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Theresa Fyffe

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					Theresa Fyffe

Policy and Practice
        Definitions & Context
 Policy is defined as “ as a course or
  principle of action adopted or proposed by a
  government, party, business, or individual”.
 Policy incorporates a process of decision
  making and the product of that process
 Policy environment conditions the
  relationship between policy problems and
  outcomes
               Health Policy
 Health policy is concerned with content –
  structure of services, health targets etc.
 Walt (2004) health policy – process and
  power
 Who influences whom in the making of
  policy
 Sets this in the context of society, public,
  social and healthcare professionals
               Health Policy
 Ham (1999) policy is about allocation of values
  and beliefs
 Making decisions which implicitly or explicitly
  reflect a particular set of values and beliefs
 Change in constitutional government opened the
  potential for change in the culture and ethos of
  policy-making processes
 Smoking Ban – an example?
              Policy Route


 Policy not a linear process

 Complex and messy
             Convergence

 Convergence of a number of interrelated
  factors (Rafferty, 2004)
 Health policy and professional policy
  agendas in alignment
 Timing
 Policy active leaders
 Policy is not set in stone
     Policy and Practice Why?

 Health care professionals manage and
  broker health policy paradoxes - tensions
  between competing policies

 Active in key health policy issues to achieve
  a health and health care system that works
  for patients and public and for staff

 Health policy ultimately frames & shapes
  practice
          Policy and Practice
 Through establishing relationships
 Patient focused
 Engagement with colleagues in a
  multidisciplinary context
 Relish challenges leadership brings
 Driving services forward
 Improving the quality of patient care and
  experience
     Policy and Practice Why?
 Viewed as policy implementers rather than
  policy influencers and developers

 Realise the potential impact of our
  professions in shaping health policy – to
  improve health and quality of patient care

 Nurses and Midwives influence policy every
  day
       Future Steps - Leaders

 Understand the dynamics of the health
  policy environment

 Effective participants within the health policy
  world – become „insiders‟

 Formulate policy options with greater
  potential for adoption and for effectiveness
  when implemented
 Leaders must be policy and politically astute
              Leadership
 Clarity about when we need uniprofessional
  policy and when we do not.
 „the nursing issues”
 Society, patients, women, families, carers
  perspective driving our agenda
 Does being politically and policy astute =
  politically active
                Leadership

 Identifying solutions or strategic options –
  knowing what can be done!
 Development, experience and persistence
 Understand impact of position
 Not only about sitting at the right table
 Grow and develop a new generation of
  „health policy‟ influencers
                 Education
 Work towards ensuring that
  healthcare/public health policy is integral to
  student curriculum –
  undergraduate/graduate

 The more policy can be can be understood
  as part of practice, the better it will be taught

 Future practitioners who can evaluate and
  comment on current policy –
                Education

 Is there a gap in policy knowledge among
  educators of our professions?

 Do educators need to be active, informed
  and enthusiastic about health policy issues?
                Research
 Past perception – lack of knowledge in such
  areas as political science and economics

 Beginning to change

 Policy analysts from among our professions
                Research
 Policy researchers – good policy studies
  that address fundamental social and health
  problems - Impact on people‟s lives at
  macro and micro levels

 Further our understanding of the policy
  process - inform future policy influencers
      Future Steps - Individual
 Observe and analyse organisational
  decisions. How has power being
  transacted?
 Get a feel for how decisions are made –
  think about styles of influence
 Research past policy – every policy has its
  own history – where decisions come from
 Confidence – Believe that our professional
  knowledge is as important as others
                    Future
   A number of steps in motion already
   More to be done and learning to share
   CNO Policy Forum
   Lever for change
   In time lead to other opportunities!
   Horizon looks:

				
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