Development of Advocacy

Running head: DEVELOPMENT OF ADVOCACY
Development of advocacy
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1DEVELOPMENT OF ADVOCACY
Introduction:
In the recent years, chronic diseases has become a public health concern in United States.
Majority of the individuals are suffering from chronic disease diabetes and tobacco related
diseases that affected their wellbeing (Stanley, Igler, &Bever, 2017). 11% of the high school
seniors reported smoking in the United States and 90% of individuals of the population who
smoke tobacco are younger than 18 years (Leão,Kunst& Perelman, 2017). On the other hand, in
case of diabetes, increasing burden of diabetes condition affected majority of the individual in
Kanas city. Consequently, over 250,000 residents of Kansas City were diabetic and diabetes
costs the administration of Kanas City over $2.4 billion on an annual basis (DuBose et al., 2015).
Therefore an advocacy campaign was developed against the use of tobacco amongst adolescent.
Advocacy campaign is a movement which involves a political and financial and social network
of official issues such as smoking tobacco amongst adolescent in order to resolve that issue
(Meernik et al., 2017). Being the front line and most trusted health professionals, nurses play a
crucial role in developing an advocacy campaign for preventing the prevalence of smoking
tobacco of adolescent in the United States. For conducting the advocacy campaign successfully,
ANA codes of ethics for nursing practices are essential which serves the purpose of protecting
the dignity of the individuals by following the nursing standard. Considering the provision seven,
8 and 9 of the ANA of ethics for an advocacy campaign, few ethical dilemmas and special
ethical challenges were experienced during the advocacy campaign and reduction of these
challenges are an immediate requirement for the success of the advocacy campaign. The purpose
of this paper is to reflect on the ethical consideration and lobbying law relevant to the advocacy
campaign against tobacco in United States and diabetes in Kanas city (McMillen et al., 2018).
Therefore, this paper will illustrate ethical dilemma during the advocacy campaign, strategies to

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resolve the dilemma, ethics and lobbying law for the advocacy campaign and a concise summary
of the paper in the following paragraphs.
Discussion:
Ethical dilemmas that could arise during the advocacy campaign:
In recent years, an increase in the adolescent smoking portrayed as a major public health
challenge in the United States since the majority of the smokers in the United State are
youngsters and they tend to develop the long-term addiction during their youth (Leão,Kunst&
Perelman, 2017). Consequently, they experienced major consequences in later part of life that
resulted in the development of the chronic disease. On the other hand, Diabetes imposes
detrimental effects on the population of Kansas City, approximately 12% of the adult population
in Kansas affected because of diabetes (Waters et al., 2015). Therefore, an advocacy campaign
and lobbying law is required for raising awareness against economic burden of diabetes and
reduction of tobacco consumption in adolescents. These laws enhance the development of
advocacy campaign for the reduction of the tobacco addiction as well as raising awareness for
diabetes management. However, during this advocacy campaign, there are few ethical dilemmas
could arise which could affect the advocacy campaign. According to provision 8 of ANA codes
of ethics, health is a universal right for the nursing practice; collaboration is a crucial part of the
practice for health human rights and health diplomacy (Trainer et al., 2017). Therefore, although
health is the centre of the priority for every individual in the United States, the advocacy
campaign with the assistance of these federal laws sometimes can be seen as the breaching of
human rights of the individuals for freedom of choice (Grace, 2017). Moreover, although the
advocacy campaign was developed for the adolescent, parents or adults in the fourth week for
diabetes and in the seventh week for tobacco, difficult to raise awareness because of reluctance

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of majority of the individuals. The major ethical dilemma was whether forcing individuals for
their well-being for participating in a awareness campaign as observed during the fourth and
second week of advocacy campaign. (Milstead, 2016). It is duty of the nurse to provide care for
the wellbeing and education is part of it but it also breach the autonomy and dignity of the each
individual.
These issues can be resolved by using ANA codes of ethics. The nine provisions of ANA
codes for ethics highlighted articulation of values, the integrity of the professions and integrating
social justice. Therefore, for social justice, the ethical dilemma can be reduced by designing
policies as a part of health initiatives that give facilities to the diabetic patients in the kanas city
and also reduce the habit amongst adolescent (Veeranki et al., 2015). The seven provisions of
ANA codes of nursing practice highlighted the contribution of nurses through research and
scholarly inquiry and development of the health policy and implementation of it are crucial for
resolving any social issues (Ramos et al., 2015). Therefore, for fourth week, enroll in CDC
recommended diabetes prevention ventures can reduce the diabetes and for seventh week,
specific home restrictions can reduce the prevalence of smoking of adolescent.
Ethics and lobbying law for the advocacy campaign:
The purpose of the development of an advocacy campaign is to reduce the prevalence of
adolescent smoker in United States and reduce the prevalence of diabetes in kanas city.
Therefore, three provisions of codes of ethics for nursing practices are applicable for the
advocacy campaign. The seven provisions of ANA codes of nursing practice highlighted the
contribution of nurses through research and scholarly inquiry and development of the health
policy and implementation of it which are crucial for resolving any social issues (Tluczek et al.,
2018). This will help nurses to take the initiatives for the development of policies to reduce