Nursing and patient care delivery models

Assignment Evolving Practice of Nursing and Patient Care Delivery Models
As the country focuses on the restructure of the U.S. health care delivery system, nurses
will continue to play an important role. It is expected that more and more nursing jobs
will become available out in the community, and less will be available in acute care
Write a speech of 500-700 words to educate nurses about how the practice of nursing is
expected to grow and shift. Include the concepts of continuity or continuum of care,
accountable care organizations (ACO), medical homes, and nurse-managed health
While APA format is not required for the body of this assignment, solid academic
writing is expected and in-text citations and references should be presented using APA
documentation guidelines. These can be found in the APA Style Guide, which is located
in the Student Success Center.

Nursing and patient care delivery models

Evolving Practice of Nursing and Patient Care Delivery Models
Fellow nurses, the nursing practice has suffered several challenges which include
shortage of nurses in many developed nations (Tran et al, 2010), America included. However,
the effort that the United States government is putting in place to create nursing jobs is
laudable. The government under Healthcare reform system is introducing community based
healthcare as a top up to what is available in acute care hospital, where patients will be


receiving treatment though the help of nurses. This nursing doubling up will create more
employment opportunities for us and will also boost our experience in nursing. Fellow
nurses, this is a shift that will shape the future of nursing profession in United States through
job creation, considering that every community will require nurses across America. This
means that more nurses will be required to sufficiently meet this demand.
With your permission, I would like to address several issues that will lead to this
growth. First, it is important to note that sicknesses and diseases are inevitable to human
beings, but it is possible for nurses to provide adequate and proficient care to patient. This is
because of the training that nurses receive in learning institutions and for this, nurse trainers
must be applauded. This is a guarantee that the system will work due to professional
qualification of each one of you gathered here today. On the other hand, this care continuum
must be maintained through consistency in communication between the parties involved,
namely, the health care management, the nurses and the patient. (Fernandez et al, 2010). This
will always ensure that strong working relationship is formed. Allow me to make a clarion
call to all nurses, me included, both in training and in practice, to join the nursing affiliated
associations in order to maintain this care and make more opportunities for training and
equipping for work of service.
Fellow nurses, the much needed turning point in nursing cannot be achieved easily
and will not come on a silver platter. Note that Accountable Care Organizations are mandated
to act the role of oversight which is in line with their goal of reducing duplication of care
services, as well as the reduction of erroneous care in health centers (Colpas, 2013). They
exist to ensure that quality care is available to the patients, and ensure presentation of this
rage of care is efficiently administered to the patients. In addition, these organizations can
help in providing the necessary logistical management in terms of outpatient and inpatient


ratios in hospitals. As the sun sets today, the nursing fraternity need to know that such
organizations exists to link us to the much desired growth and shift in nursing in this country.
The third tool available for growth is the establishments of medical homes which
serve as a major boost in job creation in nursing. This is where patients who need specialized
treatment or service are taken for treatment. This component of health care is observed
speculatively to be the canon in key health care provision in the nation (Hudson et al, 2013).
The creation of these homes will help specialists in different areas to sharpen their skills
while treating patients of this kind.
There would be no other conclusion apart from saying with a loud voice that jobs are
just around the corner. Our work is to accept the environmental challenges that we will
encounter in this journey (Meyer et al, 2010), and join hands with all the stakeholders in the
creation of positive work environment. We cannot do without nurse-managed health clinics.
What does this imply? It is another form of saying that nurses are important people in the
health sector. Fellow Nurses, it is time to make affirmative action to work and pull together
towards the realization of this goal.


Colpas, P. (2013, July 31st). Accountable Care Organizations help to coordinate care.
Roundup: ACOS , pp. 6-9.


Fernandez, R. et al. (2010). Interdisciplinary communication in general medical and surgical
wards using two different models of nursing care delivery. Journal of Nursing
Management , 265-274.
Hudson, S. et al. (2013). Support and strategies for change among small patient-centred
medical home practices. Annals of family medicine , s6-s13.
Meyer, R. et al. (2010). The Patient Care Delivery Model – an open system framework:
conceptualisation, literature review, and analyticall strategy. Journal of Clinical
Nursing , 1640-1650.
Tran, D. et al. (2010). A shared care model vs. a patient allocation model of nursing care
delivery: comparing nursing satff satisfaction and stress outcome. International
Journal of Nursing Practice , 148-158.