CONTEXTUAL FACTORS
What is the impact of contextual factors on advocacy and policy? Contextual factors can range from internal (the organization, the practice, the environment, the culture, etc.) to external (laws, policies, politics, regulations, etc.). However, whether originating internally or externally, contextual factors have the capability of advancing or hindering an advocacy priority.
For this Discussion, you will consider how contextual factors impact policy making, focusing specifically on how these factors might impact your advocacy priority. Consider what contextual factors might promote getting your priority on the agenda, as well as those that might work against it.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
TO PREPARE:
Review resources about contextual factors.
Consider how contextual factors will impact your advocacy priority.
BY DAY 3 OF WEEK 4
Post a response detailing the following:
Which contextual factors will promote getting your advocacy priority on the agenda?
Which contextual factors might work against it?
LEARNING RESOURCES
Required Resources
Readings
Dawes, D. E. (2020). The political determinants of health. Johns Hopkins University Press.
Chapter 4, “How the Game is Played: Successful Employment of the Political Determinants of Health” (pp.78–111)
Porche, Demetrius J. (2023). Health policy: Applications for nurses and other health professionals (3rd ed.). Jones & Bartlett Learning.
Chapter 9, “Policy Formulation and Implementation” (pp.101-112)
Chapter 10, “Policy Analysis” (pp.113-140)
Example Exemplars
Advocacy Coalition Framework (ACF) (Word document) Download Advocacy Coalition Framework (ACF) (Word document)
Kingdon’s Multiple Streams Framework (KSF) (Word document) Download Kingdon’s Multiple Streams Framework (KSF) (Word document)
Narrative Policy Framework (NPF) (Word document) Download Narrative Policy Framework (NPF) (Word document)
Media
The following media resources address the contextual factors impacting the answer to the following question, “How did we get here?” regarding the current state of healthcare in the U.S.
Please select at least two from the following to view.
CNBC. (2018, December 26). Why medical bills in the U.S. are so expensive Links to an external site. [Video]. https://www.youtube.com/watch?v=3NvnOUcG-ZI
Note: The approximate length of this media piece is 15 minutes.
FRONTLINE PBS. (2021, May 18). The healthcare divide Links to an external site.(full documentary): FRONTLINE Links to an external site. [Video]. https://www.youtube.com/watch?v=UVvEkeH4O8o
Note: The approximate length of this media piece is 53 minutes.
IntelligenceSquared Debates. (2017, October 6). The U.S. health care system is terminally broken Links to an external site. [Video]. https://www.youtube.com/watch?v=o0JFn7rVHdg
Note: The approximate length of this media piece is 95 minutes.
PBS NewsHour. (2021). Health care: America vs. the World Links to an external site.. https://www.youtube.com/watch?v=BytzrjEfyfA
Note: The approximate length of this media piece is 56 minutes.
Requirement
Must have at least 3 references
References must be in apa
References must be less than 5 years
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