Todays healthcare system is complex and with diverse needs more than ever before. Nursing in today’s healthcare system is challenging because of divers patient populations, rapid technological advancement and changes in healthcare policies. Nursing play an integral part of the health care system because of nurses are the front line workers in patient care. In 2010, Affordable Care Act was launched with the intention of providing health care for the population of the United States regardless of financial status. According to the report of Robert Wood Johnson Foundation (2010), “nurses can play a vital role in helping realize the objectives set forth in the 2010 Affordable Care Act, legislation that represents the broadest health care over haul …show more content…
• Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression.
• Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States.
• Effective workforce planning and policy making require better data collection and an improved information infrastructure (Institute of Medicine[IOM], 2010, p. 1).
Advanced practice registered nurses(APRNs) , such as nurse practitioners, clinical nurse specialists, nurse anesthetists, and nurse midwives faces the rules and regulations of the state and federal government, which hinder them from practice to the full extent of their education and training. For an example: in some states nurse practitioners are allowed to see patients and prescribe medications without a physician’s supervision, whether other states does not allow that. “The report offers recommendations for a variety of stakeholders from state legislators to the Centers for Medicare & Medicaid Services (CMS) to the Congress to ensure that nurses can practice to the full extent of their education and training”( IOM, 2010, p. 2). Furthermore, expand the Medicare program to include coverage of advanced practice registered nurse services like perform admission assessments, certification of patients for home health care services and for admission to hospice and skilled
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As patient needs became more complex, nurses need to achieve necessary competencies to deliver high-quality care. According to IOM (2010), nurses should have competencies in following areas: leadership, health policy, system improvement via information technology, research and evidence-based practice, teamwork and collaboration, as well as competency in specific areas including community and public health and aging population. The IOM committee suggested that the nurses should be educated in new ways, which can better prepare them to meet the needs of the population in 21st century. Nurses must prepare themselves with higher levels of education and training to respond to these growing
In 2011, Barbara Safriet published an article “Federal options for maximizing the value of Advanced Practice Nurses in providing quality, cost-effective health care” from a legal perspective. The article focused on the benefits of utilizing Advance Practice Nurses to the full extent of their abilities as well as the current barriers that APNs encounter in their practice. The aim of this paper is to discuss two regulatory provisions to full deployment of APNs in current health care system, as well as three principle causes of current barriers to removal of the restrictive provisions for the APN. Furthermore, I will discuss the critical knowledge presented in the article and how it relates the APN practice. This article was incorporated into a two-year initiative was launched Institute of Medicine (IOM) and by the Robert Wood Johnson Foundation (RWJF) in 2008 which addressed the urgency to assess and transform the nursing profession.
The Affordable Care Act (ACA) was passed in 2010 with the goal of expanding healthcare coverage to all Americans by reforming insurance policies and practices (Tillett, 2011). The ACA upsurges the demand for an increase in primary care providers in order to supply quality care to the much larger population that will have coverage and therefore acquiring healthcare. The Institute of Medicine (IOM) through its report The Future of Nursing: Leading Change, Advancing Health has generated a solution to the shortage of primary care providers by promoting a transformation of the nursing profession to fill the gap.
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).
Advanced practice registered nurses play a significant part in extending access to health care by providing primary care and specialty care services to clients. Advanced practices registered are mentors, educators, researchers, and administrators. According to Health Resources and Services Administration, “Ninety-six percent of the NP workforce reported being in clinical practice, providing direct patient care” (Health Resources and Services Administration 2016). Furthermore, “Nearly three percentages were in faculty positions and approximately one percent was in administrative positions”(Health Resources and Services Administration 2016).
About 32 million people will represent the newly insured, affecting the health care system and nurses are the fundamental in health system. Health care reform is positive for nurses. The health care bill provides money for advance practice and general nurse education. The law also creates a grant program for innovative safety net programs, such as nurse-managed health clinics. Due to the shortage of family Physicians, nurse practitioner programs are going strong. The health care reform is a good opportunity for nurses; the law will permit different approaches to deliver primary care and with the decreasing number of physicians going in to primary care, Nurses represent the best way to provide primary care to the millions of new insured people. (Satowski, 2010)
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.
Affordable Care Act (ACA) shift the health care system in the United States. The Institue of Medicine (IOM) report recommends the future of nursing are one of the important workforces leading the change. The Robert Wood Johnson Foundation (RWJF) sponsored the Initiative on the Future of Nursing (IFN) research in America (Robert Wood Johnson Foundation Initiative on the Future of... n.d.). In this essay, the student will discuss the IOM report on the IFN leading healthcare system reform.
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.
Profession of Nursing is always regards as a complex, dynamic and noble. The nursing profession requires many things such as hard work, a vast knowledge, excellent communication skills, and a passion for the noble profession. All these qualities are needed to be an effective nurse. Today, nurses are living in a world of ever changing field of medicine .The present patient statistics poses, nurses are expected to take responsibility of accomplishing the requirements. The requirement for excellent nursing skills is added as well as well-formed skills in different aspect. Because of the high demand in excellent nursing care, the IOM have declared the recommendations for the future of nursing.
The passing of the Affordable Health Care Act bill on March 23, 2010 places Nurse Practitioners (NPs) at the forefront of health care reform, with the opportunity to be creative and innovative. I envision primary care, preventive care, case management, nurse leaders and educators as critical components of the health care reform. The healthcare reform bill has included provisions through grants for advanced practice, general nurse education and innovative nurse-manage health clinics. This incentive for Nurse Practitioners is timely as the role of Advance practice registered nurse (APRN) continues to evolve. It is a wonderful opportunity as I ...
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,
Nurses play a very important role in the field of health care, and are sometimes referred as patients main advocates. However, just as the role of doctors, administrators, medical students and virtually every aspect of the health care system has changed, so too has that of nurses. Many of these changes have been driven by things like healthcare reform, advances in technology and medicine, the way patients use hospitals, the interaction between patients and caregivers, and increased interest in behavioral and lifestyle changes, patient safety and emergency preparedness.
The nursing profession has changed drastically over time. The roles and responsibilities that nurses take on have increased and become far more complicated. Nurses are managers, leaders, supervisors and have become experts in many areas of care. Every day nurses are faced with the task of improving and strengthening professional leadership within their work environment. Managing good quality and eliminating risk is the major challenge in health care. All members of the team must work together to accomplish outstanding patient care. Budget cuts and nursing shortage in all areas of health care leads to less licensed staff, where use of unlicensed personnel have been used widely, where delegation is not an option, but a necessity. Nurses must be aware of delegation guidelines, what tasks to delegate,when to delegate for the safety of patients, liability of nurses and the facility.
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.... ...
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,