...The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by CCNE and AACN using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, their specific care discipline, and their local communities. As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform. A minimum of three scholarly references are required for this assignment...
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...Evolving Practice of Nursing and Patient Care Delivery Models The Speech Hello, my fello nurses. Thank you for being here at the Summit of Nursing Evolution. My name is Chhay Yann-Ly and I am a nurse. We are living in an era where the United States (US) health care system is going through tremendous changes and challenges, with sky-rocketing health care costs, fragmented and poor quality of care, high volume of aging population, and passage of the Patient Protection and Affordable Care Act (PPACA) in 2010. A summary of the PPACA is basically to improve the health care delivery system, expand coverage, and control cost (Democratics Senate Gov/Reform, n. d.). With these changes, comes the evolutionary nursing professional transformation process. This speech is a crash course on the evolving practice of nursing and patient care delivery models. The goal of this speech is to discuss the continuity or continuum of care in relation to accountable care organizations, medical homes, and nurse-managed clinics health care models. Since nursing is the backbone of health care, all of these care delivery models require a robust nursing contribution for success (American Nurses Association (ANA), 2010). The first model is the accountable care organizations (ACO). ACOs is a “shared savings” with Medicare (part A & B). The ACO, according to the ANA (2010), is “a collaboration among primary care clinicians, a hospital, specialists and other health professionals who accept joint responsibility...
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...Benchmark Assignment: Evolving Practice of Nursing and Patient Care Delivery Models The Evolution of Nursing Practice To my colleagues, the health care system has begun a decade of transitions that, for the nursing profession, promise to change the practice of nurses, expand current nursing roles and create new ones, and provide many opportunities for nurses to participate in shaping the future delivery system. With the passage of the Affordable Care Act (ACA) in 2010, care delivery and financing systems are undergoing significant transformations that will accelerate in 2014, when major provisions of the legislation are implemented. The purpose of the this letter is to explain how the practice of nursing is expected to shift and to also discuss the concepts of continuum of care, accountable care organizations (ACO’s) medical homes, nurse-managed health care clinics (NMHCs). Under the Accountable Care Organizations, strategies will be developed to align the goals of health care delivery reorganizations, enhance care coordination, and improve patient transitions across the care delivery continuum. Expansion of medical care homes, NMHC’s, and enhanced coverage for preventative care services will help to shift the delivery system's current focus on acute care to a greater emphasis on prevention and treatment of chronic care conditions using health care teams and information technology. Medical homes, sometimes referred to as NHMC’s, are identified as a concept that began in pediatrics...
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...Evolving Practice of Nursing and Patient Care Delivery Grand Canyon University: NRS 440V Jane Smith Evolving Practice of Nursing and Patient Care Delivery Hello fellow nurses, welcome to our Professional Nurse Evolution summit. My name is Jane Smith and like you I am a registered nurse, I work at the bedside. I always thought I’d live and die as a staff nurse at a busy level 1 trauma center in the inner city but recently I’ve looked up from the bedside and I see opportunities knocking at my door, and I see a way to help the community in which I serve in a different role. The practice of nursing is changing, growing, shifting in other words: transforming. Over the next decade, we will see nursing move from the acute care setting and into the community. I would like to discuss with you the concepts of accountable care organizations (ACO’s), medical homes, and nurse-managed health clinics, and continuum of care. Our health care system landscape is changing; no longer are we just treating illness, our health care system has evolved to one of disease prevention and wellness. With the signing of the Patient Protections and Affordable Care Act (PPACA), an additional 30 million Americans now have access to affordable and equitable health care (Institute of Medicine [IOM], 2011). The rising cost of health care and the sheer volume of those needing health care has led to reinventions in our care delivery models. According to the American Nurses Association (ANA), an ACO’s is a...
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...Evolving Practice of Nursing and Patient Care Delivery Tara Lee Grand Canyon University: Trends and Issues in Today’s Health Care July 1, 2012 Dear Nurses, Currently, health care systems are undergoing a complete transformation to help better accommodate patients by providing them with affordable high quality care. These transformations are a direct result of The Patient Protection and Affordable Care Act of 2010 (PPACA), which includes several provisions to intertwine cost effective care with quality. Health cares current arrangement is fragmented, lacking individual responsibility for the coordination and quality of patient care. By designing inducements for integrated care delivery models and disbursing funds for coordination and quality care, the law is attempting to restore health cares resource allocation while rewarding quality of care over volume of care. Consequently, nurses must become adjusted to the reorganized health care system because they are intricate part patient care and outcomes, as well as being fundamental to the attainment of emerging patient-care delivery models (ANA, 2010). The purpose of the this letter is to explain how the practice of nursing is expected to shift and to also discuss the concepts of continuum of care, accountable care organizations (ACO’s) medical homes, nurse-managed health care clinics (NMHCs). PPACA recognizes the potential leader role for the advance practice registered nurse (APRN) in new integrated care...
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...Philosophy of Nursing Auburn University School of Nursing Abstract: This paper explores the personal nursing philosophy I plan to convey in my nursing career. I believe the nature of nursing is rooted in commitment to public service and the undeniable desire to help those in need. Nursing is more than treating an illness; rather it is focused on delivering quality patient care that is individualized to the needs of each patient. My philosophy of nursing incorporates the knowledge of medicine while combining it with relational, compassionate caring that respects the dignity of each patient. I believe nursing care should be holistic while honoring patient values. A crucial aspect of nursing is interprofessional relationships, and collaborative efforts among healthcare professionals promote quality patient care. My philosophy of nursing extends to my community in which health promotion is something I will continually strive for. Personal Philosophy of Nursing For as long as I can remember I have been overwhelmed with a longing desire to care for those in need, and I feel this ultimately led me to the career choice of nursing. I feel most fulfilled when I am serving and caring for others, and my personal nursing attitude is one that is centered on compassion and service. According to Merriam-Webster’s online dictionary (2012), a philosophy is “an analysis of the grounds of and concepts expressing fundamental beliefs,” and before entering to the profession of nursing, it is important...
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...How might nursing practice change as a result of evolving nursing theory? The evolution of nursing theory has begun to revolutionize how nurses train, apply, and practice their profession. The nursing profession has moved from dependence upon total medical direction providing basic care into an independent practice modality with its own nursing theory practice, nursing models, and distinct nursing interventions. If nurses are to be as effective as possible in helping to provide high quality patient care, they will need to be better prepared as care becomes more complex. There is a need for more nurses with advanced degrees to provide primary care. Continuing education to help nurses retain clinical skills and develop leadership skills is critical to this change. Studies support a significant association between educational level and patient outcomes (Reinhard & Hassmiller, 2012). Evolving and emerging nursing roles for the new millennium is evitable. (Burggraf, 2012). Developing new and more advanced roles for nurses will improve access to care and help contain costs. It will also better prepare nurses to care for people and deliver care to the fullest extent of their education and training. Nursing is at the heart of patient care and is therefore crucial to changing the way health care is delivered. Nurses are the linchpin for health care reform and will be vital to implementing systematic changes in the delivery of care (Reinhard & Hassmiller...
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...Discussing the future of nursing theory can bring up a wide outlook of the direction of nursing. Everyone has different views and interests concerning nursing’s future. In this discussion, we will cover some of the opinions of what has driven nursing theory development, what will drive future development in nursing theory, and how might nursing practice change as a result of evolving nursing theory. According to "Nursing Theory" (2011), “The nursing profession has evolved greatly over time, moving from dependence upon total medical direction providing basic care into an independent practice modality with its own nursing theory practice, nursing models, and distinct nursing interventions” (Nursing Theory).The requirements of nursing education have grown greatly. Nurses used to only take care of basic ADL’s of patients. Today, many nurses have more knowledge than the physicians working with these nurses. It is only logical that nurses have their own set of theories and models that guide their nursing practice. Nursing theories increase the general knowledge within nursing through research implementation. Theories provide the basis for nursing practice, helps to generate future knowledge, and indicates in which direction nursing should develop. Nursing theories are an attempt by the nursing profession to continue within the professional boundaries of nursing (Nursing Theory, 2011). Nursing theory has also been driven by the advanced educations available to nurses. Advanced education...
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...Philosophy of Professional Nursing Kim Lopez American Sentinel University Philosophy of Professional Nursing The profession of nursing is sculpted by philosophies, theories and science. Theses components connect on another through the nursing process. The professional nurse’s philosophies shape practices, beliefs and nursing. Butts and Rich (2015) describe philosophy as a search for meaning and a set of beliefs. Nurses encounter many situations where their philosophies and beliefs guide their nursing judgment and decisions. As the nursing profession has evolved from a profession of skills to one of knowledge it is important to understand the overall discipline and the knowledge that motivates the thought and actions of the nurse (Butts & Rich, 2015). The development of theoretical formulations by nurse scholars has guided efforts to identifying what the core beliefs of nursing are. Theory development can be traced back to the writings of Florence Nightingale’s notes on nursing which altered the status of nursing from that of a domestic service to that of a profession (Selanders & Crane, 2012). When reflecting on my personal and profession philosophy, I found that looking at the traditional metaparadigm of nursing that includes person, environment, nursing and health (Butts & Rich, 2015) aided me in connecting my personal reflections, values, and beliefs with my professional outlook on my nursing practices. Personal Philosophy Nursing, for me, is more than a profession...
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...Professional Development of Nursing Professionals In 2010 the United States Government passed into law the Affordable Care Act (ACA). Passage of this act enacted broad sweeping changes across the health care system focusing on expanded coverage, control of health care costs and improvement in the health care delivery system (Kaiser Family Foundation [KFF], 2013). This represents the largest change to the nation’s health care system since 1965 with the creation of Medicare and Medicaid programs (Institute of Medicine of the National Academies [IOM], 2010). As the “largest segment of the health care workforce,” nursing is at the forefront of these historic changes and as such, plays an integral role in the successful implementation of the ACA (IOM, 2010, p. 1). In order for nursing to be the leading agents of change, the nursing discipline itself must undergo a transformation to meet the challenges that lie ahead in the following three categories, nursing education, nursing leadership and nursing practice in the primary care setting. As new medical therapies are being developed at a rapid pace and the sweeping effects of the Affordable Care Act role out, nursing is called upon to take on more complex roles in the care of patients. “To respond to these demands of an evolving health care system and meet the changing needs of patients, nurses must achieve higher levels of education and training” (IOM, 2010, p. 7). In its 2010 article “The Future of Nursing: Leading Change, Advancing...
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...Professional Development of Nursing Professionals The nursing profession plays a vital role in the nation’s health care workforce. Currently there are 3 million members thus it is imperative that nursing be ready to respond to the rapid evolving health care system. The Institute of Medicine (IOM) worked over 2 years to produce a report that would be available to make recommendations and serve as an action-oriented blue print to the nursing professionals. This paper will discuss the impact on nursing due to the recommendations on the IOM report regarding transforming education, transforming practice, and transforming leadership. (Institute of Medicine, 2011) Impact on Nursing Education The IOM report made a key point in which “nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression” (Institute of Medicine, 2011, p. 164). As the year’s progress it is vital that nursing education be transformed to stay current with today’s evolving health care. The IOM reports that even though the nursing profession must be transformed to work in a variety of complex settings however, they recognized that the primary goal of nursing education should still be that nurses prepared to meet diverse patients’ needs; function as leaders; and advance science that benefits patients and the capacity of health professionals to deliver safe, quality patient care. (Instiute of Medicine, 2011) The IOM report emphasized...
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...The Impact On Nursing of the 2010 IOM Report On The Future Of Nursing GBUllet, RNC Grand Canyon University: NRS-430V Professional Dynamics As the largest single profession in US healthcare, Nursing plays a major role in the healthcare delivery in both rural and urban areas. The nursing profession is a work in progress and constantly evolving. Nurses in this era in many ways are far different than what it was at its inception. Today’s nurses must embrace change and incorporate evidence based medicine, creativity and the enthusiasm with discipline. Currently nurses are limited with their ability to deliver care with the changing healthcare practice in US. In order to be an effective participant in the evolving and transforming healthcare system, The Robert Wood Johnson Foundation (RWJF) and Institute of medicine (IOM) launched an initiative in 2008 which created a report with eight recommendations for the future transformation of the nursing profession. The IOM report had 8 key recommendations for the future of nursing. The following key messages were the framework for the recommendations. * Recommends that nurses should be able to practice to the full extent of their training and education * Recommends that nurses should attain higher levels of schooling and training through an enhanced education system that encourages seamless academic advancement...
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...Outline Professional Needs for Nursing Today I. Introduction A. Thesis Statement: Although masters prepared nurses must be knowledgeable in today’s health care environment, it is essential to comprehend the significance of collaborative teamwork, evidence based practice, graduate level communication with professionalism, computer literacy and the necessity of life-long learning. II. Reasons Interdisciplinary and Collaborative Teamwork is Essential to Nursing Today A. Safe healthcare environments i. Reduction of errors made in delivery of care ii. Collaboration of more knowledge B. Produces safe healthcare providers iii. Encourages further learning iv. Assists in the prevention of mistakes III. Reasons for Evidence Based Practice C. Enhanced patient/quality care v. Reduction in variation of nursing care vi. Utilization of proven research for change vii. Change from tradition based to science based model D. Empowering nurses viii. Expanding nursing skills/critical thinking ix. Improvement in job satisfaction IV. Ways QSEN Promotes Nursing Professionalism E. Initiative x. To integrate quality and safety competencies into nursing education. F. Goal xi. Nursing professionals are provided with the knowledge and tools needed to deliver safe, effect, and patient-centered care. G. Focus xii....
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...Some patients are required to pay a sliding scale discount fee based on their income and the number people in the family. Community Health Care Centers provide comprehensive and cost effective primary care and supportive services that promote access to health care. These centers accept health insurance and also provide services to the uninsured on a sliding fee scale. I learned that both these centers provide service to patients that over extends what the hospital or doctor office is able to...
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...Running head: HEALTH PROMOTION IN NURSING PRACTICE Health Promotion in Nursing Practice Student Name University Name Date In the past health was defined as simply the absence of any illness of disease. There was never any thought about what might be happening to a person under the surface. Later the definition of health was changed to include not just the absence of disease but also a person’s mental well-being. Health promotion is the attempt to bring about improvements in a single person’s health status or even an entire community’s health status (Tabers, 2005). Health promotion in nursing practice is brought about through the actions which help people to maintain their health. No longer do nurses simply hand out information. Instead nurses actually promote change in their patients. The patients that nurses teach may not be receptive to the change, but with the nurses encouragement the patient gains knowledge which eventually brings about better health. The nurse is present throughout each stage of acceptance continuing to guide and educate when a patient reverts back to old behavior (Edelman, 2009). The nurse’s roles and responsibilities are evolving in health promotion because society is evolving. The care of patients has become much more prevalent within communities instead of just in hospitals. People also receive care in their homes much more often now than in the past where all care took place in a hospital. Nurses use evidence-based...
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