The U.S. health care delivery system, nurses

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 hospitals.
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 clinics
APA format and solid academic writing is expected and in-text citations and references
should be presented using APA documentation guidelines, which can be found in the APA
Style Guide

*The speech shows significant evidence of originality and inventiveness. The majority of
the content and many of the ideas are fresh, original, inventive, and based upon logical
conclusions and sound research.
*Main concept is easily identified, and subconcepts branch appropriately from the main
idea. Addresses all of the issues related to the evolving practice of nursing and patient care

Speech on Nursing Education

The state of healthcare in a nation has a direct bearing on the performance of the country
economically due to the fact that this will impact the workforce. As a result, efforts are being
continually being made to improve upon the quality of healthcare that is accessible to the general
population. Majority of these changes are made within the healthcare system’s medical facilities
and financing programs. Of all professionals who are engaged in the healthcare sector in the
United States and pretty much the rest of the world, nurses get to have a lot of contact hours with
patients (Halstead, 2012). This gives them a vantage point with regard to the continued
improvement of the quality of healthcare people can receive in the United States of America.
Given that all improvements being made today are geared towards future positive results it is
crucial to make improvements in the training syllabi that nurses follow prior to being engaged in

the healthcare system. At the same time there is a marked shift in healthcare provision and this is
reducing the demand for nurses in acute care facilities and directing them to a system that has
more of continuum healthcare, accountable care organizations, medical homes and nurse-
managed Clinics. These are all based on concepts that are being embraced industry-wide thus
redefining the role that nurses play.
Accountable Care Organizations is an emerging system in which healthcare professionals and
establishment operate as groups which are charged with the responsibility of providing their
services to a select group of individuals. These providers will be receiving funds meant for the
Medicare of this patients as a lump sum in somewhat of a shared or pooled resource system and
this will oblige them to share the monies meant for patients’ healthcare. What this means is that
the nurses of tomorrow will have access to a select number of patients rather than having a more
unpredictable collection of individuals.
Continuity of care is another emerging concept in which nurses’ work together with other
healthcare providers to ensure that the next professional to handle the patient has all the relevant
information about patient history and ongoing intervention measures. The significance of this is
that it eliminates the risk of costly omissions of crucial data or medication that normally
jeopardizes healthcare.
Medical homes are patient-centric facility that aims to give the patient the highest possible
improvement in health through the use of a team of professionals working together under a
physician’s guidance.
Nurse-managed clinics are meant to improve the primary care being given to patients by the
professionals. Other than the medical regimes and other prescriptions issued by physicians, it is

necessary to pay extra attention to the recovery process and this is where nurses come in as they
can help hasten this process and monitor for any changes be it the betterment or the worsening of
the patients’ situations.
For the nurses of tomorrow to be prepared for these changes in the healthcare provision system
of the United States of America, it will be very important to include units that touch on these
forms of healthcare both in the theoretical and practical aspects. The effect of this will be a
higher caliber of nurses whose services will then improve upon the entire country’s healthcare
system (McCormack et al, 2013).

Halstead, J. A. (2012). Research in Nursing Education: A Vision for the Future. Nursing
education perspectives, 33(6), 360-360.
McCormack, B., Manley, K., &Titchen, A. (Eds.).(2013). Practice Development in Nursing and
Healthcare.John Wiley & Sons.