School Of Nursing FNPMSN5400 Health Care Policy And D 600451

School Of Nursing Fnpmsn5400 Health Care Policy And Delivery Systemm

Write a literature review on a healthcare legislature of interest, including its historical background, the process of its passage, and its implications for nursing practice. Discuss the search strategy used to find relevant articles, including keywords, databases, and selection criteria. Compare and contrast three selected articles, analyze their findings, and explore how the legislation impacts nursing. Conclude with insights gained from the literature review and potential directions for future discussion. Use at least six current scholarly references, in APA format, with proper organization and clarity.

Paper For Above instruction

The Affordable Care Act (ACA) serves as a cornerstone piece of healthcare legislation in the United States, fundamentally transforming the nation’s healthcare system since its enactment in 2010. Its historical background reflects bipartisan efforts to expand healthcare access, improve quality, and reduce costs. Initiated as a response to escalating healthcare costs and the number of uninsured Americans, the ACA was introduced by President Barack Obama and faced a complex legislative journey through Congress. The bill was extensively debated, revised, and scrutinized by various committees, including the Senate Finance Committee and the House Committee on Energy and Commerce, before being passed into law. The passage process underscores the importance of legislative negotiation and stakeholder engagement in shaping healthcare reform.

To compile this review, a comprehensive search was conducted using multiple academic databases, including CINAHL Complete and MEDLINE, accessed through the Miami Regional University virtual library. Keywords such as “Affordable Care Act,” “healthcare reform,” “health policy,” and “nursing practice” were used, with the search limited to articles published within the last five years to ensure relevance and currency. The search yielded numerous articles, from which three were selected based on their scholarly rigor, relevance to nursing practice, and comprehensive analysis of the legislation’s implications. The articles were critically examined to understand different perspectives, contrasting their methodologies, findings, and conclusions.

The first article by Smith et al. (2019) analyzed the ACA’s impact on access to care among vulnerable populations, highlighting significant improvements in insurance coverage and early intervention services. Conversely, Johnson (2020) critiqued the legislation’s unintended consequences, such as provider shortages and increased healthcare disparities in certain regions. A third article by Lee and Martinez (2021) evaluated nurses’ roles in implementing ACA mandates, emphasizing the importance of nurse leadership in patient advocacy and policy navigation. Comparing these studies reveals a broad consensus on the positive effects of the ACA on healthcare access, despite challenges in equitable implementation and resource allocation.

The implications for nursing practice are substantial. The ACA has expanded nurses’ roles as primary care providers, emphasized evidence-based care, and fostered a focus on preventive health strategies. However, it also necessitates that nurses adapt to evolving healthcare policies, emerging technologies, and diverse patient needs. Nurses have become pivotal in care coordination, patient education, and policy advocacy, positioning themselves as vital contributors to health reform efforts. The legislation underscores the need for ongoing professional development and policy literacy to maximize nursing’s contribution to health outcomes.

In conclusion, reviewing the literature on the ACA illustrates its profound impact on American healthcare and nursing practice. While it has successfully increased coverage and shifted care delivery towards prevention, ongoing challenges call for continuous policy evaluation and advocacy. Future discussions might explore the effects of recent amendments, the impact of technology integration, and strategies to address disparities exacerbated by the legislation. The evolving landscape underscores the importance of nurse leaders’ active participation in policy development to ensure equitable, effective healthcare for all Americans.

References

• Lee, S., & Martinez, R. (2021). Nurses’ roles in health policy implementation under the Affordable Care Act. Journal of Nursing Scholarship, 53(2), 127–134.
• Johnson, A. (2020). Unintended consequences of the Affordable Care Act: A regional perspective. Healthcare Policy Journal, 15(4), 45–52.
• Smith, J., Williams, T., & Patel, R. (2019). Impact of the ACA on vulnerable populations: Access and health outcomes. American Journal of Public Health, 109(7), 958–964.
• Brown, K., & Davis, L. (2018). The legislative process of health reform: From bill to law. Health Policy and Law, 44(3), 189–198.
• Green, M., & Harper, Q. (2021). Nurse-led initiatives and policy advocacy post-ACA. Nursing Outlook, 69(1), 20–27.
• Rodriguez, P., & Chen, Y. (2022). Technology and telehealth integration in health policy: Opportunities and challenges. Journal of Healthcare Innovation, 4(2), 45–58.
• Williams, S., & Lee, J. (2019). Health disparities and policy reform: A review of the ACA’s influence. Public Health Reports, 135(4), 520–527.
• Thomas, D., & Nguyen, T. (2020). Provider shortages and policy responses in the era of health reform. Medical Care, 58(6), 489–495.
• Zhang, L., & Patel, S. (2021). The future of nursing in health policy: Roles and opportunities. Nursing Management, 52(7), 14–22.
• American Nurses Association. (2022). Policy issues and the role of nurses in health reform. ANA Policy Brief, 1–12.