Chapter 10: Health Policy, Politics & Community Nursing

Health Policy, Politics & Community Nursing video provides an in-depth analysis of how policy, politics, and legislation intersect with the field of community and public health nursing. It begins by examining the historical contributions of nursing icons such as Florence Nightingale and Lillian Wald, who utilized data and political activism to transform healthcare delivery and social conditions. The presentation defines key terminology, including public health law, nursing policy, and social policy, while exploring a major paradigm shift that views health not just as medical care but as a basic human right influenced by social determinants. Students will gain a clear understanding of the United States governmental structure—detailing the roles of the executive, legislative, and judicial branches—and the principle of federalism, which grants states police power over public welfare. The lesson guides viewers through the legislative process of how a bill becomes law, highlighting the importance of bicameralism and the system of checks and balances. Key federal mandates are reviewed, including the Social Security Act, Medicare, Medicaid, HIPAA, and the landmark Patient Protection and Affordable Care Act (ACA). Additionally, the video underscores the nurse’s role as a change agent and advocate, discussing the impact of political action committees (PACs), professional coalitions, and grassroots lobbying. By mastering these political tools and leadership strategies, nurses can drive healthcare reform, address health disparities, and improve the quality of life for communities and populations nationwide.