A Healthcare Partnership in the Community: Discussion Questions

There is a growing trend where physicians are choosing different specialties instead of choosing primary care, primarily due to the low reimbursement rate in primary care. According to Iglehart (2014),” the Association of American Medical Colleges (AAMC) still projects a shortage of 130,000 physicians by 2025, split almost equally between primary and specialty care” (para. 1). With this decline comes an answer, an increase in the number of nurse practitioners providing patient care, reported 154,00 in 2012 and growing every year (Iglehart, 2014). This increase in nurse practitioners’ helps fill that gap, allow greater health care access to the community, especially special populations. By gaining access to healthcare were a nurse practitioner is the provider not only with the special population have high quality affordable health care, a trusting long lasting relationship will develop. This relationship will break the barriers of; lack of trust, lack of health care education and discrimination. Nursing is a trusted profession that provides education and care that no other health care professional

The role of nurse practitioner is valuable when discussing collaborative care. There are so many levels of care, so many health entities, and so many insurer criteria involved that it is instrumental to have a role that can work towards help bring all aspects together. In addition to diagnosing, treating, and managing care, the role of the nurse practitioner is to manage simple and episodic acute health issues along with chronic disease (Sangster-Gormley, Martin-Misener, & Burge, 2013). It is important to note that although this is a function of this role, nurse practitioners also practice from a holistic point of view which allows them to help manage patient conditions or wellness in a more complete fashion. This includes helping patients have access to care beyond primary and secondary care settings. This encourages nurse practitioners to work alongside other health care and allied health professions, and families to create an individualized plan for every patient (van

The Advanced Practice Nursing profession retraces a particular evolutionary pathway over the years to become what it is known today. The movement started in the late 1950’s and the early 1960’s, whereas there was a shortage of primary care physicians because of the rapid expansion of specialization in medicine. Thus, the demand for health care grew to the point that the recruitment of registered nurses to collaborate with physicians was the option. At this point of time, nurses’ collaboration was significant in terms of treatment, disease prevention and health promotion. Since then, the idea of a need for advanced nurse practice takes place in the underserved population areas to increase access to health

Budzi, Lurie, Singh, and Hooker (2010) state, “Nurse Practitioners’ (NP) interpersonal skills in patient teaching, counseling, and patient centered care contribute to positive health outcomes and patient satisfaction.” According to their research they encourage healthcare systems in the U.S. to hire more NPs to allow for better access affordable, and quality care (Denisco & Barker, 2016). With the demand for primary care providers, The NP role aids in delivering a solution to some of the healthcare issues that exist today. Organizations like the Institute of Medicine (IOM) and Centers for Medicare and Medicaid (CMS) all agree to allow nurses to practice to their full abilities to make healthcare more accessible and affordable, especially for the aging baby boomers and less accessible rural neighborhoods, and densely populated urban areas. Research has proven that NPs that provide primary care have similar health outcomes to primary care physicians (DeNisco et. al., 2016). NPs particularly take pride in their holistic approach, forming therapeutic relationships between other providers of the healthcare team, patients, and their families, aiding the informed decision making process, use of the evidence based practice approach in health management (Brown, 2005). Some of the other actions or qualities that

Choose a nursing problem from your current practice setting, and identify a possible solution to that problem.

Healthcare reform in the United States (U.S.), continues to be a hot topic in the news. Whether it discusses how the program will be financed, the need to redesign the organization, or how the process of delivering healthcare will be implemented; one thing that is a frontrunner, is the need for registered nurses (RNs) and advanced practice registered nurses (APRNs) to fill the increased demands on the primary care system (Institute of Medicine, & Robert Wood Johnson Foundation, 2011, p. 375). “Several programs and initiatives included in the health reform legislation involve interdisciplinary and cross-setting care coordination and care management services of RNs” (Institute of Medicine, & Robert Wood Johnson Foundation, 2011, p. 377).

2. Explain how you and other nurses might work with the community and the population of interest to improve the health concern.

“All health care disciplines share a common and primary commitment to serving the patient and working toward the ideal of health for all.” (American Association of Colleges of Nursing, 2014, p. 1) There are many different professional members in the healthcare system. Each of them, have a specific specialty and responsibility to the patient and play an important role in the patient’s overall plan of care. “The scope of health care mandates that health professionals work collaboratively and with other related disciplines. Collaboration emanates from an understanding and appreciation of the roles and contributions that each discipline brings to the care delivery experience.” (American Association of Colleges of

The purpose of this paper is to describe the integrated primary care clinical setting under the affordable healthcare act, and the role DNP nurses fulfill as providers of care. Also described will be the professional, regulatory, legal barriers that exist, what DNP APRN nurses need to do to be recognized as DNP nurses with the ability to provide safe, quality, healthcare that improves patient outcomes who deserve to practice autonomously. DNP nurses are prepared to advocate for the patient, create innovative changes in the healthcare delivery system, and provide a holistic approach to healthcare and should be allowed to practice fully to the extent of their education, certification and training.

3.What would some challenges and benefits be for community health nurses in providing care for different communities? For similar communities? For the same community? What are some possible solutions to the

When public health nurses collaborate with individuals, the focus is on promoting awareness, behaviors, and values that maintain and improve health, with the ultimate goal being of bettering the overall health of the population. These actions are also essential when interacting with families and communities, where the aim is in promoting family and community standards, attitudes, knowledge, and behaviors that improve their overall health. So in order to have positive outcomes the public health nurses need to also consider how essential it is to work with clients as equal partners. (p Book 8). The public health nurse’s actions must enhance understanding and the need for widespread health planning in collaboration with communities and populations, focused upon the perceptions, priorities, and values of the population.

Healthcare Reform has been and still is a highly debated controversial political issue in this country. It has been a hot topic of past presidential campaigns, with many proposed solutions, none of which were enacted upon by Congress. The Affordable Care Act (ACA) was passed in 2010. This law or Obamacare, as it is commonly called, was designed to cover the 48 million Americans, including about 1 million in New Jersey who did not have health insurance. It is envisioned to provide seamless, affordable, quality care that is accessible to all. Great emphasis will be placed on transforming our current “sick care” hospital system into a community “health care” system of prevention and health promotion. This paper discusses the evolving and future roles of nurses under the new system. It also examines the proposals of a joint committee made up of members of the Institute of Medicine (IOM) and the Robert Wood Johnson Foundation (RWJF), as an initiative to help nurses in their new leadership roles to a healthier nation.

During my 10 weeks of ambulatory care at Firstlight hospital, I observed different situations in which different professional worked together to better patient care. One of the benefits of being in a rural site is more community involvement of healthcare professional, which is not seen in urban areas. Different professionals work closely to provide to the best care to the patients, and to enhance smooth transition from one institution to another as well as smooth transition from hospital to their homes. These professions include dialysis, assisted living, hospice, rehab, public health, nurses, social services and pharmacists. In addition, managers in each department volunteer in the community at least once every two months, organizing events

The article explained that an increased pressure is placed on the physician to provide all that care that the client with a chronic illness needs. The conclusion of this article is that there needs to be maintained investment in primary health care so that those patients with multiple disease can be cared for without an inflation of chronic conditions as they advance in age. This article displays the need for outsourcing care of patients to outpatient care. This will affect the care that I provide as a nurse in a positive way because I believe that as these increased needs get sorted out the care that nurse will be able to give to the client will increase in

health care delivery and reform. The issues at hand for health care offer the opportunity for nurse