Evolving Practice of Nursing and Patient Care Delivery Models
Nursing practice has changed significantly over the last 50 and judging from the changing healthcare system, it is expected that the trend will remain the same. Today nurses require comprehensive training and a variety of skills in order to make critical decisions. In the past many year such decisions could only be made by the doctors and the nurses could only follow the instructions. The healthcare needs of the population are changing, the role of the nurses will certainly be affected resulting in change. Training for the nurses must equally change due to the technological advances which continue to gain popularity globally. As the use of computer technology and the internet takes over many aspects of life in the world, the nurses will be expected to have proficiency in computer skills in order to perform their jobs effectively. The concept of tele-medicine will most likely gain popularity and the nurses should be able to offer online support. Videoconferencing will enable the nurses assist patients manage long-term conditions at home without necessarily visiting a health facility.
As globalization advances, the nursing profession will be also be affected with regard to continuity of care. Today, patients are receiving care from different organization and care-providers. In future it will be common for hospitals to receive many patients from different parts of the world. Nurses will therefore be required to be well prepared to ensure that there is continuity of care. Communication is an integral part in continuity of care. The documentation about the patient’s condition can be obtained easily from the previous doctor however there might be some missing information in the documentation. Patients build a personal relationship with their doctors and nurses who understand the context, values and preference of the patient. Such information will exist in the memory of the doctor who was previously attending to the patient. Obtaining the information from the previous nurses requires some skills in order to understand the patient’s needs completely. The nurses will therefore be required to have the skills to work with doctors from different countries and organizations. The nurses will also need to learn how to maintain good relationships even with the staff from their competing organizations.
Accountable care organizations are established to reduce the cost per capita of health, increase patient satisfaction as well as improve the overall health of populations. Nursing is key for the partnerships to achieve their goals .It has emerged in previous researches that nursing care can actually increase satisfaction among patients, improve health as well as reduce the cost. The nurses may be require flexibility as they may be required to work in different organizations within the partnerships. The nurses will therefore be required to understand different business environments as well as different values for each of the organization.
The concept of medical homes has formed a debate among the healthcare experts especially on the issue leadership. Various experts have suggested that the medical homes should be headed by nurses who should focus primary care to populations which are vulnerable. The medical homes will most likely widening the scope of nursing profession as they will now be on the frontline of providing affordable health services. The nurses in the nurse-managed clinics will now practice to the full limits of training. The inpatient departments of major hospitals will most likely experience a drop in the number of patients as the concept of medical homes is implemented. Nurses should also be ready and willing to go for further studies in order to fit in their new roles.
In conclusion, change in healthcare delivery is inevitable and both the government and nurses should work together to manage change. Training the nurses in is important in order to have a successful transition from the old to the new system of healthcare delivery.