ACA Nursing Role

Having worked as a nurse in different settings; both hospital and community I have every opportunity of being in charge, capable and assisting in the management and organisation of work as required effectively, this therefore has deepened my understanding of managing clients condition, promoting and contributing to health screening and education.

“Nurses are more than caregivers in today’s healthcare settings. They are teachers, advocates and pioneers in improving healthcare. They are stepping out of the old model and taking ownership for changes in healthcare. Nurses are developing their own scientific research programs to improve patient care. They are playing a pivotal role in healthcare reform. Nurses are becoming leaders, not followers in healthcare reform.”

Our healthcare system is in a state of constant change. Just as the industry was adapting to the demands of countless healthcare reforms, the fate of regulations like the Affordable Care Act (ACA) and others like it, dangle in the wind. As the country transitions to a newly appointed administration, there is an increasing level of uncertainty among industry leaders. Federal, state, and local mandates continue to drive the need to improve the quality, costs, and outcomes of care which add to an already overburdened and burnout system. These coupled with our highly secular society who is primarily focused on the treating and curing illness through advanced technology, medications, and procedures has resulted in a

The Institute of Medicine’s 2010 report on The Future of Nursing: Leading Change, Advancing Health acknowledges the changing healthcare sector in the US and describes future vision of healthcare and the role of nurses to fulfill that vision. The United States always strives to provide affordable and quality healthcare to the entire population of the country. In order to achieve this goal an overall restructuring of the healthcare system was necessitated. Nurses are considered to be the central part of the healthcare system to provide high quality and safe patient care. Nursing in the US is the single largest segment of the healthcare workforce with almost 3 million nurses working in different areas across the county. The changing

The article chosen for this assignment was published in 2014, in the Journal of Nursing Regulation. The article addresses the intention of the birth of ACA has not only to drive the quality of health care but also to save money. The article also address the fact that United State is on the brink of changing the health care system, which will turn will have far-reaching impact on the Board of Nursing (BON) and nursing practice as we know it today.

contribute to the costly effect include the fact that nurses have, increased incidence of nurse burnout and patients have poorer outcomes increasing both mortality and readmission rates. Nurses are a large component to keeping readmission rates down through spending time with a patient and educating and empowering patients on self-care through helping patients understand importance of medication regimen adherence, importance of diet adherence, ways to reduce infection and various other skills to care for self at home" (Problem Memorandum Assignment, 2015) The documents exigence is crucial the audience to better the outcome of patients and that of the health

"In 2008, the Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) began a two-year study initiative to respond, the need to assess and transform the nursing profession."("The-Future-of-Nursing-Leading-Change-Advancing-Health," 2010).An interdisciplinary committee was put together to report the nations issues impacting health care. Recommendations were set forth by the IOM in a way to improve and restructure the nursing profession to fit the future of the medical field. ("The-Future-of-Nursing-Leading-Change-Advancing-Health," 2010) The recommendation from the committee starts with an action-oriented blueprint for the future of nursing also to identify matters of medical care, research, education. (AJN, American Journal of Nursing: 2010). The Affordable Healthcare ACT (ACA) of 2010 introduced new changes to United States healthcare system. These changes were the improvement of research and evidence-based practice, health awareness, prevention screenings, and community-based wellness promotion and applied. (Affordable Care Act, 2010) Before the IOM’s action-oriented blueprint nurses came up against barriers that prevented them from being able to the start to make those transformations. Today nurses have the potential to overcome obstacles by leading innovative strategies to transform nursing education, practice, and leadership. ("The-Future-of-Nursing-Leading-Change-Advancing-Health," 2010)

The Affordable Care Act (ACA) introduced by the Obama administration is expected to provide health insurance benefits to approximately 30 million Americans. Nonetheless, coverage expansion is not synonymous with actual care expansion, and this dissimilarity is becoming much clearer. When the national health law was passed by Congress, it unleashed tsunami mayhem of insured new patients and a consequent flooding of a system of deliver that was already fragile and strained. For decades now, the American health care system has experienced exponential workforce shortages and is hardly prepared to meet the huge influx of patients efficiently or effectively. Successful training of new nurses, physicians as well as other health care professionals takes several years or eve decades. With less graduates from medical and nursing schools and an increase in innovation for sharing responsibilities and roles among doctors, nurses and other medical personnel, patients and families will be susceptible to extended wait times, extreme difficulty in accessing healthcare providers, shorter time with providers, further costs and other new frustrations with health care delivery (Anderson, 2014).

With over three million nurses in the United States nurses play an important role in healthcare today. As the future of health care changes the nurses’ role will change as well. In 2008, The Institute of Medicine (IOM) and the Robert Wood Johnson Foundation (RWJF) combined partnership and put together a committee to assess nursing practices and make recommendations for the future transformations in the health care system. This report was released in 2010 and included four key components in which three will be discussed in this paper.

Preparing our nurses to assist in changing our healthcare system is a crucial step to provide more efficient, affordable and accessible care to all patients. Nursing is one of the fastest growing careers in the healthcare field, by utilizing the opportunities to improve education, undertaking leadership positions, and providing patient centered healthcare the undertaking of changing the healthcare system will be a positive change. Redefining the role and responsibilities of the nurse towards primary patient care in this remodeling process is crucial in implementing an effective and efficient health care system.

Due to the passing of Obamacare, also known as The Affordable Care Act, American’s today are provided more access to healthcare than ever before. The Patient Protection and Affordable Care Act (ACA) was signed into law by President Barack Obama in March 2010 and signifies universal healthcare reform. This legislation includes provision in healthcare to extend coverage to millions of uninsured Americans. The ACA reform bill contains many other important changes as well, including, implemented measures to lower healthcare costs, improve system efficiency, eliminate coverage denial for pre-existing conditions, and increase coverage for children or dependents to age 26. What effect will this new law for healthcare reform have on hospitals, individuals, nurses, other healthcare providers, and on America? Throughout this paper the author will explore the changes and how our economy, political, and healthcare delivery system is affected.

69). As these changes occur the health care system needs to rely on RNs more, which leads the IOM to its first key message: “nurses should practice to the full extent of their education and training” (p. 69). This is especially important as we attempt to redefine health care as increasingly preventative and concerned with wellness, and as a practice that occurs in communities as much as it does in acute care settings. Tanner (2010) writes, “as care continues to shift from hospitals to community-based settings, as the population ages and care management in the community becomes more complex, and as new health care needs emerge, a new kind of nurse will be needed” (p. 347).

This paper seeks to expand upon the 2010 Institute of Medicine’s report on the future of nursing, leading change, advancing health and illustrating its impact on nursing education, practice and leadership. There is an ongoing transformation in the healthcare system necessitated by the need to achieve a patient centered care in the community, public, and primary care settings in contrast to previous times. Nurses occupying vital roles in the healthcare system, need improvements in the areas mentioned above to

Changes in the Health Care System and the Practice of Nursing have become complex. Technological changes, complicated client needs, short hospital length of stay, and departure from acute care to community based care, all these changes have underscore the need for professional nurses to think critically in order to provide safe and effective client care. A better educated nursing workforce can provide good health education to patients and their families. The affordable care of 2010 has required the need for nurses to expand their role of practice to meet complicated patient demands. This has prompted the Institute Of Medicine to review the “Future of Nursing, Leading change and Advancing Health”. {Creasia & Fribery,2011}

Nurse’s roles are expanding according to the need of the patient and society. A nurse has to play roles from bed side nursing to the prevention of disease and illness, educating patient, families and collaboration with different healthcare teams. Howell (2012) indicated