This assignment addresses the barriers to APRN practice that impact healthcare redesign. As healthcare reform evolves, nurse practitioners will play key roles in improving the health outcomes of diverse populations. According to the IOM 2011 report, nurses should be change advocates by caring for populations within complex healthcare systems. However, existing barriers in the healthcare systems and APRN practice arena limit the health practice. State licensure, for example, regulates NP practice and is a barrier to NPs practicing their education and training. Licensure and practice laws for NPs vary per state, despite the main goal of full practice authority. Many NPs report payer policies as having significant impacts on their ability to practice their licensure to the fuller extent. Varying commercial health plan payment policies are also among barriers to APRN practice that impact the healthcare redesign.
barriers to APRN practice that impact healthcare redesign
THE IMPACT OF ETHICS ON THE HEALTHCARE REDESIGN
Ethics is among the barriers to APRN practice that impact the healthcare redesign. Nurse practitioners and physician assistants provide primary care services for many American patients, working independently, or under physician guidance. However, very few studies address the ethical challenges this role brings in healthcare systems and APRN practice. There is Little to know about how important ethics and related factors are to the provision of quality. Previous research with these two groups indicates that they experience similar ethical challenges. The challenges include insurance constraints, conflicts in professional relationships, informed consent, and resource allocation. In 2005, Laabs reported on a variety of ethical issues that NPs encountered in the healthcare redesign.
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THE ROLE OF POLITICS IN HEALTHCARE SYSTEMS AND APRN PRACTICE
Politics is so far among barriers to APRN practice that impact the healthcare redesign. Politics, for better or worse, play a critical role in health affairs. The political feasibility of redistributive reforms often depends on bundling them with provisions delivering real benefits. Some issues and policy proposals on healthcare systems and APRN practice involve several types of politics at once. Efforts by politicians to secure outpatient prescription drug coverage under Medicare repeatedly failed over nearly four decades. The cause of failure was the opposition of another group with a strategic advantage, substantial resources, and more cohesion. PhRMA agreed to support new Medicare when it received assurances that private health insurers, would control the healthcare redesign.
role of politics in healthcare systems and APRN practice
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