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The History of Policy Making in Nursing

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The History of Policy Making in Nursing

Policy development in nursing was triggered by the rapid changes in the health systems. The role of nurses in this process is to ensure that the policies are well formulated. Nursing policies were developed into three categories; micro-macro and meso. In micro, the policies are not made by the government and the vital for specific groups or fields. Macro policies are meant for the whole nation and formulated by the government. Finally, meso procedures rotate between the micro and macro approaches; organizations typically make them.

Potential Areas of Conflict in Nurse Practitioner (NP) Clinical Practice

Misunderstanding will always occur because of different opinions due to diverse professional backgrounds. Areas of conflict include issue based competition when the clinicians argue how to handle situations. Tension arises when the doctors have different opinions on a common problem. Another area is the ego-based conflict where health workers give solutions to a problem to boost their esteem or degrade a college. The final field is an ethic-based conflict where a disagreement occurs because of differences in the individual’s values and ethics.

Assessing Conflict

Observation is one of the methods of data collection that will help assess an area of conflict. As a manager or stakeholder, observe how the employees treat one another or engage in conversations. Another method that information can be collected is through interviewing. As a manager approaches some employees, ask them about their relationship with the other employees. Make the interviewing environment conducive so that they can share honesty.

Cooperate Compliance and its Effect on Clinical Practice

Cooperate compliance is the process of obeying the policies, laws, and regulations that relate to healthcare practices. Most of these rules are in place to ensure patient safety, the confidentiality of clients’ information, and billing regulations. Compliance ensures patient safety because if they do not follow the rules, they may make mistakes, thus putting patient lives at risk. These regulations also provide that health care organizations develop their ways of handling problems and quality care.

Risk Management

Risk management is when zones of susceptibilities are identified and their impacts managed or averted totally. When any instance or sign of weakness is discovered, policies are formulated to reduce the consequences of the risk or stop the damages from occurring. Risk management initiatives in health institutions should ensure patient safety. Danger control is vital because it protects health providers and improves the quality of patient care.

Types of Policy and their Relationships to Healthcare Policy

There are four types of policies; employee health policies, patient care policies, drug policies, and finally, security and privacy policies. Patient care policies offer guidelines on how to handle patient conditions (Berwick et al., 2018). Employee health regulations give guidelines on how workers should handle themselves while treating patients. Drug policies provide procedures on how medicine should be administered to patients. Security and privacy policies spell out the confidentiality of patient information. These policies relate to healthcare policies because they revolve around patient care and safety.

Current Barriers and Methods of Lifting the Barriers

The current barrier relates to different professional backgrounds among physicians, where opinions, ideas, and views may sometimes overlap causing misunderstanding. Another obstacle is the shortage of doctors and nurses, affecting the workforce and the incapability to manage healthcare expenses. Finally, lack of physician oversight is another hindrance brought when less qualified nurses work without direction. To lift these hindrances, nurses should be allowed to practice to their full potential by removing all the practices preventing them from fully handling social needs. Finally, another solution is to ensure that less qualified health providers work closely.


Berwick, D., Snair, M., & Nishtar, S. (2018). Crossing the global health care quality chasm. JAMA, 320(13), 1317.

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