Have there been challenges you have faced? If so, what strategies did you employ to overcome these challenges?

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The story of Lillian Wald and her efforts to improve the health status of impoverished immigrant communities is an inspiring example of advocacy and nursing leadership. Despite facing significant challenges, including opposition from established medical professionals and lack of resources, Wald was able to create the Henry Street Settlement and the Visiting Nurse Service of New York. These organizations provided essential healthcare services to underserved communities and paved the way for modern public health nursing.

Another significant challenge faced by nurses in the United States is the struggle for legitimacy within the healthcare delivery system, particularly for advanced practice registered nurses (APRNs). Despite their advanced education and training, APRNs have faced barriers to practice, including restrictions on prescribing medications, limited reimbursement for their services, and resistance from physician groups. However, advocacy efforts by nursing organizations and individual APRNs have helped to increase recognition and support for APRN practice, including expanding scope of practice laws and reimbursement policies.

As an advocate for patients and nursing, it is essential to be aware of these historical and current challenges and to take action to address them. Strategies for overcoming these challenges may include engaging in advocacy efforts, networking with other nursing professionals and organizations, staying informed about current policy and practice issues, and continuing to advance education and training. Additionally, building strong relationships with patients, families, and communities can help to create a foundation for effective advocacy efforts and positive change.

Looking forward, I envision my career in nursing as one that is dedicated to advocating for my patients, my community, and myself. This may involve working to improve access to healthcare services, promoting health equity and social justice, supporting nursing education and training, and collaborating with other healthcare professionals and community stakeholders. I believe that by remaining committed to the core values of nursing, including compassion, integrity, and social responsibility, I can make a positive impact on the health and well-being of those I serve.