NR 506 Week 1: The Four Spheres of Political Action in Nursing

NR 506 Week 1: The Four Spheres of Political Action in Nursing

NR 506 Week 1 The Four Spheres of Political Action in Nursing

Please discuss the four spheres of political action in nursing. In addition, please develop a brief argument sharing how these spheres are interconnected and overlapping by applying an example from your practice.  What are some ethical considerations here?

The four spheres of political actions in nursing are the workplace, government, community and professional organizations (Mason et al, 2012).   Each one of the spheres has it’s own separate functions such as: the workplace focuses on issue, which affect jobs and patient care. Government addresses rules, laws, and manages regulations in nursing practice. Community involves issues that affect community well-being and lastly organizations which address concerns related to shaping nursing practice (Mason et al, 2012). Together the spheres can create change. Nurses are able to change policy making and improve issues in the community health systems (Mason et al, 2012).


When you start out in your new nursing career, it is vital to review the political policies and nursing policies in your organizations. Nurses don’t realize that we are already political our nursing practice is molded around governing bodies, ethical, professional, governmental standards, and healthcare itself (Bjornsdottir, 2009).


I believe in centered family care in our organization. Especially when a trauma has occurred and the outcome doesn’t look good. It is important for family to see that you have done everything you can to help their loved one. Nursing has the greatest power in this situation (Parker, 2013). We are responsible for being the patient’s advocate. In the workplace it is vital for the patient’s family to be at their child’s bedside when something critical is taking place. If not then the family is wondering what is being done on their child (Parker, 2013) when a family member becomes involved they know you have done your best even if the outcome is not good. We have an ethical responsibility to do everything we can to save someone’s life. Nurses have to remind surgeons and other physicians that families have a right to be with their loved ones (Parker, 2013). Physicians see families as a distraction and that they will be in the way, instead of seeing them as a positive and realizing the family needs to believe that we tried everything to save their child’s life. If not allowed in the room they decide what they think or don’t think you did for their loved one (Parker, 2013).


Some ethical problems one may face with not allowing patient centered care in your organization can be wait times in the emergency room. These extended wait times puts a patient and their families at risk for harm (CDC, 2014). The main reason for this is boarding of patient’s for lack of nurses to take care of patient’s inpatient. When boarded patient’s take up Ed resources which makes waiting times in the Ed waiting room increase to unsafe levels (CDC, 2014).

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NR 506 Week 1: The Four Spheres of Political Action in Nursing 

Bjornsdottir, K. (2009). The ethics and politics of home care. International journal of nursing studies, 46, 732-736Retrieved from (Links to an external site.)

Centers for Disease Control. (2014). Emergency department visits. Retrieved from (Links to an external site.)

Mason, D.J., Leavitt, J.K., & Chaffee, M.W. (2012). Policy and politics in nursing and health care. Retrieved from (Links to an external site.)

McClelland, M., (March 6, 2015) “Ethics: Harm in the Emergency Department – Ethical Drivers for Change”: The Online Journal of Issues in Nursing 20, (2).

doi: 10.3912/OJIN.Vol20No02EthCol0

Parler, L. (2013). Family centered care: Aiming fro excellence exploring the past, present, and future. Vancouver general hospital. Retrieved from 9B Family Centered

I connected with your post because I also work as a nurse in the Emergency Room and wait times have become a big problem for us over the past 5 or so years.  The first 5-7 years I worked in the ER patients rarely had to wait more than 15-20 minutes.  Since that time we have remodeled and expanded the amount of beds and many times we have wait times of 2-6 hours.  You mentioned boarding patients and how this puts the patients in the waiting room at risk.  I absolutely agree.  I started my career on the floor and when our beds were full that was it, no more patients.  In the ER the patients keep coming and every time we have to wait for a bed to open up for an admit hold we are delaying care of others who are sitting in the waiting room undiagnosed.  One of our triage nurses sits at the front desk and registers patients and keeps track of people in the waiting room.  That assignment can be the worst because half of your day is spent deflecting mean comments from people waiting.  Many times we send ambulance patients to wait in the waiting room if they have a lower acuity complaint and are stable.  In our ER we have advanced techs who work in triage with the nurses and if wait times are over an hour we order initial blood work, urine, and x-rays if necessary just to expedite the visit.  This does help because many times patients have labs resulted by the time the Dr sees them and then further diagnostic testing can be decided on.  So in addition to a full unit we are also medicating and getting labs and x-rays on waiting room patients.  It’s difficult and dangerous.  There have been policy changes over the years that attempt to open overflow units and move those ER patients who are waiting for beds over so we can make room for ambulances and waiting room patients.  It’s really difficult when the census is high because everyone in the hospital feels it, but it’s important for policies within hospitals to have a plan to move boarded patients out quickly so those waiting can be evaluated.

Thank you for your post. I also see that the role of the modern nurse has expanded; we are the key factors influencing community health. Community based healthcare is important, and nurses can lead the way in forming the community’s view of healthcare organizations when they become more involved in the community (Fooladi, 2015). One goal of nursing is to provide a compassionate and well-managed continuum of care (Fooladi, 2015). We can do this more effectively when we grow our political leadership skills. When I campaign on behalf of the community I am advocating for comprehensive care on all levels. As a nurse professional, I can join organizations that endorse patient and community rights. I also plan to join the American Nurses Association after I receive my graduate degree. I believe that another part of providing comprehensive healthcare is creating an inviting and safe environment for the patients and medical staff. There is nothing worse than walking into a medical facility seeing patients unattended, scarce resources and equipment, and the nursing staff overworked and understaffed. As a supporter of both the community and nurses’ rights, I am taking a practical action-based approach to community healthcare.


Fooladi, M. M. (2015). The Role of Nurses in Community Awareness and Preventive Health. International Journal of Community Based Nursing and Midwifery3(4), 328–329.