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1. Ask a nurse leader (representative at the federal, provincial, or local level) to discuss the
role of nurse leadership via Skype or a teleconference.
3. If there has been a major policy change in your area related to community health ask a
nurse who was involved in the change to visit to share his/her experience. Several new
laws, policies, and modifications to existing laws are coming into effect in 2016. Here are
a few for consideration:
4. Ask a nurse who is involved in politics to speak to the class about why he/she decided to
enter this area.
Classroom Activities
Practice Application
1. Ask the students to consider the pros and cons of both fee-for-service financing for
healthcare workers and salaried services. Allow them to think about this for two minutes
as they read the following definitions:
a. Fee-for-service - healthcare providers receive payment for each act provided to
each client.
b. Salaried - healthcare providers receive payment and benefits for each day or
month that they provide care.
Next, ask them to complete the following table and write down their thoughts.
Pros Cons
Salaried Care • •
2. Bring in one or two copies of policies that are related to community nursing care in your
area (such as a Public Health Unit’s vaccination policy or a home nursing policy on
maintaining personal safety). Ask the students to consider how the policies were
formed. Who wrote the policy and what information went into creating it? Does the
policy appear to be specific enough? Too specific? Ask the students to create a policy
for themselves (perhaps around assignments).
Several examples of policies set out by the Canadian Nurses Association can be found at the
following website: https://cna-aiic.ca/on-the-issues/better-value/health-human-resources/policy-
briefs
3. Ask the students to think about their personal leadership style. Examples of popular
leadership styles include: autocratic, democratic, servant leadership, and
transformational leadership. Divide the class into groups of four. Ask each group to
demonstrate through a short skit an example of one of the leadership styles in action.
Use an example of a decision that community nurses may need to make. One example
might be a group of public health nurses deciding how best to encourage clients and
families to stay for 15 minutes following their injection at a flu clinic. Ask the students
to choose a “leader” who will demonstrate one of the following four styles:
c. Servant leadership: Servant leadership may involve a system where the true leader
is not formally recognized with a title or position. By meeting the needs of the
Copyright (c) 2016 Pearson Canada Inc. 11
Chapter 2 Financing, Policy, and Politics of Healthcare Delivery
Next, ask the students to consider which style fits best with their personal philosophy of
community nursing care. Ask them to write a brief paragraph to describe their thoughts.
If they can’t choose one, or a hybrid of two, have them consider why it is difficult for
them. Provide time for them to discuss their thoughts with a neighbour.
3. Ask the students to consider the pros and cons of both fee-for-service financing for
healthcare workers and salaried services. Allow them to think about this for two minutes
as they read the following definitions:
a. Fee-for-service - healthcare providers receive payment for each act provided to
each client.
b. Salaried - healthcare providers receive payment and benefits for each day or
month that they provide care.
Next, ask them to complete the following table and write down their thoughts.
Pros Cons
Salaried Care • •
4. Ask the students to locate 1 or 2 copies of policies that are related to community nursing
care in their area (such as a Public Health Unit’s vaccination policy or a home nursing
policy on maintaining personal safety). Ask the students to consider how the policies
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