NUR 514 Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse

NUR 514 Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse

NUR 514 Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse

Contemporary Health Care Structure

Discuss the relationship among structure, profession, practice, and the individual in ways that reflect contemporary health care structure.

How does this look different for nurses, educated at the level of an advanced practice registered nurse (APRN) – (Certified Nurse Midwife, Clinical Nurse Specialist, Certified Registered Nurse Anesthetist, or Nurse Practitioner) compared to nurses, educated at the level of an advanced registered nurse (APN) – (Educator, Public Health, Informatics, Leadership, or Administration)?

~ Dr. Hartje

REPLY

The contemporary healthcare structure focuses on patient-centeredness. It also focuses on career fulfillment and advancement for all practitioners. According to Bradley et al. (2018), contemporary healthcare further recognizes that disease and wellness co-exist. Thus, health is considered a dynamic quality state where the mind, body, and spirit are fully functional. The profession and all participants aim at enhancing patients’ versatile roles. Souliotis (2016) highlights that the current healthcare definition recognizes patients’ efforts and contributions toward their wellness. By engaging in decision-making, patients exercise their autonomous right by demanding high-quality and satisfactory services. Advanced practice registered nurses provide patient-centered direct services to enhance patient wellness. They offer direct and specialized healthcare services. Upholding patient-centeredness for patients means that APRNs offer culturally-competent care.

Practice for educators, public health professionals, informaticists, leaders, and administrators focus on offering support for patients and other nurses. Educators ensure that all stakeholders have crucial knowledge for treatment procedures. Dumit (2017) states that with the current technological advances and policy reforms, continuing education is crucial for practitioners. Informaticists ensure competence with the technology used to support patient care. On the other hand, leaders and administrators set and implement policies that guide nurse practitioners in offering the best care and having fulfilling careers.

However, irrespective of the differences in practice structures of the two categories, the patient is at the center of

NUR 514 Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse
NUR 514 Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse

practice in all cases. The central theme is life fullness and wellness. The health issue is observational and focuses on the individual (Bradley et al., 2018). Even with chronic illnesses, individuals can still be healthy, and nurses are satisfied with their role and contributions to societal wellness. With the contemporary system, all healthcare stakeholders are open to learning and having new experiences.

 

References

Bradley, K. L., Goetz, T., & Viswanathan, S. (2018). Toward a contemporary definition of health. Military medicine183(suppl_3), 204-207.

Dumit, N. (2017). Role of the nurse as educator: Patient teaching. Revue de Rescherche Scientifique de L’UniversitéAntonine6, 61-69.

Souliotis, K. (2016). Patient participation in contemporary health care: promoting a versatile patient role. Health Expectations: an International Journal of Public Participation in Health Care and Health Policy19(2), 175.

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REPLY

 

The healthcare delivery structure is influenced by political climate, economic development, technology, social and cultural values, environment, demographics, and global influences. The US healthcare delivery system has shifted it’s focus from illness to wellness, acute to primary care, individual to community well-being, fragmented to managed care, independent to integrated systems, and from duplication to a continuum of services. These trends were driven by the goal of promoting health while reducing the cost of healthcare. Thus midlevel health professionals and health coaches complement medical professionals to improve the effectiveness and efficiency of care. Physicians, advanced practice nurses, therapist, and other healthcare professionals may understand their own clinical role but not the forces outside their profession which may significantly affect current and future clinical practice, thus the promotion of interprofessional education and collaboration. (DeNisco, 2021)

Advanced practice registered nurses such as nurse practitioner, clinical nurse specialist, nurse midwife, and nurse anesthetist are seeking to expand their scope of practice to be independent practitioners, with regulatory requirements and without direct supervision. Advanced nurse practitioners such as clinical nurse leaders and educators seek to better evaluate the implications of healthcare policies, and understand relevant issues and how they link to healthcare delivery services.

References:

DeNisco, S. (Ed). (2021). Advanced practice nursing: Essential knowledge for the profession (4th Ed.). Jones and Bartlett Learning

REPLY

 

Please ensure you are reading ALL the announcements posted throughout the week. They will provide vital classroom policies, grading policies, and GCU policies.

All assignments in this course will need to be handed in as only 1 (one) file. The system will pull the last assignment posted to the drop box for grading. If you have multiple files, only the last one uploaded will be graded. It is the student’s responsibility to ensure the assignment is a “final submit.” There are no “re-dos” of assignments.

Please ensure you are reading the announcements posted throughout the week. They will provide vital classroom policies, grading policies, and GCU policies.

Please use the Forum: Class Questions for questions in which the entire course could benefit from. Or use the Messages (top of Halo webpage in purple banner) for one on one communication with any personal communication needed.

The announcement section has all of the essential information for the first week and course as well as references for the American Psychological Association (APA) Publication Manual (2020).  Please use the current APA (2020) formatting for references.

REPLY

 

In just the past two years the United states healthcare system along with many healthcare systems all over the world have shifted and evolved overnight as a direct result of the COVID-19 pandemic. as a nation we came through to the realization that our healthcare system it’s still very vulnerable despite all of the strides made in technology medical technology and advancements in patient care, disease prevention and treatment. The pandemic also highlighted many of the public health issues that many Americans face. Our healthcare system was revealed to have poor patient care outcomes in addition to the revelation of just how sick many Americans are. Our health care system is in desperate need of revamping in regards to how we treat patients and their illnesses and improving their health outcomes. Many Americans are suffering with chronic health issues that are fueling hospital costs and in some cases draining our healthcare resources and creating longer wait times in emergency rooms. The COVID-19 pandemic showed just how vulnerable our healthcare system is and expose many of its weaknesses as well. There has been a shift to improving patient health outcomes by focusing on more holistic approaches and the patient as a whole. In addition to that there has been a push since the Affordable Care Act to implement more value based healthcare initiatives. “Value-based healthcare is a healthcare delivery model in which providers, including hospitals and physicians, are paid based on patient health outcomes” (NEJM Catalyst, 2017). The value based healthcare model is now pushing for better outcomes an efficient and effective care for patients. The value based healthcare model is striving to have patients spend less money to achieve better health provide efficiency and greater patient satisfaction put the control of cost back into the pairs slash patients hands reduce recidivism rates for suppliers to align their prices with patients outcomes and overall improving the societies health (NEJM, 2017). advanced nurses will be on the front lines in working with communities and patients to improve upon their health outcomes by also reinforcing health education, guiding people to health care resources, going into communities that are vulnerable and lack healthcare resources, helping people find resources for disease prevention and treatment as well as developing strong reports and visibility within communities especially those that are experiencing poverty and hospital and clinic desserts.

 

Reference:

 

NEJM Catalyst. (2017). What Is Value-Based Healthcare?. https://catalyst.nejm.org/doi/full/10.1056/CAT.17.0558