Evolving Practice of Nursing and Patient Care Delivery Essay

737 Words Feb 6th, 2013 3 Pages
Evolving Practice of Nursing and Patient Care Delivery
Grand Canyon University: NRS 440V
Jane Smith

Evolving Practice of Nursing and Patient Care Delivery
Hello fellow nurses, welcome to our Professional Nurse Evolution summit. My name is Jane Smith and like you I am a registered nurse, I work at the bedside. I always thought I’d live and die as a staff nurse at a busy level 1 trauma center in the inner city but recently I’ve looked up from the bedside and I see opportunities knocking at my door, and I see a way to help the community in which I serve in a different role. The practice of nursing is changing, growing, shifting in other words: transforming. Over the next decade, we will see nursing move from the acute care setting and
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The “medical home” or “health home”, these terms are used interchangeably is a concept that provides “patients with a “chief” primary care practice or provider who manages the patients’ care across settings and providers (which may include medical specialists, nurses, pharmacists, nutritionists, dieticians, social workers, behavioral and mental health providers)” (ANA, 2010, p. 4). Similar to ACO’s, medical homes are mandated requirements in accordance with the PPACA for payment and monetary incentives. This model depends greatly on nursing for its success. Nurses have coordinated care amongst different health care providers in the hospital setting, it is an elementary part to our practice; but now we are transposing them into a different setting. Our expertise in organizing services will ensure that the continuum of care for our patients is maintained from the acute care setting to the outpatient arena; “nurses can serve as leaders and teachers to their inter-professional colleagues” (ANA, 2010, p. 6).
NMHCs were established to afford primary health care and wellness services to low socioeconomic communities; these clinics are required to be overseen by advanced practice registered nurses (APN’s). As nurses we have the skills and the occasion to reshape how primary care is provided. “Primary care,