Ethics and Healthcare Reform: Nursing Viewpoint

Table of Contents


Nurses’ competent performance of assigned tasks is a key to quality healthcare services and, as a result, patient-positive outcomes. However, there are situations when the process of care delivery is complicated by conflicts caused by various reasons. The ethical misunderstanding that occurs during interaction among nurses and patients is a significant challenge since many stakeholders are involved, and new approaches should be found to maintain a positive working environment.

One of the factors affecting the emergence of conflicts is healthcare reforms, and the recent Affordable Care Act (ACA, or Obamacare) adopted with the aim of facilitating access to the services of health employees is the reason for some disagreement. Based on the provisions of this law, nursing duties are expanded, which, in turn, complicates the process of work and affects the staff satisfaction with the new regime. Ethical conflicts that are complicated by reform need to be avoided to improve the quality of work with the population, and relevant practices and methodologies can be useful for solving this problem.

Ethical Conflicts Caused by the Healthcare Reform

The terms of the ACA provide for freer access to medical help through the expansion of insurance services, which is designed to increase the possibilities of consultations with medical specialists for people with low income. However, with the expansion of these capabilities, more tasks appear among nurses, and some ethical nuances are inevitable. According to Lathrop and Hodnicki (2014), conflicts are frequent among the highest category of nurses, in particular, with doctoral education since they have the highest degree of responsibility. However, different representatives of the healthcare sector are involved in the misunderstanding that may have a distinctive nature and consequences.

The misunderstanding that arises among participants in the care process is often based on disagreements caused by different views on the same situation. As Jimenez-Herrera and Axelsson (2015) note, the opinions of patients and nurses regarding the conditions of care may vary considerably. The increase in the number of people who want to receive freer access to medical services complicates the decision-making process.

The medical staff is forced to experience heavy workloads caused by high labor commitments. These and other stressors interfere with focusing on end goals, and although employees do not have to respond to external irritants, the human factor is still present. Another cause of conflict is the lack of information on how to implement immediate responsibilities under the new legislation properly. Jimenez-Herrera and Axelsson (2015) remark that “nurses can find tools for caring when they combine their practical knowledge with an ethical approach” (p. 549). However, if the management does not convey to employees the main provisions of the reform, no approaches can be applied. The aforementioned conflicts may be avoided by resorting to appropriate methods and practices.

Nurses’ Techniques of Negotiating Ethical Conflicts

As a way of combating those ethical conflicts that are caused by the adoption of a new law on affordable health insurance, it is possible to use current relevant methods. In particular, Johnstone (2015) considers educational practices for nurses as an effective way of dealing with stressors. Psychological tiredness under the influence of a large number of patients is natural, and it is essential to take timely measures to eliminate its negative impact on the care delivery process. Training with experienced psychologists and teamwork can help nurses to avoid fatigue and take a more neutral approach to work responsibilities.

Another potentially successful technique for overcoming ethical conflicts is the competent policy of time management. According to Johnstone (2015), if the nursing staff does much work, the schedule should be designed so that all responsibilities could be distributed among specialists evenly. Excessive fatigue, in turn, is fraught with interpersonal conflicts among the employees of healthcare institutions. Therefore, the leadership of medical settings should address the task of distributing working time responsibly so that all caregivers could have equal labor conditions.

Finally, the study of the methods of working with the population should be encouraged at the individual level. As Johnstone (2015) argues, the nursing profession is the continuous process of learning and self-education. Accordingly, the higher the personnel awareness of the peculiarities of working with low-income citizens is, the higher the chances are for mutual understanding. This practice may be implemented through consultations with senior colleagues, studying the problems of certain communities, and other approaches aimed at improving professional literacy in a particular field.


Practices and techniques aimed at overcoming those ethical conflicts that are caused by the adoption of the ACA are the crucial components of nurses’ work. In particular, psychological training, collective sessions, and competent time management policies are the topical ways of solving this issue. Also, self-education allows specialists to gain valuable experience regarding the characteristics of providing care to different categories of the population, which is particularly important in the context of increasing access to health insurance. The participation of different stakeholders is necessary in order to achieve mutual understanding and eliminate potential disagreements concerning different views on the care delivery process.


Jimenez-Herrera, M. F., & Axelsson, C. (2015). Some ethical conflicts in emergency care. Nursing Ethics, 22(5), 548-560. Web.

Johnstone, M. J. (2015). Bioethics: A nursing perspective (6th ed.). Melbourne, Australia: Elsevier.

Lathrop, B., & Hodnicki, D. (2014). . Online Journal of Issues in Nursing, 19(2). Web.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with Online Academic Experts
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Business Studies
Paper is great. Just only needed the one reference. Thank you
Customer 453139, May 4th, 2022
It was a very long paper, but she followed all the instructions, and she even finished the paper 5 days before the due date. Will write an essay with her again, thanks!
Customer 452967, November 27th, 2021
Came in as promissed. Good paper.
Customer 453027, January 6th, 2022
I initially had a hard time opening the paper but finally was able to get what i needed.
Customer 453217, October 31st, 2022
Business and administrative studies
Customer 453201, October 22nd, 2022
Social Work and Human Services
Although it took 2 revisions I am satisfied but I did receive it late because of that.
Customer 452603, March 25th, 2021
Thank you so much for your attention to this assignment and timeliness.
Customer 453111, November 12th, 2022
Business and administrative studies
Customer 453201, November 21st, 2022
Very fast response and did a excellent job.
Customer 453201, May 31st, 2022
Human Resources Management (HRM)
On time and as always a great service! This semester has been very time consuming a tough for my family so this service has not only been a life saver but helped me keep up my grades! If you are in a time crunch or need help, don't hesitate! They are worth it!
Customer 453077, April 4th, 2022
Looks amazing!
Customer 453283, September 2nd, 2022
IT, Web
Awesome paper in such a short amount of time. Was in a jam with another service who didn't deliver, but Theresa did the job correctly. I will use her again to do my essays for sure!
Customer 452967, November 27th, 2021
Customer reviews in total
Current satisfaction rate
3 pages
Average paper length
Customers referred by a friend
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat
Live ChatWhatsApp