Nursing Practice and Patient Care Delivery Styles are Changing
Name\ Institution\ Contents
1.0 Nursing Practice and Patient Care Delivery Models in Transition
3 1.1 Getting Started
3 1.2 Changes anticipated for medical homes 3 1.3 Changes anticipated for nurse-managed health clinics
4 1.4 Expected changes in the model of care
4 1.5 Changes to be Expected in Accountable Care Organizations (ACO)
5 2.0 Synthesis of feedback from nurse colleagues 5 2.1 First nurse colleague 6 2.2 Second nurse colleague 6 2.3 Third nurse colleague
7 3.0 Summary
8 References
1.0 Nursing Practice and Patient Care Delivery Models in Transition
1.1 General Introduction
The process of adopting the newly restructured U.S. health care delivery system would create an impeccable change to the healthcare administrators, nurses and many other people who contribute to healthcare services delivery. The new outline of nursing services deliverance will vehemently trigger a shift of nursing jobs from hospital to communal based systems. It acknowledges that hospital will be mainly available for the people with acute or severe medical urgency. The new model will foresee massive mass shift of nurses from hospitals to communal-based care. This research intends to undertake the education of the nurses on expected changes and growth, impacts of the change on the continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics (Kemper & Murtaugh, 2015).
1.2 Projected changes on medical homes
The newly redesigned nursing approach would integrate with medical homes or lead to their termination. They both share the need to deliver quality services to the people. The new changes would enhance the creation of the medical aid closer to people so that they co-exist with communities and thus health service deliverers would have follow-ups on their patients. The design of medical homes apparently is well designed to deliver all the aspirations of the newly redesigned changes in nursing practice (Watson, 2014). Provision of nursing aids in the communally based region will allow for the each patient having a near personal physician thus enabling the existence of prolonged relationship of a patient and physician. The new care will provide for quality and safety care just like medical home. The keeping of patient's record and history will be much easier just it is in the home care. Both practices will mainly co-exist only that the new care will immensely reduce the cost of accessing quality medical for the public and people in the lower class segment (Roper, Logan & Tierney, 2015).
1.3 Expected changes on nurse-managed health clinics
The effective adoption of the new U.S. health care delivery system may foresee closure of the nurse-managed health clinics. Without redesigning or formulating properly tailored medical products offered in the nurse-managed health clinics, patients will eventually opt for the communal nursing since it will be offering more quality care (Roper, Logan & Tierney, 2015). The nurse-managed health clinics will need to improve efficiency to the patients avail better services offered than the services offered in the proposed communal care.
1.4 Anticipated alterations on model of care
The adoption of the redesigned health care approach will enable the shift from episodic care model to the continuum of care. Many U.S. health cares have constantly practiced occasional care that consisted of people seeking medical help from health care, but there was no follow after treatment. Under episodic care, it is hard to treat a patient to full recovery. There are many cases where patients develop other medical challenges and dying after obtaining proper medical aid from competent and registered medical centers. The truth is that successful recovery of a patient depends on many factors that are available under communal care. Communal nursing allows for the correct storage and uses historical medical records or a patient. The family is always close-by thus the sick receive hope and consolation from family members as opposed to hospitalization that changes the environment of the patient (Salvage, J. (2013). The health specialist can advise the patient more effectively on issues of lifestyle and environment such as realizing causatives of diseases. Communal health care provides the conducive environment that is conducive to the satisfactory and continuous medical care to the recovering patients. It facilitates close follow-up thus leading to the enhanced life standards levels (Kemper & Murtaugh, 2015).
1.5 Expected changes in accountable care organizations (ACO)
The redesigned health care will merge well will the outlines of Accountable Care Organizations (ACOs). ACOs are units of health specialists, health care institutions and several other personalities who create alliances voluntarily to avail a harmonized high-quality facilities to their Medicare patients. They work in unions to prevent replication of medical services and deterring medical mistakes and facilitate timely well-timed and apt provision of medical care to the consumers of health care services. The new health approach will majorly change to communal care easily under which they will render their services but all other attributes that ACO shares with the new approach to the health care will remain functioning (Salvage, J. (2013). ACO has an excellent record of reducing the cost of accessing health care, providing rightful and needed health care, allowing the patient to select the health specialist to attend to him or her thus allowing for superior services like never before. The same aspirations are shared with the new approach to medical process (Roper, Logan & Tierney, 2015).
2.0 Summary of the nurse colleagues' feedback
This article is the summary of the feedback after sharing my presentation with nurse colleagues on my unit or department. I had asked 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. The summary also attempts to discuss whether their impressions are similar to what I wrote about on health reform.
2.1 First nurse colleague
The first nurse colleague expressed optimism in the health care changes. She felt that new roles of nursing were better than those under hospital care. She felt that nurses will have more time with patients and will impact on their patients positively to foresee quick recovery and constant increase in the health of the people in the country. She hinted that she had always been opposed to restrictive and episodic care offered in the hospital and felt that hospitals did not provide sufficient opportunity for assessing the patients' health status and background check. She felt happy that many patients will have more quality health irrespective of their financial status in the society. She felt that with the emergence of the communal-based nursing care, nurse clinics and medical homes will strongly reduce in number. She feared how the process of reorganization of management of nurses from hospitals to the community-based system.
Her impressions were similar to my perception as she noted that clinics and medical homes reduce in number. My thought was that clinics and medical homes would tailor their services effectively so as to continue existing in the health care market. However, she was adamant that new changes would sweep the clinics and medical homes away.
2.2 Second nurse colleague
My second colleague thought the expected changes in the nurse clinics and medical due to the restructure were far from being achieved. She thought the new restructure would demand grave reorganization and become sophisticated in implementation. The restructure required significant initial costs at family and at country levels to foresee implementation of successful changes. She thought many health care organization had invested heavily in facilities for presenting health care to people. The expected change would lead to significant reduction in the number of the patients in hospitals. She argued that hospitals would react by reducing costs thus allowing for the influx of patients back to the hospital. She thought that nurse owned clinics and medical homes would still exist. They would reorganize their products to suit the contemporary market, and thus health care change would be minute to effect significant alterations to the current situation. She felt that significant resources required to attain the restructuring were not easy to come by as the current pool of professionals in health sector may be hard to share amongst communal based organization or even household category equitably.
Her impressions were different from my thoughts. She felt that nurse clinics and medical homes were not yet to change, but I think the restructuring would mean negatively hamper nurse clinics and medical homes unless they adopt new measures to keep operating and serving the people.
2.3 Third nurse colleague
She felt that the many medical homes were functioning well and people who afford their services will continue streaming in. The new health care restructuring was very cost effective to the people who afforded it. She felt that the government's plan was aimed at helping the low-income earners in the society. The medical homes were admiringly patient-centered, comprehensive, coordinated, accessible and committed to quality and safety. She also felt that health industry was always alive and would continue as the population widened. Personal health care deliverers and nurses were far from being achieved. She felt that increasing cases of terminal illness such as cancer demanded close communal based services such as those proposed by the government. She felt that new roles accorded to the nurses under restructured health care were overly ambitious. Adaptation of the nurses to their new roles would present the gruelling challenge. She further felt that Present clinics and medical homes had established their roots effectively in the health care service segment.
The comparison and of her impressions and my thoughts reveals notable differences. She opposes new roles of nurses and thinks that many nurses would avoid government's plan due to many other factors. She feels the hospital nursing is well established and cannot be changed easily. I also think the change would take an immense time to the required resources to facilitate the change. She feels that medical homes and clinics will remain forever without interruption despite the restructuring of the new model.
Conclusion
In conclusion, the new model of restructured health care in the U.S. will foresee a considerable change in the medical care. The success of the plan depends on many other factors that the government considers. Several medical institutions face voluntary closure due to incompatibility to emergent model. Full adoption and facilitation of new nursing plan will ensure that people get vital and quality medical aid than experienced before. Nurses are likely getting more satisfaction from their jobs as communal care may prove effective and non-restrictive than before. The new model may present both positive and negative to the patients and health personnel.
References
Kemper, P., & Murtaugh, C. M. (2015). Lifetime use of nursing home care. New England Journal of Medicine, 324(9), 595-600.
Mor, V., Berg, K., Angelelli, J., Gifford, D., Morris, J., & Moore, T. (2013). The quality of quality measurement in US nursing homes. The Gerontologist, 43(suppl 2), 37-46.
Roper, N., Logan, W. W., & Tierney, A. J. (2015). The elements of nursing. Churchill Livingstone.
Salvage, J. (2009). The theory and practice of the'new nursing'. Nursing Times, 86(4), 42-45.
Watson, J. (2009). Postmodern nursing and beyond.
