Changes in the Practice of Nursing Essay

The wellness carry on in the United States is changing, diligents sine qua non and have outstanding services supporty. So we as nurses atomic number 18 called up onto deliver this service. With the shift in the wellness manage sector nurses leave be eve more in supplicate. This request depart be even to skill levels and education. This is why it is so important for all nurses to commit to unlessing their studies, it bequeath make them more sellable. at that place will be many saucy cable opportunities due to the restructure of the United States health misgiving outline.Providing health indemnification to an special 30 million people will credibly make access to business concern a problem because of inadequate availability of immemorial tutorship providers to have-to doe with the expected increase in call for. This is transaction for innovative new ways on how to deliver health get by in the United States.A few delivery systems are -An accountable premeditation organization (ACO) is a group of do by providers who coordinate health supervise for a patients. This could include Doctors, Hospitals, Specialist and other health care providers. The idea is to keep health care cost down and lift unnecessary test and procedures, but provide high tonus care. (Gold, 2013) -Nurse Managed wellness Clinics (NMHC) emphasize health promotion, education and disease prevention. It is a facility which is base in a community and staffed with go practice nurses as leaders. It provides primary health care services to the community. (Kovner & vitamin A Walani, 2010) A nonher module or philosophy of primary care is a checkup checkup home. It is a team-based facility, which is patient-centered, blanket(prenominal), organise, accessible, and focuses on quality and safety. (hrsa, n.d.) All patients should receive the best coordinated care possible, especially the inveterate ill, to get the right care at the right meter is the inclination o f these new modules. At the same time we should avoid unnecessary extra of services and preventing medical errors For ex angstrom unitleThe growth of chronic illness and senescent populations, in particular, has placed a substantial burden on the healthcare system. Very popular is the patient-centered medical home model that emphasizes continuous coordinated patient care. It has been shown to lower costs while improving health care outcomes. The patient-centered medical home is a way of organizing primary care that emphasizes care coordination and communication to transform primary care into what patients want it to be. aesculapian homes provoke lead to higher quality and lower costs, and piece of ass improve patients experience of care. Nurse Managed Health Clinics are led by advanced practice nurses to provide basic primary healthcare and screening.This could peradventure be very cost effective if operated to their full potential. But permits not forget that we also see and increasing demand of Nurse Practitivirtuosors (NP) in the hospital setting. We all drive in our two co-workers who went butt to train and completed their NP design and now work in our indispensability Department as NPs. Many hospitals also flummoxed utilize NPs to take care of their in-patients. To keep up the demand of these facilities nurses with higher education are the future of the new health care system. Continuity of care is essential, it is the process by which the patient and the physician are cooperatively involved in ongoing health care centering toward the goal of high quality, cost-effective medical care. Better quality care is given by higher educated nurses, so to stay marketable and to provide the best possible care to our patients it is in our interested to further our knowledge and our education.Nurse 1The new health reform not only electric shock every angiotensin-converting enzyme as an individual, but it will also impact businesses as a whole. On e of the main points of the new health care reform is to ensure that all Ameri ends have amends. With insurance not having been mandatory before, Americans who were uninsured had to deal with several financial problems when it came to paying medical bills. There are several individuals that do not have any medical insurance because they either do not have a job or the job that they do have does not offer insurance. And even whatsoever people who have the option to have insurance may not buy it because they dont want to pay for it. And thus these same people who have the option to have it but elect not, may end up using a government broadcast to obtain medical services.This cost all tax payers more property for people who have the option to obtain insurance for them but require to use a government facility. With this new reform it will be mandatory for every individual to obtain at least some sort of basic medical insurance for themselves. Without insurance, people can s ometimes not get the proper care that they deserve. And even though most(prenominal) hospitals do not turn away people without insurance, they do not cut them a break and still stick them with the high medical costs for the medical services that were administered. Americans who did not previously have insurance will now have obtained it. With the increase of insured Americans, the demand for health care providers will increase substantially. A colossal percentile of practicing physicians and nurses are over the age of 50.Therefore the medical schools will need to be cured _or_ healed more students to become health care providers. Moreover, this will require additional professors as well as additional medical schools in crop to handle the increase in enrollment. I am hoping that this can start our country down a better road with our health care situation. With the layout that has been provided, I can see that the idea is for everyone to avail from this in one way or another. Fir st, every American will benefit from having the insurance and existence able to seek medical attention when needed. Insurance companies will benefit from claims. Doctors will benefit from receiving change magnitude patients. Medical schools will benefit from having an increase of enrollment.Nurse 2The changes to the nations health care system will affect nursing practice as we know it. We see change daily in our current practice. To prepare myself for the challenges and prospects that lie ahead, I am invested in advancing my education by being enrolled in an MSN program, I should complete this program by the end of this year. I do my best to step up to a more advanced leadership positions, currently fulfilling the role of a day shift executive program in our Emergency Department. I try to stay current slightly the hospital and unit policies and procedures. I assist staff and physicians with changes, additions, and updates to our computer charting program system.My future plans for changes in my practice include earning certification in Emergency (CEN).I am trying right now to gain more intellectual of the legislative process that helps shape health care policies. I needed to write a paper for school and found this subject fascinating. To meet societys future healthcare needs, changes are necessary in the way nurses function and we need to improve and advance our education, so that we can development nursing management capabilities. To help progress science, and be dependant to meet the needs of many types of patients, nurses need to be leaders, while providing tenuous care. Collabo ration among healthcare professionals is a requirement in an ever-changing and mixed system. It is vital that nurses take ownership, step-up and be personally involved in helping transform health care and hospitals, into a safer place, which is accessible, fiscally responsible, and comprehensive in its care.Nurse 3The rising cost of healthcare in todays economy is in d esperate need of a reform, we all know that. Because of this enormously cost many people are unable to receive medical care. People are sicker due to the softness to receive medical attention when its needed, so there take care and often the problem is getting much worse by the time there seek medical care. I am very upturned about the increasing demand of nurses and the nursing shortage. If we do not cover the nursing shortage very soon I see that in the future quantity will replace quality in nursing. Nurses will burn out and leave there position due to the increased demand and increased patient work load. Nurse to patient ratio is increasing, due to financial cuts from hospitals.Hospitals need to work more efficient to be able to keep their doors open. This is not very helpful to job satisfaction. We need to address these issues now. A few ideas would include for hospitals to pay for nursing school and have the student sign a contract to work for the hospital and every year w orked 5000 dollars are forgiven in there loan. Also the demand is for everyone to continue with their education and obtain a BSN, MSN or doctorate, this cuts down on the quality of life in itself. Hospitals should give paid hours individually week, to each nurse who is obtaining an advanced degree (like 4 hours a week).SummaryI think each of my Co-Workers had a little different view on what is health reform meaning to them. In general each one had some kind of understanding about it and each nurse choose to share the point which is most dear to them about the reform. I affiliate mostly with all of them. The nursing shortage needs to be intercommunicate and a larger more qualified nursing work effect needs to be created. Nursing will have a huge impact on how we form the new health care system in the United States. Advanced practice in clinical settings seems to be the most reasonable way of addressing the need of the public. Managed health care can be a solution to decrease the enormously cost of health care nowadays.References. Med-Surg Nursing, 23(1), 61-6. Retrieved from http//eds.a.ebscohost.com.library.gcu.edu2048/eds/detail?vid=4&sid=d44f4649-8f31-43d2-bce8-b6a777bc1157%40sessionmgr4003&hid=4102&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3ddb=ccm&AN=2012491341 Accountable Care Organizations . (2013). Retrieved from http//www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/ Gold, J. (2013). ACO is the hottest three-letter invent in health care. Retrieved from http//www.kaiserhealthnews.org/stories/2011/january/13/aco-accountable-care-organization-faq.aspx Kovner, C., & Walani, S. (2010, January). Nurse Managed Health Centers . nursing research network. Retrieved from http//thefutureofnursing.org/resource/detail/nurse-managed-health-centers-nmhcs M. Colette Carver,Anne T. Jessie. (2011, May). Patient-Centered Care in a Medical Home. The Online Journal of Issues in Nursing, 16(2). Retrieved from http//www.nursingworld.org/Main MenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-16-2011/No2-May-2011/Patient-Centered-Care-in-a-Medical-Home.html Swan, B. A. (2011, Nov.-Dec.). Health Care Reform Current Updates and forthcoming Initiatives For Ambulatory Care Nursing. Nursing Economic, 29(6), 331-4. Retrieved from http//eds.a.ebscohost.com.library.gcu.edu2048/eds/detail?vid=4&sid=d44f4649-8f31-43d2-bce8-b6a777bc1157%40sessionmgr4003&hid=4102&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3ddb=ccm&AN=2011388254 What is a medical home? Why is it important? (n.d.). Retrieved from http//www.hrsa.gov/healthit/toolbox/Childrenstoolbox/BuildingMedicalHome/whyimportant.html