Protocols in nursing often represent mandatory behavioral assessments as well as documentation for the establishment and maintenance of invasive appliances such as special-care modalities (Stacey et al., 2016). While such protocols often emerge as institution-specific, state protocols exist and define germane behaviors while federal stipulations outline nationwide protocols. Standards of care delivery conversely provide the baseline required for the provision of quality care in nursing settings. In this regard, they govern the nurse’s practice at all levels beginning with the national or federal level. Combined with state standards of care, such a structure ensures standardized care notwithstanding venue. In terms of the policy, nurses can only influence appropriate policies from their practices. In this sense, policies often emerge from state and federal levels (Abood, 2007). Such policies fulfill the imperative significance of adherence to acknowledged professional procedures and practices. In addition, policies promote statutes, regulations, and accreditation prerequisites accepted at the practice, state, and federal levels while reducing harmful practice variations.
Regarding the perception of the health care delivery system, patient perspectives are quite diverse. Raus et al. (2018) assert that as we enter the age of inter-organizational collaboration in health care, patients require more focus to shift on them as opposed to the delivery system. Therefore, the ethical obligation for such delivery systems per patients’ perspective remains a focus on their quality of life through value-based care. Similarly, providers of such systems presently focus on having the right ethical standards. Such standards as having access to the health care system, emphasis on safety and non-maleficence, and the continuity of care are some of the most prime perspectives of providers (Raus et al., 2018). On the other hand, the perspective of payers starkly differs from those of providers. Payers emphasize the increase in Healthcare Information Technology (HIT) co-investment to realize a value-based system (Migneault, 2017). Similarly, policymakers agree that present integration is continually becoming gradual with substantial gaps between the beliefs of payers and providers (Migneault, 2017).
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References
Abood, S. (2007). Influencing Health Care in the Legislative Arena. Influencing Health Care Legislative Arena , 12 (1), 2.
Migneault, J. (2017). Payers, Providers Differ in Value Based Care, Health IT Opinions. Retrieved 24 September 2019, from https://healthpayerintelligence.com/news/payers-providers-differ-in-value-based-care-health-it-opinions
Raus, K., Mortier, E., & Eeckloo, K. (2018). The patient perspective in health care networks. BMC Medical Ethics , 19 (1). doi: 10.1186/s12910-018-0298-x
Stacey, D., Green, E., Ballantyne, B., Tarasuk, J., Skrutkowski, M., & Carley, M. et al. (2016). Implementation of Symptom Protocols for Nurses Providing Telephone-Based Cancer Symptom Management: A Comparative Case Study. Worldviews On Evidence-Based Nursing , 13 (6), 420-431. doi: 10.1111/wvn.12166
