...Future of Nursing Health care reform and technology are contributing factors affecting the future of nursing. The need to continue education for higher degree is becoming evident; nurses can no longer use the former mind- set traditional way to perform practice. Nurses need to be more flexible and be willing to incorporate new treatment options into their care. Nurses will continue to be guided by the use of nursing theories to promote quality care. Nurses need to become proactive in their education and in developing their leadership skills to remain competitive in their changing roles (Suhr, 2008). Evidence-Based Practice Historically, evidence based-practice (EBP) was used back to Florence Nightingale’s era and reinforced to current nursing practice. Nurses used to practice based on traditions and experiences by selecting nursing interventions to influence outcomes. Little scientific evidence supported clinical decision and expected outcomes during that time. EBP began to apply quality improvement studies to develop critical pathways and care in the early efforts to study interventions outcome (Mcdonald, 2001). “Evidence-Based Practice (EBP) combines information about the results of well-designed research, clinical expertise, patient concerns and patient preferences. EBP serves as the foundation in the form of a set of values, sources and criteria upon which to gain access to, select and critique knowledge for nursing practice” (Waite & Killian, 2010). Research...
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...The Implementation Of Health Care Reform Abstract The Patient Protection and Affordable Care Act provides for new professional roles and educational opportunities in nursing. As the number of insured Americans increases, so will patient numbers. Increased insureds will increase demands for nursing care as this legislation is fully enacted. The ways in which nurses can provide solutions for enacting the legislation and caring for the millions of newly insured Americans are discussed. The act also provides for professional training and development of advanced practice nurses to meet the demands of increased care and increased patient load. Keywords: healthcare reform, nursing education, nursing roles Significance Of Nursing In The Implementation Of Health Care Reform Healthcare reform has captured our time and attention during the past few months, it has been a long and heated discussion. As the healthcare and its underlying payment system evolve in the face of the new Patient Protection and Affordable Care Act; healthcare for all, a long time dream of many nurses, will be realized. This act requires all Americans to be covered by health insurance by 2014. Goals of the act are to not only enhance access to affordable care but also focus on wellness and prevention, bring care back to being patient...
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...the 2010 Institute of Medicine’s report on the future of nursing, leading change, advancing health and illustrating its impact on nursing education, practice and leadership. There is an ongoing transformation in the healthcare system necessitated by the need to achieve a patient centered care in the community, public, and primary care settings in contrast to previous times. Nurses occupying vital roles in the healthcare system, need improvements in the areas mentioned above to enhance needed reforms. Having reviewed the 2010 institute of medicine (IOM ) report on the Future of Nursing Leading Change Advancing Health, despite being a practicing nurse for a long time, I felt a renewed sense of call to duty. I felt better about my decision to go back to school to earn my baccalaureate degree and started to think of how I can use the knowledge I will acquire thereby, to empower myself, as related to my present field of practice and start effecting changes immediately in the areas of nursing education, practice and leadership as identified in the report, needing crucial, innovation and reform. As a nurse presently in the mainstream of practice, it is no doubt that nursing care delivery today is really impacted in so many ways, according to the report as follows. Nursing Education: We are in the 21st century whereby the nation is experiencing a lot of new trends and challenges in health, most especially as the population of older people is said to continue to increase in the...
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...The Uninsured Persons Access to Healthcare March 8, 2015 The Uninsured Persons Access to Health Care Health insurance is a luxury. This is something that has become apparent listening to the ongoing debate about healthcare reform. The Center for Disease Control and Prevention reports that in 2013 there were 44.3 million uninsured people under age 65 in the United States. The purpose of this paper is to discuss how these 44.3 million are able to access healthcare and how there lack of access is detrimental to everyone. The Uninsured Two-thirds of people who are uninsured are between the ages of 18-65, have a job and more than half of these older adults have an increased risk of serious health problems. Being uninsured breaks all gender and ethnicity barriers and affects mainly the poor or near poor (Mason, Leavitt & Chaffee, 2014). Uninsured people have less access to preventative services and have more trouble finding a doctor or finding one that will take them as a new patient than those with public or private insurance (Gindi, Kirzinger & Cohen, 2012). When they do seek out medical attention many times it is in an emergency room and there illness may be in more advanced stages which means that there treatment will be more expensive. According to the Agency for Healthcare Research and Quality (AHRQ) the average ER visit can cost around $1500, the subsequent bill for these visits can be difficult to pay when that is more than you make...
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...Professional Practice NUR3805 Dr. Kramer September 22, 2015 Economics and Change In March of 2010 President Obama signed the Affordable Care Act (ACA) into law. This act was to ensure that all Americans have access to healthcare. It provided coverage for pre-existing conditions, free preventative care, discounted medications for seniors and protected consumers against health care fraud. As health care professionals we had to accept and adapt to the change that was inevitably going to occur. This is going to be a collaborative effort on many different levels from nursing to case managers to nurse leaders. This act is going to require us to look at the way we charge for healthcare and how we are reimbursed for the care provided more carefully. The expectations are going to change for all involved with providing quality care to patients in any healthcare setting. The Affordable Care Act was not a spontaneous change but more of a mix between a developmental change and planned change. According to Blais and Hayes (Blais & Hayes, 2011, p. 254-255) “developmental change refers to physiopsychologic changes that occur during an individual’s life cycle or to the growth of an organization as it becomes more complex.” As a nation and a whole more and more people were not covered for health care or could not afford to pay for health care out of pocket. “More than 45 million American are uninsured, and as a result, they experienced increasing morbidity and mortality.” (Kocher...
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...Health Care Law, Regulations and Policy HCS/545 November 23, 2015 Health Care Law, Regulations and Policy Health Care law and legislation came about to define the scope of acceptable practice of clinicians, while protecting the public’s individual rights. Miller and Hutton states “Law can be defined as a system of principles and processes by which people who live in a society attempt to control human conduct to minimize the use of force in resolving conflicting interests.” When creating laws, conflicting interest often takes into consideration the basis ethical principles that includes autonomy, beneficence, nonmaleficence, and justice to name a few. Laws, particularly health care laws are often in the form of a statutes, such as the nurse practice act, that serves as a guidance for nurses to know what defines and limits our practice. As such, the law also regulates how statures must be enforced. Administrative agencies, such as the Center for Medicaid and Medicare Services under the auspices of the Health and Human Services, have created rules and regulations to enforce statutory laws. When we look at laws in nursing and other industries, it is an extension to address ethical issues that universally affects our society. Health care agencies are mandated to adhere to the rules that are created by regulatory agencies that can come in the form of laws, regulations, or codes, and are enforced through controls that make sure that these rules are adhered...
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...and competent nursing care is being provided. The Missouri State Board of Nursing consists of 9 board members who oversee that RNs and LPNs throughout the state are providing safe and competent care to the general public by following the Nurse Practice Act (“Board of Nursing”, n.d.). The Missouri State Board of Nursing is also responsible for the approval of applications for licensure after a graduate nurse has taken the NCLEX exam, as well as taking action against nurses who have demonstrated unsafe nursing care by suspension or possible revocation of their nursing license. Time range for the approval of an application in the state of Missouri is typically 30 to 45 days (“Board of Nursing”, n.d.). If an application requires further review, then the application could take up to 4 months to process. Nurses within the state of Missouri receive a two year license, LPNs renew on even years and RNs renew on odd years. Other things the Board of Nursing is responsible for include: “Approving nursing education programs, establishing nursing practicing guidelines from the regulatory standpoint, and developing policies, rules and regulations” ("Roles of State Boards of Nursing: Licensure, Regulation and Complaint Investigation," 2012). The Missouri Board of Nursing holds hearings and investigates any complaints of nursing care within the state that does not follow the nurse practice law. The board of nursing holds the authority to place an individuals’ nurse license on probation...
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...Future of Nursing? How will nursing in the future be impacted as a result of the Institute Of Medicine’s (IOM) report of 2010? Frank Gallegos Santa Fe Community College 10/27/13 The Future of Nursing? How will nursing in the future be impacted as a result of the Institute of Medicine’s (IOM) report of 2010? In 2010 the Institute of Medicine (IOM) put out a report that has already started to impact nursing today but is really going to affect the future of nursing. This report is going to have major effects on nursing in the future; it is going to effect the education requirements of nurses, nursing practices, especially in the primary care area and the role of nurses as leaders. Educational Requirements for Nurses As with everything in life, change is required for something to grow and prosper. Nursing is no different. With the aging workforce there is going to be a huge shortage of nurse and this is going to create major problems. According to the IOM, there is no conclusive studies that shows, a Bachelors in Science of Nursing (BSN) entry level nurse has any overall effect on patient outcome vs. an Associate’s Degree of Nursing (ADN). The BSN entry level nurse does bring into the field some valuable competencies like, health policy, health care finance, leadership, Evidence Based Practice (EBP), collaboration and teamwork. The higher level entry brings higher educated nurses that tend to go on to graduate programs that will bring more nurses in the fields of research...
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... Hospital management reform: a step to healthcare reform R. Peter Heine Stetson University E. Nick Maddox Stetson University Abstract Recent intensive dialogue and debate regarding healthcare reform has led provider administrators to renew their search for “best practices” around the country. Many organizations, particularly hospitals, because of their complexity, are seeking new paradigms that will improve their efficiency and effectiveness regardless of the outcome of the current reform debate. This paper suggest that implementing an organizational change model, specifically, socio-technical systems design, can lead to more teamwork, communications and improved patient service delivery in all areas of hospital operations. Within the STS frame, staff records detailed steps or unit operations in their patient care processes, and then engage physicians in determining what could go wrong in each of these unit operations. Finally, changing what happens or improving the way these steps happen can become a team effort involving both social (people) and technical solutions. The authors acknowledge the extreme difficulty of changing the dominant physicianfocused culture which would be the result of such a successful OD intervention. Keywords: hospital management, healthcare reform Hospital management reform, Page 1 Journal of Management and Marketing Research Introduction The healthcare industry is the subject of intense debate. Forces for and against reform are pitted against each...
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...national pressing questions on health and healthcare (About the IOM 2012). In 2010, the IOM after thoroughly reviewing the multiple factors and the changes that were about to take place in America’s healthcare system came out with some recommendations in a report. These recommendations will impact nursing education, nursing practice particularly in the primary care setting and the nurse’s role as a leader. This paper will focus on the future of nursing in the changing health care system to meet the IOM report goals. First, with the passing of the affordable care act (ACA) of 2010, more opportunities were created for nurses to practice to their greatest capacity because patients, in all settings, deserved care that is centered on their unique needs and not what is most convenient for the health professionals. (" The future," 2010). Preventive care and primary care services will be needed for new insurance holders as required by the ACA. In rural areas, patients can be seen by advanced practical nurses instead of primary care providers. Research has shown that most NP are capable with the supervision of physician to follow patients for chronic or acute illness. (Mundinger, M, et al 2000) Nurses can do home care and service the communities in which they operate. With the help of nurses many versatile innovations have taken place such as the expansion of national primary care capacity; improved access to care for the poor; respite and palliative care, including hospice (" The future...
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...Nursing: “Leading Change, Advancing Health” Introduction In brief report of Institute of Medicine (IOM) of october 2101 “ the Future of Nursing” states that the nursing profession is the leading agent of work force in health care today. With the implementation of the Affordable Care Act (ACA), which will entitle additional 32 million Americans to have access to health care, the nurses will need to be well educated and be prepared to meet the current and future demands of the health care system.( pg 271). In this paper I will be discussing the impact of the IOM Report on nursing education, on nursing practice, particularly in primary care, impact of the IOM Report on nursing role as a leader, and finally, how I as a nurse will implement these changes in my practice to meet the goals of the IOM Report. Impact on Nursing Education; With the evolving health care demands, changing and expanding nurses role in acute setting as well as in the community education plays most important part. In the IOM report the emphasis was placed on advancing nursing degrees, to make easy, seamless transition to advance nursing practices and to improve education system. Advancing Nursing Degree. First is advancing nursing degree by increasing the proportion of nurses with a baccalaureate degree to 80 percent by 2020, and double the number of nurses with a doctorate by 2020. ( pg 22). IOM directs health care organizations to encourage nurses to advance their degrees within 5 years...
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...Vietnam’s health care policy Vu Thi Hoang Lan [pic] COUNTRY OVERVIEW Viet Nam is one of the poorest of developing countries. Its state of comparative under-development is largely attributable to a history of war going back over 40 years, at first with French and subsequently with the American, which resulted in devastation of the country (Pract, 341:1). Official figures claim that the population of Vietnam is more than 87 million in 2009. This makes the country the 18th most populated in the world. Vietnam has a rapid population growth, the average growth rate of Vietnam's population is 2.23 %. Owing to its rapid population growth many fear that it has started becoming an obstacle in the development of the country. From 2001- 2006, in order to reduce the risk of population growth overcoming the food production, Viet Nam implemented the two- child policy, a similar program to the ongoing one-child policy of China (Asian room,1). Families are encouraged to have no more than two children. This program has taken effect and slowed down the growth rate of population significantly. Vietnamese average life expectancy has increased from 42 years old in 1960 to 74.6 years old in 2009. This data indicates population living condition and health care improved significantly (World Bank, World Development Indicators, 2011:1) HISTORICAL BACKGROUND The development of Vietnam’s national health system can be divided into three periods: 1945-1954; 1954-1975 and 1975 onwards. The healthcare...
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...Impact of IOM 2010 Report on the Future of Nursing Troy Bradley Grand Canyon University: Professional Dynamics June 7, 2013 Impact of IOM 2010 Report on the Future of Nursing In 2010, the Institute of Medicine (IOM) released its report The Future of Nursing, Leading Change, Advancing Health. This report addresses the opportunity the United States has to transform its health care system into a higher quality, safer, more affordable and accessible system since the enactment of the Affordable Care Act (ACA) (Institute of Medicine, 2010). There are many recommendations on how to bring about this transformation. Three specific nursing areas which could be affected by these are education, practice (particularly primary care), and nursing roles as leaders. Within these are also recommendations not just for future nurses, but for practical changes the nurse can make in everyday practice now. Impact on Education The report clearly recommends nurses should achieve higher levels of education and training. It emphasizes the need for more nurses to enter the workforce with a baccalaureate degree, or to obtain one early in their career (Institute of Medicine, 2010). This is a requirement many hospitals are already putting into place. It also clearly makes its case for an all-BSN workforce at the entry level, in order to have the uniform foundation for the future nursing roles that they envision. The committee believes the nursing workforce should be at 80% having a BSN by 2020. They...
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...THE IOM REPORT’S EFFECTS ON NURSING BY TA 11/24/13 The Institute of Medicine (IOM) report focuses on “Transforming Practice, Transforming Education, and Transforming Leadership” in which the goal of a transformed health care system is to provide higher-quality health care centered on the patient and their unique needs, to reduce errors, and increase safety (IOM, 2010, 87). The IOM report states “Nurses have the opportunity to play a central role in transforming the healthcare system to create a more accessible, high-quality, and value-driven environment for patients” (IOM, 2010, 85). In order to work towards this goal, the IOM places a major emphasis on education, the importance of collaboration with physicians and other health professions, and the importance of leadership in nursing practice to make the changes to allow for improvements. This paper will address the IOM’s impact on nursing education, the impact on nursing practice, and the impact on the nurse’s role as leaders to in order to transform the healthcare system. Nursing is a dynamic profession requiring lifelong learning to meet the needs of America’s complex health care system. To ensure safety and quality care, the IOM report places emphasis that the nurse is responsible to stay current on knowledge and practice in order to meet the ever-changing needs of patients. The report states that there is a dramatic shift in demographics, as we face an older and diverse American population with respects to race...
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...Professional Dynamics NRS-430V June 5, 2014 Review of the Institute of Medicine Report Nurses make up the largest group of healthcare workers in the country. They play an integral part in the medial profession. Nurses are an essential part of health promotion, quality patient care, and the efficient use of healthcare resources. As healthcare becomes increasingly multifaceted, are nurses prepared to take on a more substantial role? In 2010, the In Institute of Medicine (IOM) released a report that provided an outline on how to successfully transform the nursing profession. The motives for professional change include the emphasis on healthcare reform and public access to quality of care practices. Some of the recommendations of the IOP report include removing barriers to practice and care, more opportunities for nurses to become leaders, and increase nursing education (Robert Wood Johnson Foundation and Institute of Medicine, 2010). The IOM report suggests that nurses should practice to their full range of their education and training. Guidelines regarding a nurse’s scope of practice vary because licensing and practice rules are different in each state. For example, some states allow Advanced Practice Nurses to treat patients and prescribe medications without a physician’s supervision and some states do not allow this practice. As a result, the tasks Advanced Practice Nurses are allowed to perform are not determined by their education and training but by the particular...
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