DQ: Please discuss the four spheres of political action in nursing

DQ: Please discuss the four spheres of political action in nursing

DQ: Please discuss the four spheres of political action in nursing

The Four Spheres of Political Action in Nursing

Please discuss the four spheres of political action in nursing. In addition, please develop a brief argument sharing how these spheres are interconnected and overlapping by applying an example from your practice. What are some ethical considerations here?

I read the beginning of the Illinois Nurse Practice Act. It states, “The practice of professional and practical nursing in the State of Illinois is hereby declared to affect the public health, safety, and welfare and to be subject to regulation and control in the public interest. It is further declared to be a matter of public interest and concern that the practice of nursing, as defined in this Act, merit and receive the confidence of the public and that only qualified persons be authorized to so practice in the State of Illinois. This Act shall be liberally construed to best carry out these subjects and purposes” http://www.ilga.gov/legislation/ilcs/ilcs5.asp?ActID=1312&ChapterID=24 (n.d.).

The four spheres of nursing policy are interconnected in this scenario because the state government (government sphere) is implementing regulations based on public interest. Therefore, the workforce (workplace sphere) is affecting hospitals and other health centers by these regulations to implement policy. The community is the affected group of humans that will interact, exhibit, and share in these new values that will be set in place. Lastly, the Illinois General Assembly has teamed with the state government to create these sets of provisions to improve the quality of healthcare.  

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References

(n.d.). Retrieved March 03, 2018, from http://www.ilga.gov/legislation/ilcs/ilcs5.asp?ActID=1312&ChapterID=24

Nurses are people within the field of healthcare that provide quality care to their patients, community and within their interdisciplinary teams. As you mentioned before Andrea, nurses often assess a situation or patient to allow advocacy to occur and at the same time such advocacy must be done by the books or within their scope of practice.

For instance, I once had a peritoneal dialysis (PD) patient of 89 that wanted to appease his wife by doing the modality but he often voiced to his spouse and I that he really wanted to die. Now this situation was the first time where a patient of mine wanted to actively die meaning no form of dialysis at all. I honestly didn’t know how to handle it because my patient was actually thriving in this modality and it was clear to me that the wife refused for the patient to die. I’m not going to sit here and lie that I wasn’t also encouraging him to try PD just for a few more months because the spouse and I absolutely loved his company (it’s very hard to not get attached to patients in the chronic outpatient setting).

But after awhile, I realized that my patient was thriving yes but talking to him away from his spouse he revealed something to me saying, “I’m a proud man, Dorcas. I’ve lived a good and long life without any help from any machine. I want to die without any help from a machine. Can you let me die?” His question hit me hard right in the gut and I realized at that moment I was being selfish: it wasn’t my choice or his wife’s choice but his. I said yes that afternoon, I advocated for him to his wife and his wife accepted that hard choice. My patient I came to know in such a little time of 1 month and 3 weeks died early the next morning.        

     It’s interesting that you bring up your profession and how it relates to the scope of practice in those working in the healthcare field and how it affects the care of our patients. In that regard, I first accepted a position when I graduated from nursing school as a Peritoneal Dialysis Registered Nurse. First hand, I can fully understand the implications and scope of practice that it takes to initiate teaching for PD patients. I read an article that related dialysis and the effect of fatigue post-Hemodialysis. Moreover, it discusses how nurses are in the proper position to provide quality care to dialysis patients. “Fatigue is a real problem for patients receiving dialysis. While the specific cause of fatigue remains unknown, multiple conditions are associated with its occurrence. Nursing assessment of fatigue is important in the care of patients receiving dialysis in order to improve their quality of life. Nurses are in an excellent position to review patients’ medications and laboratory results, and collaborate with patients to determine how to use their support systems and individual strengths to help alleviate the effects of fatigue” Horigan (2012).

References

Horigan, A., Rocchiccioli, J., & Trimm, D. (2012). Dialysis and Fatigue: Implications for Nurses – A Case Study Analysis. Retrieved March 03, 2018, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3414425/