Public policy has a major impact on your practice and your patients. Advocacy is an expectation of the advanced practice nurse. Elected officials care about what their constituents have to say. To make a difference, you need to be informed and engaged. Contacting your legislator and discussing issues is an important attribute of nurse leaders. In your interactions with lawmakers you want to be positive and nonpartisan, personal, persistent, patient, focused on your message, and provide accurate information.


Public policy plays a crucial role in shaping the practice and outcomes of healthcare, making it essential for advanced practice nurses (APNs) to be engaged in advocacy efforts. As experts in their field, APNs have a responsibility to inform and influence policy decisions that impact their patients and the healthcare system as a whole. This paper will explore the importance of advocacy in the context of public policy and provide guidelines for effective engagement with policymakers.

The Impact of Public Policy on Practice and Patients

Public policy decisions have a profound impact on the practice of APNs and the overall healthcare landscape. Policies related to healthcare funding, access to care, scope of practice, and reimbursement rates directly affect the ability of APNs to provide quality care and meet the needs of their patients. For example, restrictions on nurse practitioners’ scope of practice may limit their ability to provide certain services independently, leading to barriers in access to care for patients. Similarly, inadequate reimbursement rates for APNs may discourage their participation in certain areas of healthcare, further exacerbating the shortage of providers in underserved communities.

Furthermore, public policies shape the social and economic determinants of health, such as education, housing, and employment. These factors significantly influence individuals’ health outcomes and contribute to health inequities. Considering the evidence that supports the positive impact of APN-led primary care on patient outcomes, it is imperative for APNs to advocate for policies that address these determinants and promote health equity for all.

Expectation of Advocacy for APNs

Advocacy is a core professional expectation for APNs and an essential component of effective leadership in healthcare. As healthcare professionals, APNs have a unique perspective and expertise that policymakers value in the decision-making process. Their involvement in policy advocacy can ensure that legislation and regulations align with evidence-based practice and address the needs of patients.

Moreover, elected officials rely on the input and feedback from their constituents to make informed decisions. APNs, as constituents and healthcare experts, have the opportunity to shape policy outcomes by voicing their concerns and providing evidence-based recommendations. By actively engaging in advocacy efforts, APNs can bridge the gap between practice and policy, promoting the best interests of their patients and the profession as a whole.

Guidelines for Effective Advocacy

To be effective advocates for public policy change, APNs should adopt a strategic and thoughtful approach. The following guidelines can help guide their interactions with policymakers:

1. Be Positive and Nonpartisan:
When engaging with lawmakers, it is essential to maintain a positive and nonpartisan approach. Focusing on the shared goal of improving healthcare outcomes and the well-being of patients helps create a collaborative environment. APNs should avoid engaging in partisan debates or aligning advocacy efforts with a specific political party. This ensures that their message is received and considered by a wider range of policymakers.

2. Be Personal:
Sharing personal stories and experiences can highlight the real-life impact of public policies on patients and healthcare providers. Personal narratives establish an emotional connection that can make a powerful case for policy change. APNs should be prepared to share compelling stories of how current policies have affected their practice and patients’ health.

3. Be Persistent:
Advocacy requires persistence and consistency. One-time interactions may not be enough to influence policymakers. APNs should build relationships with lawmakers and their staff to maintain an ongoing dialogue. Consistently sharing relevant information, research evidence, and policy recommendations keeps APNs’ priorities at the forefront of policymakers’ attention.

4. Be Patient:
Change in public policy takes time. It is important for APNs to be patient and persistent in their advocacy efforts. Building alliances with other healthcare stakeholders, raising public awareness, and gathering empirical evidence can contribute to the long-term success of policy initiatives. APNs must recognize that their advocacy efforts are part of a larger movement and may not yield immediate results.

5. Be Focused on the Message:
To effectively advocate for policy change, APNs should clearly communicate their message and priorities. Identifying key issues and relevant data helps ensure that policymakers understand the specific impact of their decisions. APNs should articulate their recommendations for policy improvements, backed by evidence and best practices. A concise and targeted message is more likely to resonate with policymakers and generate support.

6. Provide Accurate Information:
APNs must be informed advocates, armed with accurate and up-to-date information. This includes staying current on relevant legislation, policies, and research findings. Providing legislators with accurate and evidence-based information strengthens the credibility of APNs’ advocacy efforts and informs the decision-making process.


Advocacy is a crucial responsibility of APNs in influencing public policy decisions that shape healthcare practice and patient outcomes. By adopting a positive, nonpartisan, and proactive approach, APNs can effectively engage with policymakers to drive change. By sharing personal stories, remaining persistent and patient, focusing on key messages, and providing accurate information, APNs can make a meaningful impact on public policy and advocate for policies that promote optimal healthcare for all.