The reviews that I got for my presentation makes the connection of the changing nursing practices and the Affordable Care Act of 2010. This piece of legislation created a new era for health professionals. It helped open up opportunities in developing a health care system that is more patient-centered. Before this law the health care system in the country laid great emphasize on the acute and specialty care. The reviews were direct in pointing out the different areas where the changing nursing practice would focus on. These include need to address chronic conditions, care coordination, transitional care. Prevention and wellness, reduction of the occurrence of adverse effects. New care focusing on aging population such as long-term and palliative care that had been on the rise was noted to be one of those care systems that would thrive in an era involving new opportunities and changing nursing practice.
The reviews were keen in pointing out that the healthcare system was a very dynamic landscape and the ever-changing characteristics of the population would demand the system remodel into offering patient-centered care unlike the much prevalent specialty care. The nature of system of care would shift from the acute care setting to offering care within the community. To match all these changes, the reviews pointed out that nursing was likely to be most affected. One review specifically noted the path that the nursing field has taken from the times of Florence Nightingale. Modern nursing as we know it has been a result of the profession’s versatility and adaptive capacity. Its capacity to withstand change has been a supporting force for the health care sector.
Factors facilitating the changes in the nursing Professional
While in my feedback I was not specific on the changes in the care delivery, through the reviews this was clearly brought. There was a general agreement that care delivery was one of the many factors that would power up changes in nursing practice. The development of facilities such as ambulatory surgery centers and retail clinics that operate outside the hospital environment was an indicator of some new opportunities in a wider scope unlike the past. In supporting this, one review noted that between 2010-2011, only about 77% of new nurses got their first engagement as nurses in hospitals as compared to 89% in 2004-2005. This was considered a sign that nursing was moving towards offering more holistic care approach that include home visits and direct interaction with the community.
The call for continued education
The reviews offered a new angle into why the changes in the nursing practice were bound to happen by highlighting the new wave among the nurses to further their education. Most nurses strived to earn an RN-to-BSN. This was said to be in line with a call by the American Association of Colleges that believes that quality patient care was dependent on well-educated nursing personnel. The nurses were to found to enhance their academic achievement as a way of responding to the evolving healthcare system and equip then to meet the volatile patients’ needs.
Evidence of changing practice
All the review were in supported and added on the issues that I had earlier identified in my presentation. A look into reviews on the acute care continuum, it was a common understanding that hospitals and health systems strived to work together and position themselves with respects to various partners to form an integrated continuum of services. The continuum is helpful in eliminating the common assumption that just by being within a single hospital, all cares were well coordinated. Acute-care continuum provided a means to enhance the coordination amongst the providers and physicians from different specialties to ensure that best practices were put in work.
The reviews were in agreement with my presentation on Accountable-care organizations. These model was discussed as a provider-managed model that put focus on promoting costs and improving quality outcomes. The health care providers’ shifts focus into the most financial efficient means of offering the care and in a manner that promotes the quality of services offered. ACO saw healthcare providers embark on utilizing technology as a means of improving the cost and quality. The reviews added on the three important components of Accountable care organizations. These include; central goal of reduction in costs and enhancing better quality of health care, should have process-level strategies to help attain desired outcomes and carry out a structural change to pave way for the process-level changes. ACO were found to have some minor variations amongst themselves in terms of organizational structure, ownership, and patient care attention.
Another insight that what was added into the review was regulatory barriers that hinder the full explosion of the changes in the nursing practice. The restrictive scope of practice regulations that may be different in different regions.
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