The initiative recognized that nurses have the opportunity to change health care, as we know it, and transform it to meet the needs of the ACA. The barriers that were identified include “outdated policies, regulations and cultural barriers” (IOM, 2011, p. 85). While increasing the scope of practice for APRNs was a large part of this key message, cultural diversity, gender diversity, and the aging workforce were also highlighted.
Nurses are one of the most valuable resources in any healthcare organization (Longest, Rakich, & Darr, 2006). Nurses play an important role as members of the multidisciplinary healthcare teams. Nurses help organizations to achieve its mission and vision and meet its goals and objectives. Nursing care is vital to the provision of the healthcare delivery system in promoting health and wellness, preventing illness, restoring health, caring for disabled, and helping dying patients and their families (Catalano, 2006). The promotion of quality of nursing care and the safety of nursing practice takes place through nursing education and ensuring clinical practices meet evidence-based practice, accreditation, and certification requirements (Ironside,
As stated before they are the backbone of the healthcare team. Healthcare facilities must learn the value of nurses and what they bring to the table. They are the patient's advocate. Nurses have the ability to express the patients’ needs or desires to the interdisciplinary team. With the critical thinking and exquisite communication skills, a nurse is a vital component when it comes to patient care. Hospitals must understand recognize that without a sufficient number of nurses the quality of care declines substantially. By adopting this legislation, the states there will be more hospitals with a higher quality of care performance. The job of a nurse goes beyond just performing a medial task. A nurse must be able to connect with the patient based on their needs. A nurse has the to the ability to strategize and design a care plan that fit the patients and will reach every one of their needs. A nurse’s role is a lot more that than just administering medication, it goes beyond that and hospitals need to consider the effect it will have if they cut back on their nursing
Healthcare reform has been debated throughout history, and continues to be a debate today. An initial healthcare plan was supported by Theodore Roosevelt in 1910. He campaigned on the promise of national healthcare, but he was defeated. Harry Truman proposed it thirty years later but the plan was vigorously opposed by American Medical Association (AMA) as socialized medicine (Palmer, 2010). As a Family Nurse Practitioner (FNP) who has been practicing for more than a year, an advanced nurse with a Master of Science in Administration for ten years, a military nurse leader for twenty years, and a home health and ICU nurse for more than twenty – five years, I agree that we need to rethink the direction of healthcare. Without healthcare reform, the number of uninsured is predicted to increase to 54 million in 2019 according to Deutsche Bank Research trends (2010). This increase in uninsured patients will put a strain on emergency rooms (ERs) as many uninsured patients use ERs as their primary care, which increases healthcare costs and offers poor follow-up care for the patient.
The current practice of nursing is expected to evolve as the ways in which patient care is delivered continues to develop. The Patient Protection and Affordable Care Act (PPACA) has inspired new models of care that improve accessibility, continuity of care, cost efficiencies, and the accountability of health care systems. Concepts, such as Accountable Care Organizations (ACOs), Primary Care Medical Homes (PCMH), and Nurse-Managed Health Clinics (NHMC) are necessary to support the initiatives of health care reform, which includes developing methods of advancing approaches in the continuum of care to improve patient outcomes. Considering recent initiatives, it is crucial that the role of registered nurses evolves to meet the changing demands
“A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care settings and an evolving health care system” (Institute of Medicine [IOM], Report Brief, 2010, p. 1). In order to understand the capabilities and limitations of today’s nursing profession, the Institute of Medicine appointed ‘The Robert Wood Johnson Foundation (RWJF)’ to conduct a 2-year study to compel recommendations for nursing practices. “The future of Nursing: Leading Change Advancing Health” published in October 2010, included eight recommendations for advancing the nursing profession (IOM, Report Recommendations, 2010, p. 1). These recommendations encompassed four major key messages to improve nursing education,
Nurses have excellent inherent to manage innovation to reform the health care system (The Future of Nursing: Leading Change, Advancing Health. n.d.). They can be as innovators to lead changes. Nurses know how to access to care and improve quality at the lower cost (Nursing 's role in health care reform - American Nurse Today. n.d.). They can engage in research to Generate evidence-based practice and help shape the quality and safety through collecting and tracking data to improve care. Nursing research helps create the scientific foundation for clinical practice, prevention, and improved patient outcomes. Nurses can Redesign nursing education (Nursing 's role in health care reform - American Nurse Today. n.d.). All nurses need to maintain basic competencies to meet the requirements of an aging and diverse community, with an emphasis on clinical training in multiple settings across the lifespan. The emphasis should be on quality and safety, evidence-based practice, research, and leadership (Nursing 's role in health care reform - American Nurse Today.
According to institute of medicine (IOM) report of 2010, the United States has the opportunity to renovate its health care system to provide affordable quality care that is reachable to all and leads to improved health outcomes (Institute of Medicine [IOM], 2010). The impact on nursing of the 2010 institute of medicine formulated with the purpose of producing a report that would make endorsements for an action oriented design for future of nursing profession. The major transformation of the nursing profession is needed to achieve the upgraded health care system through nursing practice, education, and leadership. Overall, the main goal is to provide safe, quality, patient-centered care that is manageable and reasonable to all and enhanced health outcomes. The IOM report offers recommendations that collectively serve as a plan “to ensure that nurses can practice to the full extent of their education and training, improve nursing education, and provide opportunities for the nurses to assume leadership positions and to serve as full partners in health care redesign and improvement efforts, and improve data collection for workforce planning and policy making” (IOM, 2010 p.1).
Currently, there are multiple challenges to the US healthcare system like the nation’s aging population and the staggering reports of alarming rates of increase in chronic diseases in both pediatrics and adults (Stanley, 2012). While the need for more healthcare providers who can take care of these populations increases, a study by Peterson et al. (2012) states that there is a foreseen shortage primary care physician due to new physicians opting to specialize. Coincidentally, the availability of Advanced Practice Registered Nurses (APRNs) has been increasing throughout the years. APRNs, specifically Nurse Practitioners (NPs) and Clinical Nurse Specialists (CNSs), can fill in the shortage of primary care providers (Stanley, 2012).
There are several recognized advanced practice nursing roles in many countries with requirements of a graduate education with a specified focus. These roles includes: Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Nurse-Midwife (Cnm), Certified Registered Nurse Anesthetists (CRNA). A NP main focus is direct patient care which comprises of delivering to patients and their families medical and nursing care. However, the introduction of a NP to health care team and resulted into both negative and positive responds (Kilpatrick, Lavoie-Tremblay, Lamothe, Ritchie,
Transitioning from the role of a registered nurse to that of a BSN nurse requires little change is the overall nursing scope of practice. However, it more clearly prompts a change in how one applies and implements the Knowledge (K), Skills (S), and Attitudes (A) reflective of the Quality and Safety Education for Nurses (QSEN) competencies. Aimed at preparing nurses to have the necessary KSAs needed to help improve the quality and safety of healthcare, the competencies of patient centered care, teamwork and collaboration, evidence based practice (EBP), quality improvement (QI) and informatics where generated to develop these nursing traits.
Nursing’s impact on healthcare is astronomical. The type of nursing that began in the 1850s is no longer the nursing that we expect today. Across the world new nursing roles have been created to respond and deal with the new health care demands (Gray, A. 2016). With more that 3 millions nurses nationwide nurses are considered the largest group of the nations health care personnel. The context of nursing across the countries’ are the same and different as each area struggles with their own problems and are always changing to be the best for their society. Nurses today play a vital role in the care of the population. Currently they are given the chance not only to contribute to the health care system but also be an integral part of
As a woman, mother, daughter, sister and nurse I have a strong belief that it is our right as human beings to care for each other; irrelevant of social or economic station. I feel passionate that all individuals have access to the highest quality healthcare and that universal health care for every man woman and child should be accessible. The American Nurses Association (ANA) for decades has advocated policymakers to recognize the true value of nursing and is instrumental in advancing public health by supporting the Patient Protection and Affordable Car Act (2010); which created essential health benefits for millions of Americans (ANA, 2018). If you are not familiar with the ANA’s Principle for Health
The career of nursing is a distinctive place in the American Health Care System. Nurses work in diverse settings and fields, in which they have an important role in our health care services. Becoming a nurse and working in acute-care settings, such as hospitals, nurses improve and change throughout the field of experience. Throughout the development of this career and the progress of more experience, nurses’ expertise and skills expand. Either working independently and/or with other health care professionals, nurses endorse the health of individuals, families, and communities. As looking nationally throughout the U.S., many people look upon nurses for liberation of many health care services. In addition to this statement, health care education,
Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression