Λεπτομέρειες βιβλιογραφικής εγγραφής
| Τίτλος: |
A Policy Analysis of WISH Act Implementation and Nursing Integration Strategies. |
| Συγγραφείς: |
Kyei EF; Capstone College of Nursing, The University of Alabama, Tuscaloosa, AL, USA., Mumba M; Capstone College of Nursing, The University of Alabama, Tuscaloosa, AL, USA. |
| Πηγή: |
Policy, politics & nursing practice [Policy Polit Nurs Pract] 2026 May; Vol. 27 (2), pp. 134-142. Date of Electronic Publication: 2025 Nov 20. |
| Τύπος έκδοσης: |
Journal Article |
| Γλώσσα: |
English |
| Στοιχεία περιοδικού: |
Publisher: Sage Publications, Inc Country of Publication: United States NLM ID: 100901316 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-7468 (Electronic) Linking ISSN: 15271544 NLM ISO Abbreviation: Policy Polit Nurs Pract Subsets: MEDLINE |
| Imprint Name(s): |
Original Publication: Thousand Oaks, CA : Sage Publications, Inc., c2000- |
| Ιατρικοί όροι (MeSH): |
Health Policy*/legislation & jurisprudence , Long-Term Care*/legislation & jurisprudence , Home Care Services*/legislation & jurisprudence , Insurance, Long-Term Care*/legislation & jurisprudence , Activities of Daily Living*, Humans ; Aged ; United States ; Male ; Aged, 80 and over ; Female ; Policy Making |
| Περίληψη: |
The Well-Being Insurance for Seniors to be at Home (WISH) Act proposes universal social insurance for long-term care through activities of daily living (ADL) assistance. While this legislation addresses basic personal care needs, it overlooks the clinical complexity of aging adults who require both ADL support and ongoing health monitoring. This policy analysis examines how strategic nursing integration can enhance WISH Act effectiveness by addressing the gap between ADL-focused services and the complex care needs of beneficiaries with multiple chronic conditions. Using Russell and Fawcett's Conceptual Model for Nursing and Health Policy, this qualitative analysis evaluated policy sources, components, and four outcome levels. The study analyzed legislative text, congressional reports, and peer-reviewed literature on long-term care policy, nursing coordination, and international social insurance models. Analysis reveals that 85% of WISH-eligible beneficiaries will have multiple chronic conditions requiring clinical oversight beyond basic ADL assistance. Personal care workers encounter medication management challenges in 78% of cases, while falls, declining functional abilities, pressure ulcers, and adverse medication events frequently result in unplanned hospitalizations when clinical changes go unrecognized during routine personal care. Strategic nursing integration targeting the 35% highest complexity cases could reduce emergency department visits by 32% and hospital readmissions by 25% while achieving cost neutrality through prevention-focused interventions. Strategic nursing involvement in complex case identification, care transitions, chronic disease monitoring, and family caregiver support could bridge the clinical complexity gap while complementing existing Medicare services. This targeted approach maintains the WISH Act's core ADL focus while ensuring comprehensive community-based care for aging populations with complex health needs. |
| Competing Interests: |
Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Contributed Indexing: |
Keywords: WISH Act; homecare; long-term care policy; nursing integration |
| Entry Date(s): |
Date Created: 20251120 Date Completed: 20260331 Latest Revision: 20260331 |
| Update Code: |
20260331 |
| DOI: |
10.1177/15271544251396105 |
| PMID: |
41264534 |
| Βάση Δεδομένων: |
MEDLINE |