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

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Lillian Wald is an example of nursing advocacy. Her efforts to improve immigrant health in impoverished communities are inspiring. Wald, despite significant obstacles, such as opposition by established medical professionals and a lack of resources was able create Henry Street Settlement of New York and the Visiting Nurse Service of New York. They provided healthcare services for underserved populations and laid the foundations of modern public health nurses.

A significant obstacle for American nurses is their struggle for recognition within the health care delivery system. This challenge is particularly important for Advanced Practice Registered Nurses (APRNs). Despite having advanced training and education, APRNs still face barriers in their practice. These include restrictions on the prescribing of medications, low reimbursement for services and opposition from physician groups. APRNs, nursing groups, and individuals have all made advocacy efforts to help increase support and recognition of APRNs, such as expanding practice laws and reimbursement policy.

It is important to know and understand these challenges, both historical and present. You must also take steps to overcome them. To overcome these challenges, you can engage in advocacy, network with other nurses and nursing organizations, stay informed on current issues and policies, and continue to improve education and training. Other strategies include building relationships with communities, patients and families.

As I look to the future, my goal is to dedicate my nursing career towards advocating on behalf of my patients, community and myself. It may be that I work to promote health equity, social justice and improve access to services. In my opinion, by adhering to the nursing core values such as compassion and integrity, while also embracing social responsibility and social responsibilities, I will be able make an impact on those that I serve.