Seasoned advocates have developed skills in influencing policy decisions. Some individuals use the “ten commandments of lobbying.” What are the basic ideas that are inherent to advocates?


It is very important that community health nurses provide not only input to policy circles through advocacy but also leadership at decision-making tables. The community health nurse is reviewing an online in-service program on the importance of this role in providing an essential influence and unique perspective in health care

  1. Seasoned advocates have developed skills in influencing policy decisions. Some individuals use the “ten commandments of lobbying.” What are the basic ideas that are inherent to advocates?
  2. The community health nurse needs to know something about the forces shaping health policy and the policy process in order to be in a better position to influence policy outcomes. What are the three components of Kingdon’s framework for policy analysis?


The Role of Community Health Nurses in Policy Advocacy and Decision-Making


 Community health nurses play a crucial role in promoting the health and well-being of individuals and communities. In addition to their direct patient care responsibilities, community health nurses also have a unique opportunity to advocate for policy changes and provide leadership at decision-making tables. By actively engaging in policy advocacy, these nurses can have a significant impact on shaping healthcare policies and improving population health outcomes. This essay will explore the inherent ideas of advocates, as well as discuss the three components of Kingdon’s framework for policy analysis, providing community health nurses with valuable knowledge to influence policy outcomes.

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 The Basic Ideas Inherent to Advocates: Advocacy is a multifaceted process that involves influencing policy decisions and creating positive change (National Academies Press (US), 1995). Seasoned advocates have developed skills and strategies to effectively navigate the policy landscape. One widely recognized approach is the “ten commandments of lobbying,” which encompasses several key ideas inherent to advocates. These include:

Passion and Commitment: Advocates are driven by a genuine passion for the cause they represent and demonstrate unwavering commitment to achieving their goals.

Knowledge and Expertise: Advocates possess in-depth knowledge and expertise in their respective fields, allowing them to provide evidence-based arguments and insights to support their cause.

Effective Communication: Advocates are skilled communicators who can articulate their message clearly and persuasively, tailoring it to different audiences and platforms to maximize impact.

Building Relationships: Advocates understand the importance of building relationships and fostering collaborations with policymakers, stakeholders, and other influencers. These connections help establish credibility and trust, which are vital for successful advocacy efforts.

Strategic Planning: Advocates employ strategic thinking and planning to develop comprehensive advocacy campaigns. This includes setting specific goals, identifying target audiences, and implementing appropriate tactics to achieve desired outcomes.

Mobilizing Support: Advocates engage and mobilize a wide range of supporters, including community members, healthcare professionals, and relevant organizations, to amplify their voice and create a collective impact (World Health Organization, 2008).

Persistence and Resilience: Advocacy can be a lengthy and challenging process. Advocates display persistence, resilience, and adaptability in the face of obstacles and setbacks, staying focused on their objectives.

Monitoring and Evaluation: Advocates regularly monitor policy developments, evaluate the impact of their efforts, and adapt their strategies accordingly. This iterative process ensures ongoing effectiveness and continuous improvement.

Ethical Practice: Advocates adhere to high ethical standards, maintaining transparency, honesty, and integrity throughout their advocacy work.

Continual Learning: Advocates recognize the importance of staying informed and continuously updating their knowledge and skills to remain effective in a dynamic policy environment.

Kingdon’s Framework for Policy Analysis

 To effectively influence policy outcomes, community health nurses must understand the forces shaping health policy and the policy process. Kingdon’s framework for policy analysis provides a valuable perspective in this regard, highlighting three key components:

Problem Stream

This component refers to the recognition and definition of a problem or issue that requires policy attention. Community health nurses need to identify and articulate healthcare challenges, such as health disparities or gaps in healthcare access, by gathering evidence, conducting research, and consulting with relevant stakeholders.

Policy Stream

 The policy stream involves the development of potential solutions and policy alternatives to address the identified problem. Community health nurses should engage in critical analysis, synthesizing evidence and best practices to propose feasible and effective policy options (Arabi, 2014). This includes considering the political, economic, and social implications of different strategies.

Political Stream

 The political stream represents the political environment and context within which policies are formulated and adopted. This includes understanding the interests, power dynamics, and policy agendas of key stakeholders, such as policymakers, advocacy groups, and influential individuals. By identifying and aligning with supportive political forces, community health nurses can effectively advocate for their policy proposals.


Community health nurses have a vital role in advocating for policy changes that can positively impact population health. By embodying the inherent ideas of advocates and leveraging Kingdon’s framework for policy analysis, these nurses can effectively influence policy decisions and provide leadership at decision-making tables. By combining their passion, expertise, and strategic advocacy skills, community health nurses can shape healthcare policies that promote equitable access, address social determinants of health, and improve the overall well-being of communities they serve.


Arabi, A. (2014, June 1). Nurses’ policy influence: A concept analysis. PubMed Central (PMC). 

National Academies Press (US). (1995). Nursing Advocacy at the Policy Level: Strategies and Resources. Nursing Health, & Environment – NCBI Bookshelf. 

World Health Organization. (2008). Advocacy, communication and social mobilization. Implementing the WHO Stop TB Strategy – NCBI Bookshelf. 

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