DQ :What types of words would you use to build a nursing word cloud?
The word cloud is a device for a question about identity: whether nurses count policy-maker as part of what they are. Then two opportunities, the challenges, and two communication strategies.
Editorial process
Last reviewed · August 18, 2026
Would you put policy-maker in the cloud?
Answer the cloud question honestly before the policy one, because the interesting finding is usually that policy-maker would not be prominent. The words nurses actually supply — caring, advocate, organised, resilient, empathetic, hard-working — cluster around bedside virtue and personal effort, and the ones that would appear rarely if at all are political, influential, legislator, negotiator. Say what that pattern indicates rather than deploring it: a profession that describes itself in terms of individual character rather than collective power will find it harder to act collectively, and the word cloud makes that visible in a way a survey does not. Note the tension worth naming — nursing is repeatedly found the most trusted profession, which is precisely the resource that makes a policy voice effective, and the least used. That pattern is a fact about the profession's self-description rather than about any individual nurse. Naming the absent words is the finding, and the second half of the prompt is built on it.
Then the Day 3 instruction, which is the graded part. Two opportunities, and they should be different in kind: serving on a professional organisation's policy or advocacy committee where the agenda is set, and providing testimony or written comment on a specific bill or proposed rule, are two real ones — as are serving on a hospital or health system board, sitting on a state board of nursing, or joining a regulatory comment process on a proposed rule, which almost nobody does and which anybody may do. The challenges are equally concrete: time and shift work, no training in the legislative process, a workplace culture that treats politics as outside the job, and the belief that individual clinical work is the whole contribution. Propose mechanisms rather than exhortation — protected time, mentorship, starting at organisational rather than state level. Then the two communication strategies: an item on an existing agenda beats a newsletter nobody opens.
Likely learning objectives
- Read a word cloud as evidence about professional self-description.
- Identify concrete, differentiated opportunities for policy participation.
- Name structural rather than attitudinal challenges.
- Propose communication strategies with reach rather than good intentions.
Assignment instructions
Read the full question
Review every instruction before using the planning guidance that follows.
NURS 6050 Discussion 2: The Role of the RN/APRN in Policy-Making DQ :What types of words would you use to build a nursing word cloud? Word cloud generators have become popular tools for meetings and team-building events. Groups or teams are asked to use these applications to input words they feel best describe their team or their role. A “word cloud” is generated by the application that makes prominent the most-used terms, offering an image of the common thinking among participants of that role. What types of words would you use to build a nursing word cloud? Empathetic, organized, hard- working, or advocate would all certainly apply. Would you add policy-maker to your list? Do you think it would be a very prominent component of the word cloud? Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence the politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation. To Prepare: Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making. Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process. By Day 3 of Week 8 Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples. By Day 6 of Week 8 Respond to at least two of your colleagues* posts by suggesting additional opportunities or recommendations for overcoming the challenges described by your colleagues. Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message. *Note: Throughout this program, your fellow students are referred to as colleagues.
Turn the brief into deliverables
- 01The words you would supply, and what the pattern shows.
- 02A judgement on whether policy-maker belongs.
- 03Two opportunities that differ in kind.
- 04Challenges, with a mechanism for overcoming each.
- 05Two communication strategies with a stated audience.
The words, the policy-maker question, then the opportunities
What the cloud would actually show
Report the likely words and interpret the pattern.
What the assessor is likely looking for
An interpretation of what the absent words indicate.
Trust as an unused resource
Connect nursing's public trust to political effectiveness.
What the assessor is likely looking for
A resource identified as available and unspent.
Two opportunities
Give differentiated routes into policy-making.
What the assessor is likely looking for
A route most nurses do not know exists.
Challenges and mechanisms
Name structural barriers and a concrete response to each.
What the assessor is likely looking for
A mechanism rather than encouragement.
Communicating the opportunities
Choose two strategies with an audience and a channel.
What the assessor is likely looking for
A channel that already reaches the audience.
Where nursing's policy role is documented
Recommended databases
- American Nurses Association
- PubMed Central
- American Association of Nurse Practitioners
- CINAHL Complete
Search sequence
- 1.Find the professional organisation's advocacy structure and its committees.
- 2.Look up the public comment process for a proposed federal rule.
- 3.Search for evidence on nurses' policy participation and its barriers.
- 4.Check your state board's composition and how members are appointed.
Reference shortlist
These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.
Defining advocacy in public health: a scoping review to inform policy, training, and equity-oriented action
International Journal for Equity in Health · 2026
Defining advocacy in public health, including training and equity dimensions.
State Practice Environment
American Association of Nurse Practitioners · 2024
State practice environments — the concrete policy terrain nurses would be acting on.
AONL Nurse Leader Core Competencies
American Organization for Nursing Leadership · 2024
Nurse leader competencies, which include policy and advocacy expectations.
Nurse practitioners' perception of temporary full practice authority during a COVID-19 surge: A qualitative study
International Journal of Nursing Studies · 2022
Nurse practitioners and practice authority — a policy change with measured effects.
Nursing Professional Development Evidence-Based Practice
StatPearls, NCBI Bookshelf · 2023
Professional development in nursing, for the identity argument.
Review before submission
Common mistakes
- Listing words and never answering the policy-maker question.
- Giving two opportunities that are the same route twice.
- Naming apathy as the challenge rather than time, training and culture.
- Proposing a newsletter as a communication strategy.
Submission checklist
- Have you said whether policy-maker belongs in the cloud?
- Do your two opportunities differ in kind?
- Is each challenge paired with a mechanism?
- Do your strategies name an audience and a channel?
- Have you used the trust finding rather than just citing it?
Use this guide to plan and review your own work. Follow your institution's rules and read Brinevia's academic-integrity policy.
Written by
Maren Caldwell
MSN, RN, CNE
Medical-surgical nursing, pharmacology and NCLEX preparation
Maren is a registered nurse with over 15 years of clinical and educational experience in medical-surgical nursing. She writes on NCLEX preparation, patient care fundamentals, pharmacology and evidence-based practice.

Reviewed by
Dr. Tessa Redmond
DNP, RN, CNE
Evidence-based practice and clinical education
Tessa is a doctorally-prepared nurse educator. She reviews Brinevia content for clinical accuracy and alignment with current evidence-based guidelines.