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Reflection on the future nursing practice
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The Affordable Care Act (ACA) was passed in 2010 with the goal of expanding healthcare coverage to all Americans by reforming insurance policies and practices (Tillett, 2011). The ACA upsurges the demand for an increase in primary care providers in order to supply quality care to the much larger population that will have coverage and therefore acquiring healthcare. The Institute of Medicine (IOM) through its report The Future of Nursing: Leading Change, Advancing Health has generated a solution to the shortage of primary care providers by promoting a transformation of the nursing profession to fill the gap.
The IOM report had four key messages needed for advancing the future of nursing. “Nurses should practice to the full extent of their education and training; achieve higher levels of education and training through an improved education system that promotes seamless academic progression; be full partners, with physicians and other health care professionals, …and; effective workforce planning and policy making require better data collection and an improved information infrastructure” (Institute of Medicine, 2011). The report also included eight recommendations needed to facilitate the necessary changes to in the nursing profession so meet to demands of the healthcare reform.
The purpose of this paper is to explore recommendation # 8: Building an improved infrastructure for collection and analysis of interprofessional workforce data. This recommendation falls under IOM’s key message # 4 which indicates the necessity of better data collection and improved information infrastructure for effective workplace planning and policy ma...
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...g Change, Advancing Health. Washington, DC: The National Academies Press.
Moulton, P. L., Wiebusch, P. L., Cleary, B. L., Brunell, M. L., Napier, D. F., Bienemy, C., LeVasseur, S. A., & Cimiotti, J. P. (2012). Toward standardization (Part 2): national minmum data sets consensus building and implementation status. Policy, Politics, & nursing Practice 13(3), 162-169. Doi:10.1177/1527154412466920
Noone, J. G., Cleary, B. L., Moulton, P., Wiebusch, P. L., Murray, J. L.,Yore, M., & Brunell, M. L. (2010). Toward standardization (Part 1): assessment of state and national nursing workforce data sources. Policy, Politics, & nursing Practice11(3), 173-183. Doi10.1177/1527154410390521
Tillett, J. (2011). Practicing to the full extent of our ability: The role Nurses in healthcare reform. The Journal of Perinatal & Neonatal Nursing 25(2), 94-98. Doi: 10.1097/JPN.0b013e318217ed3c
Association, A. N. (2010). Nursing Scope and Standards of Practice. (2nd ed.) Maryland: American Nurses Association. Retrieved January 20, 2014 from http://media.wix.com/ugd/8c99f2_4fde86431966e34f2e03bbb137edfee3.pdf
...atistics, U.S. Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, “Registered Nurses”, on the Internet at http://www.bls.gov/oco/ocos083.htm, 17 Dec. 2009. Web. 09 March. 2012.
During this same time, Medicaid and Medicare programs were growing rapidly and increasing the number of individuals covered, such as to low income individuals, the disabled, and the elderly. The abrupt expansion of coverage caused the demand of primary care services to skyrocket. With physicians no longer able to meet the growing demand, nurses stepped to provide medical care, and soon believed that were qualified to broaden their role and scope of abilities. In 1965, a nurse and physician, Loretta Ford and Henry Silver, recognized the need for a training program, and developed the first curriculum for nurse practitioners. Since then, the role of nurse practitioner has rapidly increased in response to the expanding and growing need for accessible and affordable care and is currently ranked as one of the fastest growing professions in healthcare.
National Council for the State Boards of Nursing, APRN background, (2012). Report of the nursing policy and legislative efforts. Retrieved from https://www.ncsbn.org/428.htm#Nurse_Practitioner_Certification
Stokowski, L RN, MS (2010) Healthcare Reform and Nurses: Challenges and Opportunities; Medscape News; Nursing Perspective. Retrieved September 16, 2011 from: http://www.medscape.com/viewarticle/721049
U.S. Department of Health and Human Services. (2013, April). The U.S. nursing workforce: Trends in supply and education. Retrieved March 10, 2014, from http://bhpr.hrsa.gov/healthworkforce/reports/nursingworkforce/nursingworkforcefullreport.pdf
Zerwekh, J., Claborn, J. (2006). Nursing today: Transitions and trends (pp. 343-346). St. Louis, Missouri:
Different institutions have reacted to the Affordable Care Act, which has also been brandished Obama Care (Ellerbe and Regen, 2012; Healy, 2010; McLaughlin, 2005; Gibson & Singh, 2011). In the nursing profession, the Affordable Care Act (ACA) has aroused mixed reactions and issues that tend to conflict with nursing profession (Ellerbe & Regen, 2012). Ellerbe and Regen connote that while ACA has a set of important implications, the nursing profession is increasingly a competitive environment that “emphasizes on the importance of positive patient outcome” (p. 210).
This article is skeptical of mandated nursing ratios, and discusses some outside factors that may be biasing the other studies I plan to cite. This article's strengths are that is from a peer-reviewed journal and written by a recognized expert, which makes it a credible source. Rather than simply supporting or opposing mandated maximum ratios, it introduces the idea that the other ratio studies may have missed some important considerations. The main drawback to this source is that it's a short article and doesn't go into a lot of detail. I may have to end up using other sources to supplement the ideas it proposes.
The profession of nursing is always regarded as complex, dynamic and noble. The nursing profession requires many things such as hard work, vast knowledge, excellent communication skills, and a passion for the noble profession. All these qualities are needed to be an effective nurse. Today, nurses are living in a world of ever changing field of medicine. The present patient statistics pose, nurses are expected to take responsibility of accomplishing the requirements.
There has been a drastic cut in both the Medicare and Medicaid reimbursement rates. According to Robert (2012), “cuts of more than $360 billion to Medicare and Medicaid will be made over the next 10 years. The focus of nursing needs to emphasize more on wellness care and prevention rather than acute care” (McNeal, G., 2012). Nursing practice will need to shift more towards community and population focused nursing. Baccalaureate prepared nurses are provided with a curriculum that includes both community health and leadership skills that are not included in the associate program. By encouraging associate’s degree nurses to obtain a bachelor’s degree in nursing, an increase in the awareness of the needs of the community and population may be seen. The IOM report has outlined the anticipated obstacles that healthcare will face if changes are not made. By allowing nurses to provide care within their full scope of practice, quality care may be provided at an affordable cost to the population. The use of advanced practice nurses in primary care may provide quality, access, and cost efficient healthcare to high-risk populations and possibly decrease hospital admission rates, thus lowering the overall cost of healthcare. If nurses partner with doctors and other healthcare providers, it may improve healthcare by providing seamless transitions (Institute of Medicine,
“A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care settings and an evolving health care system” (Institute of Medicine [IOM], Report Brief, 2010, p. 1). In order to understand the capabilities and limitations of today’s nursing profession, the Institute of Medicine appointed ‘The Robert Wood Johnson Foundation (RWJF)’ to conduct a 2-year study to compel recommendations for nursing practices. “The future of Nursing: Leading Change Advancing Health” published in October 2010, included eight recommendations for advancing the nursing profession (IOM, Report Recommendations, 2010, p. 1). These recommendations encompassed four major key messages to improve nursing education,
In today’s healthcare system, nurses play an integral part in the delivery of care and are a strong workforce within this system. Nurses are not only part of the healthcare team but also are leaders in healthcare change (Hassmiller, 2010). The passing of the 2010 Patient Protection and Affordable Care Act is drastically changing the healthcare delivery system (Hassmiller, 2010). Nurses need to recognize and understand that collectively they have a significant impact on healthcare. Nurses are a part of the solution to achieve improved patient outcomes, patient safety, and cost effectiveness (Hassmiller, 2010). Education is key to the development of strong nursing leaders and care givers (Hassmiller, 2010).
In the healthcare industry, nursing is underrepresented in the development of healthcare policies. Current nursing practice depends on the use of standardized nursing terminology and documentation to accurately communicate and identify nursing diagnoses, nursing care provided, and interventions that were performed within healthcare disciplines. The essential solution to making nursing more visible, having necessary data to adequately measure the direct effects, and retrieve associated nursing care costs is to attach nursing care services with each patient. Minimum data sets for nursing are vital classification systems necessary to categorize the practice of nursing and they allow consistent collection of essential nursing data that provide
To briefly summarize, the report identifies nurses as an important factor in enabling access to high quality, affordable health care. This was supported by the development of four fundamental recommendations. The first suggests that nurses be allowed to practice within the scope of their degree. This becomes evident in the differences in state laws that pertain to nurse’s who have acquired advanced degrees, such as the nurse practitioner.... ...