Evolving Practice of Nursing and Patient Care Delivery Models
Order Instructions:
The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by CCNE and AACN using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, their specific care discipline and their local communities.
As the country focuses on the restructure of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and less will be available in acute care hospitals.
Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and changes. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics and medical homes.
In 800-1,000 words summarize the responses shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
A minimum of three scholarly references are required for this assignment.
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
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SAMPLE ANSWER
Evolving Practice of Nursing and Patient Care Delivery Models
Registered Nurses and BSN play a critical role in the delivery of healthcare to patients. Regardless of the role they play, they are as well faced with a myriad of challenges that require immediate address. The field of nursing is growing and changing every day and, therefore, nurses must be abreast with the new developments and changes to remain effective in their duty. The paper exemplifies on the shared impressions about anticipated changes to healthcare delivery and the new roles of nurses in communities, hospital, clinical, and medical homes settings. The paper further discuses whether these views are consistent with the findings pertaining to health reform.
The colleagues noted that the medical care in US has been marred with extremely high costs and poor quality as well as fragmented delivery. The high cost of accessing quality medication has hindered many people from receiving quality healthcare, and this has compromised healthcare. However, with the new reforms in the healthcare, nurses are optimistic of new changes. They have already begun experiencing positive outcomes in terms of delivery of services. The new concepts of integrated healthcare delivery have been developed including, Accountable Care Organizations (ACOS) and patient centered medical homes that will to greater extent impact positively on the field of nursing. Accountable care organizations are partnerships between the healthcare providers and aim to coordinate and manage patient care. The aim of this program is to ensure that quality care is delivered at reduced cost to help control huge amount of Medicare spending.
The Accountable Care Organizations groups include hospitals, nursing homes, physical groups, and home health cares services. The alliances are created through contracts that create a circle of service agreements aimed at bringing patient care under one umbrella. This concept ensures that health care costs are low as services are provided at one single corporate structure hence, eliminates duplication of services.
The nurses also postulated that the new changes will ensure provision of better care to all the individuals. The six dimensions of quality including effectiveness, safety, patient centeredness, timeliness, efficiency, and equity are guaranteed (Longworth, 2013). With home based care, nurses are in a better position to provide quick and effective care to patients. Healthcare is no longer going to be provided at the acute care centers, but the changes will see more people get better and quick healthcare in their homes. Citizens are also going to receive better services through education on the major causes of illnesses, health, poor nutrition, substance abuse, physical activity, and poverty among many others. This means that preventive measures are going to be embraced such as physical examination and vaccinations, including influenza and polio among others, thereby helping to improve the quality of life.
The nurses as well agreed that integrated delivery system models are very effective in cost savings and at the same time improving quality of care. Through these changes and reforms, hosipital admissions will reduce and visits to emergency departments will as well come to a minimum, hence, saving costs. The group health cooperative of Puget was able to reduce the total costs of health by $10 per member in every month and recorded 16% reduction in new hospital admissions as well as 29% reduction in emergency visits (Longworth, 2013). This statistics is a clear indication that indeed with the emergence of these new concepts in nursing, quality is guaranteed at a lower cost.
Indeed, the impression elicited by the nurse colleagues is consistent with the studies on health reforms. Government and other stakeholders in the health sector have instituted various changes in health to help enhance the quality of services. The government through such policies such as Affordable Care Act aims at ensuring that all the members of the U.S can access quality health care at an affordable cost (Daemmrich, 2013). Through partnerships with insurance companies such as Medicare and Medicare, many citizens will get the opportunity to access to quality healthcare.
According to Longworth (2013), the concept of ACOs, which was spawned by Elliott Fisher in 2006 aimed at improving coordination of care within the Accountable Care Organizations (Longworth, 2013). It was also intended to reduce fragmented care, control the costs of accessibility to care, and improve the outcome. This resonates with the colleagues’ impression of the new reforms of ensuring that quality care is provided at an affordable cost. Nurses have the responsibility to ensure that they improve the quality of care of their patients. In doing so, they must at all times ensure that they adhere to the professional codes of ethics and legislations. Even as these reforms in healthcare are implemented, it will require that nurses undergo further training to equip themselves with more skills to help in management of different diseases. ACO’s will require increase in the number of nurses to render their services to the members of the communities (Kelly, 2011). They will as well be required to embrace technology and innovation to handle health problems in the society.
In conclusion, nurses must be always be updated on the new developments in health profession. They have a greater role to play in healthcare and must be able to address the new changes and challenges they face. They must adhere to ethical standards in their execution of duties and must at all times ensure that they promote positive healthcare. The new reforms in the healthcare such as integrated patient centered care and ACOs have become important and are revolutionizing this sector. Nurses must be ready to adapt to these changes in order to help transform and impact positively on the quality of healthcare among the members of the community.
References
Daemmrich, A. (2013).U.S. healthcare reform and the pharmaceutical market: Projections from institutional history. Pharmaceuticals Policy & Law, 15(3/4): 137-162.
Kelly, E. (2014). Patient care delivery and integration: Stimulating advancement of ambulatory care pharmacy practice in an era of healthcare reform Am J Health Syst Pharm, 71(16):1357-1365
Longworth, D. (2013). Accountable care organizations, the patient-centered medical home, and health care reform: What does it all mean? Retrieved from: http://www.ccjm.org/content/78/9/571.long
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