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Terms in this set (90)

A) Categorical funding
C) Head Start
E) Statutory authority for the profession

Constitutional law, judicial and common law, legislation, regulation, and funding mandates are the key factors of health policy and politics that affect nursing practice in a complex relationship:
· Categorical funding, designating funding for specific needs, has led to the special and more narrowly shaped nursing roles and tasks in community-oriented nursing (e.g., home health care, school nursing, and family planning). Government funds assigned to specific programs or purposes cannot be used to support other services. This factor has restricted the broader development of a public and community-oriented nursing role to meet unanticipated needs since funding drives programming, which drives services, which drives roles.
· School health legislation establishes a minimum of services that must be provided to children in public and private schools. Examples of such federally legislated programs that affect nursing practice in the schools and with families are Head Start, early diagnostic screening programs, nutritional programs, services for the handicapped, and special education.
· Despite the broad nature and varied roles of nurses in practice, two legal arenas are most applicable to nurse practice situations. The first is the statutory authority for the profession and its scope of practice, and the second is professional negligence or malpractice. The issue of scope of practice involves defining nursing, setting its credentials, and then distinguishing between the practices of nurses, physicians, and other health care providers. The issue is of particular importance to community-oriented nurses who traditionally practiced with much autonomy.