title: Nursing shaping and influencing health and social care policy.
abstract: OBJECTIVE
  This paper seeks to consider how nursing as a profession in the United Kingdom is developing its role in shaping and influencing policy using lessons learnt from a policy study tour undertaken in the United States of America and extensive experience as a senior nurse within the government, the health service and more recently within a Professional Organization.
  
  
  BACKGROUND
  The nursing profession faces major changes in health and health care and nurses need to be visible in the public debate about future models of health and health care.
  
  
  METHODS
  This paper critically reviews recent UK and USA literature and policy with relevance to nursing.
  
  
  RESULTS
  Strategies that support nurses and nursing to influence policy are in place but more needs to be done to address all levels of nursing in order to find creative solutions that promote and increase the participation of nurses in the political process and health policy. There are lessons to be learnt in the UK from the US nursing experience. These need to be considered in the context of the UK and devolution.
  
  
  CONCLUSIONS
  Although much has been achieved in positioning nurses and nursing as an influencer in the arena of policy and political decision-making, there is a need for greater co-ordination of action to ensure that nursing is actively supported in influencing and shaping health and health care policy.
  
  
  CONCLUSIONS
  All leaders and other stakeholders require to play their part in considering how the actions set out in this article can be taken forward and how gaps such as education, fellowship experience and media engagement can be addressed in the future.
authors.affiliation: Royal College of Nursing in Scotland, 42 South Oswald Road, Edinburgh EH92HH, UK. theresa.fyffe@rcn.org.uk
authors.forename: Theresa
authors.initials: T
authors.lastname: Fyffe
mesh_terms: D003659:Decision Making, Organizational; D005257:Fellowships and Scholarships / Q000458:organization & administration; D018166:Health Care Reform / Q000458:organization & administration; D006291:Health Policy; D006301:Health Services Needs and Demand; D006801:Humans; D007393:International Educational Exchange; D007857:Leadership; D008402:Mass Media; D009718:Nurse Administrators / Q000193:education / Q000458:organization & administration / Q000523:psychology; D024802:Nurse's Role; D015399:Nursing Research; D009740:Nursing Staff / Q000193:education / Q000458:organization & administration* / Q000523:psychology; D011050:Policy Making; D011057:Politics; D012944:Social Support; D012956:Societies, Nursing / Q000458:organization & administration; D013222:State Medicine / Q000458:organization & administration*; D006113:United Kingdom; D014481:United States