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Policy, Politics, & Nursing Practice
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Strengthening the Role of Public Health Nurse Leaders in Policy Development

Jennifer E. Deschaine, MA, RN

Scott County Public Health in Shakopee, Minnesota

Marjorie A. Schaffer, PhD, RN

Bethel College in St. Paul, Minnesota

The purpose of this study is to identify and analyze factors that affect the ability of public health nurse (PHN) leaders to influence public health policy development. Longest's model of public policymaking provided the theoretical framework. Eight PHN leaders representing rural, suburban, and urban population areas participated in semistructured interviews. Findings suggested factors that affect the PHN leaders' abilities to influence public health policy development: existing barriers such as political factors, gender issues, a lack of public understanding, financial issues, and resource limitations; skills training in policy development; academic preparation; political competency; political power associated with policy development responsibilities; leadership competency; and the ability to use research to influence policy making. Recommendations include strengthening academic preparation in policy development and creating support for growth in leadership competency, political competency, and research skills for current PHN leaders.

Key Words: public health policy making • political competency • policy development • leadership competency • policy making

Policy, Politics, & Nursing Practice, Vol. 4, No. 4, 266-274 (2003)
DOI: 10.1177/1527154403258308
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