Case Study Questions Assignment Discussion

Case Study Questions Assignment Discussion

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Case Study 1

First, the state nursing association collaborates with the American Nurses Association (ANA). The ANA focuses on advancing registered nurses’ profession (ANA, 2023). Thus, this Coalition promotes an ethical and safe work environment, enhancing nurses’ health and wellness. The ANA also improves the standards of nursing practice (ANA, 2023). This Coalition advocates for healthcare issues affecting the public and nurses by lobbying Congress (ANA, 2023). The second group is the Coalition to Stop Opioid Overdose, which focuses on addressing the opioid epidemic through a comprehensive policy response plan (Robinson et al., 2019). The Coalition supports prevention, treatment, and recovery measures. It promotes legislative activities, specifically by lobbying Congress to reduce opioid overdose. Advocacy is an emerging role for registered nurses and nurse practitioners. I advocated for the construction of nurses’ resting where nurses can take their meals or relax comfortably during their free time, protecting them from work-related burnout (Wang et al., 2019). Consequently, nurses provide high-quality patient care, resulting in optimal health outcomes. Case Study Questions Assignment Discussion

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Case Study 2

Governor Hall-Long’s nursing accomplishments impacted her politics positively, including chairing several important committees while serving as a senator and cosponsoring various legislation. Nurse knowledge and skills enable them to work with the public as politicians.

A nurse’s political career can unfold by meeting and communicating with many people while serving as a nurse. Running for office is challenging since it requires an individual to understand the policy process and become competent in communicating with various stakeholders.

References

ANA. (2023). About ANA. The American Nurses Association. https://www.nursingworld.org/ana/about-ana/

Robinson, A., Christensen, A., & Bacon, S. (2019). From the CDC: the Prevention for States program: preventing opioid overdose through evidence-based intervention and innovation. Journal of Safety Research, pp. 68, 231–237.

Wang, Q. Q., Lv, W. J., Qian, R. L., & Zhang, Y. H. (2019). Job burnout and quality of working life among Chinese nurses: A cross‐sectional study. Journal of Nursing Management, 27(8), 1835-1844. Case Study Questions Assignment Discussion

CASE STUDY 2: A Career in Politics to Role Model: Bethany Hall-Long’s Nursing Pathway to the Lieutenant Governor’s Office in Delaware.

A career in politics might be the aspiration for a college student in political science or pre-law, but is seldom one for a nursing student. In fact, courses in health policy or politics may be absent or scarce in nursing undergraduate or graduate curricula, and the notion to become active in politics is unlikely. In fact, Bethany Hall-Long, first woman Lieutenant Governor of Delaware, would be the first to admit that it was not in her plans in the beginning of her personal journey. In fact, she attributes her current position, stated with candor in her numerous inspirational presentations to nurses over the years, to her tardiness for class when the only seminar topic left for students to choose was about nurses in politics—and she was “stuck with it” (personal interview Hall-Long, 2017). Although she only learned after she won her first race in 2002 that her great-grandfather had been a member of the Delaware House of Representatives, she had little kitchen table discussion about politics growing up. In fact, her farm upbringing and spiritual roots in rural Delaware taught her about taking care of people— “where much is given, much is expected, and it is how you treat the least among us” (personal interview Hall-Long, 2017)—but not about public policy. What is noteworthy in this model career in politics, which she defines as “public service,” is her early commitment to caring for the homeless in community health nursing, which became the foundation of her academic career: to understand policy and serve “the many.” She attributes her incremental successes, beginning from the day when she was late to her graduate school class, to being coached by mentors such as Catherine Malloy in Charleston, South Carolina, with whom she continued to work throughout her doctoral program in nursing administration and policy at George Mason University. Using what she learned from her study of health policy, she became active in her local city government and organizations such as the League of Women Voters and a federal health clinic that served the homeless. In these experiences, public policy was “made real” and prompted her continued volunteer service in other nonprofit organizations. She claims that she learned from working with these groups that as nurses, we do not have to stay in our lane of just working with other nurses. She learned how to organize, to use her health knowledge to work for things that people care about, and to build coalitions of groups for action. She says that a leader at the League of Women Voters told her that she “had what it takes—drive, personality, and skills—to think about running for office,” which she tucked away at that time. With her husband in the military at the time, she moved to Washington D.C.

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Entering the doctoral program, still moonlighting as a nurse, she continued to grow into real public policy experiences that were fueled by taking care of homeless veterans and at-risk populations. To make a real impact, she believed that we had to elect nurses who could make a difference, but she realized she needed experience to be taken seriously. Along the way, it was nurse mentors who connected her with Capitol Hill opportunities on an assignment that would influence a dissertation and numerous other connections, including Bob Dole and Ted Kennedy from a U.S. Senate Committee. While a student, she served as a U.S. Senate Fellow and a U.S. Department of Health and Human Services policy analyst for the Secretary’s Commission on Nursing. In her own words, she was not afraid to pick up the phone, encouraged by her mentor, and ask if the national commission studying the nursing shortage needed a policy graduate student—for  CASE STUDY A Career in Politics to Role Model: Bethany Hall-Long’s Nursing Pathway to the Lieutenant Governor’s Office in Delaware Veronica D. Feeg A career in politics might be the aspiration for a college student in political science or pre-law, but is seldom one for a nursing student. In fact, courses in health policy or politics may be absent or scarce in nursing undergraduate or graduate curricula, and the notion to become active in politics is unlikely. In fact, Bethany Hall-Long, first woman Lieutenant Governor of Delaware, would be the first to admit that it was not in her plans in the beginning of her personal journey. In fact, she attributes her current position, stated with candor in her numerous inspirational presentations to nurses over the years, to her tardiness for class when the only seminar topic left for students to choose was about nurses in politics—and she was “stuck with it” (personal interview Hall-Long, 2017). Although she only learned after she won her first race in 2002 that her great-grandfather had been a member of the Delaware House of Representatives, she had little kitchen table discussion about politics growing up. In fact, her farm upbringing and spiritual roots in rural Delaware taught her about taking care of people— “where much is given, much is expected, and it is how you treat the least among us” (personal interview Hall-Long, 2017)—but not about public policy. What is noteworthy in this model career 20 Chapter 1 Nursing’s History of Advocacy and ActionCASE STUDIES issues that matter to nurses—jobs, environment, transportation, and environmental justice, as well as health care in general and  women’s health in particular. Returning as a faculty member to Delaware, her home state, she decided that her public health and health policy student assignments gave her reasons to run because: (a) she desired to make a significant contribution; (b) she had been well prepared to understand process and as a nurse, she already understood the needs; and (c) the opportunity presented itself to run for the Delaware General Assembly. In her own words, her public life since 2000 did not begin smoothly—she won the primary but lost her first race by 1% in a race against a long-term male incumbent. But she says that she learned from that experience, pulled herself up by her bootstraps, ran again in 2002, and won in a tough election against the local school board president. She served continuously as the first nurse elected to the Delaware General Assembly from 2003 to 2017, as a member of the Delaware House of Representatives from 2003 to 2009, and then in the Delaware Senate from 2009 to 2017. She lists among her accomplishments cosponsoring a range of legislation including the Governor’s Cancer Council and the Health Fund Advisory (Master Tobacco Settlement) Committee. She was the prime House sponsor of legislation creating a cancer consortium for Delaware. She cosponsored a blue ribbon task force to analyze the problem of chronic illness in Delaware and make policy recommendations. She cosponsored needle exchange legislation that has made an impact on HIV infection rates, and she updated the state’s indoor tanning laws to prohibit children under age 14 years from using tanning beds and for those age 14 to 18 years to require parental consent (Hall-Long, 2007, 2012)Case Study Questions Assignment Discussion. Among her legislative accomplishments during her Senate years, she chaired several important committees including health care, community and county affairs, transportation committee, veterans committee, and insurance committee, among others, where nurses can play a significant role. Her political campaigns and subsequent elections over these years are remarkable (see TABLE 1-1), but she acknowledges that it is not easy to run for office. She describes “running” for office as just that: experiences good and bad teach us how to continue on a path if we are passionate

TABLE 1-1 Chronology of Bethany Hall-Long Elections Year Campaign/Election Outcome 2000 Ran against Republican Representative incumbent Richard Cathcart for District 9 seat. Lost 2002 Redistricted to District 8; ran unopposed in Democratic primary and against Republican nominee William Hutchinson in general election. Won (60.7%) 2004 Ran unopposed for Democratic primary and in general election. Won 2006 Ran unopposed for Democratic primary; ran against Republican nominee Edward Colaprete in general election. Won (77.0%) 2008 Ran unopposed for District 10 Senate seat; ran against Republican nominee James Weldin in general election. Won (64.9%) 2012 Incumbent; ran unopposed for Senate seat; ran unopposed in general election. Won 2016 Ran against Republican La Mar Gunn in Lieutenant Governor race. Won (59.4%)

(Hall-Long, 2007, 2012). She loves meeting people on the campaign trail and she believes that being a nurse gets her past the doorbell when going door to door in a race because people can instantly relate to you. She believes that her communication skills come directly from her nursing experience and her connection with the community. She encourages nurses to think beyond healthcare committees—to recognize that we are good at solving problems that may be outside our usual reach, and there is no limit to the list of public policy problems that we can tackle, including, but not limited to, childhood sports activities, palliative care, or opioid addiction, depending on our clinical expertise and interests. In January 2017, Bethany Hall-Long became the 26th Lieutenant Governor of Delaware. Her understanding of the policy process model that she developed in her dissertation continues to serve her well, and she notes that, although she grew up in a rural household, she is a descendent of Delaware’s 15th governor, so it might have been her destiny to have a life in politics. She serves as the President of the Senate, a legislative body she has known for 8 years. As Lieutenant Governor she is proud to be able to influence the policy agenda in some roles and serve the state in her leadership role in moving systems issues such as health reform, workforce training, and mental illness. The political career of Bethany Hall-Long should be an inspiration for nurses who are dissatisfied with the status quo and passionate about making change to serve the needs of individuals who are disadvantaged. Her message to nursing students and professional nurses is that they should not leave policy making and governing to men in closed rooms anymore; they should seek out ways to influence and consider running for office. She attributes her passion and strength to her grandmother with an 8th grade education who vociferously advocated that women should be well educated. Lt. Governor Hall-Long’s advice to those with aspirations to impact “the many” is to get prepared, study the policy process, and become experienced in ways to communicate with all types of stakeholders on the issues, from classrooms to boardrooms to community involvement. Volunteer and do not be intimidated. This public servant, from rural roots to a nursing graduate education that includes a PhD, brought her passion for people and her skills in community nursing to the State House in Delaware, second to Governor Carney, and still has gas in the tank to go farther. Her career story should inspire other nurses—who she claims already have the skill set and knowledge to work with people—to pursue public service in the political arena so that the most vulnerable among us can be heard. Case Study Questions Assignment Discussion

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Case Study Questions

1. Which of Lt. Governor Hall-Long’s list of nursing accomplishments played a role in her journey in politics?
2. What knowledge and characteristics are natural components of nurses’ professional backgrounds that help them seek a public service life?
3. How can a political career unfold synergistically with a nurse’s ambition to run for political office?
4. Why is “running for office” described by politicians as a challenging personal experience? Case Study Questions Assignment Discussion