title: Nursing and health policy.
abstract: OBJECTIVE
  To describe ways nurses are and are not effective in the development of health policy in the United States today, and to provide useful information for those interested in making nursing a more vital part of the policy arena.
  
  
  METHODS
  Qualitative examination of the career experiences and observations of a purposive sample of 27 American nurses currently active in health policy at the national, state, local, or organizational level.
  
  
  METHODS
  Semi-structured interviews regarding career path, contributing resources improvement of resources available to nurses, and the strengths and weaknesses of currently available information for policy work.
  
  
  RESULTS
  For nurse participants, policy involvement meant speaking for patients in arenas where those need of care have limited voice. Participation occurred after assessment, diagnosis, and planning revealed the need for change in the way resources were allocated. Strong belief in the capacity and importance of people caring for themselves distinguished nurses in their policy roles. Policy makers responded to the experiences and determinants of health and illness as presented by nurses.
  
  
  CONCLUSIONS
  Once engaged, nurses seldom turned their backs on the world of policy-making. However, they did not report significant use of nursing research or information in policy making. Further investigation and testing of systems to connect nurse policymakers with nurse scholars are recommended.
authors.affiliation: Center for Health, Columbia University School of Nursing, 630 West 168th Street, New York, NY 10032, USA. kmg24@columbia.edu
authors.forename: K M
authors.initials: KM
authors.lastname: Gebbie
authors.forename: M
authors.initials: M
authors.lastname: Wakefield
authors.forename: K
authors.initials: K
authors.lastname: Kerfoot
mesh_terms: D002321:Career Choice; D006291:Health Policy / Q000331:legislation & jurisprudence*; D006801:Humans; D007884:Legislation, Nursing; D024802:Nurse's Role; D011057:Politics; D014481:United States