Nursing Leadership Health Policy Research Assignment

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Nursing Leadership Health Policy
A number of aspects in the nursing sector need serious policy changes to ensure quality care with increased access and financially bearable. Realization of quality health care is obstructed by uncountable factors. These barriers hinder the provision of quality care as pertains to both access and cost. Of the major issues is the restriction in the sphere of operation for the Advanced Practice Nurses. APN has several limitations that deter the nurses from fully exploring their potential and subsequently having a similar impact on their services delivery (Baum, 2016).
The physician engagement as pertains the APNs practice is a huge and significant limitation. To some extent, notable steps have been recorded as regards to the issue. However, there is the need for more deliberations on the issue. Part 6407 of the Affordable Care Act ought to be re-looked at in particular. The act necessitates the need for an in-person encounter within half a year subsequent to the written order. This directive brews the question of who should conduct the visit – the physician or the APNs? The lacuna has raised several debates which up to date have not been concluded. For laboratory requests, the physician's signature is too a restriction regarding the practice of APNs (Shariff, 2014).
The same section of the Affordable Care Act sets up an in-person need for the accreditation of the qualification for the offering Medicare services at home. The certification compels the certifying physician to note that she/he or the NPP coordinating with the former has attended to the client. This documentation and process regulation relating to the physician's signature need alteration. The authority and ability of the APNs to prescribe are also limited. However, this varies from nation to nation. The degree of involvement of the physician pertaining to this issue ought to be addressed. Limitation on the APNs practice of such kind aggravates the access and cost related hinderance of healthcare. These reasons provide a strong basis for the vetoing of the ability of the APNs to practice. A number of studies have indicated the ability of APNs to give continuum care to clients (Cherry, et.al., 2016).
The process of repealing the Affordable Care Act requires serious lobbying by all the stakeholders and the interested parties. Just like any other law communicating the concerns to the legislators is prior to the start of lobbying. To do this, I will have to communicate my concerns and the issues I would wish addressed in writing. This communication wou...