4. ADVOCACY & THE CODE OF ETHICS
• quality work environments
• social justice issues that affect heath & well-being – including policies & programs
• use of the least restrictive measure possible for those in their care
• adequate relief of discomfort and pain
• accessible, universal & comprehensive health-care services
•access to their own health-care records
• fair treatment & fair distribution of resources for those in their care
• changes to unethical health & social policies, legislation and regulations; equity
• ethical discussions
• initiatives to reduce environmentally harmful practices
• if they believe the health of those in their care is being
compromised by factors beyond their control, includes
decision-making of others; ethical discussions
7. CANAC
• A national professional nursing organization
committed to fostering excellence in HIV/AIDS
nursing, promoting the health, rights and dignity of
persons affected by HIV/AIDS and to preventing the
spread of HIV infection
8. CANAC
• Position statements
• Recognition of HIV/AIDS nursing as a speciality
• specialized knowledge and skills; committed to ongoing professional
development to maintain skills; have acquired specialized knowledge
and skill
• Human rights statement
• CANAC fully supports Human Rights to be extended to all people
regarding access to HIV/AIDS education, prevention, treatment, care
and support
• HIV and criminalization
• the criminal law is an ineffective and inappropriate
tool to prevent HIV exposure and transmission
• HIV/AIDS Nursing Guidelines
9. SRNA
Promoting Equity Through Harm Reduction in
Nursing Practice (2008)
• HR is a vital component in the continuum of
health care services provided by RNs in SK
• Gives clients choices, so they are involved in their
health care
http://www.srna.org/images/stories/promoting_equity.pdf
10. WHAT WOULD YOU DO?
• male, history of IDU but not currently using,
admitted with MRSA/osteomyelitis
• reports pain at 10/10; only analgesia ordered
is Tylenol, plain, q4h
11. WHAT IS ADVOCACY
• Why advocacy?
• How to start advocating?
• How does the CNA Code of Ethics support
professional advocacy?
• What seems to work best?
• Does it really make a difference?
• How to put advocacy into ACTION?
12. WHAT IS ADVOCACY?
• the act or process of supporting a cause or
proposal: the act or process of advocating
something
– To advocate is to plead in favor of
• action to lead to changes by influencing someone
who can make changes
http://www.global-campaign.org
13. TYPES OF ADVOCACY
All interventions
have impacts on
advocacy.
Some impacts are
direct and others
are indirect.
14. WHY ADVOCACY?
Unless we engage in advocacy, we will only be
reacting to symptoms and not looking at the
roots of the problem
15.
16. WHAT WOULD YOU DO?
• transgender client admitted to your unit: MTF
• admitted into a private room; needs to be
transferred from the private room
• Charge RN asks you to move him into a male,
4-bed ward
17. WHO IS AN ADVOCATE?
• Consider who is/is not an advocate?
– What are barriers to advocacy?
– who will be able to participate in the different
advocacy actions and who cannot?
• Need to maximize opportunities to advocate…
18. HOW TO START?
• Support & resources
– CANAC
– Organized a PPG; SK HIV/HCV Nursing Education
Organization
• Relevancy to local situation/issue(s)
– What is the problem?
– How can it be addressed?
19. ADVOCACY: PLAN DO REVIEW
• Planning
– Formal and informal
meetings
• Do
– Action is necessary
– Have an experience
• Review
– What worked in the past,
what did we learn
20. HOW DOES THE CNA SUPPORT?
• Promoting Equity through Harm Reduction in
Nursing Practice
http://www2.cna-aiic.ca/CNA/documents/pdf/publications/Resolution1_CANAC_Harm_Reduction_2007_e.pdf
• Harm Reduction and Currently Illegal Drugs
– Implications for Nursing Policy, Practice, Education
and Research
– Discussion Paper
http://www2.cna-aiic.ca/CNA/documents/pdf/publications/Harm_Reduction_2011_e.pdf
21. Nurses Praise Supreme Court Ruling:
Insite Saves Lives And Improves Health
"Nurses throughout Canada are incredibly
encouraged by this decision," says Rachel Bard, chief
executive officer of CNA. "We see firsthand the
evidence of how well harm reduction programs work
to improve the health of Canadians, especially
vulnerable populations dealing with poverty, mental
illness and homelessness. As nurses, we're
responsible for and committed to providing safe,
compassionate, competent care and
improving the health of those in need."
22. DOES IT MAKE A DIFFERENCE?
Yes!
• Able to affect attitudes, laws, policies, and the situations in need
of change
• Increases awareness, behaviour, and common knowledge
Indicators of success?
• policy change or implementation; laws or practices reviewed, revised,
introduced
23. PUTTING ADVOCACY INTO ACTION?
•Work from within the system – sitting at decision-makers’ tables (e.g., consultations,
planning committees, community advisory boards, etc.)
•Lobbying or petitioning government and other civic officials
•Arranging face-to-face meetings with decision-makers
•Writing and delivering position papers and briefing notes
•Preparing and giving public presentations
•Creating and performing dramatic presentations
•Staging public demonstrations
•Writing letters
•Writing e-mails
•Making phone calls
•Working with the media:
• Newspapers, magazines and other print media;
television; radio ; internet
•Working with the media in these ways:
• Writing press releases and media advisories;
press conferences; media interviews; website or blog
24. We were there . . .
Keeping the Minister of Health
Informed through RN Advocacy
September 2012
25. PLANNING AND IMPLEMENTING
• Step 1 – Select an issue or problem you want to address
• Step 2 – Analyse and gather information on the issue or
problem
• Step 3 – Develop an aim and objectives for your
advocacy work
• Step 4 – Identify your targets
• Step 5 – Identify your allies
• Step 6 – Create an action plan
• Step 7 – Identify your resources
• Step 8 – Implement, monitor and evaluate
26. COSTS OF ADVOCATING
• Increased work
• Increased public visibility
– good and bad; some negative results?
• Increases in stigma and discrimination
• Perception of not being politically neutral
28. ADVOCACY IN OUR DAILY WORK
• advocacy does NOT require a complete shift
of focus away from other valuable work
• can actually reduce your workload by
improving the environment in which you and
your clients live
• advocacy can happen at all levels of service
delivery
– advocacy work by making use of
opportunities
29. WHAT WOULD YOU DO?
• HIV+, new Canadian, female
• just delivered a baby girl; you go in to
asses and mom BFing; husband and
exended family present; upon further
assessment, mom discloses issues of
cultural practices r/t BF
• family unaware of her dx
30. ADVOCACY AND OUR PPG
Consider:
• Client voice
– peers
• Nurses’ voice
– Knowledge exchange, mentoring
• Local issues
– HIV/HCV
• Strength in numbers
31. MISSION STATEMENT
The mission for the Saskatchewan HIV/HCV Nursing Education
Organization is achieved through:
• Providing accessible and affordable education and learning
opportunities
• Creating a network of members by which support and mentorship
can occur
• Serving as a provincial voice for issues related to HIV and Hepatitis
nursing care
• Advocating for the rights and dignity of people who are living with
HIV/AIDS and/or HCV, or who are vulnerable to these infections
• Supporting a collaborative professional practice environment
• Promoting professional growth
• Improving patient/client/resident outcomes
32. ADVOCACY=ACTION
• TeleHealth
• Email
• Participating with PPGs/SRNA
• Promoting and sharing - World AIDS Day and
World Hepatitis Day
• Face-to-face meetings
• Partnerships
• Mentoring
• Networking
33. OUR ACTIONS-
ADVOCACY SUPPORTS NURSES
• Effective advocates communicate clearly and memorably.
• People need to understand and remember the ideas being
advocated
• Effective advocates build credibility and generate affinity.
• Trust and reputation is crucial to inspiring confidence.
• Effective advocates build relationships that let ideas prosper.
• Coordination and alliances support networking and
relationships.
• Effective advocates influence others.
• Advocacy is about persuasion
34. Ask questions, get answers, stay quiet.
What we have learned from our experiences is that we should . . .
WITHOUT RELATIONSHIPS,
WE HAVE NO POWER AS A GROUP
35. “It isn't that they cannot see the solution,
it is that they cannot see the problem”
G.K. Chesterton
ADVOCACY,
THIS IS WHAT WE DO…
36. SK HIV/HCV PPG
Contact us at:
skhivhcv@gmail.com
Save The Date
Face-2-Face HIV & Hepatitis C Education Event
September 8, 2012
Prince Albert, SK
More information to follow – email us!
Editor's Notes
What is Advocacy
advocacy refers to actions that are intended bring about other actions At its most basic, advocacy refers to the various kinds of actions we take to get other people – usually people in positions of power, the ones who can change things like the laws and policies that affect and even control our lives and the quality of our lives – to make the changes that are our ultimate goal.
http://www.global-campaign.org/clientfiles/APCASO%20HIV%20Advocacy%20Toolkit.pdf page 13 would be good for a handout There are three different types of advocacy that we probably do in our daily work • Public advocacy –to influence behaviour, opinion and practices of the public in order to influence groups and institutions that are involved in affecting change in policies • Community advocacy – to influence groups and institutions that are involved in affecting change in policies by working • Policy advocacy – to influence policy and regulations directly
looks like a lot of the other things we do, it’s easy to think that advocacy is just a new name for everything our organisations already do. But the truth is that even the people who are doing it don’t always know that they are Barriers to advocacy can include funding opportunities, policies, etc.
PLAN - plan a way to approach the next round of experience; Planning advocacy work is similar to other kinds of planning; it is easier to come up with the right activities if we first identify our aims and objectives. DO - have an experience REVIEW - review what happened and what can be learned Greenaway, R. (1988). Powerful Learning Experiences in Management Learning and Development Burton translates this model into What? So what? Now what?
Part II – Ethical Endeavors “As much as possible, nurses individually and collectively should advocate for and work towards eliminating social inequities” (CNA Code of ethics, 2008) Resolution brought forward by RNAO, Supported by CANAC, Tour of Insite with CNA representatives prior to this resolution, need to work with each other, Position Papers Nurses release paper on harm reduction and illegal drugs – Advisory WHEN? May 12, 2011 WHAT? “ Harm reduction ” has been identified as a public health response to reduce the negative consequences associated with risky behaviours, including substance use. A great deal of evidence supports the public health and safety benefits of harm reduction strategies. WHERE? www.cna-aiic.ca WHY? Providing nursing care in the context of substance use, particularly illegal substance use, can raise questions and issues for RNs who may be caught between evidence, ethics and policy. This paper comes at an opportune time, as CNA, along with the Registered Nurses’ Association of Ontario and the Association of Registered Nurses of British Columbia, will today be presenting arguments before the Supreme Court of Canada in support of Insite, a supervised injection facility in Vancouver. Open discussion Many nurses and members of other helping professions are alarmed by the addictive misery that they see and are committed to doing something about it. It is a great loss when we, as compassionate, dedicated professionals do not respect and support each other.
Not only must you help your clients get their life-sustaining, often life-saving, daily needs met, you must do it in a non-judgmental,fair, honest and cost-effective manner. You must also document it in the internally and externally required ways that may or may not contribute to the success of the actual work. In addition, you must balance everything you do with all of the needs and requirements of all clients, your supervisor, your organisation, the government and the community. And now we are asking you to add advocacy work to all of this. Whew! p.29-31 http://www.global-campaign.org/clientfiles/APCASO%20HIV%20Advocacy%20Toolkit.pdf
Discussion here with the group, - what is planning? What is reviewing? And what is doing?
We put ourselves where networking happens. What we have learned from our experiences is that we should . . . DO SOMETHING POSITIVE TO ELICIT CHANGE
