Introduction
Nurses play an essential factor in ensuring that patients have access to the necessitated health care services. Notably, growth and changes in the realm of nursing will be geared towards the maintenance of the expected duties of nurses. The exceptional contributions of nurses will be maximized by updating the actions of the state and federal administration. The situation will be undertaken through the standardization of regulations in the scope of practice so that nurses can benefit from their potential and gain skills from advanced practice registered nurses (APRNs). Insurance firms and state administrations will be required to follow specific guiding principles and adopt changes in the financial sector to allow patients to have a wide range of selection for healthcare providers. Patients may also be allowed to select from APRNs. The removal of policies and financial barriers to enhance patient-centered care and choice of health care providers will be a core foundation in the development of a reformed system in health care (Scholl et al., 2014). Therefore, changes in the field of nursing follow recommendations made by the Institute of Medicine (IOM). The current proposals that are being implemented entail the provision of top-notch services to prospected clients. This recognizable shift in the delivery of health care services has increased the demand for nurses. Consequently, the practice of nurses is also likely to change.
The concept of Continuum or Continuity is vital in realizing the prospected changes in the realm of nursing. It is essentially applicable to modifying the entire nursing practice for professional nurses. The concept of Continuum focuses on episodic care in need to offer improved methods of delivering services to its users. Nurses need education on these services. The main goal of Continuity or the concept of Continuum is to offer integrated services of health care to all users of the services (Longo et al., 2017). It also entails the provision of top-notch treatment services, affordable costs, and efficient care to all service users, especially those suffering from severe health issues. Some of the types of the practice include management, informational, and relational or interpersonal Continuity.
Management Continuity emphasizes on spontaneity and cohesion in the provision of improved services to service users. Some of its aspects include care protocols, efficient planning, integrated management, and critical strategies for increasing the quality of services (Mohammad, 2012). Informational Continuity emphasizes efficiency in the exchange of vital information and accumulated knowledge to create an efficient bridge between different events of care with consideration on methods of treatment. Relational or Interpersonal Continuity focuses on the existent therapeutic relationship in the coexisting healthcare environment. It plays a critical role in bridging gaps between providers and users by relying on gathered information regarding the healthcare setting.
The increase in state and federal funding will encourage the development of nurse-managed health clinics (NMHC). The situation entails an extended focus on patients' living environment aside from the provision of medication on diseases (Bartels, Giss, & Naslund, 2015). It is person-centered care that mostly benefits uninsured patients. NMHCs are likely to increase due to their promising benefits for patients in need of critical care.
Another important area of focus in effecting changes in nursing is ensuring accountability of care organizations (ACOs). It entails groups of service providers such as nurse and physicians (Song, 2014). Nurses will be expected to understand the ways through which the groups work together to deliver top-notch and seamless care for beneficiaries of Medicare. Presently, health care providers emphasize accountability and value in providing health care. The adoption of the patient-centered approach is also increasing the popularity of medical homes. The strategy of medical dwellings underlines on respecting the dignity and decision-making ability of patients in the delivery of healthcare. Medical homes offer comprehensive and coordinated care comprising of home health, specialty and community services care. Additionally, patients have quicker and fulltime access to health services.
References
Bartels, S., Giss, L. & Naslund, J. (2015). The Affordable Care Act, Accountable Care Organizations, and Mental Health Care for Older Adults: implications and opportunities. Harvard Review of Psychiatry, 23(5), 304-319.
Freudenberg, N. & Heller, D. (2016). A review of opportunities to improve the health of people involved in the criminal justice system in the United States. Annual Review of Public Health, 37, 313-333.
Longo, F., Salvatore, D., Tassellli, S. & Petracca, F. (2017). Organizational correlates of continuity of care: A pendulum swing between differentiation and integration. International Journal of Care Coordination, 20(3), 76-86. https://doi.org/10.1177/2053434517733393
Mohammad, A. (2012). A conceptual framework for quality of care. Mater Sociomed., 24(4), 251-261.
Scholl, I., Zill, J., Harter, M. & Dirmaier, J. (2014). An integrative model of patient-centeredness - a systematic review and concept analysis. PLoS ONE , 9(9), e107828. https://doi.org/10.1371/journal.pone.0107828Song, Z. (2014). Accountable care organizations in the U.S. health care system. Journal of Clinical Outcomes Management, 21(8), 364-371.
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