The practice of Nursing and Patient Care Delivery Models Order Instructions: Details: 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 to engage in learning within the context of their hospital organization, their specific care discipline, and their local communities.
As the country focuses on the restructuring 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 fewer will be available in acute care hospitals.
1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
2. 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.
3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
4. A minimum of three scholarly references is required for this assignment.
In addition to submitting this assignment in the LoudCloud dropbox, email a copy of your submission to RNBSNclientcare@gcu.edu.
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 rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Evolving Practice of Nursing and Patient Care Delivery Models
Less than Satisfactory
40.0 % Clearly States How the Practice of Nursing and Patient Delivery Will Evolve, While Addressing Relevant Concepts That Include Continuity or Continuum of Care, Accountable Care Organizations, Medical Homes, and Nurse-Managed Health Clinics
The main concept is not clearly identified, and subconcepts do not consistently branch from the main idea. Does not address any issues related to the evolving practice of nursing and patient care delivery.
The main concept is not clearly identified, and few subconcepts branch appropriately. Addresses at least one issue related to the evolving practice of nursing and patient care delivery.
The main concept is identified, and a few subconcepts branch from the main idea. Addresses many of the issues related to the evolving practice of nursing and patient delivery and patient care delivery.
The main concept is easily identified and most subconcepts branch from the main idea. Addresses all of the issues related to the evolving practice of nursing and patient care delivery.
The main concept is easily identified, and subconcepts branch appropriately from the main idea. Addresses all of the issues related to the evolving practice of nursing and patient care delivery.
20.0 % Evidence of Feedback and Forecasting of Nursing Role From Colleagues
No evidence of feedback and forecasting of the nursing role from colleagues is included.
Evidence of feedback and forecasting of the nursing role from colleagues may be incomplete or lack relevant scope.
Evidence of feedback and forecasting of the nursing role from colleagues is included.
Evidence of feedback and forecasting of the nursing role from colleagues is described in detail.
Evidence of feedback and forecasting of the nursing role from colleagues is described in detail, with relevant personal insight, reflection, or analysis.
20.0 % Use of Vocabulary Regarding Evolving Practice of Nursing and Patient Care Delivery
No recommended terms have been included in the correct context.
Few recommended terms have been included in the correct context.
Some recommended terms have been included in the correct context.
Most recommended terms have been included in the correct context.
All of the recommended terms have been included in the correct context.
15.0 %Organization and Effectiveness
10.0 % Originality
Content is an extensive collection and rehash of other people’s ideas, products, images, or inventions. There is no evidence of new thought or inventiveness.
Content is a minimal collection or rehash of other people’s ideas, products, images, or inventions. There is no evidence of new thought.
Content shows evidence of originality. While based on other people’s ideas, products, images, or inventions, the work does offer some new insights.
Content shows evidence of originality and inventiveness. While based on an extensive collection of other people’s ideas, products, images, or inventions, the work extends beyond that collection to offer new insights.
Content shows significant evidence of originality and inventiveness. The majority of the content and many of the ideas are fresh, original, inventive, and based on logical conclusions and sound research.
15.0 %Organization and Effectiveness
5.0 % Mechanics of Writing (includes spelling, punctuation, grammar, and language use)
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are employed.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) and/or word choice are present.
Some mechanical errors or typos are present but are not overly distracting to the reader. Audience-appropriate language is employed.
The prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of sentence structures and effective figures of speech.
The writer is clearly in command of standard, written academic English.
2.0 % Paper Format (use of appropriate style for the major and assignment)
The template is not used appropriately or documentation format is rarely followed correctly.
The template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
The template is used, and formatting is correct, although some minor errors may be present.
The template is fully used; There are virtually no errors in formatting style.
All format elements are correct.
3.0 % Research Citations (in-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)
No reference page is included. No citations are used.
The reference page is present. Citations are inconsistently used.
The reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.
The reference page is present and fully inclusive of all cited sources. Documentation is appropriate and style is usually correct.
In-text citations and a reference page are complete. The documentation of cited sources is free of error.
100 % Total Weightage
The Practice of Nursing and Patient Care Delivery Models Sample Answer
Evolving Practice of Nursing and Patient Care Delivery Models
Part 1: Informal Presentation
The nursing profession is dynamic and has been gradually evolving. Today, nurses are entrusted with a wider range of healthcare responsibility. It is evident that the practice of nursing is continuously evolving and transforming and tendency indicate that nursing will shift from acute care to community care. The nursing practice is anticipated to evolve not only in terms of nursing exercise but also education and leadership to achieve its goal in offering health care in the United States (Hamric et al., 2013). Nursing practice is no longer about treating illness but has changed to prevention and disease wellness. The notions regarding continuity of care play an important role in primary care in tandem with other ideologies such as coordination of care, patient-centered care, as well as the integration of care.
Continuity of care fundamentally refers to the connotation existing between a patient and a practitioner, of which it goes outside the boundaries of illness (Nyweide et al., 2013). To define the concept of continuity, we must consider its two major aspects; the focus on health necessities of the client, individual content, as well as care over time that is, the past, present, and future. The restructuring process of the U.S delivery system will lead to change in the practice of continuity of care to mostly cover discharge arrangement ensuing acute care, from hospital care to community or self-care.
The primary goal is to ensure a sustainable and reliable approach to care between nurses is attained to customize care to suit the changing necessities of a patient during medication. This types of continuity encompass management continuity referring to a consistent approach to the management of a patient’s illness that tend to be responsive to varying requirements of a patient. Relation continuity, which is a continuous therapeutic relationship that exists between a nurse and the patient. And finally, an informal continuity, which encompasses the use of past incidents information and individual circumstances in tailoring the present care to be relevant for every patient.
A medical home is also one of the methods used today in delivering enhanced primary care. The model is currently being tested globally and is expected to gain prominence in the coming years. The model is gaining more popularities due to the rapid evolution of Accountable care organizations (ACOs) where medical practitioners, health care centers, and other stakeholders join hands to voluntarily offer coordinated quality care to their clients (Bao et al., 2013). The purpose of ACOs is to ensure that patients who are chronically ill access the right care at the right time, whilst deterring medical errors and circumventing any unnecessary duplication services. Coordinated quality care tends to be more effective when offered on the basis of the medical home model where the ACO patients will be cared for efficiently and hence generation of shared savings (Pham et al., 2014). Many researchers have published medical home care model success stories where the model have been used in controlled settings.
Nurse-Managed Health Centers (NMHCs) is another popular model that is gaining prominence in delivering enhanced primary care. This model is community-based primary healthcare services which are run by an advanced practice nurse with other nursing professionals to provide the much-needed health care to vulnerable communities. Their main areas of concern include health education, disease prevention, and health promotions. Nurse-managed health centers deliver primary care at low prices since they are non-profit organizations.
In conclusion, the nursing practice will continue to change. However, there are certain aspects of nursing that would remain the same such as caring for patients, advocating for patients, and ascertaining that patients are able to get the right primary care services. Due to the dynamic nature of nurses, it is imperative that nurses keep abreast with changes in order to understand emerging challenges and master the skills required to cope with them.
Part two: Feedbacks from Students
Student Feedback one
The role of registered nurses has been evolving over the years. Healthcare bodies continuously give new guidelines that affect nursing practice. I have been working as a bedside nurse for the past 3 years. At first, I thought that I will work as a staff nurse in a trauma center for a very long time. However, there are many opportunities that have been presented opening doors for me to serve the community better in a different role apart from working at the bedside. It is true that community care is gaining prominence and nursing practice will be perceived based on community setting rather than acute care setting only. Our responsibilities are tremendously evolving. Nurses no longer treat illness only but also perform other duties such as disease prevention and wellness.
I believe that the concept of medical homes is revolutionary. Accountable care organizations (ACOs) can use medical home models to provide more personalized care to people who are seriously ill and are unable to visit the hospitals. Medical homes provide a conducive setting to provide personalized care to the aged, and clients with health problems such as obesity, cancer among others. Therefore, the model should be implemented within the United States Delivery System.
However, the sustainability of nurse-managed health centers may face barriers because many managed care bodies are not willing to certify nurse consultants as primary care providers. As such may limit these centers from obtaining compensation from private insurers.
Student feedback two
Hello, my name is Jean, I joined nursing to help people in the community by relieving them their pain through primary care. Initially, I thought that I will be providing primary care in a hospital setting. However, there are opportunities that give nurses better ways to serve the community in various ways. The dynamics of healthcare and continual research have transformed the practice of nursing and nursing practice is slowly moving from providing acute care to community care.
Medical homes are becoming to be implemented in the U.S delivery system. Its implementation will lead to enhanced healthcare and generation of savings because it will remove any unnecessary duplication of services to patients. Patient care is much more enhanced with a more personalized therapeutic relationship between the nurse and the patient, understanding of patient history as well as providing care to patients.
Affordable and healthcare act is now active and patients are finally able to obtain affordable healthcare and affordable insurance through programs such as Obama care. Health policy maker’s belief in the notion that expenditure should be lowered and that healthcare providers should be non-profit. Medical home and nurse-managed health clinics are in a better position to advance this ideology and enable the United States citizens to access quality healthcare at an affordable fee.
Implementation of nurse-managed healthcare clinics will also provide primary care to the poor and less privileged people in the United States. The model framework in where nursing professionals collaborate to provide much-needed health care to vulnerable communities. Nursing professionals to provide much-needed healthcare services such as health education, disease prevention and health promotions to vulnerable communities will see that people get better access to medical care. Nurse-managed health centers deliver primary care at low prices because they are non-profit organizations which are in tandem with the Affordable Care Act.
These reinventions of healthcare models in the health care delivery system are also in line with the Patient Protection and Affordable Care Act (PPACA) whose main purpose is to provide equal, affordable and accessible healthcare to all Americans.
Student responds three
It is true that nursing practice is rapidly evolving because of reforms and technology advancement. The new healthcare delivery models are shaped on the basis of portability and mobility. Use of technology has helped in extending patients’ lives and nurses are finding ways to support the hold at their homes through medical homes and other modern primary care delivery models.
Many nurses have been educated to deliver primary care service at the institutional level. These move of healthcare services from hospitals to nursing homes and provision of primary care services at home requires additional knowledge and skills to handle the new challenges as a result of the move of nursing practice from the acute care setting to the community setting.
However, the newly reinvented healthcare delivery models will drive the cost of healthcare down and enable the United States to achieve its goal of providing accessible health care at an affordable price and in an equitable manner. The demand for nurses will increase so as to fill in the spaces in the different healthcare delivery models.
From the three student feedbacks, it is evident that nursing practice is evolving and projections indicate that the future of nursing practice will shift from the acute care setting to a community care setting. Each student impression indicates that the new model will contribute in the provision of quality care that is an affordable and equitable manner as provided in the Affordable Care Act and the Patient Protection and Affordable Care Act (PPACA).
Practice of Nursing and Patient Care Delivery Models Conclusion
Nursing practice plays a significant role in the reformation of the United States health care delivery system. The streamlining process will provide more opportunities for nursing to work in a community setting as compared to acute care hospitals. The new delivery models have improved continuity of care as it has taken primary care to the grassroots through medical homes, accountable care associations and nurse-managed health clinics (Bao et al., 2013). Professional medical practitioners, nurses and health care centers are providing more coordinated quality care to patients through organizations such as accountable care organizations and nurse-managed medical clinics.
These new healthcare delivery models tend to bring valuable benefits such as reducing the cost of healthcare, increasing access to healthcare especially to the less privileged in the society (nurse-managed medical clinics), contribute to shared savings (the case of accountable care organizations) and ensuring equitable access to healthcare in the United States of America. However, careful consideration and due care should be taken when implementing the new delivery models to ensure that they seamlessly fit the healthcare system.
The Practice of Nursing and Patient Care Delivery Models References
Nyweide, D. J., Anthony, D. L., Bynum, J. P., Strawderman, R. L., Weeks, W. B., Casalino, L. P., & Fisher, E. S. (2013). Continuity of care and the risk of preventable hospitalization in older adults. JAMA internal medicine, 173(20), 1879-1885.
Bao, Y., Casalino, L. P., & Pincus, H. A. (2013). Behavioral health and health care reform models: patient-centered medical home, health home, and accountable care organization. The journal of behavioral health services & research, 40(1), 121-132
Pham, H. H., Cohen, M., & Conway, P. H. (2014). The Pioneer accountable care organization model: improving quality and lowering costs. JAMA, 312(16), 1635-1636.
Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2013).Advanced practice nursing: An integrative approach. Elsevier Health Sciences