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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……………………………………………………………………………………………..1) Discussing the spheres of political action in nursing. 
2) Showing how these spheres interact.
3) Discussing how you have seen or experienced these spheres in your own practice. 
4) Discussing what various nursing leaders have done in some of these spheres of action.


Context and Process of Policy Making Related to Healthcare

The four spheres of political action in nursing include workplace, government, professional organizations, and community (Mason, Leavitt & Chaffee, 2007). At the workplace, nursing influences policy, procedures, practice models, and decisions on funding allocation. In government, nursing influences legislation at local, state, and federal levels. Political action in nursing also manifests itself through a professional organization. Professional organizations wield immense influence over credentialing, licensure, and setting of professional standards. In the community, influence on political action is demonstrated through day-to-day engagement in various activities that impact on the overall wellbeing of the community.


These spheres of political action are interconnected and overlapping in several ways. For instance, when a nurse influences policy at the workplace in a certain way, this influence ends up being manifested within the local community through health outcomes (Milstead, 2004). At the same time, every decision that a nurse makes at the workplace has an influence on the way government legislation is portrayed within the health sector. Thus, the very act of engaging in various tasks at the workplace is a sufficient source of influence on government legislation. Governments may be reluctant to enact obnoxious health laws out of fear that nursing professionals will refuse to implement them at the workplace. Similarly, all levels of government always need the support of professional organizations to enforce laws and policies (Davies, 2004). In this regard, the element of interconnectedness is demonstrated in the sense that these professional organizations also exert influence at the workplace through credentialing, licensure, and setting up of professional standards.

            In my own practice, I have experience these spheres on numerous occasions. For example, I have had to register with various professional organizations as a requirement for the obtainment of a practicing license. Moreover, I have been engaging in the local community a lot lately, and this has increased the level of influence that I exert over members of this community. During practice, I also experienced a situation where local authorities backed down on a retrogressive healthcare policy agenda simply because we as nurses opposed it. One of the nursing leaders who excelled in the community sphere was Mary Breckinridge. Breckinridge dedicated her life to public health care of the people of Kentucky, particularly the rural areas surrounding the Appalachian Mountains.


Davies, C. (2004). Political leadership and the politics of nursing. Journal of Nursing Management, 12(4), 235–241.

Mason, D., Leavitt, J. & Chaffee, M. (2007). Policy and Politics in Nursing and Healthcare (Revised Reprint). St. Louis, MO: Elsevier Saunders.

Milstead, J. (2004). Health policy and politics: A nurse’s guide. London: Jones & Bartlett Publishers International.

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