healthcare structure

The healthcare structure is expanding significantly, with increasing emphasis placed on the value of services as well as the care provided to patients and people’s health. The ups and downs of healthcare delivery systems contain both opportunities and challenges for registered nurses (registered nurses). Nurses outnumber doctors by nearly four to one, and they should play a critical role in expanding the healthcare system (Cherry & Jacob, 2016). Therefore this paper intends to review the opinions given by three registered nurse colleagues concerning their ideas of the possible changes that should be done in healthcare delivery as well as the new responsibility of registered nurses in clinics, medical homes, communities, as well as hospital settings.

To be sure that each American patient access necessary services, the nurses’ distinctive efforts are increased, state, as well as general activities, are increased (Cherry & Jacob, 2016). It is also necessary to standardize the rules of practice to benefit from the education and potential of advanced practice registered nurses (APRNs). States, as well as insurance corporations, should follow certain strategies, and monetary changes that can give patients autonomy to pick from some providers, as well as APRNs. Eradicating financial and policies challenges to encourage patient-centered care as well as patient choice have to be a basis for the raising of a transformed health care scheme.

In the United Kingdom, the healthcare sector is transforming, by offering patients a long-awaited high-quality service. With the change in the healthcare services offered, demand for registered nurses as well as their services are expected to change and grow. Majority of the strategies associated with nursing are expected to change once the commendations by the IOM (Institute of Medicine) are applied (Cherry & Jacob, 2016).

The Continuity or Continuum concept is vital for modifying and growing the services of the registered nurses. The concept focuses on the sporadic care aimed to deliver improved treatment services to the patients (Grove et al., 2012). The nurses should be informed about these services. The main goals of the concept of Continuity or Continuum are to offer incorporated healthcare services to the clients alongside with best quality treatments, efficient as well as low-cost healthcare to all clients who have chronic health issues. There are a few types of Continuity or Continuum. They are:

Informational Continuity: It is the actual transaction connected to the collective understanding as well as the important information for proficiently creating a link between several healthcare events for highlighting the methods of the treatment.

Management Continuity which is the cohesive as well as the spontaneous method of providing improved services to the clients (Grove et al., 2012). It comprises the care procedures, planning linked to the joint management as well as the critical methods that can improve the level services offered.

Relational or Interpersonal Continuity: Looks at the current therapeutic association within the parallel care setting. Relational or interpersonal continuity can link the gap among the nurses or any other healthcare services providers as well as the patients to collect the important information connected to the future as well as existing healthcare facilities (Grove et al., 2012).

There are positive effects of “NMHC (nurse-managed health clinics)” with the federal as well as the state increasing their funding. It has got positive results on the majority of clients across the state. It comprises treating the clients evaluating the whole atmosphere they live in instead of simply concentrating on the ailment and treatment. It comprises much of person-centered health care. Nurse-managed health clinics (NMHC) are well recognized for a large number of uninsured clients they serve. Nevertheless, the service is at risk because of lack of finances (Grove et al., 2012). Current reports indicate that in the United Kingdom, there is a higher use of NMHC as well as the nurses in primary health care. It is currently operating, and it appears auspicious for patients with critical conditions.

Presently, the most important area according to ANA (American Nurses Association) is the ACOs (accountable care organizations). It comprises groups of healthcare service providers who are; nurses, doctors, as well as other specialists. Licensed nurse-midwives are however not included as part of accountable care organizations (Berwick., 2017). Currently, nurses must be trained how these care providers cooperate to deliver high quality and seamless care to the patients. After the enactment of the PPACA (Patient Protection and Affordable Care) Act of the year 2010, the attention of healthcare workers changed to accountable healthcare as well as value-based care. Also, nursing homes are becoming popular. These homes offer primary healthcare observing the patient-centered method. It targets to offer healthcare while also respecting client’s decision and dignity. These homes provide coordinated and comprehensive healthcare (home care, specialty care and community health services). It allows patients to receive health services at least possible waiting time as well as whole day telephone access.

Summary of the Response Given By Three Registered Nurse Coworkers

Following the three coworkers’ opinion, the constant vicissitudes in the healthcare facilities are significantly affecting them as well as their colleagues. Since insurance covers are more accessible to Americans through the Affordable Healthcare Act, the burden applied on the care workers, especially nurses as well as the general care offering system is growing (Grove et al., 2012). Due to the revolution process, the main aim of the care delivery setting is to improve the well-being of the residents and offer patient-centered healthcare hence minimizing the level of hospitalizations.

They appear in agreement with my opinion, and they indicated that the formation of an appropriate administration, regulations must be observed to improve the coexisting conditions of the health sector of America. Action Associations are also deliberated for creating the idea for the future of the treatment and to diverse groups that are associated with the shareholders. It is important to state that, these different groups can influence the idea of sustainable growth associated with the health sector (Grove et al., 2012). Action Coalitions embraces setting clear objectives of growing the healthcare by the skills of the registered nurses. It is important to involve the stakeholders, for they should represent the different areas for developing a suitable plan. Currently, around Thirty Six Action Coalitions are implemented into two major phases in different nations like Virginia, Hawaii, Georgia, Texas, Ohio, as well as in other places.

Each Action Coalition is helping with the necessary goals that should be included in the general results that are connected to the health campaigns to guide the registered nurses. Also, according to the opinion of the coworkers, the professional nurses have innovative as well as potential strategies to deal with various serious healthcare issues and to advance the current state of the health providing system (Grove et al., 2012). Nevertheless, they might face various challenges that can be associated to an ageing workforce, the demographic difficulties, and the disintegration of the associated healthcare system as well as other related challenges that can hold back the ability of the registered nurses (Berwick., 2017). They expect the challenge of a low number of nurses to client ratio and the cases of long working shifts to be addressed.

It is important to state that, ACO always prioritize the problems that are encountered by the professional nurses. Decision-related to death and life in the healthcare careers is another prime issue from the practical and the ethical viewpoint. Nursing supporters in America can win the challenges through increasing the highly important openings for the registered nurses (Berwick., 2017). This will lead them towards improving their practical skills and knowledge to offer better healthcare services to the patients.

The current challenge to the growth of Action Coalitions is inadequate skills of the registered nurses. Most care organizations have inadequate workers to provide enhanced healthcare services. Lack of better interaction between different healthcare establishments is also developing difficulties in America (Grove et al., 2012). On the other hand, according to the opinion of the nurse’s colleagues, the idea of Continuity or Continuum can assist the registered nurses to face the challenges associated with clients’ need for the improved health services as well as the existing difficulty of the care settings. According to the argument of the nurses, few combined mechanisms are mainly used to enhance the change and growth of the skilled nursing practices.

Community-based services: As per the theory of Continuum or Continuity, the qualified nursing workers who are linked to the nursing home healthcare can benefit the clients by extending the continuity by visiting the homes of the patients and evaluating their well-being to offer effective services (Grove et al., 2012).

Illness Management Program Events: According to the opinion from the registered nursing coworkers, employing the illness management program events is highly important to evaluate the extent of the critical health conditions such as diabetic issues, cardiovascular diseases as well as other severe health conditions of the patients. Consequently, the method to alleviate those health conditions will be fast for the skilled nursing workers (Grove et al., 2012).

Health Information Systems: Trained nurses can utilize the combined system of collecting information about clients to offer improved, low-cost services. This is to gather biased data (integrated information) about the clients following their different lifestyle features such as behavioral, environmental, cultural as well as financial barriers (Grove et al., 2012).

The important element of quality development is a vigorous procedure that often uses more than a single quality improvement mechanism. Improving the quality of services in healthcare setting requires five necessary features for victory: developing and maintaining a culture of safety as well as change, including all the key stakeholders, understanding the challenge, testing change policies, and continuous observation of the performance as well as reporting the findings to uphold the change.

References

Berwick, D. M., Nolan, T. W., & Whittington, J. (2017). The triple aim: care, health, and cost. Health affairs.

Cherry, B., & Jacob, S. R. (2016). Contemporary nursing: Issues, trends, & management. Elsevier Health Sciences.

Grove, S. K., Burns, N., & Gray, J. (2012). The practice of nursing research: Appraisal, synthesis, and generation of evidence. Elsevier Health Sciences.