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Capitol Hill Caucus: Nursing LEADERS for Tobacco Control

Janie Heath PhD, APRN,BC-ANP, ACNP Director and PI Georgetowns Summer Institute for Tobacco Control Practices in Nursing Education Washington, DC

Why Advocacy on Tobacco Control


Nurses are the LARGEST healthcare profession Gallup Poll continues to list NURSES as the most trusted profession Who knows healthcare issues best YOU!

AND THE #1 MAN KNOWS US. President Bush Honors the TOP Nurses of the Washington DC Area

The Dean, Janie Heath RN, PhD and her Associate Dean, Lasherina

Catalysts for ANY Healthcare Policy


ACCESS COST QUALITY

Spheres of Political Influence

Workplace Government

Professional Organizations Community

DRIVERS for Nursing Leadership & Tobacco Control:


Constituents Fiscal Pressures Crisis

Tobacco Control
Media

Market Forces Special Interest Groups

Political Ideology

Research Findings

= SI Fellows = SI

Prep is Essential

Whether impacting policy & politics in your community, at the national level, or your unit..ESSENTIAL SKILLS =

Becoming Armed With Knowledge

Know the Issue


Mix the personal (YOUR story) with the intellectual (THE facts) As a critical care nurse, Ive been

protecting the health & well-being for my patients for over 28 years, so I was shocked to see -in my own local CVS Pharmacy- a NON-FDA approved product, Ariva, sitting next to the FDA approved products to help people QUIT SMOKING--did you know about this product heres a picture Id like to show you

CVS PHARMACY Belle View Shopping Center Alexandria, VA May 28, 2005
Ariva Lozenges, NON-FDA Approved

Nicorette Gum, FDA Approved

Getting the Facts


HEALTHCARE SITES: Federal Government = http://firstgov.gov Statistics = http://fedstats.org Centers for Medicare & Medicaid Service = http://cms.gov Agency for Healthcare Research & Quality = http://ahrq.gov Centers for Disease Control = http://cdc.gov PROFESSIONAL SITES: ANA = http://nursingworld.org AHA = http://aha.org AACN = http://aacn.org SCCM = http://sccm.org AACP = http://aacp.org Health Affairs = http://healthaffairs

Getting the Facts


LEGISLATIVE WEB-SITES: U.S. Congress = http://thomas.loc.gov State Legislation = http://nascio.org Senate = http://senate.gov/legislation House = http://house.gov/legislation Executive Branch = http://whitehouse.gov

Know the ISSUE and Know the RECIPIENT to hear the ISSUE POLITICIAN PROFILES WEB-SITE: http://opensecrets.org/politicians

Money = Power

Money = Power

Money = Power

Action

Letters - Mail and/or Fax Email Phone calls In person visits

Tips on Communication
DOs
Identify yourself Thank for their name

DONTs

Dont threaten or be irate about their stand on the issue Dont forget seek 1st to UNDERSTAND and THEN seek to be UNDERSTOOD Dont stay more than 15 minutes

Commend on their good work Identify clearly your issue (if a bill give # and describe it)

Tips on Communication
DOs
Only address one or max two issues Put thoughts in your own words Do leave professional leave behinds to summarize Do leave business card

DONTs

Dont leave volumes of materials Dont be insulted if seen by legislative aide / staffer of young age Dont leave WITHOUT it being clear what you want

Tips on Communication
DOs
Do send follow up letter / email / call

DONTs

Dont forget to say how you can help them with the issue Dont forget the 3 Ps: Professionalism, Persistance, & Patience

Communication Tips
The Bridge Technique
..(example).. Tobacco control is

such a high priority at Georgetown University that we developed a campus wide Great American SmokeOut Initiative with the Hospital , the School of Nursing and the School of Medicine.. Senator Clinton what experiences have you had with smoking in your family and how can nursing educators get involved with you to make tobacco control a national priority?

Closing Strategies
Offer your nursing expertise Offer supporting THEIR initiatives Ask when you can expect to hear back from them

Closing Thoughts
RESPECT the players RESPECT the institutions of policy making RESPECT the process of policy making

The Charge: As a FELLOW YOU Will Be The INFLUENTIAL Driver!

Nursing Leadership Drives


Tobacco Control:

COST ACCESS QUALITY

The Political Spheres of Influence: Workplace, government, professional organizations, & community

The Charge: As a FELLOW, YOU Will Be The INFLUENTIAL Driver!

Constituents Fiscal Pressures Crisis

Nursing NursingLEADERS LEADERS for forTobacco TobaccoControl Control

Market Forces Special Interest Groups

Media

Political Ideology

Research Findings

References
Feldstein, P. (2001). The Politics of Health Legislation. 2nd Edition. Chicago, IL: Health Administration Press. Longest, B. (2002). Health Policymaking in the United States. 3rd Edition. Chicago, IL: Health Administration Press. Mason, D., Leavitt, J., Chaffee, M. (2002). Policy & Politics in Nursing and Health Care. 4th Edition. MO: WB Saunders Buresh, B, Gordon, S. (2000). From Silence to Voice. Canadian Nurses Assoc Heath, J, Andrews, J., Balkstra, C. (2004). PREPS and FDA Tobacco Regulation: A CNS Call to Action. 18(1) pp:40-48. Jh 4/05

References
Heath, J., Andrews, J., Andres, K. (2003). Tobacco Control: An Update to Influence Policy-Making Decisions. Policy, Politics, & Nursing Practice. 4(1): 36-44 Heath, J., Andrews, J., Balkstra, C. (In Review). FDA Tobacco Regulation: Strategies for CNS Advocacy. Clinical Nurse Specialist Heath, J. (1999) Georgia APN Prescriptive Authority. Letter to the Editor, Augusta Chronicle. Heath, J. Keston, K. (2002). Less Care for Patients. Letter to the Editor, The Washington Post. JH4/05