Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Reflection on the future nursing practice
The Affordable Care Act (aka Obama Care) essay
Elements of the Affordable Care Act
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Reflection on the future nursing practice
Building an Improved Infrastructure for Collection & Analysis of Nursing Workforce Data Healthcare Reform 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... ... middle of paper ... ...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
...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.
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.
Institute of Medicine (2010). The future of nursing: Leading change advancing health Retrieved from http://books.nap.edu/openbook.php?record_id=12956&page+R1
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:
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
About 32 million people will represent the newly insured, affecting the health care system and nurses are the fundamental in health system. Health care reform is positive for nurses. The health care bill provides money for advance practice and general nurse education. The law also creates a grant program for innovative safety net programs, such as nurse-managed health clinics. Due to the shortage of family Physicians, nurse practitioner programs are going strong. The health care reform is a good opportunity for nurses; the law will permit different approaches to deliver primary care and with the decreasing number of physicians going in to primary care, Nurses represent the best way to provide primary care to the millions of new insured people. (Satowski, 2010)
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
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,
The challenge comes from consumers (patients) that have learnt the quality of service expected from health care providers (Arah, Klazinga, Delnoij, Ten Asbroek, & Custers, 2003; Ellerbe & Regen, 2012). This tends to increase the pressure on the nursing profession especially with an increase in health care insurance covers (Arah et al., 2003; Ellerbe & Regen, 2012). The basic concept of the ACA was to ensure that middle and low-income earners will afford healt...
All these processes will not only aid in creating a healthcare model based on the clinicians wants, but also based on better data from the research which will eventually help to direct them towards the right direction. For nurses to achieve a higher education for nurses the reasonable rate is a big factor for whether the nurse has to continue on higher education or not. The goal of IOM research is to increase the doctoral degree of nurses by 2020. The IOM research also points out the problems for a position in a rural area and recommends incentives for such traditional educational expenses which are going to benefit both the patient and the nurse.
“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 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
Being a registered nurse affords one the option of working in many diverse healthcare settings. In any practice setting the climate of health care change is evident. There are diverse entities involved in the implementation and recommendation of these practice changes. These are led by the Robert Wood Johnson Foundation (RWJF), the Institute of Medicine (IOM), nursing campaign for action initiatives, as well as individual state-based action coalitions. Nurses need to be prepared and cognizant of the transformations occurring in health care settings as well as the plans that put them at the forefront of the future.
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).