ANA\C The Nursing Voice Spring 2019

14  . The Nursing Voice . Spring 2019 Link to Profile/Bio: https://scienceofcaring.ucsf.edu/policy/women%E2%80%99s-health-care-warrior Notes: i. The American Nurses’ Association/California (“ANA/C”), a state chapter of the American Nurses Association (ANA), represents all registered nurses in the state of California, without regard to specialty or practice setting. ANA/CA is aligned with ANA policy in advocating for access to safe, timely, and quality care for all populations and is on record supporting autonomy, independent decision-making, respectful treatment, and access to quality reproductive healthcare, for women and for all people. ANA/C is a member of the California Coalition for Reproductive Freedom, a statewide coalition of more than 40 organizations working to promote sexual and reproductive health, rights and justice (including all health professional organizations). ii. The ANA and the Academy share the common goal of improving health for all by, among other things, ensuring access to high quality sexual and reproductive health care for women that is comprehensive and evidence-based. The American Nurses Association (“ANA”) represents the interests of the Nation’s 4.0 million registered nurses. With members in every State, ANA is comprised of state nurses associations and individual nurses. ANA is an advocate for social justice with particular attention to preserving the human rights of vulnerable groups, such as the poor, homeless, elderly, mentally ill, prisoners, refugees, women, children, and socially stigmatized groups. The American Academy of Nursing (the “Academy”) serves the public and the nursing profession by advancing health policy, practice, and science through organizational excellence and effective nursing leadership. The Academy influences the development and implementation of policy that improves the health of populations and achieves health equity including advancing policies that improve ethical and evidence-based standards of care and women’s access to safe, quality sexual/reproductive health care without interference with the patient-provider relationship. 1. https://anacapitolbeat.org/2018/07/11/trump-administration-escalates-assault-on-nations-access-to-healthcare/ See also American Nurses Association Policies on Healthcare Reform and Policy Action Center www.RNAction.org 2. American Academy of Nursing. Statement on DHHS Request for Information (RFI) on “Removing barriers to religious and faith- based organizations to participate in HHS programs and receive public funding” Fed Reg Volume 82, Issue 205, 2017. Retrieved from https://higherlogicdownload.s3.amazonaws.com/AANNET/c8a8da9e-918c-4dae-b0c6-6d630c46007f/UploadedImages/ docs/Expert%20Panels/WHEP/2017_RFI_Faithbased_Organizations_11_22_17_AAN_letterhead.pdf 3. American Academy of Nursing. Statement on Trump/Pence Administration's Gag Rule on Title X. 2018 Retrieved from https:// higherlogicdownload.s3.amazonaws.com/AANNET/c8a8da9e-918c-4dae-b0c6-6d630c46007f/UploadedImages/docs/Press%20 Releases/2018/2018-Acadeny_Opposes_Gag_Rule-FINAL.pdf References: https://www.hhs.gov/opa/sites/default/files/title-x-fpar-2016-national.pdf American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. Provision 1.4. Silver Spring, MD. Retrieved from http://www.nursingworld.org/code-of-ethics. American Nurses Association. Position Statement: Reproductive Health (1989, 2010). https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/ reproductive-health/ Cox, KS (2018). Reproductive health: Nursing's “resist and respond” advocacy needed to protect women's reproductive rights. Nursing outlook, 66(4), 347-349. Olshansky, E, Taylor, D, Johnson-Mallard, V, Halloway S, & Stokes, L (2018). Sexual and Reproductive Health Rights, Access & Justice: Where Nursing Stands Nursing outlook, 66(4), 416-422. Roye, CF, Johnson-Mallard, V, Burke, P, Alexander, IM, Taylor, D, Greenberg, CS, & Czubaruk, K (2018). Proposed Healthcare Policy Changes Threaten Women’s Health, Nursing outlook, 66(6), 586-589. American Nurses Association. (2016, December 5). ANA’s Principles for Health System Transformation. Retrieved 14 July 2017, from http://www.nursingworld.org/trumpletter In Our Own Voice, National Black Women’s Reproductive Justice Agenda (2017). Our bodies, our lives, our voices: The state of Black women & reproductive Justice. www.blackrj.org American Nurses Association (2017). Faith Community Nursing Standards and Scope of Practice. Available at https://www. nursingworld.org/nurses-books/faith-community-nursing-scope-and-standards-of-practice-3rd-edition/ STRATEGIC PLAN FY 2014–2018, U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS), available at: https://www.hhs.gov/ about/strategic-plan/introduction/index.html#mission. Hewitt, C, & Cappiello, J (2015). Essential competencies in nursing education for prevention and care related to unintended pregnancy. Journal of Obstetric, Gynecologic & Neonatal Nursing, 44(1), 69–76. Bednash G, Worthington S, and Wysocki S, “Nurse Practitioner Education: Keeping the Academic Pipeline Open to Meet Family Planning Needs in the United States,” Contraception, 80, 2009, 409–411. View publication Auerbach DI., Pearson ML, Taylor D, Battistelli M, Sussell J, Hunter LE, Schnyer C, Schneider EC. Nurse Practitioners and Sexual and Reproductive Health Services: An Analysis of Supply and Demand. Santa Monica, CA: RAND Corporation, 2012. View publication Taylor D, Olshansky E, Woods NF, Johnson-Mallard V, Safriet BJ, Hagan T (2017). Political interference in sexual and reproductive health research and health professional education. American Academy of Nursing on Policy, Nursing Outlook, 65(2): 242-245. American Academy of Nursing. Statement on DHHS Request for Information (RFI) on “Removing barriers to religious and faith- based organizations to participate in HHS programs and receive public funding” Fed Reg Volume 82, Issue 205, 2017. Retrieved from https://higherlogicdownload.s3.amazonaws.com/AANNET/c8a8da9e-918c-4dae-b0c6-6d630c46007f/UploadedImages/ docs/Expert%20Panels/WHEP/2017_RFI_Faithbased_Organizations_11_22_17_AAN_letterhead.pdf American Academy of Nursing. Statement on Trump/Pence Administration's Gag Rule on Title X. 2018 Retrieved from https:// higherlogicdownload.s3.amazonaws.com/AANNET/c8a8da9e-918c-4dae-b0c6-6d630c46007f/UploadedImages/docs/Press%20 Releases/2018/2018-Acadeny_Opposes_Gag_Rule-FINAL.pdf Nurses and healthcare providers speak out Several lawsuits have been filed seeking to halt the rule’s implementation and nurses are again speaking out against the Title X gag rule as an all-out assault on patients’ right to obtain the reproductive health care they want and need. In Ms Magazine (2/26/2019), Concerned Clinicians and Public Health Scholars Dedicated to Comprehensive Reproductive Health Services—a cohort of nurses, midwives and public health researchers from U.S. colleges, universities, hospitals and clinic (including University of California, San Francisco clinicians/scholars Monica R. McLemore, Diane Tober, Lisa Stern, Ifeyinwa Asiodu). In their article, “No Deals with the Devil” they speak out on why the Trump Gag Rule harms patients. In an editorial in the San Francisco Chronicle (3/5/1019), California nurses join with their colleagues (all ANA members) to “call on President Trump to rescind dangerous ‘gag’ rule on reproductive health care.” Lead authors Monica McLemore and Diana Taylor from UCSF School of Nursing are joined in this commentary by Laura Britton, a 2019 postdoctoral fellow at Columbia University School of Nursing, Katherine Simmonds, an assistant professor at the MGH Institute of Health Professions, Denise Link, a professor of nursing at Arizona State University, and Ellen Olshansky, professor of nursing at UC Irvine. Nurses champion access to high quality and safe healthcare as a human right. These discriminatory and restrictive regulations undermine HHS’s mandate to “protect the health of all Americans and to provide essential human services, especially for those least able to help themselves.” Government leaders should not be playing politics with peoples’ lives and health, yet this is exactly what is happening with the Title X rules change. These changes will do nothing to improve quality of care, access, or cost, but rather the opposite: degrading quality and access, and adding costs due to delayed or unavailable care. To best serve the public, rule changes should be based on science, the highest standards of care, and improving the health of our nation. ❱ Continued from page 13

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