Advocacy Issues in Nursing & Healthcare Leadership

While a nursing job in the US is often advertised as the start of a new American dream for these nurses, many find the experience a nightmare instead, thanks to the profoundly exploitative business practices many international recruitment agencies employ.

Given that nurses are among the clinicians who face high rates of exposure to these types of stress, it’s reasonable to ask what role nursing could play in avoiding or preventing insurance denials. It turns out that the research shows there are many steps that nurses can take to reduce the probability that their patients will experience an insurance company’s denial of care.

The prevailing powers of the age write history. Because patriarchy has predominated for the past 12,000 years, that also means most of modern history was arbitrated and recorded by men.

Transitioning from nursing school into clinical practice has always challenged new nurses. According to one study published in Nursing Economics, 17 percent of new graduate nurses leave the profession entirely within one year. To combat this trend, hospitals and nursing education organizations have created new graduate nurse residency programs to serve as a bridge between the classroom and the hospital, better-supporting nurses and making the process easier and less daunting.

Advocacy is woven deeply into the nurse practitioner role. It’s a part of the job that’s never finished. Advocacy can occur at a micro level, by advocating one-on-one for a particular patient, or at the macro level, by lobbying for policy changes; it’s often a mix of the two. For many NPs, advocacy is about an issue close to their heart, one connected to underserved patients who deserve additional support. For two NP experts, the issue is children and youth in foster care.

Nursing, at its core, is the profession of caring for others. However, compassion, an essential trait for nurses, extends beyond caring for needs. According to researcher Beth Lown in a paper published in the Association for the Study of Medical Education Journal, “Compassion involves recognition, understanding, emotional resonance and empathic concern for another’s concerns, distress, pain and suffering, coupled with their acknowledgment, and motivation and relational action to ameliorate these conditions.”

Advocacy is woven deeply into the nurse practitioner (NP) role. It’s a part of the job that’s never finished. Advocacy can occur at a micro level, by advocating one-on-one for a particular patient, or at the macro level, by lobbying for policy changes; it’s often a mix of the two. For many NPs, advocacy is about a particular issue close to their heart, one connected to underserved patients who deserve additional support. For Dr. Kelli Garber, the issue is telehealth.

The nursing profession now stands at a crossroads. It may follow the Chilean example, preserving ethical autonomy and resisting political capture, or it may repeat the more familiar Western European pattern of capitulation, seeking renewed legitimacy through compliance with state authority. History suggests that professions often choose survival over resistance, allowing regimes to reshape expertise from within.

Nurse practitioners and other nursing professionals operate in a diverse landscape of cultures and languages. Understanding a patient’s cultural background and language proficiency is essential to effective healthcare delivery. It fosters mutual respect and trust and enhances patient satisfaction and adherence to treatment plans. However, not all nurses are aware of the importance of cultural and linguistic awareness.

In June 2022, the US Supreme Court issued a ruling that shook the nation and took away women’s right to privacy in reproductive decisions. The Dobs v. Jackson verdict overturned the long-standing Roe v Wade decision that granted this autonomy to women across the country.