Article Analysis : The Health Care Profession

Personalized medicine is currently on the running towards becoming one of the leading advancing fields of health care determined by a person’s individual genetic make-up. It enables an understanding of the molecular framework of the human system so as to augment preventive therapeutic strategies. The move from reactive to preventive health care comes about with the implementation of personalized medicine as an alternative to traditional health care practices.

Although the largest profession in the health care industry is nursing, a larger number of people are getting older and living longer. This means that more people will need nursing care, whether it’s in a hospital, a long-term care facility or at home. It is projected that long-term care facilities will need 66% more RNs by 2020 (Addressing the Nursing). The increase in life expectancy has amplified the complexity of health care because more people are living with chronic conditions. The American Nurses Association reported that “a large cross-sectional study of over 1,000,000 adults revealed that 82% had one or more chronic conditions” and we are seeing an increase of those age 65 and older living with multiple chronic conditions (Mion). Now, more than ever, there is a high demand for the best delivery of medical care.

Over the past few decades, many drastic changes occurred in U.S health care delivery.   Our current healthcare trends demand nurses to take more active role in the health care decisions in hospital setting, long term care setting and in community healthcare setting. Since “nursing is based upon a body of knowledge that is always changing with new discoveries and innovation” Potter and Perry (2005), nursing profession is compelled to grow from being just a traditional bedside nurse. IOM’s future of nursing report which is released in 2010 calls nurses to be “more highly educated, diverse nursing workforce”.

In the article, “Our Costly Addiction Health Care Jobs” by Chad Terhune, who is “a senior

Over the course of decades medical treatment has advanced causing an increase in the wellness of patient clinical outcomes. A large portion of the improvement is due to the vital role nurses play in the delivery of safe and quality care to their patients. For many years different methods of treating patients have evolved due to the continued research for the best practice. Nurses, researchers and people with questions have always tried to find better and efficient solutions to treat their patients detailing the best possible evidence-based practice. Evidence-based practice is an important tool to use for clinical decision making however one must understand it first. Interpreting Evidence-based practice allows nurses to comprehend the steps to determine if new evidence is needed and realize there are some benefits to utilizing up to date research and obstacles that may impeded the research into practice. .

As with medicine, nursing has renewed its emphasis on population-based approaches, reaffirming its historic root (Dunphy, Winland-Brown, Porter, & Thomas, 2015, p. 14). As clinicians that blend clinical expertise in diagnosing and treating health conditions with an added emphasis on disease prevention and health management, NPs bring a comprehensive perspective to health care (AANP,

HC1: Personalized medicine is a relatively new practice that involves using a person’s genetics to make medical decisions about which direction to take in terms of disease prevention, treatment, and diagnosis (“Personalized medicine,” 2015). The practice of personalized medicine allows doctors to predict which diseases a certain individual may be susceptible to so that proper treatment less likely to harm the patient can be ensued. This could potentially be an incredible breakthrough in the field of science and medicine (“What is personalized”, n.d.).

Will the state fulfill the desires of the community like it promises? Many Denver residents of the article Colorado Aims to Expand a Main Artery, but beleaguered Neighbors Balk do not think so; nor the author Julie Hurwitz. Despite the expansion helping with the flow of traffic, it is causing many negative impacts on the current residents. It is the city’s most controversial topic.

Most of the avoidable conditions that are identified by the Center for Medicare and Medicaid Services (CMS) are nurse sensitive, and what nurses do, or do not do, based on scientific evidence, will influence patient care outcomes. Furthermore, research that was published over 10-years ago, correlated a decrease in patient morbidity and mortality proportionate to the number of Bachelor of Science in Nursing (BSN), or higher educated bedside Registered Nurses (RN) (Edwards, 2013).

The doctor of nursing practice (DNP) professional, regarding care of the general population, must consider many situations that may alter the delivery of effective medical treatments. In the beginning of this class we reviewed many of those situations with greater focus on the vulnerability populations. Preventive care remains by far the best interventions for this group. The prepared DNP professional must be ready to assess and address effectively epidemiology and health as well as facilitating evidence-based further development of healthier people priority tasks.

According to McEwen & Nies (2015), the number of homeless individuals has increased and the demographics have changed from once being mainly composed of single males to new groups of whole families that are homeless. Due to the increase in living cost, low minimum wage jobs and decrease of job availability has created this new homeless group. This discussion will examine the research article titled Health Needs: Shelter and Health Service Provider Perspective and answer some questions pertaining to the article.

As Nurses, we often ask ourselves what more can we do than is currently being done to improve the health of our clients not only in an individual sense but as a community. We are required by the scope and standards of nursing to ask ourselves this type of question by virtue of our profession and indeed is a baccalaureate nurse essential as well. We are in a unique position as nurses to have the most interaction with the community of patients we serve, and we often see the issues that affect the communities we serve more readily. One such issue that is undeniably

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}

1. Incentive compensation is a major practice that has continually been adopted by healthcare organizations, especially for managers. Most of these organizations use this tool as a means of rewarding employees financial for outstanding performance. Generally, incentive compensation involves the use of monetary reward for managers to attain specific established goals. Therefore, incentive compensation can be a motivational tool that benefits health care managers and the entire organization because it enables managers to achieve greater compensation while promoting organizational productivity. As the Chief Executive Officer of a hospital, I would design an incentive compensation program for my management team by aligning the financial rewards with business objectives and people costs. This will involve the use of a comprehensive approach that examines basic pay, health benefits, incentive opportunities, and retirement programs. The alignment of the compensation program is geared towards promoting organizational productivity and employee motivation.

Over the last two decades, growing number of countries permit nurses to prescribe medicines. The first nurse was given prescribing rights in New Zealand 16 years ago. New Zealand has achieved 0.35% of practising nurses authorised to prescribe. In New Zealand, one third of adult population diagnosed chronic disease such as hypertension, diabetes and other related conditions and it is expected to grow in future (Ministry of Health (MOH), 2016). In the future aging population also expected to raise enormously, which create demand for health care professionals. Therefore, ministry of health established a strategy to address this issue by introducing nurse prescribers. Prescribing by nurses improve the access of health care,