evolving practice of nursing and patient care delivery models 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

Evolving practice of nursing and patient care

Student name

Professor name

Save your time - order a paper!

Get your paper written from scratch within the tight deadline. Our service is a reliable solution to all your troubles. Place an order on any task and we will take care of it. You won’t have to worry about the quality and deadlines

Order Paper Now



Evolving practice of nursing and patient care 


There is a persistent pressure in the healthcare systems that has to justify all the need of the community in expressions of effectiveness, proficient, and economical care globally. Furthermore, a well-funded healthcare framework, which meets the healthcare needs of the city. Nurses include about 80% of the entire healthcare personnel, thus reflected as the visible line in the range of care. Notwithstanding, the improved handling of healthcare coverage also improved the petition of the leading care framework that also burdens the nurse specialists and enumerated nurses, which will practice in this vital attention background (Kongstvedt, 2013).

On the other hand, notwithstanding their improved role in the healthcare systems, they are not reflected to be similar partners in the multi-disciplinary teams in health care. Therefore, the reform law in healthcare comprises individual resourcefulness that has the aim to reform the industry, their cost, and the provision of healthcare. The agendas, including medical homes and ACOs, are based on the nursing range of rehearsal. The presentation of ACA has some enormous changes in the nursing field profession to improve the healthcare systems together with techniques of care provision (Aldebron, & Allan, 2008).

Accountable care organization

In this department, work is performed in a team which organizes the care by offering reduced cost as well as centered patient care to individuals. They continuously provide high quality and smooth care to the people. Even though the education, interventions, and assessments of clinical RNs are inadequate, but some of their specific duties are to care synchronization. These nurses need to act accordingly as care organizers, communicators, quality progresses supervisors and the workers of innovative care levels. “The coordination of this care is reflected as one of the Standard of Practice for Nursing and later to become the critical role of the RN in public based nursing and health care reorganization” (Everett, 2013).

Continuum of care

The practice of nursing covers an extensive continuum concerning the attention of the community. It comprises of disease control, coordination care, and cure and health promotion together with the palliative consideration if a fix is beyond the realm of imagination. This consideration is fundamental concerning the cutting edge just as the immediate needs of the populace around the globe. Medical caretakers legitimately influence patient review due to giving essential attention, appraisals, and assessments in the nursing homes, work environments, schools, and emergency clinics together with the walking area. They are likewise expected to ensure that the consideration is conveyed to the wiped out individual securely, effectively, and thoughtfully. Besides, they handle the patients the groups of the patients in an appealing manner that rely upon the social, profound, and mental needs of patients. Along these lines, by utilizing their insight, uniqueness, and involvement in giving consideration, the pros will assume a first job concerning the difference in the medicinal services frameworks (Clancy & Collins, 2010).

Medical homes

The PCMHs or patient-centered medical homes are the ones that are primary care practices which offer synchronized interdisciplinary consideration to the patient. This consideration is set in a way that it must satisfy the long and short terms wellbeing targets of the patient in each progression of life and care stages. Medical caretakers should assume their central job in organizing care at the time of change in responsibility. The can or not take the roles to acquire the view of general consideration the therapeutic home, which wasn’t possible by the specialists. The model of consideration provision may confirm to be crucial as it ruminates the patients to be the focal point of medicinal services coordination (Sutter-Barrett, Sutter-Dalrymple, & Dickman, 2015).

Over the last few centuries, various key actions have provided critical aspects in the progression of both the prolonged as well as the complex roles of tending. The control of this application on the responsibility of advanced practice nurses persist to progress daily with the revolution in healthiness concern facilities. Research in the health sector shows that the APN role has degenerated whereby; there are varying definitions of advanced practices with common elements. The main difference between evolutions with advanced activities is that the exercises are beyond primary training within the clinical sphere (Fontenot & Hawkins, 2011).


The advanced nursing practice has led to innovation in nursing but also confusion. The core role in the nursing sector is for the nursing educators, whereby; they have significant responsibility, especially in new trends as well as changes. The goal of the practice is on strategic planning whereby; it should improve development nursing activities as well as future educational programs.  For advanced methods, goals are attained, practicing nurse’s administrators, as well as educators, must respond to changes quickly based on environmental dynamics. The health services differ from specialties since it majors of complex, multi-causal as well as community issues (O’Reilly, 2015).

Feedback summary

The nurse colleagues stated that medicinal care in the US is stained with tremendously high costs and deprived superiority together with bitty delivery. A lot of people are being stuck from accessing high quality prescription by the high price and therefore compromising health care. On the other hand, with the upcoming reforms in healthcare, medical practitioners are cheerful of new transformations. They’ve just started experiencing optimistic results in terms of service delivery. The innovative conceptions of incorporated healthcare delivery have been established, such as, patient-centered medical homes and Accountable Care Organizations (ACOs) that will remarkably influence positively on the field of nursing. The ACO is related to physicians and objectives to manage and coordinate patient care. The goal of these programs to make sure that quality care is conveyed at a concentrated cost to help control a massive amount of Medicare expenditure.

The ACOs teams include nursing homes, hospitals, home health care services, and environmental groups. The groups are made via contracts which make up a circle of service settlements designed at taking patient care in a single umbrella. The model ensures that hospital care budgets are low as services are offered at a unique firm structure; thus, rejects repetition of services.

Nurses also suggested that the coming transformations will confirm the offer of better care to all folks. The six scopes of quality, including patient-centeredness, efficiency, safety, timeliness, effectiveness, and equity, are confirmed (Longworth, 2013). Nurses are ready to provide useful and quick care to patients, provided home-based care is available. Healthcare is not going to be offered to the severe care centers. However, the variations will see more folks get improved as well as quick healthcare in their homes. Residents are going to get better services through learning on the critical causes of diseases, poor nutrition, physical activity, health, substance abuse, poverty, and many more. It means that control procedures are going to be comprised such as vaccinations and physical examination, including polio and influenza, thereby assisting in developing the value of life.

The medical attendants likewise concurred that fused movement frameworks models are distinctly operational in cost investment funds and furthermore the illuminating nature of consideration. On these progressions, together with changes, human services confirmations will diminish, and visits to crisis areas will likewise go to a base; in this way, sparing expenses. The Puget’s gathering wellbeing helpful had the option to decrease the complete uses of prosperity by $10 on every part every month and reported 16% sparing in new clinic confirmations together with 29% saving in crisis visits (Longworth, 2013). The records are clear proposals that for sure, with the development of the most modern ideas in nursing, there are lower costs on the quality that is guaranteed.

By the way, the impressions prompted by the colleagues goes hand in hand with the investigations on wellbeing changes. Partners not overlooking the legislature in the medicinal services division have organized a few changes in social insurance to help bring the predominance of administrations. The organization, through strategies like moderate Care Act purposes on guaranteeing that every one of the members of the U.S can have quality consideration at a lower cost (Daemmrich, 2013). With fellowship with protection firms like Medicare, numerous individuals will get the chance to get to quality social insurance. According to colleagues, health care changes, as well as reforms, increase the numbers of customers seeking assistance, thus raising the cost of the provision as well as services. However, there is a relationship with the future goals since; with the increased cost, the number of roles for the nurses’ increases as well.  Nursing evolution has supplied demands on the government policy to offer support on the collaboration workforce. However, the workforce provides a platform for predicting the development of advanced practices for nurse’s roles. Nurse practitioners are under the APN aimed at delivering acute community care in schools as well as hospitals. The other category different from evolution is the clinical nurse specialists whereby; services are provided in range care as well; as specialty such as cardiac plus gynecological areas. Each of these groups contributes a unique perspective though there are also commonalities among them (Wisur-Hokkanen et al., 2015).

By Longworth (2013), the view of ACOs that was created by Elliot Fisher in 2006 purposed at propelling coordination of consideration in ACO (Longworth, 2013). The projects were likewise gone for decreasing uneven attention, manage the expenses of comfort to the mind, and propel the outcomes. This impression is predictable with my supposition. The partners concurred that they have a job in guaranteeing that they improve the nature of consideration of their patients. Doing this, they suggested that they are there to make sure that they follow the qualified codes of ethics and legislation.

According to colleagues, improved performances play an essential role in providing care for individuals with multiple illnesses. Activities in the advanced activities are categorized, whereby; the nurse’s midwives plus anesthesia developed in the 20th century. However, advanced practices are different from evolution because the categories given to nurses make tasks and roles easier. They are under the APN aimed at delivering acute community care in schools as well as hospitals. The other category different from evolution is the clinical nurse specialists whereby; services are provided in range care as well; as specialty such as cardiac plus gynecological areas. Each group performs a unique perception though there are also commonalities. The work evolution has supplied demands on the government policy to offer support on the collaboration workforce. However, the workforce use is providing a platform for predicting the development of advanced practices for nurse’s roles. Health services for individuals in the society have therefore encouraged the development of advanced practice nurses (O’Reilly, 2015).


Allan, J. D., & Aldebron, J. (2008). A systematic assessment of strategies to address the nursing faculty shortage, US. Nursing Outlook, 56(6), 286-297.

Clancy, C., & Collins, F. S. (2010). Patient-centered Outcomes Research Institute: the intersection of science and health care. Science Translational Medicine, 2(37), 37cm18-37cm18

Daemmrich, A. (2013). US healthcare reform and the pharmaceutical market: Projections from institutional history. Pharmaceuticals Policy and Law15(3, 4), 137-162.

Everett, B. (2013). An introduction to latent variable models. Springer Science & Business Media.

Fontenot, H., & Hawkins, J. W. (2011). The evolution of specialists in women’s health care across the lifespan: Women’s health nurse practitioners. Journal Of The American Academy Of Nurse Practitioners, 23(6), 314-319. doi:10.1111/j.1745-7599.2011.00618.x

Kongstvedt, P. R. (2013). Essentials of managed health care. Jones & Bartlett Publishers.

Longworth, D. (2013). Accountable care organizations, the patient-centered medical home, and health care reform: what does it all mean? Retrieved from: http://www.ccjm.org/content/78/9/571.long

Sutter-Barrett, R. E., Sutter-Dalrymple, C. J., & Dickman, K. (2015). Bridge care nurse-managed clinics fill the gap in health care. The Journal for Nurse Practitioners11(2), 262-265.

O’Reilly, N. (2015). Evolution of occupational health 3: Progress of training and OH knowledge. Occupational Health, 67(11), 12-15. Psychological Assoc.)

Wisur-Hokkanen, C., Glasberg, A., Mäkelä, C., & Fagerström, L. (2015). Experiences of working as an advanced practice nurse in Finland – the substance of advanced nursing practice and promoting and inhibiting factors. Scandinavian Journal Of Caring Sciences, 29(4), 793-802. doi:10.1111/scs.12211