reform or restructure some aspect of the health care delivery system
Describe the effect of this on nursing practice and the nurse’s role and responsibility.
Discuss how quality measures and pay for performance affect patient outcomes.
Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
Research emerging trends.
Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.
Cite 3 peer review article as it relates to nursing no less than 5 years old . Write paper in APA 7th edition format and cite appropriately
ANSWER
Reforms in Nursing and Nursing Practice
Reforms in Nursing and Nursing Practice
There have been numerous and effective reforms in the healthcare system, especially regarding nursing practice and nurses’ responsibility. Various reforms in the last decade have included the Affordable Care Act (ACA), popularly known as the Obama care, and the most relevant Pay per Performance (Gaffney & McCormick, 2015). The former was initiated under the Obama presidency that sought to ensure every citizen in America was under a health insurance cover. The latter has focused on quality over quantity. Pay per Performance has focused on improving the focus of nurses in administering health care services to their patients (Pappas & Welton, 2015). it is patient-oriented and puts the value of the patient first. However, these reforms have had various effects on nursing practice in terms of their roles and responsibilities. For instance, nurses have transformed from their traditions ‘as many as you can help’ approach to medicine and have adopted care at the personal level. This ensures that the nurses have a closer relationship with their patients, enabling them to monitor their progress effectively. Their roles and responsibilities have also been centered mainly on the outcome of the patient. This ensures that they are at their utmost profession to render the needed quality care.
Like the Pay per Performance, these reforms have also promoted quality measures and medical attention for patients. Pay per Performance allows the patients to receive better healthcare since the system is based on payment upon receiving quality and satisfactory medication (Buchman et al, 2017). Patients are constantly kept in touch with the progress the doctors are making. The confidence between the patient and the nurses has also improved under this reform since patients can have a personal interaction with their caregivers. They can ask any questions and suspicions in case of any misunderstanding. This helps build trust between the two parties. Patients also have the privilege to complain if they feel that the quality of care they are receiving is not satisfactory. Their grievances and cases are attended to immediately, and the matter resolved to their liking.
Consequently, the pay-per-performance reform also affects nurses in their own way. For instance, there is a high level of expectation in terms of performance attached to it. A nurse is expected to perform at his/her optimal peek while attending to every patient (Buchman et al., 2017). This reform does not put in regard the instances that nurses may be at fault as they are, after all, human. It means that they have no room for error whatsoever. It also means that the ‘customer is always right’ and ‘what the customer wants always gets.’ Unfortunately, this cannot be the situation as the nurses know better than the patients they serve.
Different professional nursing roles and management have developed over time to address the emerging trends in the healthcare system while promoting healthcare safety, especially in diverse situations. According to the Duquesne University (2020), Technology and nursing management are constantly changing as technology continues to improve and become more effective. For instance, technology has promoted 3-D printing that is used to recreate human tissue. The introduction of Electronic Health Records (HER) has also helped nursing with the storage of patient information and easy retrieval. Such emerging trends have seen nurses attend seminars and enroll in schools again to keep up with technology as it is crucial to their Performance and some of their responsibilities. Nurses are also trained to understand situations associated with nurses and patients coming from diverse backgrounds. Nurse leaders and managers are taught to promote diversity within their settings and be all-accepting regardless of the background of their patients and the nurses they lead.
Nursing and nurse’s role will transform in the future to address emerging trends in the following ways. First, the nursing management will be structured to address not only the cultural background of their staff and patients but also their sexual orientation. As members of the LBGTQ community continue to receive bias treatment from different organizations and institutions, soon the situation will change, and the healthcare institution will be on the leading frontline. The second one will be promoting quality assurance by nurses per the guidelines of the Joint Commission by looking at incident reports and making the necessary reforms.
References
Buchan, J., Seccombe, I., Gershlick, B., & Charlesworth, A. (2017). In short supply: pay policy and nurse numbers. London: Health Foundation.
Duquesne University, School of Nursing. (2020). Trends in Nursing Management. Retrieved from https://onlinenursing.duq.edu/blog/trends-nursing-management/
Gaffney, A., & McCormick, D. (2017). The Affordable Care Act: implications for healthcare equity. The Lancet, 389(10077), 1442-1452.
Pappas, S., & Welton, J. M. (2015). Nursing: Essential to healthcare value. Nurse Leader, 13(3), 26-38.
