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Policy impact: When policy fails.

Judy E Davidson1, Mary Faith Marshall2, Jonathan H Watanabe3

  • 1Department of Psychiatry, University of California San Diego School of Medicine, University of California San Diego Health, La Jolla, California.

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Evidence-based healthcare policies require nurse researchers to generate data and nurse leaders to monitor outcomes. Nurses must report failed policies to prevent moral distress and advocate for patient safety.

Keywords:
evaluationhealthcare policymoral distressregulatoryrisk managementstandards

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Area of Science:

  • Healthcare Policy
  • Nursing Research
  • Evidence-Based Practice

Background:

  • Effective healthcare policies must be evidence-based to prevent unintended consequences.
  • Nurse researchers play a crucial role in generating the evidence needed for policy creation.
  • Nurse leaders are responsible for monitoring policy impact and advocating for necessary changes.

Purpose of the Study:

  • To evaluate the impact of specific healthcare policies on nurses at the point of care.
  • To highlight the importance of nurse advocacy in addressing policy failures.
  • To examine the phenomenon of moral distress among nurses due to policy enactment.

Main Methods:

  • The study will analyze three distinct healthcare policy issues.
  • The focus will be on the impact experienced by nursing end-users.
  • Qualitative or mixed-methods approach likely used to explore end-user experiences.

Main Results:

  • Analysis of the impact of aid in dying policies on nursing practice.
  • Evaluation of challenges in titrating vasoactive medications under current policies.
  • Assessment of the effects of the Centers for Medicare and Medicaid Services 30-minute rule on nursing care.

Conclusions:

  • Failed healthcare policies can lead to moral distress for nurses.
  • Advocacy by nurses is essential to ensure patient safety and ethical care delivery.
  • Policy development and evaluation must consider the practical implications for frontline nursing staff.