ANA Professional Policy Committee - Policy Proposal Form

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**IMPORTANT: ACCEPTING EMERGENT PROPOSALS ONLY. SEE PAGE 6 IN THE MEMBERSHIP ASSEMBLY POLICY DEVELOPMENT GUIDE FOR INFORMATION.**

Topic *

Primary Contact Person

This individual needs to be available to respond to questions or requests from the Professional Policy Committee or Membership Assembly Representatives if the proposal is accepted.

Title *

Other

First Name *

Last Name *

Credentials * 🛈

Phone Number *

Email Address *

Second Contact Person

Title *

Other

First Name *

Last Name *

Credentials * 🛈

Phone Number *

Email Address *

Connection to ANA

Introduced By: * 🛈

Please select your C/SNA. *

Please specify your Organizational Affiliate *

In what state do you reside? *

Strategic Goal * 🛈

Elevate the profession of nursing globally.

Evolve the practice of nursing to improve health and healthcare.

Ensure the professional success of nurses.

Describe how this proposal relates to the above strategic goal? *

Refer to Section 1 of the Membership Assembly Policy Development Guide: Questions to Consider Before Submitting a Proposal.

1. Describe the topic/issue to be considered for discussion at Membership Assembly including critical gaps, new policy needed, or changes to existing policy. *

2. Explain how the topic/issue is of national relevance. *

3. Describe the impact of the topic/issue on nursing practice, the profession, and/or the national association. *

4. Recommended Actions - Include suggested recommendations to address the topic/issue. *

IMPORTANT: All individual submitters are strongly urged to connect with their state nurses association or IMD leadership PRIOR to submitting a proposal.

Did you communicate with your state nurses association or IMD prior to submitting this proposal? *

Yes

No

NOTE: A proposal submitted after 5:00pm ET on Monday, February 12, 2024 will be considered an "emergent issue", which requires the following additional documentation: justification for why the proposal should be considered at this time AND a background document. When submitting an emergent proposal for consideration, see section 4 of the Membership Assembly Policy Development Guide for additional elements that are required. To be considered, completed proposals for emergent issues must be submitted by 5:00 pm ET on Monday, June 24, 2024.

For an Emergent Proposal, include the following: a) justification for why the proposal should be considered at this time and b) a brief background document identifying the critical policy gap OR underlying issue(s) that needs to be addressed.

Emergent Proposal - Background Document

Emergent Proposal - Is the background document included for this emergent proposal?

Yes

No