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Political Movements: The Four Spheres In Nursing

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The four spheres of political actions in nursing are the workplace, community, government and organization. The workplace sphere addresses issues affecting jobs and patient care. “This addresses the policy work that is done is a variety of places to influence the size, educational preparation, and competence of the nursing workforce” (Chaffee, Mason, Leavitt, 2014). The community sphere addresses issues affecting community health. “Helping to shape the health and welfare of our communities and the nation fulfills part of nursing’s contract with America’s citizens”. (Ennen, 2011). The government sphere addresses laws, rules and regulations governing nursing practice. Lastly, the organization sphere addresses issues which shape nursing practice. “Nursing professional associations act as advocated for nursing’s unique interests and causes” (Ennen, 2001). These spheres all involve nursing and how nurses can get involved in health policies and make changes to improve healthcare and patient safety. …show more content…
The four spheres overlap and activity in one can and will affect the other. “Each is a part of a broader, more complex system where change in one sphere often influences changes in the others” (Chaffee, Mason, Leavitt, 2014). As nurses, it is important that we be aware of the nursing policies and procedures of the organizations we work for. These policies and procedure affect our practices, as well as patient safety, patient outcome, quality of care, and our work environments. “The nursing profession has been slow to acknowledge and use its power to support and impact health care policy”. (Ennen, 2011). We need to be aware of these policies in order to find ways to make changes to those policies in order to improve our

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