Academic Master

Health Care

Evolving Practice of Nursing and Patient Care Delivery

The delivery of nursing care has seen a lot of changes through changes in time. The delivery of individualized care for patients has been enhanced through the use of technology. Reaching out to patients has been made easier through the use of digital means compared t the past when the nurse and the patient had to meet physically in order to dispense the care required. Using current technology, it is possible to dispense the latest medical practices in the field. The contribution of professionals has also been made easier through the current forms of communication (Rouleau, 2017).

In the United States, policies have been put in place to safeguard the welfare of the patients ensuring that they get nursing care of the highest standard at the most affordable cost possible. Such policies include the Affordable Care Act. The presence of reforms that safeguard the welfare of the patient and the existence of a competitive free market has offered a platform upon which accountable healthcare organizations and retail care centers develop.

Other policies like the Medicaid and Medicare which have been created under the Affordable Care Act offer great avenues for positive shifts in the provision of nursing care to patients. The expected changes in the healthcare sector depend on policies and the adoption of the proposed by the target population. It is bound to face challenges. The presence of markers of achievement and avenues for revision of the existent care practices will form a basis for the achievement of the much-desired individualized patient care (Van Servellen, 1988).

An important marker of the progress in the nursing care of patients is evident in the introduction of Accountable care organizations. The organizations aim at offering the required care to patients maintaining high standards while ensuring that the resources are used effectively without wastage. Accountable care organizations are then allowed to keep a portion of the savings obtained through their programs. The use of these programs has made sure that the patient gets the best care available, at the lowest possible cost for both the government and the patient. The healthcare provider benefits from their share of the savings made (Daly, 2013).

The revolution of medical homes through the collaboration of both public and private providers with federally qualified health centers has shown that primary caregivers can achieve improved outcomes with the use of a medical home model of care coordination. In the past, the coordinators have not been receiving any payments for their services in the coordination process. In the current set-up, their remuneration has been prioritized. Better remuneration of workers has shown a positive relationship with better work output in different sectors of healthcare (McHugh, 2014).

Another revolutionary care provision is marked by the introduction of bundled payments. The bundled payments system aims at bringing together the physicians and the hospitals with the sole aim of attaining care that focuses more on the quality of medical output rather than the profits gained. The bundled care model aims at making sure that the patients receive the required care at a low cost while both the hospital and the practitioners share the profits gained. The players do not suffer any loss since making healthcare accessible to many people guarantees a higher number of patients that will seek care. Through the joint effort of the different stakeholders, healthcare has been made more accessible to the general population. Healthcare providers have also benefited from the increased number of patients that are able to seek care.


Daly, R. ( 2013). Redesigning healthcare: New delivery initiatives include ACOs, walk-in clinics, medical homes. Modern Healthcare.

McHugh, M. D. (2014). Wage, work environment, and staffing: effects on nurse outcomes. Policy, Politics, & Nursing Practice, 15(3-4), 72-80.

Rouleau, G. M.-P.-G.-A. (2017). Impact of Information and Communication Technologies on Nursing Care: Results of an Overview of Systematic Reviews. Journal of medical Internet research, 19(4).

Van Servellen, G. a. (1988). Nurses’ perceptions of individualized care in nursing practice. Western Journal of Nursing Research, 10(3), 291-306.



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