Benchmark Assignment: Evolving Practice of Nursing and Patient Care Delivery Mode
please see attachment. Please use only new references no more that 5 yrs.
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 restructure 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 less 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 changes. 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 responses 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.
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment
Evolving Practice of Nursing and Patient Care Delivery Mode
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Evolving Practice of Nursing and Patient Care Delivery Mode
Introduction
Medical costs have increased over the years due to emergence of new diseases and infections as well as development of complex conditions. Costs are further increased by growing population. This has implication on the future outlook of medical sector whose some services are financed by the government. Costs will continually grow and hence resources may be inadequate to provide sufficient and quality services. The government is adopting nursing and patient care deliverystrategy to minimize costs while simultaneously improving quality or services. This involves prevention of diseases and will deploy more health practitioners to community level. This model will have change and grow nursing practices since most staff will be nurses. This paper aims at educating on nursing practices by discussing concepts of continuity of care; medical homes; accountable care organizations (ACO); and nurse managed health clinics.
Concepts of continuity of care
Continuity of care is concerned with attainment of high quality nursing practices towards patients. Continuity of care is defined differently in various fields and hence would have varied outcomes on implementation. In nursing practices it has two elements: continuity of experience of patient with the service provider, and continuity of this experience over time. There are three forms of continuity of care namely: informational, relational and management(Reid, Haggerty&McKendry, 2002).Informational continuity involves use of information from earlier events and situations so as to enhance present care offered to a patient as well as his or her conditions. This information is what links care of a provider or event of heath at a later date. Relational continuity is about on-going healing relationship between patient and nurse which should link the past, present and future care on a patient. This builds patient loyalty and implies nurses should be responsible and maintain close contact. Management continuity is about nurses providing service at right time or as would be complementary following a set plan. This ensures consistency though should be flexible to accommodate changes in patient needs. Continuity of care need to be measured against desired standards to monitor or improve quality of services.
Accountable care organizations (ACOs)
ACOs are groups of health professionals, institutions as well as other care-givers who join hands with willingness to provide well organized and high quality care to patients. There are several ACO groups through which nurses would render services to patients. ACO could compose of doctors, nurses, hospitals and other health care givers(CMS.gov, N.D). Through ACOs, care to patients would be well coordinated especially in cases of chronological health conditions. This enables patients to obtain timely and right care. Moreover, ACOs enable prevention of medical mistakes or avoiding undesired duplication in service provision. Success in providing high quality care coupled with wise spending of health care finances would cut down significant medical costs. This is the operational principle for ACOs and implies nurses play an important role to realize it.
Medical homes
Medical homes aim at providing comprehensive primary and preventive care designed to fit conditions and needs of patients. For this reason they are referred to as patient-centered medical homes. These homes aim at making health care more accessible through practices such as long hours with patients and wide communication between patients and care givers, for instance, via telephone calls(NCSL, 2012). Moreover, medical homes coordinate care better, improve quality of services and reduce costs. Services in medical homes are provided by nurses and other medical practitioners such as nutritionists, social workers and pharmacists. Medical homes may not use same strategies though aim at achieving similar objectives. To ensure success of medical homes, an efficient information system is necessary to build well-coordinated network since service delivery is more physical or virtual. An efficient payment system is also necessary.
Nurse managed health clinics
These are clinics headed by advanced or experienced nurses that provide health care services especially to people and patients in rural areas or underserved places. People in this regions have generally limited access to services offered in hospitals that would be located at far distances. Moreover, most patients served at these clinical are not insured through various medical schemes(HRSA, 2010).Usually these clinics operate under nursing institutions and universities or other authorized non-governmental bodies. Nurse-managed clinics are not aimed at making profits and provide services such as primary care and prevention of diseases. They are also teaching sites for learning students and hence would provide onsite education to learners. Students received are from accredited colleges, universities, nursing department and other federal health institutions.
Advancing in Nursing
Various scholars and authors have described various issues and constraints that affect the capacity to incorporate the services of an advanced nursing practitioner. Various issues have been uncovered in this respect and they include constraints related healthcare systems, environmental constraints, and practice setting. The various implications for practice, policy, and education are also discussed. Constraints to advanced nursing practice as well as the issues that influence the ability to implement advance practice in clinical setting have been described in literature for almost as long as advanced nursing practice roles have been in existence. There are two detailed basic categories of factors that influence practice according to one nurse consultant; first, there are internal disputes relating to the roles and responsibilities of Nurse Practitioners versus those of Clinical Nurse Specialists; second there external constraints which are basically related to issues of public policy. Identifying these issues and constraints is important in that the related educational programs can better prepare the graduates in a proactive manner for the practice realities as well as enable graduates to practice their preparation to the full extent. Of particular interest is the fact that there exists confusion about the various roles as there is evident misuse of terms as well as inconsistent educational preparation and titling. Asked about the interpretations about the roles of advanced nursing practice and its purpose, the second nurse, Ms. Voggh identified is lack o...