Policy & Politics in Nursing and Health Care

Policy & Politics in Nursing and Health Care

Seventh Edition Diana J. Mason, PhD, RN, FAAN

Rudin Professor of Nursing Co-Director of the Center for Health, Media, and Policy

School of Nursing Hunter College

City University of New York New York, New York

Deborah B. Gardner, PhD, RN, FAAN, FNAP Health Policy and Leadership Consultant, LLC

Honolulu, Hawaii Freida Hopkins Outlaw, PhD, RN, FAAN

Adjunct Professor Peabody College of Education

Vanderbilt University Nashville, Tennessee

Eileen T. O’Grady, PhD, NP, RN Nurse Practitioner and Wellness Coach

McLean, Virginia


Table of Contents

Cover image

Title page


About the Editors





What’s New in the Seventh Edition?

Using the Seventh Edition

Acknowledgments Unit 1 Introduction to Policy and Politics in Nursing and Health Care

Chapter 1 Frameworks for Action in Policy and Politics

Upstream Factors

Nursing and Health Policy

Reforming Health Care

Nurses as Leaders in Health Care Reform

Policy and the Policy Process

Forces That Shape Health Policy

The Framework for Action

Spheres of Influence


Health and Social Policy

Health Systems and Social Determinants of Health

Nursing Essentials

Policy and Political Competence


Discussion Questions


Online Resources

Chapter 2 An Historical Perspective on Policy, Politics, and Nursing

“Not Enough to be a Messenger”

Bringing Together the Past for the Present: What We Learned From History


Discussion Questions


Online Resources

Chapter 3 Advocacy in Nursing and Health Care

The Definition of Advocacy

The Nurse as Patient Advocate

Consumerism, Feminism, and Professionalization of Nursing: the Emergence of Patients’ Rights Advocacy

Philosophical Models of Nursing Advocacy

Advocacy Outside the Clinical Setting

Barriers to Successful Advocacy


Discussion Questions


Online Resources

Chapter 4 Learning the Ropes of Policy and Politics

Political Consciousness-Raising and Awareness: the “Aha” Moment

Getting Started

The Role of Mentoring

Educational Opportunities

Applying Your Political, Policy, Advocacy, and Activism Skills

Political Competencies

Changing Policy at the Workplace Through Shared Governance

Discussion Questions