From a reading of Chapter 1 of the book, I developed an in-depth understanding of the general perspective of the authors on policy and politics in nursing care. I selected this chapter because it provided an opportunity to understand the critical points in the issue of policy making and politics, as it relates to nursing care.

The chapter introduced me to the making of the Affordable Care Act (ACA) which has become a rather debated law especially after it was assented. According to the authors, the ACA is “arguably the most significant piece of social legislation passed in the US since Medicare was implemented in 1985” (Mason, Leavitt, & Chaffee, 2011). The law was aimed at guaranteeing coverage to more than 94% of the population and ensure that patients are protected so that insurance companies do not deny them coverage on subjective grounds (Mason, Leavitt, & Chaffee, 2011). The author further notes that this law was aimed to do much more than reform the health insurance industry. It also contains provisions that seek to reform the procedure of delivering healthcare. This is premised on the realization that the national can no longer afford a health care system that is centered on providing technology-intensive acute care to individuals after they become sick or injured. Understanding the background to the development of the ACA helped me as an advanced practice nurse to learn that I should undertake the role of advocacy with utmost commitment. This is because I have a role of creating awareness in the community as I serve in that people should seek to follow the law because of the merits it has for the health sector. As an FNP, I will have an important role of being impartial, working to actualize the benefits envisioned by any given law that respects to the provision of nursing care.


Mason, D. J., Leavitt, J. K., & Chaffee, M. W. (2011). Policy and Politics in Nursing and Healthcare. Elsevier Health Sciences.

Buettgens, M., Blumberg, L. J., Holahan, J., & Ndwandwe, S. (2016). The Cost of the ACA Repeal. Urban Institute.

Milstead, J. A. (2004). Health policy and politics: a nurse’s guide. Jones & Bartlett Learning.

2) Edith Elizabeth Gonzalez
Florida National University

Dr. Deborah Crevecoeur

1.-What interested you most about this chapter and why did you select it?

What interests me about the chapter is the significance that the political process plays in the development of health policy all around the country and how it impacts the provision of medical services in the health industry.

2- How does it relate to what you understand or have learned so far about the role of nurses and advanced practice nurses in policy and politics?

It reveals that nurses have much to offer the entire political process and therefore need to develop all the relevant skills in political analysis and strategy so as to be able to make a substantial change in the setting of relevant laws and policies in the health industry.

3- How does it relate to your current clinical practice?

Give at least one specific example.It may enable the institution of relevant and beneficial policies that will aid the nursing fraternity immensely. For instance, the proposed mandatory continuation of the education process for nurses can serve as a possible solution to the problematic challenge of ensuring the competency of the nursing staff (White 2011).

4- How does it relate to what you hope to accomplish as an advanced practice nurse?

As a practicing nurse I aim to provide ultimate health care service for the patients who are under my care and therefore through the use of legislation and the setting of policies by policy makers I can be able to take care of key stakeholders in the healthcare industry such as the patients to whom I have a duty to cater to their best interests. Furthermore consumer advocacy organizations such as AARP possess significant bargaining and lobbying power to necessitate important reforms in the healthcare industry thereby streamlining and enhancing my work as a health official.