Political involvement in nursing--politics, ethics, and strategic action.

Political apathy in the nursing profession can be attributed to numerous factors, including a perceived ethical conflict between professional values and political involvement, as well as a lack of strategy for political action. Differences in personal and professional ethics, conflicting loyalties, and a negative image of politics create ethical tension for nurses. Political-ethical conflicts can mean choosing between job, patient care, and personal ideals. Many nurses never have considered it their place to challenge the structure of the health care system or the rules guiding that system. Supporting political action that demands change in the system, therefore, can cause tension among nurses. The political-ethical dilemma for nurses is related to outdated images of nursing, repression, fear of power, and lack of knowledge. Many guidelines exist to help nurses understand why they should get involved in the political process. By using these guidelines, nurses can evaluate issues and use a valid method to assess problems, plan for action, and evaluate the effectiveness and benefits of specific strategies. In the second of this two-part series on political involvement in nursing, political-ethical conflict is explored, along with strategies for political action.