy Spotlight: Medicare Payment and Reimbursement Policies for Nurse Anesthesia Practice | 276 |
| Policy Spotlight: Social Security: Key to Economic Security | 287 |
| Policy Spotlight: Complementary Therapies: Reimbursement Issues | 293 |
| Case Study: Rationing Health Care: The Oregon Story | 299 |
| 15 | Contemporary Issues in the Health Care Workplace | 311 |
| Vignette: The Politics of Case Management | 319 |
| Policy Spotlight: The ANCC Magnet Recognition Program and Magnet Hospitals | 324 |
| Vignette: Achieving Excellence in Nursing Practice | 328 |
| 16 | Creating Change in the Workplace | 333 |
| Vignette: Why Change Efforts Fail | 345 |
| Vignette: Dancing with the Chaos: A Grassroots Approach to Transformation and Healing | 347 |
| Policy Spotlight: Realities of Implementing Change in a Health Care Organization | 354 |
| Vignette: Family Presence at the Bedside during Invasive Procedures and CPR: When Pigs Fly | 356 |
| 17 | Politics of the Nursing Workforce | 363 |
| 18 | Future of Advanced Practice Nursing | 371 |
| Vignette: Managed Care Mandated Coverage in Maine: A Grassroots Success Story | 379 |
| 19 | Collective Action in Health Care | 387 |
| 20 | Politics of Nursing Research | 399 |
| Case Study: Needlestick Injuries in the Workplace: Implications for Public Policy | 412 |
| 21 | Contemporary Issues in Government | 421 |
| Policy Spotlight: The Epidemic in Health Care Errors: One Government Agency's Response | 437 |
| Policy Spotlight: Genetic Issues: Government Responses and Nursing Implications | 443 |
| 22 | Legislative and Regulatory Processes | 451 |
| Vignette: Maryland's Nurse Practitioners: Lessons Learned during the 2001 Legislative Session | 462 |
| Vignette: How Regulations are Shaped: The Rules of the Game | 467 |
| 23 | Nursing and the Courts | 471 |
| 24 | Local Government | 479 |
| 25 | State Government: 50 Paths to Policy | 491 |
| Vignette: Journey to the Wisconsin Legislature | 498 |
| Vignette: Influence of the Nursing Community on Mississippi's Tobacco Settlement Allocation | 505 |
| Policy Spotlight: Role of State Boards of Nursing in Policy | 510 |
| 26 | The Federal Government | 515 |
| Vignette: The Nurse as Member of Congress | 533 |
| Vignette: I Believed I Could Make a Difference | 536 |
| Vignette: Zapping Asthma: Atlanta Leads a National Health and Environmental Initiative | 538 |
| 27 | Political Appointments | 543 |
| 28 | Lobbying Policymakers: Individual and Collective Strategies | 551 |
| Vignette: Lobbying: An Inside View | 561 |
| 29 | The American Voter and Nursing's Leadership in Political Campaigns | 565 |
| Vignette: Campaign Management: Policy's Primary Prevention Strategy | 579 |
| Policy Spotlight: Political Activity of Government-Employed Nurses | 583 |
| Case Study: Pilgrim in Politics | 588 |
| 30 | Contemporary Issues in Professional Organizations | 601 |
| 31 | You and Your Professional Organization | 609 |
| Vignette: Getting to the Top: Martha Hill, President of the American Heart Association | 621 |
| 32 | The Power and Influence of Special Interest Groups in Health Care | 627 |
| Case Study: Political Action Case Studies: Nursing Organizations in Action | 639 |
| Introduction | 639 |
| Ensuring Nurses Are at the Policy Table: American Association of Occupational Health Nurses | 640 |
| Interdisciplinary Advocacy: American Society for Parenteral and Enteral Nutrition | 643 |
| Advocacy for Clinical Nurse Specialists: National Association of Clinical Nurse Specialists | 644 |
| Promoting Pain Management By Influencing Policy: Oncology Nursing Society | 646 |
| Shaping a State's Screening Policy: Society of Gastroenterology Nurses and Associates | 648 |
| Collaboration, Communication, and Persistence Make a Difference: Wound Ostomy Continence Nurses Society | 650 |
| United We Stand: NP Response to the AMA's Citizen's Petition | 654 |
| 33 | Where Policy Hits the Pavement: Contemporary Issues in Communities | 659 |
| Policy Spotlight: Spotlight on Child Care Policy Making | 669 |
| Vignette: Emergency Nurses CARE: Where the Rubber Meets the Road | 676 |
| Vignette: Transition from Incarceration: An Innovative Community Faith-Based Program for Women | 682 |
| 34 | Working with the Community for Change | 687 |
| Vignette: Environmental Health Policy: Environmental Justice | 696 |
| Policy Spotlight: Turning Point: Collaborating for a New Century in Public Health | 701 |
| 35 | Nursing in the International Community | 711 |
| Policy Spotlight: Emerging Infectious Diseases | 722 |
| Policy Spotlight: Licensing and Regulation of Nurses in the United Arab Emirates | 728 |
| Case Study: Environmental Advocacy: A Nurse's Journey | 735 |
| A | Glossary of Health, Policy, and Political Terms and Acronyms | 745 |
| B | Internships and Fellowships | 755 |
| C | Health Care, Health Policy, Political, Government, and Media Resources | 765 |