Advocacy for Children in Poverty Policy Change
Western Governor’s
University
D025- Essentials of Advanced Nursing Roles and Interprofessional
Practice Lisa Linville
, 2
Advocacy for Children in Poverty Policy Change
Advanced Professional Nurse as
Advocate
Working as an advanced professional nurse or advanced practice registered nurse
(APRN) includes the “duty to advocate where the APRN is directing the patient’s diagnosis and
treatment plan at a more independent level than that of a generalist RN [registered nurse]”
(Hanks et al., 2017, p. 7). There is a vast difference when working as an APRN in the acute care
setting as opposed to those working in communities. With the passing of the Affordable Care
Act, advanced professional nurses “working in federally qualified community-based health care
centers will need to respond to the challenge of providing integrated health care services” (Waite
et al., 2013). This comes with serving as advocates for their communities, promoting primary
care instead of secondary or tertiary care. They develop relationships with at-risk populations,
propose policy changes, promote community outreach regarding health, and assist in setting up
patients with ongoing medical care. APRNs in the acute care setting have more resources
available, such as interdisciplinary teams who can assess patients' social needs, advocate for safe
discharges, honor patients’ wishes, and follow the patient bill of rights.
Interprofessional Collaboration
It is safe to say that every team member in an advocacy action team (AAT) has a role that
can contribute to the primary goal. They are knowledgeable in their area of expertise and may
have a network of others who can contribute their ideas. One evidence-based practice that
promotes interprofessional collaboration within an Advocacy Action Team (AAT) is
interprofessional education (IPE). Members of the AAT may not have any medical knowledge or
be aware of some of the social determinants of health that exist within their community. “IPE is
a teaching philosophy that is now recognized as an effective strategy to improve patient care