Growth in the Practice of Nursing and Patient Care Delivery Models
The practice of nursing is expected to continue growing and changing given the reform initiatives that are taking place in the healthcare system. Some of the factors that are contributing to these changes and growth in nursing practice include the restructuring of healthcare delivery system, increased healthcare costs, increase in demand for nurses, nursing shortage, and increase in the patient population. Given these factors, nurses are expected to continue assuming a wide range of healthcare responsibilities because of the complexities in patient care delivery or caring for the sick (Tiffin, 2012). It is expected that as nursing practice continues to change and grow, new models of patient care delivery will emerge. As nurses, we need to understand these changes/growth and the emerging patient delivery models in order to enhance our practice.
One of the patient care delivery models that will emerge because of expected changes and growth in the practice of nursing is Accountable Care Organizations (ACO). ACOs entail the collaboration between healthcare facilities, primary care clinicians, clinical specialists, and other healthcare professionals towards improving the quality and costs of care delivered to patients. Patient care delivery in the future will be dominated by ACOs given the increased shared cost savings between these organizations and Medicare programs (Haney, 2010). ACOs are likely to receive financial rewards and bonuses if they achieve some quality and savings objectives. The dominance of ACOs in future patient care delivery processes will be supported by the leadership roles assumed by their stakeholders towards coordination and implementation of care, especially to disadvantaged populations.
Secondly, patient care delivery in the future will be dominated by medical homes whose role will involve coordinating healthcare services across different settings and between different providers, especially in primary care practice. While medical homes are similar to ACOs, their emphasis will be on care and services that are specifically within the scope of nursing practice. Through medical homes, nurses will be recognized and become crucial leaders and members of the healthcare team. The basis for the emergence of medical homes will be to provide and/or...
Key Issues in Nursing Informatics Since as early as the 1980s, information technology, computer science, and nursing science have all been integrated under the rubric of nursing informatics: with the goal of improving patient care and quantifiable outcomes (Kaminski, 2015). Nursing informatics has also enabled the entrenchment of evidence-based practice in healthcare. Key issues in nursing informatics include the ongoing changes to hardware and software, the need to align various informatics
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I also added, honestly, that the family members who had changed their ways actually felt better on a daily basis, as well as had a better prognosis in terms of their health. This was the true essence, I stated, of "loving life" in my opinion. I tried to make him see what he was going to have to do after his operation as a gain, rather than a loss.
Many advocates of the move feel that lower patient to nurse ratio would lead to additional savings because it would reduce nurse turnover rate, lawsuits, complications and length of stay. Nursing unions in the state of California have asked for a PTN ratio of 3 to 1. The health association however agreed on 5 to 1 which sound more reasonable than the originally proposed 10 to 1. (Rothberg, 2005) Patient
Patient Care and the Nursing Profession From January of 2012 until the present day, I have worked as an LPN. During that time, I have been in pediatric homecare, where I monitored and cared for children on ventilators and with tracheotomies. My experience also includes hospice care for people of all ages, from children to the elderly. Doing this type of work has greatly influenced my career and the decision to
Nurse-to-Patient Ratios in Illinois The Facts For many years the ongoing nursing shortage has required nurses to work longer hours and care for more patients, causing many of them to make fatal and near-fatal mistakes on the job that could have otherwise been avoided. Illinois has attempted to remedy this situation by enacting The Nurse Staffing by Patient Acuity Law on August 24, 2007 ("The Nurse Staffing by Patient Acuity Law," 2012).
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