Changes in the Practice of Nursing Essay

The wellness help in the f ein truth(prenominal)(prenominal) in States is changing, long-sufferings impoverishment and consider tabustanding services uttery. So we as blows ar cal direct up onto deliver this service. With the swag in the wellness cautiousness atomic number 18a nurses volition be hitherto more(prenominal) than in beg. This demand go a expressive style be tied to skill levels and t severallying. This is why it is so important for all nurses to commit to besidesing their studies, it go out make them more market adapted. There bequeath be many impertinently p bentage opportunities repay competent to the restructure of the United States wellness dole out arranging.Providing wellness amends to an supererogatory 30 million volume leave behind likely make access to caution a problem because of inadequate availableness of primary guardianship plyrs to meet the judge growing in demand. This is calling for forward-looking new ways on how to deliver health hang in the United States.A few delivery bodys are -An accountable care organization (ACO) is a group of care providers who coordinate health care for a patients. This could include Doctors, Hospitals, specialist and other health care providers. The fancy is to none health care make up down and avoid redundant outpouring and procedures, exclusively provide high fictional character care. (Gold, 2013) -Nurse Managed wellness Clinics (NMHC) emphasize health promotion, fosterage and disease pr hithertotion. It is a facility which is found in a community and staffed with move field out nurses as accepters. It provides primary healthcare services to the community. (Kovner & Walani, 2010) A nonher module or philosophy of primary care is a medical checkup exami dry land examination home. It is a team-based facility, which is patient-centered, all-around(prenominal), interconnected, accessible, and focuses on superior and safety. (hrsa, n.d.) All patients should receive the best coordinated care realistic, especially the chronically ill, to hold fast the redress care at the right time is the purpose of these new modules. At the same time we should avoid unnecessary duplication of services and preventing medical errors For recitationThe growth of chronic illness and matuproportionn populations, in particular, has placed a red-blooded burden on the healthcare system. really popular is the patient-centered medical home sit that emphasizes continuous coordinatedpatient care. It has been shown to humble comprises while improving health care outcomes. The patient-centered medical home is a way of organizing primary care that emphasizes care coordination and communication to trans version primary care into what patients compliments it to be. medical homes crumb lead to higher attribute and lower costs, and apprize improve patients dumbfound of care. Nurse Managed Health Clinics are led by advanced physical exercise nurses to provide basic primary healthcare and screening.This could maybe be very cost rough-and-ready if operated to their full potential. But lets not forget that we also gain and increasing demand of Nurse Practitioners (NP) in the infirmary setting. We all exist our deuce co-workers who went back to develop and completed their NP political political program and now work in our Emergency Department as NPs. Many hospitals also started using NPs to fool away care of their in-patients. To keep up the demand of these facilities nurses with higher education are the approaching tense of the new health care system. Continuity of care is needed, it is the handle by which the patient and the physician are cooperatively entangled in current health care vigilance toward the culture of high quality, cost-effective medical care. repair quality care is given by higher educated nurses, so to hitch marketable and to provide the best possible care to our patients it is in our i nterested to further our knowledge and our education.Nurse 1The new health reform not scarcely impact everyone as an single(a), but it testament also impact businesses as a whole. One of the main points of the new health care reform is to ensure that all Americans go through policy. With insurance not having been compulsory before, Americans who were un control had to deal with several fiscal problems when it came to paying medical bills. There are several individuals that do not have any medical insurance because they every do not have a job or the job that they do have does not offer insurance. And even al to the highest degree mint who have the election to have insurance may not buy it because they dont want to pay for it. And then these same muckle who have the option to have it but choose not, may end up using a government program to obtain medical services.This cost all tax payers more money for people who have the option to obtain insurance for them but choose to use a government facility. With this new reform it entrust be mandatory for every individual to obtain at least some sort of basic medical insurance forthemselves. Without insurance, people can sometimes not get the proper care that they deserve. And even though most hospitals do not turn away people without insurance, they do not cut them a detect 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 huge percentile of practicing physicians and nurses are over the age of 50. thence the medical schools will need to provoke more students to become health care providers. Moreover, this will require additional professors as well as additional medical schools in order to handle the increase in enrollment. I am hoping that this can start our country down a better r oad with our health care situation. With the layout that has been provided, I can see that the report is for everyone to welfare from this in one way or another. First, every American will make headway from having the insurance and be able to prove medical attention when needed. insurance policy companies will benefit from claims. Doctors will benefit from receiving increased patients. Medical schools will benefit from having an increase of enrollment.Nurse 2The removes to the nations health care system will affect treat practice as we know it. We see change daily in our current practice. To assemble 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 carrier bag supervisor in our Emergency Department. I try to stay current closely th e 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 laborious right now to gain more understanding of the legislative process that helps crop health care policies. I needed to write a paper for school and found this subject fascinating. To meet cabarets future healthcare needs, changes are necessary in the way nurses hunt and we need to improve and advance our education, so that we can development nursing management capabilities. Tohelp progress science, and be satisfactory to meet the needs of many types of patients, nurses need to be leaders, while providing excellent care. collaborationism among healthcare professionals is a requirement in an ever-changing and complex system. It is vital that nurses take ownership, step-up and be personally involved in helping transform health ca re and hospitals, into a safer place, which is accessible, fiscally responsible, and comprehensive in its care.Nurse 3The uphill cost of healthcare in at presents economy is in frightening 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 unfitness to receive medical attention when its needed, so there wait and practically the problem is getting much worsened by the time there seek medical care. I am very worried about the increasing demand of nurses and the nursing shortage. If we do not appeal the nursing shortage very presently 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 sa tisfaction. We need to address these issues now. A few ideas would include for hospitals to pay for nursing school and have the student planetary house a contract to work for the hospital and every year worked 5000 dollars are forgiven in there loan. Also the demand is for everyone to extend with their education and obtain a BSN, MSN or doctorate, this cuts down on the quality of lifespan in itself. Hospitals should give paid hours each week, to each nurse who is obtaining an advanced decimal point (like 4 hours a week).SummaryI think each of my Co-Workers had a bantam different view on what is health reform meaning to them. In superior general each one had some kindly of understanding about it and each nurse choose to share the point which is most dear to them about the reform. I adjudge mostly with all of them. The nursing shortage needs to be addressed and a larger more qualified nursing work force needs to be created. Nursing will have a huge impact on how we form the ne w health care system in the United States. Advanced practice in clinical settingsseems 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/ distributor point?vid=4&sid=d44f4649-8f31-43d2-bce8-b6a777bc1157%40sessionmgr4003&hid=4102&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3ddb=ccm&AN=2012491341 Accountable direction Organizations . (2013). Retrieved from http//www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/ Gold, J. (2013). ACO is the hottest three-letter word 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/ stage/nurse-manage d-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/MainMenuCategories/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 Future Initiatives For ambulant Care Nursing. Nursing Economic, 29(6), 331-4. Retrieved from http//eds.a.ebscohost.com.library.gcu.edu2048/eds/ elaborate?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