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Chapter 01 - The Evolution of Nursing
What is leadership in healthcare
Chapter 01 - The Evolution of Nursing
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Recommended: Chapter 01 - The Evolution of Nursing
The demand for nurses, as well as the art of nursing, will always be a major topic when it comes to health care reform, trends, and advancement. Our field is always evolving for the betterment of our patients. Therefore, it is only logical that nurses evolve to keep up with their ever changing environment. Nurses are a vital component to the health care system and work hand in hand with physicians and other healthcare providers. Therefore, having nurses educated at higher levels, working to the fullest extent of their license, and taking on leadership roles are current trends to promote the betterment of the patients as well as make the transition from school to the work field seamless. (IOM, 2011) Upon beginning my nursing program every …show more content…
“The legislation has begun the long process of shifting the focus of the U.S. health care system away from acute and specialty care. The need for this shift in focus has become particularly urgent with respect to chronic conditions; primary care, including care coordination and transitional care; prevention and wellness” (IOM, 2011). As more care is provided through Primary Care, walk-in clinics, and community outreach programs, “Nurses are being called upon to coordinate care among a variety of clinicians and community agencies; to help patients manage chronic illnesses, thereby preventing acute care episodes and disease progression; and to use a variety of technological tools to improve the quality and effectiveness of care. A more educated nursing workforce would be better equipped to meet these demands” (IOM. 2011). The Institute of Medicine, suggest that, “Nurse should practice to the full extent of their education and training.” This couple with the current trend of healthcare moving away from the acute care setting is thought to, “enable the health care system to provide higher-quality care, reduce errors, and increase safety” (IOM, 2011). In order to meet the goals suggest by The Institute of Medicine, as a Physician, I would allow my nurses to work to the full extent of their education and training as well as promote and encourage continued education. I would also employee an APRN, to keep up with “the demand to build the primary workforce” (IOM, 2011). Education and titles aside, I would also promote a healthy work environment, foster my employee’s growth, and value them as human
Nursing is constantly evolving and changing, in order to be more efficient in providing care than in the past. The nursing profession includes professionals who are not only caregivers but support systems as well as educators. All these factors help to provide optimal care for patients and to also better serve their families and the community. All nurses are encouraged to break down the simplistic notion society has about the nursing profession because nursing is a multi-faceted profession encompassing many different factors that are beneficial to overall human development and health.
The IOM report had four key messages needed for advancing the future of nursing. “Nurses should practice to the full extent of their education and training; achieve higher levels of education and training through an improved education system that promotes seamless academic progression; be full partners, with physicians and other health care professionals, …and; effective workforce planning and policy making require better data collection and an improved information infrastructure” (Institute of Medicine, 2011). The report also included eight recommendations needed to facilitate the necessary changes to in the nursing profession so meet to demands of the healthcare reform.
Health care reform has been a major issue over the past decade. The Nursing industry has in particular experienced a period of unpredictable change. On Dec 24, 2009, a landmark measure was passed in the senate by a vote of 60 to 39. This decision to pass the health care reform will change America forever. Nurses will constitute the largest single group of health care professionals. They will have a huge impact on quality and effectiveness in health care. The nursing industry will help hold this new program together by acting as the glue (The nursing industry will be the glue holding the new health care in tact.) It is estimated that by 2015 the number of nurses will need to increase to over 4 million. Nurses are the backbone of the health care industry thus creating better polices for this profession will help ease the workload and high demand. A nurse’s main concern is always to insure quality care and the safety of their patients. Under the new health care reform several new measures have been set into place to ease the transition and improve the quality of care for all patients. One program is designed to fund scholarships and loan programs to offset the high costs of education. Nursing shortages and the high turnover has become a serious epidemic. Health care reform is supposed going to solve many of these problems.
The 2010 Institute of Medicine (IOM) Report- The Future of Nursing described the role that nurses have in the current and future US health care environment (IOM, 2011). This report was completed at a time when the Affordable Care Act had been passed and a new emphasis was being put on interdisciplinary healthcare teams, care coordination, value-based payment systems, and preventative care (IOM, 2011). Nursing is the largest profession in health care and with an aging baby boomer populace, the expanded role of nurses will be critical in meeting the growing healthcare burdens (Sisko et al., 2014).
Current literature continues to reiterate the indicators of a major shortage of registered nurses (RNs) in the United States. The total RN population has been increasing since 1980, which means that we have more RNs in this country than ever before (Nursing Shortage). Even though the RN population is increasing, it is growing at a much slower rate then when compared to the rate of growth of the U.S. population (Nursing Shortage). We are seeing less skilled nurses “at a time of an increasingly aging population with complex care needs and an increasingly complex technological care environment” (Mion). According to recent data from the Bureau of Labor Statistics and the Department of Health and Human Services, it is estimated that “more than a million new and replacement nurses will be needed over the next decade” (Diagnosis: Critical).
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
The nursing career has a growing workforce, spurred on by the high demand for caregivers. The growing need for nurses has caused in influx of new nurses, graduating from school and ready to begin their career. Although there are many different work settings for nurses, one universal aspect of assisting new nurses is nursing leadership. Leaders within nursing are tasked with assisting new nurses as well as those who are veteran nurses, and their role is indispensible. “Health leaders model the behavior expected in the organization” (Ledlow & Stephens, 2018). Susan Eckert, the senior vice-president of nursing and chief nursing executive at Medstar Washington Hospital Center, is a prime example of a nursing leader.
Healthcare is a continuous emerging industry across the world. With our ever changing life styles and the increased levels of pollution across the world more and more people are suffering from various health issues. Nursing is an extremely diverse profession and among the highest educated with several levels ranging from a licensed practical nurse (LPN) to a registered nurse (RN) on up to a Doctorate in Nursing. Diane Viens (2003) states that ‘The NP is a critical member of the workforce to assume the leadership roles within practice, education, research, health systems, and health policy’.
The article I chose discusses the continual change in the roles of nurses. The article also poses a concept that nursing now is not based on caring, but medicine. “By accepting continual changes to the role of the nurse, the core function of nursing has become obscured and, despite assuming medical tasks, the occupation continues to be seen in terms of a role that is subordinate to and dependent on medicine.” (Iley 2004) Nurses are taking a more professional role, and more tasks are being delegated to assertive personnel. Therefore, with all these changes occurring, the role of the enrolled nurse is unclear. “Previously, having two levels of qualified nurse in the United Kingdom had been seen as problematic for health service managers and nurses themselves, and the ending of enrolled nurse programs in 1992 helped to solve this problem.” (2004) The study in this article gathered the characteristics of enrolled nurses and differentiated the groups converting to registered nurses, groups in the process of conversion, and groups interested or not interested in conversion. This study reveals the situation of enrolled nurses in context of continuing towards the professionalization of nursing. “The data from this study support the possibility that the role of nurses as direct caregivers is seen as a positive dimension of the work they undertake.” (2004) The findings imply that nurses need to get back to being caregivers, instead of concentrating on obtaining professional status in medicine.
Nurses have always been an undervalued asset to the health care industry; however, there is always a great need for them. With more uninsured Americans requiring safe, affordable medical care, the pressing issue of nursing education is not a priority (Aiken, 2011). Recently, there have been modifications taken place toward the current nursing shortage, the decrease of nursing graduates, a workforce that is becoming older, and other factors that influence nurse educator shortage (Baker, Fitzpatrick, & Griffin, 2011). Nurse educators are required to advise students, complete research, and perform committee work all while teaching (Baker, Fitzpatrick, & Griffin, 2011). They also have multiple jobs outside of practicing nursing and teaching. Nurse educators have stressful roles that hold many expectations, yet there is no independence in making their own decisions concerning things. Aiken (2011) suggests that the best way to begin combatting this shortage should include increasing the number of nurses who hold a bachelor’s degree in nursing from 50% to 80% by 2020 (p. 196). Forty-eight percent of nurse instructors are expected to be aged 55 and older and are predicted to retire by this time. (Baker, Fitzpatrick, & Griffin, 2011).
There has been a drastic cut in both the Medicare and Medicaid reimbursement rates. According to Robert (2012), “cuts of more than $360 billion to Medicare and Medicaid will be made over the next 10 years. The focus of nursing needs to emphasize more on wellness care and prevention rather than acute care” (McNeal, G., 2012). Nursing practice will need to shift more towards community and population focused nursing. Baccalaureate prepared nurses are provided with a curriculum that includes both community health and leadership skills that are not included in the associate program. By encouraging associate’s degree nurses to obtain a bachelor’s degree in nursing, an increase in the awareness of the needs of the community and population may be seen. The IOM report has outlined the anticipated obstacles that healthcare will face if changes are not made. By allowing nurses to provide care within their full scope of practice, quality care may be provided at an affordable cost to the population. The use of advanced practice nurses in primary care may provide quality, access, and cost efficient healthcare to high-risk populations and possibly decrease hospital admission rates, thus lowering the overall cost of healthcare. If nurses partner with doctors and other healthcare providers, it may improve healthcare by providing seamless transitions (Institute of Medicine,
Innovation can be defined as a process for inventing something new or improving on an idea that already exists. In the past weeks, the course on Innovation in Nursing has motivated nurses to be strong critical thinkers, evidence-based practitioners, and innovative leaders in their specialty of practice and education. The following paragraphs will briefly discuss and elaborate on the eight learning outcomes listed in the syllabus.
Nurses need a seat at the table to ensure they have a voice to influence and shape their future. Nursing is constantly evolving and changing, and employers continue to raise the bar for nursing. Nurses understand early in their career the importance of continuing education to enhance future career opportunities. Professional development relates to how nurses continue to broaden their knowledge, skills, and expertise throughout their career, therefore enhancing their professional practice. This advanced knowledge is not only career boosting, but also opens a seat at the table giving nurses the power to make decisions and effect changes. Professional development and continuing education are more important to nurses now than ever before to keep up with the rapid changes in healthcare today. Numminen, Leino-Kilpi, Isoaho and Meretoja’s (2017) article contends professional development enhances personal satisfaction, rejuvenates the love of nursing, builds confidence and credibility. There are many avenues to pursue
To briefly summarize, the report identifies nurses as an important factor in enabling access to high quality, affordable health care. This was supported by the development of four fundamental recommendations. The first suggests that nurses be allowed to practice within the scope of their degree. This becomes evident in the differences in state laws that pertain to nurse’s who have acquired advanced degrees, such as the nurse practitioner.... ...
From the literature I learned about the importance of driving the nursing profession towards the community health-care system. There is currently a need for revitalization of the primary health care system as stated in this document. There is a need to change some of the focus of education and training in new nurses in an effort to respond to the health care demands of today and the future, since many students are not going into this field. In addition, nurses already working in community health should begin focusing on current prevention and promotion aspects of health. I plan to apply these ideas in my own nursing practice to this rotation.