Healthcare Article Summary and Discussion

  1. Review articles below.
  2. Select an article and post a summary to include the following:
    a. Name of policy selected and purpose of development.
    b. Policy influence on healthcare practice including ethical and legal considerations.
    c. Role of APN in influencing change in policies affecting NP practice in your state of choic

A Healthcare Article Discussion

Policies are essential aspects of nursing practice. They promote coordination in provision
of care, and their absence could lead to insufficiencies of services offered. Health managements
should not only comply with state laws, but they should also adhere to federal regulations as
outlined in varied policies (Blum, 2010, Pg. 37). Also, health organizations require having
policies that enable them guard the confidentiality, integrity as well as accessibility of
information (Malliarou & Sarafis, 2010, Pg. 144).

A Summary of Lachmann’s Article


Lachmann evaluated the Affordable Care Act in terms of its effect on healthcare reforms
and promotions (Lachmann, 2012, Pg. 248). The article highlights aspects of ACA that shape,
and direct provision of nursing care. The purpose of developing ACA was to make insurance
coverage available to as many citizens as possible (Lachmann, 2012, Pg. 248). The plan is
among the established policies through which the government seeks to facilitate healthcare
provision. ACA has varied aspects that enable it to have remarkable achievements within the
healthcare setup. Aspects making ACA successful include its coverage of young adults and pre-
existing illnesses. Also, ACA enhances affordability of insurance exchange plans and has
elements that focus it to consumers (Lachmann, 2012, Pg. 248). To achieve cost-effectiveness,
ACA limits both lifetime as well as the annual amount of money that it places in terms of
benefits (Lachmann, 2012, Pg. 248). According to the Act, insurers need reviewing their terms of
coverage and justify their plans in terms of cost. ACA also purposes to ensure that consumers
stand better positions in controlling their health than insurers. To ensure that consumers are at
their best position, ACA grants preventive care, choice of doctors, and eligibility to people aged
beyond 65 years (Lachmann, 2012, Pg. 248).

Influence of ACA on Healthcare

ACA promotes ethics associated with beneficence as well as maleficence through its
enhancement of affordability of insurance and its orientation to consumers (Lachmann, 2012, Pg.
249). Morally, all people should enjoy health coverage, and it would be unfair to have some
populations denied the right owing to their financial limitations. When people access insurance
coverage, they feel more important and realize full functionality in their communities
(Lachmann, 2012, Pg. 249). However, ACA also faces both legal and ethical criticism. For
instance, the Act forces people to buy the service. In so being, ACA overlooks people’s right to


purchase just what they desire. ACA also embraces the use of Electronic Medical Records, yet
the technology threatens personal privacy (Lachmann, 2012, Pg. 249).
The Role of Advanced Practice Nurses in Influencing Policies that Affect Nursing Practice in

Washington DC

APN practitioners in Washington DC should lead moves toward the establishment of
policies that direct nursing practice. It is their primary role to promote their society in terms of
health (Lachmann, 2012, Pg. 250). The professionals should express their concerns, especially
about health care policies so that residents of State of Washington enjoy high-quality healthcare
services. APNs should use their organizations to push for policies that adequately address the
requirements of their patients. APNs should ensure that they have sufficient directions on matters
regarding nursing practice (Burgess & Purkis, 2010, Pg. 297). In most situations, nurses have a
tremendous influence on healthcare setup, and would, therefore, enjoy substantial control of the
system (Poghosyan, Lucero, Rauch, & Berkowitz, 2010, Pg. 1). APNs also have the role of
calling for reforms on policies that may not lead to realization of optimal outcomes for
Washington DC residents.




Burgess, J. & M.E. Purkis. (2010). The power and politics of collaboration in nurse practitioner
role development. Nursing Inquiry, 17(4), 297–308.
John D. Blum J.D. (2010) The Quagmire of Hospital Governance. Journal of Legal Medicine,
31(1), 35-57, DOI: 10.1080/01947641003598229
Lachmann, V. D. (2012). Ethical challenges in the era of health care reform. Medsurg Nursing,
12(4), 245, 248-250
Malliarou, M. & Sarafis, P. (2009). Legislative issues in the processing of sensitive personal data
in the electronic patient record. Health Science Journal, 3(3), 139-149


Poghosyan, L., Lucero, R., Rauch, L., & Berkowitz, B. (2012). Nurse practitioner workforce.
Nursing Economics, 30(5), 268-274.

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