...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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...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. 1. 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. 2. 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. 3. 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. 4. A minimum of three scholarly references are required for this assignment...
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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 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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...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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...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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...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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...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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...Quality patient care hinges on having a well educated nursing workforce. Research has shown that lower mortality rates, fewer medication errors, and positive outcomes are all linked to nurses prepared at the baccalaureate and graduate degree levels.- American association of colleges of nursing In October 2010, the Institute of Medicine released its landmark report on The Future of Nursing, initiated by the Robert Wood Johnson Foundation, which called for increasing the number of baccalaureate-prepared nurses in the workforce to 80% and doubling the population of nurses with doctorates. The expert committee charged with preparing the evidence-based recommendations contained in this report state that to respond “to the demands of an evolving health care system and meet the changing needs of patients, nurses must achieve higher levels of education.”- AACN In March 2005, the American Organization of Nurse Executives (AONE) released a statement calling for all for registered nurses to be educated in baccalaureate programs in an effort to adequately prepare clinicians for their challenging and complex roles. AONE’s statement, titled Practice and Education Partnership for the Future, represents the view of nursing’s practice leaders and a desire to create a more highly educated nursing workforce in the interest of improving patient safety and providing enhanced nursing care. –AACN * Nurses with bachelors degree have better outcomes and lower mortality...
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...Development of the Advanced Practice Nurse 1 Role Development of the Advanced Practice Nurse Julie L. Mitchell RN, BSN Grantham University NUR 506 Advanced Practice Nursing Dr. Ludella Brown DNP February 3, 2014 Role Development of the Advanced Practice Nurse 2 The role of the Advance Practice Nurse has changed drastically over the years as we have moved closer to a goal of professionalism, recognized by society. Professionalism in nursing has been evolving since the days of Florence Nightingale. For most of the 20th century nursing was considered a profession in progress by sociologists (Bucher & Strauss, 1961; Etzioni, 1969). Nurses have been striving toward professionalism and the autonomy that defines it for decades. Society, nursing shortages, the healthcare industry’s need to provide save, quality health care while maintaining financial stability, and many other factors have shaped a path of opportunities for nurses today. Advanced Practice Nursing has been evolving to meet our society’s healthcare needs for decades. Nurses have been and will continue to be the driving force of these changes and our ability to manage change and move to a new conceptualization of advanced practice nursing will define our success or failure in meeting societal needs in the future (Denisco & Barker, 2013) Society and the healthcare industry have offered opportunities for recognition of and institutional credentialing of Advanced Practice Nurses. The role...
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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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...Implementation of the IOM Future of Nursing Report Grand Canyon University Trends and Issues in Health Care NRS-440V August 09, 2013 Implementation of the IOM Future of Nursing Report In 2010, Patient Protection and Affordable Care Act provided many people access to previously unavailable health care coverage. The goals of the reform are to make health care accessible and affordable to all Americans by controlling insurance costs by making rates similar across all states, standardizing coverage and ensuring that quality care is delivered at all times (Graszkruger, 2011). The health care system and nursing are evolving. The reform provided nurses an important opportunity to lead in the changes. The largest sector of the health care industry workforce is nursing with millions of members (IOM, 2011). The Robert Wood Johnson Foundation (RWJF) and the IOM collaborated over a two-year period starting in 2008 in the evaluation of the importance of changes in nursing in relation to the transforming landscape in health care. IOM chose a committee that came up with outlines of the necessary changes that nursing needs to make to meet the increasing needs of the system. The committee was tasked with the development of recommendations that will address the need for nurses to be active participants in the design and implementation of efficient and effective health care system. The committee came up with the following four areas of focus for nurses: maximizing their education and...
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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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...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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