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NUR 302 Nursing

Published : 09-Sep,2021  |  Views : 10

Question:

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 restructuring 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 fewer will be available in acute care hospitals.

Answer:

Effective Nursing practices are crucial for the regulation of effective remedial treatment. New developments and increment in the population has led to the necessity for the formulation of new services for the regulation of patient-oriented treatment. These new services do carry certain implications that need to be sorted out with effective decision-making and formulation of optimal ethical practices (Yoder, 2014).

This essay determines the importance of effective nursing practice in healthcare sector and implications of various new services for optimal practices.

This essay outline the analysis on the optimal nursing practices and different services newly launched for the initiation of patient-oriented nursing. Furthermore, a discussion on implications has been conducted ahead.

Effective Nursing Practices:

Effective nursing practices undertake optimal nursing care that must undertake effectual concoction of pharmacological and non-pharmacological interventions in order to minimize the signs and symptoms of distress among patients.  A nurse provides efficacious remedial treatment by being a caregiver, communicator, patient advocator decision maker, teacher and manager of care. These roles help the nurses to fulfil the ultimate responsibility of instilling better practices for enhanced resultants. Additionally, these roles help in providing effective pharmacological and non-pharmacological interventions to the patients suffering from various maladies and illness (Yoder, 2014).

Keeping this viewpoint in mind, it is essential to switch to non-traditional practices of delivery of care by different nurses. The non-traditional practices must include the usage of updated technology, advanced research and adequate funding to update the existing standards of nursing in country. Update in nursing standards can occur with proper training of nurses on the usage of various pharmacological and non-pharmacological interventions that are required to be patient-oriented. The modern practice includes the new roles for  the  nurses that are required to work parallel with the formulation, implementation and regulation of efficacious continuum of care in accordance with Accountable Care Organisations (ACOs), Nurse-Managed Health Clinics and Medical Homes. Furthermore, these new roles have widened the horizons for the nurses to impart patient-targeted and timely safeguard interventions to the patients (Lau, McCaig & Hing, 2016).

Continuum of Care:

According to a report by World Health Organisation, continuity or continuum of care is defined is continual undertaking of various methodologies in order to impart remedial treatment to the patient. This care requires undergoing timely analysis in order to alter the mode of interventions as per the signs and symptoms shown by the patient. This is a new methodology that has been implemented along with its various branches to guide and follow the patient with the help of various branches provided with the help of different nurses. These branches require optimal planning, evidence-based financial management, integrated information systems and overall management (Lau, McCaig & Hing, 2016).

Accountable care organisations (ACOs):

The accountable care organisation (ACOs) is a group that works specifically towards the treatment of patients suffering from severe maladies or illness by providing quality care in terms of updated safeguard interventions. This organisation consist of different healthcare professionals, institutions, hospitals and other healthcare sections working altogether for providing effective remedial treatment to the patients suffering from various maladies or illness. Furthermore, the money for the treatment is only accepted in case of the success of the treatment (Nyweide et al., 2015).

Medical Homes:

The medical homes are another updated model of providing continuum of care that is undertaken with the help of a multidisciplinary or multiagency team that is patient-oriented in nature. These medical homes provide effective target-oriented and fast results as it allows direct association between patient and the team (Jackson et al., 2013).

Nurse-Managed Health Care:

The nurse-managed health care is a group of experienced nursing professionals working altogether to provide better facilities and effective remedial treatment in the rural and urban settings of the country where the no proper provision for effective treatment for the patients in distress (Auerbach et al., 2013).

Analysis on the existing practices:

As per the feedback from nurses, they are positive towards the formulation, implementation and regulation of these services in America but besides various advantages there are certain barriers that prevent the effective regulation of continuum of care. Such barriers can be seen in respect of work force, updated technology, funding, effective training on optimal implementation of pharmacological and non-pharmacological interventions. Furthermore, there has been tremendous lag in nursing for primary care. Another possible reason of this can be increment in the population that has overburden nurses and has led to the shortage in the adequate services required. The shortage of both nurses and services for the optimal regulation of care can be overcome with the help of liberal practices, effective training of the nurses, compelling masses to undertake nurse as a profession and optimal funding from state, central and regional governance (Waibel et al., 2016).

An analysis conducted by Shortell et al. (2014), in case of accountable care organisation Certain issues such as extent of conduction, new arrangements, patient management, care management, new equipment and monetary measures are certain factors that affect the effective practices by nurses. The number of the patients covered under this practice is relatively small and requires long-term strategies in order to broaden the area. Another possible reason to this can be no awareness to such new practice. Care management lags in determining the number of patients required for the treatment due to ineffective reporting and analysis. Furthermore, different nurses and other healthcare professionals are facing issues in adjusting themselves with new arrangements of work that involves undertaking of new tools and analytical approach (Shortell et al., 2014).

Medical homes are also considered as effective facilitators of patient-oriented care but certain factors such as antique infrastructure, insufficient data collection, lesser recruitment and retention of healthcare professionals and incompetent communication and change of shift report (CoSR) are some of the factors that prevents optimal nursing of patients in medical homes (Stewart et al., 2015).

According to the study conducted by Shaw et al. (2014), nurse-managed health centres also have certain prevailing issues such as incompetent practices by nurses, unwillingness towards work in resource deplete zone, lack of zeal towards the treatment of patient and others. These factors prevent nurses from initiating effective healthcare practices (Shaw et al., 2014).

Conclusion:

The services for the continuum of care is essential and carries vast scope for the growth and development of the healthcare sector and can only be initiated with the help of updated practices by nurses in terms of pharmacological, non-pharmacological and palliative interventions. Overall update is required in terms of effective training to nurses for effective palliative care and usage of updated tools and equilibrium. Furthermore, effective reporting must be conducted by undertaking electronic measures, regular surveys must be conducted in order to determine the extent of patients and the condition of nurses must be improved in terms of their social and financial identity to gain better results from them.

References:

Auerbach, D. I., Chen, P. G., Friedberg, M. W., Reid, R., Lau, C., Buerhaus, P. I., & Mehrotra, A. (2013). Nurse-managed health centers and patient-centered medical homes could mitigate expected primary care physician shortage. Health Affairs, 32(11), 1933-1941.

Jackson, G. L., Powers, B. J., Chatterjee, R., Bettger, J. P., Kemper, A. R., Hasselblad, V., ... & Gray, R. (2013). The patient-centered medical home: a systematic review. Annals of internal medicine, 158(3), 169-178.

Lau, D. T., McCaig, L. F., & Hing, E. (2016). Toward a more complete picture of outpatient, office-based health care in the US. American journal of preventive medicine, 51(3), 403-409.

Nyweide, D. J., Lee, W., Cuerdon, T. T., Pham, H. H., Cox, M., Rajkumar, R., & Conway, P. H. (2015). Association of Pioneer Accountable Care Organizations vs traditional Medicare fee for service with spending, utilization, and patient experience. Jama, 313(21), 2152-2161.

Shaw, R. J., McDuffie, J. R., Hendrix, C. C., Edie, A., Lindsey-Davis, L., Nagi, A., ... & Williams, J. W. (2014). Effects of nurse-managed protocols in the outpatient management of adults with chronic conditions: a systematic review and meta-analysis. Annals of internal medicine, 161(2), 113-121.

Shortell, S., Addicott, R., Walsh, N., & Ham, C. (2014). Accountable care organisations in the United States and England. Testing, evaluating and learning what works, London: The Kings Fund.

Stewart, K. R., Stewart, G. L., Lampman, M. M., Wakefield, B., Rosenthal, G., & Solimeo, S. L. (2015). Implications of the Patient Centered Medical Home for Nursing Practice. The Journal of nursing administration, 45(11), 569.

Waibel, S., Vargas, I., Aller, M. B., Coderch, J., Farré, J., & Vázquez, M. L. (2016). Continuity of clinical management and information across care levels: perceptions of users of different healthcare areas in the Catalan national health system. BMC Health Services Research, 16(1), 466.

Yoder-Wise, P. S. (2014). Leading and managing in nursing. Elsevier Health Sciences.

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