The law is trying to repair the resource allocation of health care, while compensating quality of care over quantity of care. To accomplish this, they are creating incentives for combined models of care delivery and distributing funds for proficient and quality care (Haas, 2011). Accordingly, because nurses take on an elaborate role of patient care and outcomes, they must adapt to the restructured health care system (Haas, 2011). The rationale for this speech is to describe the anticipated shift in nursing practice and to examine the models of continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health care clinics. In addition to recognizing them as important contributors of primary care services, the PPACA acknowledges the prospective leadership responsibility for the advance practice registered nurse (APRN) in the innovative care system (U.S. Government Printing Office, 2013).
DNP graduates will be prepared for a variety of nursing practice roles because the DNP Essentials addressed the foundational competencies that are core to all advanced nursing practice roles. For example, by integrating research into practice with the use of Essential VII: Clinical Prevention and Population Health for Improving the Nation’s Health. The implementation of clinical prevention and population health activities is central to achieving the national goal of improving the health status of the population of the United States. Consistent with these national calls for action and with the longstanding focus on health promotion and disease prevention in nursing curricula and roles, the DNP graduate has a foundation in
2). The research they conducted reveals the drastic, and undisputedly daunting, undertakings that will be needed to enhance the nursing profession, and enable growth in the evolving healthcare challenges ahead. The IOM reports that nurses need to be better educated, have a broadened scope of practice, one in which they can practice to their fullest extent, and they must be encouraged to take leadership roles, becoming active participants, and voices for change in healthcare reform. With so many changes that are already taking place, and more to come, the question about nursing remains, what is immediately needed for nurses to cope with the adjustments of healthcare, and how can we prepare the nursing community to better be able to navigate through the changes? According to the IOM report (2011), changes in nursing care must begin by having a direct impact on education, practice, and nursing leadership of today.
Introduction: In recent years, healthcare environment keeps on evolving. Thus, to adapt these changes, leadership skills are crucially required to create a guideline for the new generation of nurses (Zydziunaite 2012). It helps them to anticipate what is being expected from them in the clinical area. Leaders with appropriate skills could display their action and be a role model to empower others and influence them to follow (Jones 2007). Burke (2011) described that with appropriate support and leadership, the potential of all team members can be achieved.
“Key message #2” in the IOM report states nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression”("Institute of Medicine of the National Academies(IOM)," 2011, p. 163). Education tracks are changing to make it easier and more convenient to achieve a higher level. There are multiple tracks to a nursing licensure, such as diploma, associates degree, and bachelor’s degree. Once these are accomplished there are many advancing education degrees or graduate degrees that are popping up everywhere. The push for further education is due to the thought that the ever growing population of aging people and the need for more care outside the acute care setting will cause a shortage of properly educated nurses.
Introduction Nursing from Nightingale era to the present world has merged as one of the noblest profession, with distinct advancement in nursing research, practices and education. These added enhancements are incorporated by nursing philosophies and theorys that contribute to nursing. Nursing theory is a foundation to any nursing program. It assists as a framework for the practising nurse to learn and apply into the nursing profession, to achieve positive outcomes in practice and client response. Definations and correlation between asumptions and relationships are evolved from the nursing models to provide a systematic approach in the delivery of patient care via describing, explaning, predicting and prescribing (Mckeena, 1997).
As more responsibilities are added to the practice so is sophistication which incorporates new theories, techniques, skills and tools into the practice in order to provide health care services and meet the needs of the consumer. Roles are changing leading to the development of many new programs designed to prepare the nurse to use new skills and assume new responsibilities. Furthering education will help gain an understanding of the evolution of the profession to its current standing. As I take this journey
The intent of EBP is to improve the quality of the care that is delivered to the client. This increased knowledge, whether it is correct or incorrect, is a motivating factor for nursing professionals to have current and correct information available when working with clients in making healthcare decisions. Healthcare professionals, especially nurses, are the touch point of health care and are the key to cost effective quality care. To ensure that decisions are based on sound information nurses must utilize EBR. As technology and research in health care expands, EBP is becoming essential in delivering high quality patient care.
The report put out by the IOM not only discusses the impact that nurses can have in the future of healthcare but also encourages higher education so as to be better equipped to meet the growing demands and challenges of healthcare that affect the American population. With an increasing number of an aging population, chronic illnesses, increased health disparities and increasing diversity, nurses have an opportunity to be used to their fullest potential, as delineated by their scope of practice. What impact does
Historical Development The future of nursing: campaign for action is “rooted in the recommendations of the landmark Institute of Medicine report, the Future of Nursing: Leading Change, Advancing Health”. (Campaign for Action, n.d.). The Future of Nursing: Leading Change, Advancing Health addressed 4 key changes needed in the health care system such as: • “Nurses should practice to the full extent of their education and training • Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression. • Nurses should be full partners with physicians and other health care professionals in redesigning health care in the United States. • Effective workforce planning and policy-making require better data collection and an improved information infrastructure.” (Campaign for Action, n.d.).