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The Future of Nursing: Leading Change, Advancing Health
Charity Hathaway
Grand Canyon University: NRS-430V
July 1, 2013

The Future of Nursing: Leading Change, Advancing Health
The world of nursing is constantly changing to meet the needs of health care in the United States. As it evolves, nurses are instrumental in this transformation process. According to the Institute of Medicine’s report on nursing’s future, nurses will play a critical role in providing quality care at a lower cost. As legislation is moving health care away from acute and specialty realms, there is a higher demand in primary care centered environments. (“Future of Nursing,” 2010). There is also a substantial aging population with the baby boomer generation that will need long term and palliative care. (“Future of Nursing,” 2010). According to three health care systems, Veterans Affairs (VA), Geisinger Health System and Kaiser Permanente, emphasis has been put on registered nurses and nurse practitioners to see if moving them into primary practice environments would assist in the delivery of their outcomes. The results from all three health systems showed impressive results with the end result being that of higher quality care and lower economic costs. (“Future of Nursing,” 2010). In order to achieve this outcome, patient to nurse ratios would need to be decreased to meet the demands needed by other disciplines to ensure that optimal care is being given to the patient. With a lower patient load, there would be more time available to focus on the patient from all aspects of care. Implementing a discharge nurse to facilitate the needs of the patient in a timely manner would assist in keeping costs down. The collaboration of case management and the discharge nurse working together would help alleviate the need for readmission. These implementations would meet the goals of the IOM’s report....

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