A nurse would like to influence an internal private health policy. Which of the following actions should the nurse take?
a. Build or join a private entrepreneurial practice to provide lower cost services to underserved groups
b. Participate in public discussions regarding quality and managed care
c. Support nursing research done that demonstrates positive clinical and economic outcomes
d. Write managed care organizations to request that nurses receive reimbursement for health services to clients
ANS: C
Internal nursing action is from within the agency, such as holding an important management position. Nurses can support and use nursing research that demonstrates positive clinical and economic outcomes. Such action also serves to validate the importance of nursing within the health system. External strategies can include participation in discussions regarding aspects of care or seeking employment in entrepreneurial practices.
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