ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

Changes for the Better in Nursing

Updated on February 15, 2017

The Changes

Many changes are allegedly in store for nurses in the coming years. There is much literature discussing new avenues for nurses to make a name for themselves and for the field as a whole to take a greater level of prominence in the health care community. The most well known of these pieces is a commission written by the Institute of Medicine (IOM) in 2010 outlining a series of goals. This presentation will outline several directions in which the field of nursing is moving, and briefly explain the ways these changes will benefit the health care community.

Nurse Managed Health Clinics

Consistently, studies reveal an improved level of care for patients in facilities with higher rates of baccalaureate educated nurses when compared to lower level degrees (Blegen, Goode, Park, Vaughn, & Spetz, 2013). This fact opens the door wide for nurses taking on greater and greater levels of responsibility within the health care system. Traditionally, nurses have been thought of as assistants to doctors. This notion is even mentioned in the Florence Nightingale Pledge (American Nurses Association, 2016). But traditionally, nurses only went to school for two years whereas doctors went for eight years. It makes sense that the less educated person should assist the more educated person. But as nurses are moving into higher levels of education and are learning more about health care management, the balance is shifting in favor of nurse run medical facilities.

Continuum of Care

The Affordable Care Act (2010) was signed into law in 2010, conveniently coincided with the IOM’s commission to the nursing community to involve themselves in management of patient care. Nurses are heavily responsible for discharge and intake of patients, and as such are in a position to improve continuity of care between medical facilities. The ACA calls for improved patient tracking across multiple facilities and medical staff for better quality care and to ensure that proper communication about patients’ conditions is occurring. Miscommunication about patient care can have deadly consequences, and nurses are in a position to reduce the instances of these negligent acts.

Accountable Care Organizations

There already exist organizations that utilize a network of health care workers to provide health continuity of care, and these are called Accountable Care Organizations (ACO). Such organizations would benefit from greater input from the nursing community which is now more educated in administrative roles and can involve itself more heavily in the shaping of such organizations. Nurses are in a prime position to work with these facilities, having the proper balance of medical knowledge and administrative skill (Moffa, 2011).

Medical Homes

All medical homes would in fact benefit from increased nursing involvement in administration, due to having a different perspective on health care and patient priorities than physicians who traditionally fill administrative roles. This fact combined with the increasing levels of education seen throughout the field means that nursing will greatly benefit medical homes even at lower levels. Having a nurse working on the floor with a baccalaureate degree means that patients are more likely to receive a high quality of care and have their needs met from the physical to the spiritual in scope. As such, nursing will bring greater benefits to medical homes in the near future (Moffa, 2011).

Conclusion

An increase in nursing education has led to a nursing workforce that is much more competent and capable of independent thought than it once was. As a result, nurses are seeking more authority in the health care system and are receiving it, but incrementally. Though the gap between nurses and doctors may never truly be breached, nurses are showing a greater aptitude for administrative and leadership tasks than ever before. The majority of the people presented with this information agreed with this assessment.

References

American Nurses Association (2016). Florence Nightingale pledge. Retrieved January 1, 2016 from http://www.nursingworld.org/FlorenceNightingalePledge

Blegen, M. A., Goode, C. J., Park, S. H., Vaughn, T., Spetz, J. (2013). Baccalaureate education in nursing and patient outcomes. Journal of Nursing Administration, 43(2), 89-94.

Institute of Medicine (2010). The future of nursing: Leading change, advancing health. Retrieved January 5, 2017 from http://www.nap.edu/read/12956/chapter/1

Moffa, C. M. (2011). What’s the sound of 3 million nurses? Finding our voices. The American Journal of Nursing, 111(4), 7.

Comments

    0 of 8192 characters used
    Post Comment

    No comments yet.

    working

    This website uses cookies

    As a user in the EEA, your approval is needed on a few things. To provide a better website experience, hubpages.com uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

    For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at: https://hubpages.com/privacy-policy#gdpr

    Show Details
    Necessary
    HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
    LoginThis is necessary to sign in to the HubPages Service.
    Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
    AkismetThis is used to detect comment spam. (Privacy Policy)
    HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
    HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
    Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
    CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
    Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the googleapis.com or gstatic.com domains, for performance and efficiency reasons. (Privacy Policy)
    Features
    Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
    Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
    Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
    Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
    Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
    VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
    PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
    Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
    MavenThis supports the Maven widget and search functionality. (Privacy Policy)
    Marketing
    Google AdSenseThis is an ad network. (Privacy Policy)
    Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
    Index ExchangeThis is an ad network. (Privacy Policy)
    SovrnThis is an ad network. (Privacy Policy)
    Facebook AdsThis is an ad network. (Privacy Policy)
    Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
    AppNexusThis is an ad network. (Privacy Policy)
    OpenxThis is an ad network. (Privacy Policy)
    Rubicon ProjectThis is an ad network. (Privacy Policy)
    TripleLiftThis is an ad network. (Privacy Policy)
    Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
    Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
    Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
    Statistics
    Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
    ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
    Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)