As the most trusted profession in the country, PCNA believe that nurses have a unique opportunity to make a difference in the lives of their patients through public policy. PCNA Advocacy Central helps nurses have a voice, grow personally and professionally, and impact public policy. You can learn about recent advocacy activities that our members are involved in and contact your representatives about bills that impact you through the PCNA Action Center

The PCNA Advocacy Committee identifies important issues that impact nursing and our patients. This is a fraught time in our country and politics is increasingly contentious, and while we are not all bound to agree on everything, but that is a part of our great, messy democracy.

Thank you for being an advocate for CVD prevention and nursing. Together we can do more.

Take Action

Expanding Cardiac Rehabilitation Services
From our partners at the American Heart Association

Cardiac rehabilitation is an essential Medicare benefit that reduces mortality, hospitalizations, and use of medical resources while improving the quality of life following a cardiac event. However, in order be covered under Medicare, programs must have a Medical Doctor who ensures programs are safe and medically appropriate for patients. Unfortunately, this requirement creates an unintended roadblock to cardiac rehab services by placing a more stringent staffing requirement on these services than it does for similar outpatient services.

To address this problem, we support legislation that would allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac rehab programs. Additionally, non-physician practitioners are already used in a number of other critical care environments, including emergency rooms, intensive care units, and health centers. They are highly trained to respond should emergencies arise.

Will you ask your legislators to cosponsor this legislation today?

Take action on current issues in our Action Center>

Nominations Now Open for PCNA's Advocacy Award

The Advocacy Award recognizes a member’s leadership in advocacy at the local, state, or federal level in the areas of cardiovascular disease prevention or advancing the nursing profession. The winner of this award works strategically to bring awareness and support to initiatives through direct interaction with legislators, grassroots or the media. The Advocacy Award will be given at the PCNA Annual Symposium.

Learn more>

Recent Issues

Oppose Research and Nursing Workforce Cuts in the Budget

April 2017 - President Trump released his proposed budget blueprint, which includes sweeping and devastating cuts to programs that ensure health across the country. Contact your legislator to ask them to oppose the following cuts in the budget.

Unprecedented Cuts to the National Institutes of Health (NIH)

The budget proposes a 20% reduction to NIH funding and would end the Agency for Healthcare Research and Quality. These cuts would be devastating to our ability to find treatments and cures for cardiovascular disease. At a time when the burden of cardiovascular disease is growing, we should be increasing this funding, not cutting it.

Debilitating Reductions to Nursing Workforce Programs

The budget proposal also includes a $403 million cut to the health profession and nursing workforce programs. These cuts would hurt efforts to address critical faculty shortages and recruit new nurses into the profession. And at a time when our leaders are debating how to lower health care costs and increase access, these cuts are counterproductive.
Ten Commandments of Lobbying

  1. Do your homework
  2. Tell the truth
  3. Know your opponents
  4. Build coalitions
  5. Work at the local level    
  6. Start early
  7. Keep it simple
  8. Take your friends where you find them
  9. Think big, but always know your bottom line
  10. Thank people that help

Frequently Asked Question

If I start lobbying or advocating my representatives, will I have to register as a lobbyist? 
No. Registration as a lobbyist is not required if you are advocating, educating and raising awareness. A private citizen acting on their own or as a volunteer with an organization does not have to register.   
Remember…Your voice counts and together we will do more!

Experience in Advocacy, by Maria Teresa Lira Correa

Marie Teresa LiraMaria Teresa Lira Correa, RN, CVNS, FPCNA of Santiago, Chile recently received PCNA's Advocacy Award for CVD Prevention. Here, she recounts her experiences and shares her advice for how to get started with advocacy.

Can you describe your career to date?

I am an RN (UC), with a post-graduate degree in Cardiovascular Health, Research (NIH) training and statistics (U Chile). I have been working for more than 30 years, the last 20 in research, mainly in CV prevention and risk factor awareness. 

Why did you get involved in advocacy?

As a clinic nurse, I worked in a Coronary Care Unit and as we did everything for our critically ill patients to recover their health, I began to ask myself what could be done to prevent them from reaching this point.  In 1999, we started raising awareness by checking CV risk factors of patients´ relatives and friends that came to visit. It was so successful that other workers of the hospital who learned about this came to get risk factors checked too!

In 2002, we applied to an international fund here in Chile and replicated this initiative at the population level. We checked CV risk factors and educated more than 12,500 individuals from 26 communities of Santiago, Chile, where more of the 40% of the country population lives.

This was a great opportunity to learn about our people´s awareness of CV risk factors and CV health.  It highlighted that a great proportion did not know their CV risk factor values. For example, the analysis of available data evidenced that 8,127 (67.2%) did not know their blood pressure, 9,422 (77.9%) did not know their total cholesterol and 10,047 (83.1%) did not know their blood sugar. Moreover, from the people that knew their values were off the normal range, a substantial percentage had not attended their medical visits.

After this and other worrying results, I began to seek out every possible opportunity to raise awareness. I developed and participated in other population initiatives, coordinated public mass media campaigns, and organized health seminars for professionals involving authorities such as mayors of largest communities of Santiago and Viña del Mar and two national Ministers of Health.

What are you most passionate about, advocacy-wise?

I strongly believe that when you educate people and give them the right tools to live a healthier life you can empower their self-care capacities and avoid the life-threatening episodes as I saw too many times in the Coronary Unit. Also, when you share the results of strong evidence your community will support you in your initiatives. In summary, there is so much benefit with little investment in resources in a prevention approach, when compared to the high cost of treatment!

What are some advocacy accomplishments you’re most proud of?

I believe that the highest accomplishment I’ve achieved has been to put CV health prevention and awareness in the public agenda, enabling individuals to know about their own CV health, sharing our local results, and gaining widespread support for initiatives. Also, to have been invited to be the only non-government RN in the CV Task Force National Program was a big accomplishment.

What would you tell someone who has never done anything advocacy-related before?

I would say that first, you must be passionate about your goal and that you have to be well prepared with strong evidence and a thoughtful plan of what you need from others. Also, be resilient when you do not achieve support; this is not failure, it is another opportunity from a different angle!