Premium
Policy impact: When policy fails
Author(s) -
Davidson Judy E.,
Marshall Mary Faith,
Watanabe Jonathan H.
Publication year - 2019
Publication title -
nursing forum
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.618
H-Index - 36
eISSN - 1744-6198
pISSN - 0029-6473
DOI - 10.1111/nuf.12380
Subject(s) - medicaid , unintended consequences , health care , courage , healthcare policy , nursing , obligation , business , health policy , public relations , medicine , political science , law , health care reform
Abstract The best policies are evidence‐based, providing feasible solutions to healthcare issues to prevent unintended consequences. Nurse researchers need to generate evidence with which to create policy. The obligation to monitor the impact of policies and standards rests on nurse leaders who have the duty to advocate when policies fail. Nurses providing direct care are beholden to report failed policies. Advocacy in the situation of a failed policy often requires moral courage to prevent moral distress amongst the ranks of nurses who enact policies at the intersect of care. In this article, the impact of three healthcare policy issues on nursing end‐users will be evaluated: aid in dying, titration of vasoactive medications, and the Center for Medicare and Medicaid Services 30‐minute rule.