Nursing Reforms and Trends

Explain how Health Care Reform Has Helped Shift The Focus From A Disease-Oriented Health Care System To One Of Wellness And Prevention.

The healthcare reforms promotes wellness and preventive health care in order to help Americans live healthy lives. A healthy population is critical for the nature’s future. Preventive care involves educating population about wellness, healthy living in and importance of early treatment of illnesses in order to improve overall wellness. In its report, The Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing envisioned a future healthcare system that makes quality and safe care accessible to all Americans, intentional promotes health promotion, wellness and disease prevention (Rekha, 2020). This envisioned future considers primary care and prevention to be core drivers of the healthcare system. The Affordable Health Care ACT supports primary and preventive health care and enhances the public health to assist people live healthy lives (Sullivan, 2018). The Act empowers individuals to make informed health decisions and preventive plans. It also improves access to preventive services and immunizations for Medicaid participants. The ACA offers a call to action for nurses to effect changes in healthcare system. The National Prevention Strategy aims to shift the healthcare system towards wellness and disease prevention in order to save on cost and improve health outcomes.

DISCUSS Ways in Which Health Care Will Continue This Trend

Challenges associated with access, cost and quality will continue to mount pressure to improve the healthcare system. Stakeholders will continue to explore possible solutions to meet the demand for quality, patient-centered, accessible and affordable care. There are also calls to strengthen the provision of primary care and preventive care. To make quality and safe care is accessible to all citizens, many stakeholders believe it is important to expand the role of health providers, particularly nurses, pharmacists, and primary care physicians (Institute of Medicine, 2011). In the report on the Future of Nurse: Leading Change, Institute of Medicine (IOM) forecasts the future where primary care and prevention is a core driver of the healthcare system. Nurses have unique abilities and valuable insights to contribute in improving the safety and quality of care envisioned in the health reform (Whitney, 2018). They engage and collaborate with other health professional to redesign care. The nursing practice covers a broad continuum ranging from health promotion to disease prevention and care coordination.

Explain the Role of Nursing in Supporting and Facilitating This Shift.

Nurses would play primary role in the transformation of healthcare system in the US in respect to quality, access and coordination. Nurses are the majority in the health workforce and thus have the potential to implement far-reaching changes (Whitney, 2018). Owing to their close proximity with patients and well-rounded scientific understanding of care processes across continuum of care, nurses have a unique ability to partner with other health practitioners and to lead in the redesign of the healthcare system. They are better placed to bridge the gap between access and coverage, coordinate growingly complex care for a variety of patient, fulfill their potential as primary care providers by practicing to the full extent of their training (Whitney, 2018). Advanced practice nurses have the necessary qualifications to work in a variety of settings and perform public health assessment, health promotion, screening, and disease surveillance as part of disease prevention and health promotion (Whitney, S. (2018).

References

Institute of Medicine (US) Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. The Future of Nursing: Leading Change, Advancing Health. Washington (DC): National Academies Press (US); 2011. 1, Key Messages of the Report Retrieved on June 15, 2021 from https://www.ncbi.nlm.nih.gov/books/NBK209881

Rekha, S.G. (2020). The future of nursing: leading change, advancing health. IP Journal of Paediatrics and Nursing Science, 3(3):60–63. Retrieved on June 15, 2021 from https://www.ipinnovative.com/journal-article-file/12551

Sullivan, T. (2018). Institute of Medicine Report – The Future of Nursing: Leading Change, Advancing Health. Policy & Medicine. Retrieved on June 15, 2021 from https://www.policymed.com/2011/02/institute-of-medicine-report-the-future-of-nursing-leading-change-advancing-health.html

Whitney, S. (2018). The Future of Nursing in an Evolving Health Care System. In Trends in health care: A nursing perspective.  Retrieved on June 15, 2021 from https://lc.gcumedia.com/nrs440vn/trends-in-health-care-a-nursing-perspective/v1.1/#/chapter/1

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