With the implementation of the Affordable Healthcare Act, the main issue that is in the forefront of the debates is how the healthcare system in the United States can provide care for all of the additional Americans who previously did not have health coverage and did not seek medical care. In order to provide for this additional influx of patients many believe that each healthcare professional will have to expand on the services they provide in order to accommodate everyone who seeks care. It is vital that the nursing role expand to meet these needs. Because nurses have a very unique position in healthcare due to their close hands on care of the patient the more nurses change with the ever changing medical climate the better care the patients will receive.
The Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) jointly released The Future of Nursing: Leading Change, Advancig Health report. This report focuses on how nursing can help meet the demands of an increased population of patients. This report has four key points. “1) ensure that nurses can practice to the full extent of their education and training, 2) improve nursing education, 3) provide opportunities for nurses to assume leadership positions and to serve as full partners in health care redesign and improvement efforts, and 4) improve data collection for workforce planning and policy making”(Future of Nursing, p.29). This report stresses how nurses will have to become a primary caregiver.
The key stakeholders involved in the changes are of course Congress and the Federal Government who are creating the guidelines for the health reforms and then onto the health care professionals who will implement these changes and change their method of practice to conform to the new regulations. Lastly, the patient is the final stakeholder in the change. Many patients who would never otherwise seek medical care due to lack of insurance will now be seen.
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