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More handpicked essays just for you.
Patient protection and affordable care act and nurses
The role of nurses in healthcare delivery
Nurse's role in healthcare delivery
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The entire healthcare system needs to be reformed to improve the quality outcome. Nurses play a vital role in caring for the patients. Thus, in the evolving practice, the nurse’s role also provoked to advance in patient’s care. The reforming health care system focusing on disease prevention and disease management. Hence, the cost-effective, disease prevention and management nurse’s role is imperative in many areas includes hospitals and communities. Healthcare reform proposed nurse’s challenges and opportunities. The Patient Protection and Affordable Care Act (PPACA) provide nurses new openings to deliver quality care. Nurse Practitioners able to practice full extent of their education in many states. According to Affordable Care Act (ACA), insurance companies must follow the changed policies and financial barriers to promote patient-centered care. For health promotion and prevention new models of care and delivery system required. This paper will discuss the models of continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics. However, in order to deliver these outcomes, there is high requirement for nurses and their practice and …show more content…
Advance Practice Nurse has the skills and knowledge to provide direct patient care. The ACA looking forward to strengthen and increase the number of the advanced-nursing workforce. The Laws and practice regulations vary with states for allowing NP to practice full extent of their skills and knowledge. In many states Advance Practice Registered Nurse (APRN) can work independently without physician’s supervision. Some states NP cannot prescribe medications independently but can practice. Number of studies (Newhouse P, et al, White KM, et al and National Governors Association) indicated the NPs can provide safe, quality effective care same as physicians (Erickson, F.
In 2011, Barbara Safriet published an article “Federal options for maximizing the value of Advanced Practice Nurses in providing quality, cost-effective health care” from a legal perspective. The article focused on the benefits of utilizing Advance Practice Nurses to the full extent of their abilities as well as the current barriers that APNs encounter in their practice. The aim of this paper is to discuss two regulatory provisions to full deployment of APNs in current health care system, as well as three principle causes of current barriers to removal of the restrictive provisions for the APN. Furthermore, I will discuss the critical knowledge presented in the article and how it relates the APN practice. This article was incorporated into a two-year initiative was launched Institute of Medicine (IOM) and by the Robert Wood Johnson Foundation (RWJF) in 2008 which addressed the urgency to assess and transform the nursing profession.
Nurses have a considerable amount of responsibility in any facility. They are responsible for administering medicines and treatments to there patient’s. While caring for there patients, nurses will make observations on patient’s health and then record there findings. As well as consulting with doctors and other healthcare professionals to plan proper individual patient care. They teach their patients how to manage their illnesses and explain to both the patient and the patients family how to continue treatment when returning home (Bureau of Labor Statistics, 2014-15). They also record p...
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.
Donald Trump idea of banning abortions will cause a huge problem for women across America. According to the “Anti-abortion protesters hope for change under Donald Trump article,” women and men who join the “March for life” are protesting change in the abortion laws. The author gives different views of people’s opinion about Trump banning abortions, and explains Trump’s plans to do to the pro-life justice supreme court and Republican government. Anti-abortionist is working together on getting rid of “Roe v Wade” by making it known worldwide. Roe v Wade is “a landmark decision by the U.S. Supreme Court that declared a pregnant woman is entitled to have an Abortion until the end of the first trimester of pregnancy without any interference by the
It also proves that there should some retaining accountability in quality of care to individuals receiving healthcare. Aim is team work , planning, implementation , progress measuring of health care consumer within the organization.Promots continuous ongoing education of all healthcare providers.ANA provides some leadership qualities as nurses can act as a mentor to other colleagues for the improvement of nursing as a profession and quality of care. In leadership important personal qualities are communication and ability to resolve conflicts. So treat others with full of respect ,dignity and trust. Should consider the effectiveness of communication and ways to improve autonomy and accountability of nurses. Work under the influence of polcies and procedures and involve the patients and profession. Decision making bodies are taking the role for the sake of improve the healthcare outcomes and the professional practice improvement. In public health sectors there should be interprofessional team and that should be advance the nursing practice in interpreting the role for community as a whole. Also nureses can teach other staff members and patients. Pomoting good and healthy working atmosphere between local, national , international communities. Leaders are exhibiting the quality of flexible changing style and creativity according to the situation. They should be energetic in their action and also should accept the mistake by self and others . Other quality is co-ordination of care because in health sectors there is licensed and unlicensed nurses so there should co-ordination among staff members. Work as administrative team. Promote communication among staff members through written messages , publications and presentations. Promote direction to improve the effect of the multidisciplinary or interdisciplinary
It is no secret that the current healthcare reformation is a contentious matter that promises to transform the way Americans view an already complex healthcare system. The newly insured population is expected to increase by an estimated 32 million while facing an expected shortage of up to 44,000 primary care physicians within the next 12 years (Doherty, 2010). Amidst these already overwhelming challenges, healthcare systems are becoming increasingly scrutinized to identify a way to improve cost containment and patient access (Curits & Netten, 2007). “Growing awareness of the importance of health promotion and disease prevention, the increased complexity of community-based care, and the need to use scarce human healthcare resources, especially family physicians, far more efficiently and effectively, have resulted in increased emphasis on primary healthcare renewal…” (Bailey, Jones & Way, 2006, p. 381). The key to a successful healthcare reformation is interdisciplinary collaboration between Family Nurse Practitioners (FNPs) and physicians. The purpose of this paper is to review the established role of the FNP, appreciate the anticipated paradigm shift in healthcare between FNPs and primary care physicians, and recognize the potential associated benefits and complications that may ensue.
In most aspects of life the saying “less is always more” may ring true; however when it comes to providing quality care to patients, less only creates problems which can lead to a decrease in patient’s quality of life as well as nurse’s satisfaction with their jobs. The massive shortage of nurses throughout the United States has gotten attention from some of the most prestigious schools, news media and political leaders. Nurses are being burnt out from their jobs, they are being overworked and overlooked. New nurses are not being properly trained, and old nurses are on their way to retirement. All the while the rate of patient admissions is on the rise. Nurses are reporting lower satisfaction in their job positions and hospital retention rates are at an all-time low, conversely this is affecting all patients’ quality of care. As stated in the article Addressing The Nurse Shortage To Improve The Quality Of Patient Care “According to an Institute of Medicine report, Nurses are the largest group of health care professionals providing direct patient care in hospitals, and the quality of care for hospital patients is strongly linked to the performance of nursing staff”.
Typically NP’s provide health services in rural areas where they are the only source of medical services and this had n...
Nurses have many different roles which include promoting health, preventing illness, and the daily care of patients in all different kinds of settings. It is important for nurses to treat the whole patient and address not only the acute concern but all factors that contribute to the patients’ health and well-being. We are each responsible for our health, and it is the role of the nurse to help their patients be accountable for their health. Nurses have also to ensure
On March 23, 2010, President Barack Obama signed into law the Patient Protection and Affordable Care Act (PPACA), a piece of legislation that seeks to improve the American health care landscape in a variety of ways. The PPACA strives to increase access to affordable insurance coverage while working towards structural and other changes that will keep future healthcare costs under control. The common goal, and the one concept that is unanimously accepted is the aspiration to improve the quality of care for all citizens across the United States at the highest of standards.
Anderson, A. R., & O’Grady, E. T. (2009). The Primary Care Nurse Practitioner. In A. B. Hamric, J. A. Spross, & C. M. Hanson (Eds.), Advanced Practice Nursing an Integrative Approach (4th ed., pp. 380-402). St. Louis MO: Saunders.
Since the 1990’s, the interest in nursing and the profession as a whole has decreased dramatically and is still expected to do so over the next 10-15 years according to some researchers. With this nursing shortage, many factors are affected. Organizations have to face challenges of low staffing, higher costs for resources, recruiting and reserving of registered nurses, among liability issues as well. Some of the main issues arising from this nurse shortage are the impact of quality and continuity of care, organizational costs, the effect it has on nursing staff, and etc. However, this not only affects an organization and community, but affects the nurses the same. Nurses are becoming overwhelmed and are questioning the quality of care that each patient deserves. This shortage is not an issue that is to be taken lightly. The repercussions that are faced by both nurses and the organization are critical. Therefore, state funding should be implemented to private hospitals in order to resolve the shortage of nurses. State funds will therefore, relieve the overwhelming burdens on the staff, provide a safe and stress free environment for the patient, and allow appropriate funds needed to keep the facility and organization operational.
Our group definition of health showed that health is broad and consists of objective and subjective parts. In contrast, the king’s interaction model (theory of goal attainment), the purpose of nursing is to help people maintain, or restore health by mutually goal setting. Her view towards the concept of health are easy to understand, but difficult to realize because the role of nurses is based on the health needs of patient, family, community and population. The other needs of patient, family and community will be resolve by nurses giving patients referrals or follow-up for care to other professionals. These health needs exclude health disparities and inequities in vulnerable population that nurses serve. Also, these health needs include reciprocal
Nursing entails self- directed and cooperative health care for the society at large in all contexts. It includes the promotion of appropriate practices to enhance health, prevention of diseases,
To briefly summarize, the report acts to identify nurses as an important faction in enabling access to high quality, affordable health care. This was supported by the development of four fundamental recommend...