Evolving Practice of Nursing and Patient Care Delivery Models

    Evolving Practice of Nursing and Patient Care Delivery Models


Dear colleagues, I have prepared a presentation relating to the highly debated topic of the expected change in healthcare delivery and how the role of nurses will be affected in the new system. My discussion covers the changes as well as expected growth in nursing. It is my hope that the discussion will be educative to each member of the department, and you are kindly requested to give your impression after you have read and understood the contents of my presentation. Thank you for your time and support.

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. Jacobs and Skocpol (2010) assert that t is expected that the trend will remain the same. Today, nurses require comprehensive training and a variety of skills to make critical decisions. In the past many years 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 that continue to gain popularity globally (Jacobs & Skocpol, 2010). 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 to perform assigned jobs effectively. The concept of telemedicine will most likely gain popularity, and the nurses should be able to offer online support (Starr, 2011). Video conferencing will enable the nurses to assist patients to manage long-term conditions at home without necessarily visiting a health facility.

As globalization advances, the nursing profession will also be affected about 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 of the continuity of care. Starr (2011) explain that 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 (Starr, 2011). Obtaining the information from the previous nurses requires some skills 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 (Starr, 2011).

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 (Tulchinsky & Varavikova, 2014). It has emerged in previous researches that nursing care can increase satisfaction among patients, improve health as well as reduce the cost. The nurses may 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 on primary care to populations that are vulnerable (Starr, 2011). The medical homes will most likely widen the scope of the 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 (Jacobs & Skocpol, 2010). Nurses should also be ready and willing to go for further studies to fit in their new roles.

Conclusively, change in healthcare delivery is inevitable, and both the government and nurses should work together to manage change. Training the nurses is important to have a successful transition from the old to the new system of healthcare delivery.


Jacobs, L. R., & Skocpol, T. (2010). Health care reform and American politics: What everyone needs to know? Oxford: Oxford University Press.

Starr, P. (2011). Remedy and reaction: The peculiar American struggle over health care reform. New Haven: Yale University Press.

Tulchinsky, T. H., & Varavikova, E. (2014). The new public health. N.p.

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