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If individual nurses can come together worldwide—with citizens who are also
concerned about health—this effort could indeed become a powerful force for the
health of humanity.
Nightingale Initiative for Global Health (2010)
For this module, the student will:
 Explore the relationship between politics, health care policy, and healthcare
 Examine the processes of making policy and strategies for effective actions in
formulating and changing policy.
 Examine the health of women and people’s nutritional status throughout the
globe, including the problems, issues, and challenges.
1) READ the following:
 Chapter 8 Nutrition and Global Health
 Chapter 9 Women’s Health
2) COMPLETE the [open book] quiz (10) questions) on the above chapters. The quiz
will be open during the 48 hours before the due date. See schedule for due date.
3) READ the following:
 Abood, S. (2007). Influencing health care in the legislative arena. Online
Journal of Issues in Nursing, 12(1), 12 pp.
Article is available as FULLTEXT in CINAHL OR CLICK on the following
link: Retrieved from
 Aiken, L.H., Sloane, D.M., Cimiotti, J.P., Clarke, S.P., Flynn, L., Seago, J.A.,
Spetz, J., & Smith, H. (2010, April 9). Implications of the California nurse
staffing mandate for other states. Health Services Research. Retrieved from
4) WRITE a two (2) page paper (minimum 500 words) using the two (2) articles
above (Abood and Aiken et al.) as references
a) You have read the results of the research paper (Aiken et al.) on staffing
ratios, and you decided that you want your state legislature to pass similar
legislation on mandated nurse-patient ratios.
b) Review the article by Abood (see above). Also recommended: Chapter 11:
The nurse as advocate. In K.K. Blais & J.S. Hayes (2010). Professional
nursing practice: Concepts and perspectives (6th ed.). Upper Saddle River,
NJ: Prentice Hall.
c) Using the above two (2) article(s), develop a plan for influencing votes of
legislators on nurse-patient ratios. Title of paper: Mandating Nurse-Patient
Ratios. You MUST include the following:
1. PAGE 1: Using the Abood article, describe the strategies and/or the
“power(s)” you would use as a nurse to assure that a busy legislator
(who has staff members to “screen” visitors) will consider/see your
information. What would you do professionally and personally to
ensure that “powers” and strategies are successful? Be specific.
2. PAGE 2: ONE PAGE ONLY–BULLET POINTS ( ● ) information sheet.
Using the Aiken article, compose a one (1) page legislator
information sheet on nurse-patient ratios (see Aiken et al.) for a busy
state legislator who will only have time to read bullet points:
 Bullet points ( ● ) are brief, pertinent, accurate, researchand/or
data based statements that emphasize the
advantages to his/her constituents (patients). Summarize
and paraphrase. Be convincing! Citations are required for
each of the bullet points. No more than one (1) page. NOTE:
Bullet points can be easily inserted into a document using MS
 To provide context for the legislator, include a short (1-2 sentences)
introductory statement at the top of page 2 explaining the purpose of
the bullet points.
NOTE: Compose nurse patient ratio statements that focus ultimately
on advantages to patients/families, not nurses. An example: “Higher
nurse-patient ratios increase nurse burnout. Nurse burnout results in
higher attrition and less job satisfaction which impacts the continuity
and quality of patient care.”
d) APA FORMAT CITATIONS NOTE: Many other research studies are cited in
the Aikan et al. article. If you cite these other research studies, they are
considered secondary sources (See APA Manual, p. 178, 6.17). For
example, the following is an example of a bullet point with a citation from a
secondary source:
 Patients diagnosed with acute myocardial infarction had a lower
mortality rate as the number of registered nurse hours per patient day
increased (Sochalski et al. [as cited in Aiken et al., 2010]).
Aiken at al. is then used as the source on the reference list.

e) See the Nursing Student Writing Guidelines Checklist for APA formatting.
Fifteen (15) points will be deducted for incorrect citations and/or references.
f) EVALUATION: Paper: Advocacy & Nurse-Patient Ratio (500 words min)
Critical Thinking Skills/Content Development/Organization/References (60%):
Introduction; Bullet-Points
Format/Computer Technology Skills (40%)
g) UPLOAD completed paper (file) into the Assignment Turn-It-In folder by the
due date.


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