Trends In Nursing Home Care

Great Essays
Nursing practices are ever changing as the environment, technology and time changes. Therefore, nurses? responsibility, the nature of care, and nurses? role has also changed. This paper is centered around the evolving health care changes and its impact on the nursing profession, including a continuum of care, accountable care organization, medical home, and nurses managed health clinics. Furthermore, this paper is presented to three nurses colleague and their opinion and feedback are discussed.
In the 21st century, health care practices have changed rapidly compared to previous decades. Hospitals used to be the most common place to work for nurses, now it is considered only one of the various sectors of work for nurses. As opposed to the past,
…show more content…
life (Academy Health, 2009). The goal of the medical home care is a team approach, continuity of care, and efficiency of care while managing the cost (Academy Health, 2009). This care approach is based on patient centered, continuous, and comprehensive care. Medical homes focus on coordination and integration of care, quality and safety, enhanced access to care, and an open schedule with extended hours. It promotes open communication between patients and care providers. The patient centered medical home care model has improved the quality of care, patient satisfaction and positive experiences while reducing hospital admission and emergency department visits (Bleser, Miller-Day, Naughton, Bricker, Cronholm, & Gabbay, 2014). The focus of this care model is the prevention and management of chronic disease, promotion of health and wellness in the community by collaborating with multidisciplinary team members, community members, and social services. Nurses assist patients and their family members by providing direct care and educating on disease prevention. They also play a significant role in improving health through the promotion of immunization and assisting the patient and family to adopt self-care practices, as well as teaching healthy habits such as …show more content…
The nurse managed health clinics are managed by advanced practice nurses to provide efficient and cost effective primary health care and/or wellness services, including prevention, early detection, and management of chronic disease, along with the promotion of health, teaching and counseling to the underserved population (American Association of Colleges of Nursing, 2010). The managed care clinics provide services regardless of income or insurances with the association of the university?s department of nursing, government?s qualified health centers, social services agencies, and nonprofit health care organizations. These clinics are well trusted by community members because of their comprehensive and community based, patient and family centered, holistic and culturally competent patient and family care (Burke, & Schwartz, 2012). Evidence shows that advanced practice nurses are capable of providing accessible, affordable, and safe health care by utilizing team work and interdisciplinary care approach to achieve the common goal of health promotion, prevention, and wellness of the patient and the community (Burke & Schwartz,

Related Documents

  • Improved Essays

    Laughlin reported the evolution of the nurse role in a primary care setting as a member of the treatment team for chronic illness. Laughlin summarized “the RN in the patient’s primary care setting is uniquely qualified to assess the broad spectrum of needs that patients with chronic conditions may present, and to determine, in partnership with the patient, a plan of action, coordinating other resources that may be beneficial” (p. 414). The author discusses the methods and outcomes of several studies conducted to support the role of nurses in the improvement of care provided for patients with chronic illness. Studies discussed utilizing the chronic care model and patient centered medical home principals. The author pointed out the need for…

    • 397 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    Effective strategies for improving healthcare lies between cost and effective care delivery to all patients. Nurses must evaluate the environment in which one practice and advocate for best practice with focus on patient-centered. Nurses should promote care that is culturally competent and aim at eliminating health care disparities. The affordable Care Act for one is working on access of care to the American people. The Secretary of the Department of Health and Human Services (HHS) came up with National Strategy for Quality Improvement In Health Care and nurses can use some of these set priorities indicated through this system to enhance patient care delivery.…

    • 269 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    The goal of primary care service is to decrease the risk of illness in individuals and the whole community. It may include patient education, vaccinations, exercise programs, diet awareness programs, and physical exams. Primary care is provided in many settings: offices, clinics, schools, college, prison, worksites, mobile vans, and even at home, by…

    • 1219 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    It has evolved from the era of racial segregation and marginalization, low social class, uneducated, unmarried women, slaves, to a profession that now uses and applies Evidence Based practice approach in delivering care. Throughout the evolutionary processes, nursing has always been humanitarian in it services. Today, nurses play major role in healthcare administration and policies. The trained nurse means everything and anything and second to nothing. In other words, a skilled nurse is indispensable to the health care…

    • 455 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Value Based Health Care

    • 724 Words
    • 3 Pages

    The medical/health home utilizes primary care providers and advanced practice nurses to coordinate and ensure comprehensive, patient-centered care. Using a team approach, providers encourage preventive care and chronic care management, while discouraging specialist and emergency room care. Pediatricians have used this model in the past for children with special needs and it has proven to be effective. Much like ACOs, medical/health homes have specific requirements to meet, and will receive financial rewards for meeting those requirements. Improved outcome is the goal of the medical/health homes by providing cost-effective, patient and family centered care, health promotion, and access to specialty…

    • 724 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    We as a nurse and nursing student are trying our level best to peruse higher level of education to develop our nursing practice in order to provide quality care. Nurses are switching their roles of management and provider level and not limiting to bedside care. Nurses are performing new roles such as nursing director, nurse manager, housing director, chief nursing office and chief executive officer to meet the IOM report goals. Nursing roles such as nurse care coordinator, case manager, assessment and referral nurse, patient safety nurse, emergency management director, nurse coach, and chief nursing informatics officer are on the rise to fulfil health care shortage. Nurses are expanding and changing their careers to meet the IOM goals and to provide seamless, affordable, and quality…

    • 1071 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    IOM Report Nursing

    • 1283 Words
    • 6 Pages

    Implementation of IOM Report on Future of Nursing On December 13, 2013, Institute of Medicine (IOM) conducted an evidence-based research, in collaboration of the Robert Wood Johnson Foundation (RWJF), on the "Future of Nursing: Leading Change, Advancing Health". This report made a major impact on the 'Future of Nursing' in the health industry. In this report, IOM identified nursing as the major health care profession which can be utilized for the cost effective, high quality health care medium in the United States.…

    • 1283 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    There have been significant, ongoing changes in the healthcare workforce over the past decades. Nursing needs have shifted due to a variety of manifestations ranging from a shortage of primary care physicians to a greater demand for chronic disease management. Advanced Practice Registered Nurses (APRN) are crucial to helping fill these voids. These highly educated nurses can be very beneficial to healthcare organizations as a part of an integrated team. Several studies have displayed the added value and outcomes that the APRN provides to different disciplines of nursing care.…

    • 152 Words
    • 1 Pages
    Improved Essays
  • Great Essays

    Praxis Framework

    • 1175 Words
    • 5 Pages

    Framework for Praxis Praxis is an essential substructure of the nursing foundation. Chinn and Kramer (2011) deem praxis to be both an individual and interactive process that requires continuous speculation and action. This paper will give an overview of praxis as well as provide the role of the advanced practice nurse (APN), explore ideological, theoretical, and ethical influences contributing to the framework of practice, and discuss the utilization of the framework while providing a visual representation of the framework for praxis.…

    • 1175 Words
    • 5 Pages
    Great Essays
  • Great Essays

    Advanced Practice Nurses and the Fight for Expanded Roles The diversity of nursing practice proves that Advanced Practice Nurses (APN) have the capacity to promote broad access of health care at all levels. However, that same diversity in practice is the reason for the obstacles they are facing in obtaining their expanded role in today’s practice. With the challenges surrounding access to care, Advance Practice Nurses could be the answer to pressing matters involving cost, efficiency and availability of healthcare in the United States.…

    • 1970 Words
    • 8 Pages
    Great Essays
  • Great Essays

    The Importance Of Nursing Values In Nursing

    • 1436 Words
    • 6 Pages
    • 13 Works Cited

    Nurses are champions in adapting to change and identifying creative measures to help modify their practice, so it is not surprising that they are eager to meet these challenges head on. The assumption has been made that the delegation of physician care to FNPs will lead to better use of resources, however nurses must continue to be mindful of the possible risks and implications that may accompany these demands. Sacrificing nursing values cannot be tolerated. It continues to be a slippery slope as nurses cross the line into a medical role while maintaining a nursing framework. Having a concrete understanding of nursing theory and nursing values will help preserve the nursing identity during the newest healthcare…

    • 1436 Words
    • 6 Pages
    • 13 Works Cited
    Great Essays
  • Great Essays

    Introduction Nursing is a dynamic profession of providing care for infirm and sick individuals. This profession exists due to the demands of society. One major problem society is facing today is a shortage of nurses. Lois Berry and Paul Curry (2012) state, “by the year 2022, there will be a need of 60 000 full time registered nurses (p.35). Berry and Curry note that the number of nurses will decrease by 2022.…

    • 1017 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    In 2010 the Institute of Medicine published a report called The Future of Nursing: Leading Change, Advancing Health. It discusses how nurses can make changes to create a greater role in America’s healthcare system. It encourages nurses to become more educated and to take on leadership roles. It also talks about nurses working in partnership with physicians and other highly trained healthcare professionals. Therefore, nurses should study this report and see what kind of changes they can make in their own practice.…

    • 739 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Tb Essay

    • 1449 Words
    • 6 Pages

    The definitive diagnosis is through an acid fast stain of the bacteria in a lab, obtained through multiple sputum cultures and a chest x-ray showing abnormalities of the lungs. There is antibiotic treatment for tuberculosis but the bacteria is very drug resistant due to the stiff structure of the cell wall and as a result, the antibiotic course is long and sometimes dangerous due to serious side effects. The most common antibiotics used to treat TB are isoniazid and rifampicin for a minimum of six months. There are drug-resistant strains of TB known as MDR-TB and in these cases, several drugs are used at once to give treatment a better chance at success. Those who have latent TB are treated right away with one antibiotic to prevent the disease from becoming active at some point in time.…

    • 1449 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Nurses play an essential role in the healthcare business, providing care to patients and filling leadership roles at various hospitals, health systems and other organizations. According to the world health organization (WHO) nursing is defined as an autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. It includes the promotion of health, the prevention of illness, and the care of the ill, disabled and dying people. However, it is a tough profession that requires a lot of dedication and commitment however there are many challenges that nurses’ face today. The two problems that really stand out to me as a nursing student are the shortage of staff and the daily hazards that our job exposes us to on a daily basis.…

    • 1674 Words
    • 7 Pages
    Improved Essays