Nurse 514 Topic 1 Discussion Question 1: Healthcare System Evolution and Nursing Roles
The landscape of the U.S. healthcare system has undergone a remarkable transformation. Initially, it was primarily focused on addressing infectious and acute diseases, with a limited understanding of the causes of diseases. During this period, healthcare providers often attributed diseases to supernatural phenomena and focused on reducing mortality rates.
In this context, the primary goal was to enhance the management of these conditions and prevent deaths. However, as time passed, the healthcare system evolved in response to increased scientific research and evidence. This research shed light on the growing prevalence of chronic conditions, which could be attributed to a lack of emphasis on health promotion and the rise of sedentary lifestyles (Fisk et al., 2020).
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The turning point in the transformation of the healthcare system began with the greater adoption of technology and scientific research highlighting the benefits of health promotion, preventive care, and evidence-based medicine. This shift laid the foundation for the value-based healthcare model, where quality takes precedence over quantity.
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The value-based model leverages technology to enhance the delivery of care and places a strong emphasis on bridging gaps in healthcare through the use of innovative technologies. This shift has had a profound impact on the roles and responsibilities of advanced registered nurses in several ways.
Firstly, they have taken on the role of primary care providers and patient advocates, ensuring that all segments of the population have access to healthcare (Pittman et al., 2019).
Secondly, advanced registered nurses work in collaboration with other healthcare professionals within multidisciplinary teams, delivering care to patients across diverse settings. In their capacity as primary care providers, these nurses have expanded their roles and responsibilities to serve a wider range of populations while maintaining a commitment to delivering high-quality care that leads to improved outcomes. They are also at the forefront of implementing innovative technologies and transformative approaches to enhance the quality of patient care.
The evolving trends, such as the increased integration of technology, the expansion of care delivery, and the emphasis on improving access and quality, will undoubtedly impact the nursing profession. Nurses will be expected to assume a broader spectrum of roles and responsibilities. This evolution suggests that nurses will continue to specialize to meet the diverse needs of their patients (Rambur et al., 2019).
Advanced registered nurses will play a pivotal role in shaping the future of healthcare by becoming equal partners and providers alongside physicians. They will contribute to enhancing access to care and bridging the healthcare workforce shortage gap. Moreover, they will develop and implement more effective interventions to enhance population health across different care settings and age groups. This transformation marks an exciting and dynamic era for nursing professionals.
NUR-514 Topic 1 DQ 1: Health Care Systems, Organizational Relationships, and Interprofessional Health Care Environments References
Fisk, M., Livingstone, A., & Pit, S. W. (2020). Telehealth in the context of COVID-19: Changing perspectives in Australia, the United Kingdom, and the United States. Journal of Medical Internet research, 22(6), e19264. DOI: 10.2196/19264.
Pittman, P., Rambur, B., Birch, S., Chan, G. K., Cooke, C., Cummins, M., … & Trautman, D.
(2021). Value-based payment: What does it mean for nurses? Nursing Administration Quarterly, 45(3), 179-186. DOI: 10.2196/19264.
Rambur, B., Palumbo, M. V., & Nurkanovic, M. (2019). Prevalence of telehealth in nursing:
Implications for regulation and education in the era of value-based care. Policy, Politics, & Nursing Practice, 20(2), 64-73. DOI: 10.1177/1527154419836752.
Discussion Question 1: Value-Based Healthcare and Nursing Roles
The landscape of healthcare delivery continually evolves in response to shifting patient needs and changing care models. In tandem with these shifts, the U.S. healthcare system has undergone substantial transformations to ensure that individuals and communities can lead healthy and productive lives. Health policies and support programs have also adapted as circumstances demand. Among the notable evolutions is the transition to value-based healthcare, which carries profound implications.
In essence, the shift to value-based healthcare signifies a departure from the traditional volume-based care approach towards a model centered on the quality of care. In this model, healthcare providers receive incentives based on the quality of care they deliver rather than the sheer quantity. The overarching objective is to overhaul healthcare delivery to generate more value for patients (Teisberg et al., 2020).
With this goal in mind, healthcare providers increasingly concentrate on optimizing patient outcomes, reducing costs, and fostering healthy lifestyles through the application of evidence-based medicine. Consequently, the roles and responsibilities of advanced registered nurses undergo a transformation, with a heightened focus on care quality and patient satisfaction.
Instead of predominantly functioning as care providers, the shift to value-based care encourages nurses to take on the roles of innovators and change agents (Colldén & Hellström, 2018). This implies that advanced registered nurses must fully embrace their transformative role, ensuring that the quality of care aligns with patient needs, and that patients receive services that are not only prompt but also highly satisfactory.
Several significant evolving trends are currently shaping the healthcare landscape. These include the increasing integration of artificial intelligence, the rise of remote and virtual care, and the shift towards data-driven practices. These trends will have a profound impact on the healthcare system by driving the greater adoption of technology and informatics. This will necessitate the presence of healthcare providers with specialized skills, such as nurse informaticists. As Wirth et al. (2021) have suggested, a technology-driven practice supports the sharing of healthcare data but also brings with it heightened concerns regarding privacy and security.
Consequently, advanced registered nurses will exert considerable influence on the direction of healthcare. They will play pivotal roles in guiding organizations in system design and implementation, ensuring that they can harness the potential of technology-driven practices effectively. Additionally, advanced registered nurses will assume essential roles in patient education, policymaking, and the development of care models that optimize quality, safety, and, most importantly, overall patient satisfaction. This transformation heralds a dynamic era for nursing professionals as they continue to adapt and lead in a healthcare environment marked by change and innovation.
NUR-514 Topic 1 DQ 1: Health Care Systems, Organizational Relationships, and Interprofessional Health Care Environments References
Colldén, C., & Hellström, A. (2018). Value-based healthcare translated: A complementary view of implementation. BMC Health Services Research, 18(1), 1-11. https://doi.org/10.1186/s12913-018-3488-9
Teisberg, E., Wallace, S., & O’Hara, S. (2020). Defining and implementing value-based health care: A strategic framework. Academic medicine: Journal of the Association of American Medical Colleges, 95(5), 682–685. https://doi.org/10.1097/ACM.0000000000003122
Wirth, F. N., Meurers, T., Johns, M., & Prasser, F. (2021). Privacy-preserving data sharing infrastructures for medical research: Systematization and comparison. BMC Medical Informatics and Decision Making, 21(1), 1-13. https://doi.org/10.1186/s12911-021-01602-x
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