Professional nursing organizations regularly bombard members with appeals to become involved in the legislative process at the state and national levels. The nursing policy leaders ask us to take a few minutes of our time to write a letter, make a phone call, send an e-mail, or schedule a visit to a legislator-any communication to let them know that we have concerns (and possible solutions) about what is happening in healthcare today. This collective action conveys a strong and consistent message that NPs and other advanced practice nurses (APNs) are a unified and powerful group. But even the voice of one constituent has the capacity to generate a response from a legislator who does not want to lose your vote. These visits serve many purposes including educating legislators on NP/APN practice issues, seeking support for specific bills or legislative initiatives, and showing appreciation for past support.
Get your students involved
Many nursing schools arrange lobby days and transport large numbers of students to the physical halls of government. This is an excellent way to introduce students to one aspect of the professional responsibility they assume once graduated. Students are often given some type of academic credit for attending. Face-to-face interaction with legislators and their aides provides invaluable experience and an opportunity to articulate the role of the NP/APN and our contributions to the health of the nation's people. Students are encouraged to develop communication skills in this arena by presenting true-life stories and practice issues that affect the scope of practice for the NP/APN or issues of access and quality care, especially for vulnerable populations. Participants are taught to come prepared with supporting data and recommendations for tangible solutions. The goal of the exchange is to capture the legislator's interest and secure "buy-in" to help move an identified nursing agenda item or bill forward. It is also important to take the time to thank legislators who have given past support to the NP/APN agenda. Know their voting record and thank them for supporting specific bills.
Keep the fire going
Whenever I have accompanied a group of students to lobby day, their enthusiasm is palpable. I have heard them describe the experience as "The best day I have had as a student or a nurse," or "I didn't know politics was so exciting." What amazes them is how knowledgeable and articulate they are in addressing the issues. Even though completely exhausted, they are already thinking about "the next time." But this energy is hard to sustain once students are back to the regular routine of attending class and their nonpolitically stimulating work environments. It might be easier for the practicing NP/APN to keep the fire stirred up because they are living daily with the issues that create frustration and barriers, which can only be changed through legislative action.
Your chance to make a difference
As you read the 23rd Annual Legislative Update in this month's journal, identify areas where your unique talents might make a useful contribution toward moving an agenda forward in your state. Anyone can participate in lobby efforts, even if it is as straightforward as giving a donation to the political action committee of a local NP organization. Join in the next lobby day sponsored by your professional organization or school of nursing. Invite students to accompany you. Be prepared to enjoy the experience. There is still so much work to do!!
Jamesetta Newland, PhD, RN, FNP-BC, FAANP, FNAP
Editor-in-Chief [email protected]