Public policy decisions directly affect the health care of women and children and also affect the practice of maternal and child nursing. The past quarter century has seen a shift in nursing involvement in the public policy process. Heightened awareness of the collective power of nurses, greater independence of the nursing profession, the increasing capability for generating research to guide the formulation of public policy, and nurses' better understanding of the political process have all contributed to the increasing influence of our nation's 2.6 million nurses. The passage of several significant pieces of legislation, such as expansions of the Medicaid program for pregnant women and children in the late 1980s, have opened up new opportunities for nurses to further shape the nation's health care agenda for women and children. Nurses can and should become more involved with the policy-making process at local, state, and national levels to assure that decisions are made that benefit this important population group. Leadership in the public policy arena will give nurses the best opportunities for putting forth the agendas that will accomplish these goals.

译文

公共政策决定直接影响妇女和儿童的保健,也影响母婴护理的实践。在过去的四分之一世纪中,护理人员在公共政策过程中的参与发生了变化。对护士集体权力的认识的提高,护理专业的更大独立性,产生指导公共政策制定的研究能力的增强以及护士对政治过程的更好理解,都促进了我们国家260万护士的影响力的增加。几项重要立法的通过,例如扩大20世纪80年代末孕妇和儿童的医疗补助计划,为护士提供了新的机会,以进一步塑造国家的妇女和儿童医疗保健议程。护士可以而且应该更多地参与地方,州和国家各级的决策过程,以确保做出有利于这一重要人群的决策。公共政策领域的领导力将为护士提供最佳机会,以提出实现这些目标的议程。

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