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Feb 23, 2024 Spheres of Political Action in Nursing

Spheres of Political Action in Nursing
Spheres of Political Action in Nursing
Thank you for doing such a great job with the definition and examples for the four spheres of influence or political action in nursing.  All of these sphere while they each have a different role have to play a part to complete the whole in the nursing profession.  We might not think we are using each one during our nursing practice until we really look back and think about it.  Something you said in your post about not having much involvement in the community influence of nursing I think is incorrect.  By being able to teach and be involved with new nurses, you are helping to form the kind of nurse they want to be, which becomes reflective of the care that patients receive at the hospital spreading this to the community around the hospital.  Also when nurses have a good and positive starting point in their nursing career it helps to show them the many sides of nursing and what they might be capable in other settings beside inpatient.  I have experience starting as an inpatient nurse and moving to community practice within the same hospital system, but my job is so different and the patient interactions I have influence patients to make changes in their lives.  I feel that my time as an inpatient nurse has given me a lot of knowledge and confidence that has helped many of the community patients I work with as well.
I would agree that ethics is such a large part of our profession, hopefully most people’s profession.  I think as nurses though we tend to face more ethical dilemmas more often than most people in their work lives.  Something that I think people either forget or really do not know is: “that Nursing has its own body of scientific and technical knowledge, built and reproduced by a set of social, ethical and political practices carried out through teaching, research and care.(Nunes da Silva, Moreira Freire, Ferreira de Vasconcelos, Vital da Silva Junior, de Carvalho Silva, da Silva Araujo, & Assis Eloy, 2018, p.4) As nurses we have to remember this as well and understand impact we make with patients can lead to impacting our workplace, organizations and even government.  We have the ability to make changes on a bigger scale, and should work to pursue that more.  Daily as nurses we are making changes in the lives of our patients by showing them kindness, compassion, empathy, and sharing knowledge.  These skill can translate into making more global changes.  I think what you said about the nursing ratio is really interesting and how people have left where you work due to the fact that the census has changed.  I think that there needs to be more regulations on ratios for nurses, because there is a lot expected of us, but when you make us take more patients mistakes can happen and do more often.  Also we do not get the time to spend with a patient as what nursing is recognized for as caregivers.  I am not sure if you have a staffing grid at your hospital, but we do and obviously depending on census we will have less nurses with our census down, so we get use to having about the same number a patients on every shift we work.  I think having that consistency helps nurses have perspective on their current place of employment.  I think a lot of the time we think the grass is greener on the other side, but when we get there it usually is worse, maybe not related to staffing ratios, but other things that we did not think about.  Ethically I think it is important to have safe ratios everywhere and I believe that would help with the turn- over of staffing more.  
Reference:
Nunes da Silva, T., Moreira Freire, M. E., Ferreira de Vasconcelos, M., Vital da Silva Junior, S., de Carvalho Silva, W. J., da Silva Araújo, P., & Assis Eloy, A. V. (2018). Deontological aspects of the nursing profession: understanding the code of ethics. Revista Brasileira De Enfermagem, 71(1), 3-10. doi:10.1590/0034-7167-2016-0565
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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. What are some ethical considerations here?
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I encourage you to incorporate the readings from the week (as applicable) into your responses.
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Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
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