NUR 514 Topic 1 Discussion 1 AND 2 Paper

Topic 1 DQ 1

The U.S. healthcare system continues to evolve with increased integration of better approaches leveraging technologies and new trends to meet the growing patient care demands and needs. An aging population, improving healthcare technology trends, and shifting focus to value-based care as opposed to a fee-for-service model are the hallmarks of the evolving healthcare system in the country. Value-based health care as advanced by the Centers for Medicare and Medicaid Services is a paradigm shift in the healthcare system that compensates providers for quality as opposed to quantity of services offered to patients (Flaubert et al., 2021). The model incentivizes providers to improve patient health and lower the effects, and incidence of chronic diseases through increased health promotion and healthier living. The focus on primary health means that providers should strive to prevent diseases as opposed to treating them.

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The shift to value-based health has a significant impact on care delivery and the role and responsibilities of advanced registered nurses. The model ensures that providers get compensated for quality care delivered evidenced through patient health outcomes. Imperatively, the model has led to an increased focus on preventive care and management of chronic diseases, and increased integration of health information technology to track and monitor patient outcomes as well as coordinate care (Shi et al., 2022). The model also means that providers emphasize patient-centered care as they work in teams to address patient’s holistic needs and concerns. The model also means expanded roles and responsibilities of advanced registered nurses (ARNs) as they become primary care providers, and care coordinators and develop quality improvement policies to enhance care delivery and outcomes.

Evolving trends in the health care delivery system that will impact nursing practice include the increasing integration of health technologies including telehealth and greater focus on population health. Furthermore, increased demand for primary care and the implementation of healthier alternatives to care will define future trends. As such, advanced registered nurses will embrace these changes and influence policies and interventions to improve health care and outcomes (Yoder-Wise et al., 2022). They will advocate policies focusing on patient care and lead interventions to improve care quality. They will also participate in research advancing nursing science for better primary care. These efforts mean that nurses, especially ARNs, will expand access to care and quality service provision based on their settings.

References

Flaubert, J. L., Le Menestrel, S., Williams, D. R., Wakefield, M. K., & National Academies of

Sciences, Engineering, and Medicine. (2021). The Role of Nurses in Improving Health Care Access and Quality. In The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. National Academies Press.

Shi, L., & Singh, D. A. (2022). Essentials of the US health care system. Jones & Bartlett

Learning.

Yoder-Wise, P. S., & Sportsman, S. (2022). Leading and Managing in Nursing E-Book: Leading

and Managing in Nursing E-Book. Elsevier Health Sciences.

Topic 1 DQ 2

At the core of systems thinking is the proposition that organizations work holistically as one entity with complex and interconnected aspects rather than a collection of individual parts. Through this approach, leaders understand the interactions and relationships among various components of the system, allowing them to make better choices and informed decisions while developing robust and meaningful inter-professional and organizational structures (Duffy, 2022). Systems thinking tools like cause and effect diagrams, network maps and force field analysis are essential for nurse leaders to determine interactions among various stakeholders and their roles within the organization. They also leverage these aspects to understand the net effect of changes in one area of the system can have a significant effect on the entire organization and its processes. Systems thinking also allows nurse leaders to identify the root causes of issues so that they effectively develop sustainable solutions.

Nurse leaders can use a raft of systems thinking tools that include a fishbone diagram (Ishikawa diagram), root cause analysis, balanced scorecard, and process mapping (Yoost et al., 2021). The fishborne diagram is a tool that allows nurses to identify possible causes of an issue, and determine the interconnected factors impacting inter-professional collaboration. Through a root-cause analysis, nurse leaders can systematically investigate the underlying causes of problems and implement required interventions to attain expected outcomes (Roxas et al., 2020). The balanced score aligns inter-professional goals with the organizational approaches to ensure all departments have common objectives and a shared vision. The process mapping tools map out workflow and processes involved in patient care for leaders to identify bottlenecks and gaps for improvement to attain inter-professional collaboration.

Nurses can integrate the inter-professional education model into systems thinking by promoting a shared approach to their roles, responsibilities, and perspectives among various healthcare professions. Through the inter-professional education (IPE) approach, nurses can collaboratively solve issues and make better decisions that benefit patients and organizational processes (Duffy, 2022). Systems thinking and IPE are essential in enhancing inter-professional collaboration leading to better patient outcomes and efficiency in organizational activities.

References

Duffy, J. R. (2022). Quality caring in nursing and health systems: Implications for clinicians,

educators, and leaders. Springer Publishing Company.

Roxas, F. M. Y., Rivera, J. P. R., & Gutierrez, E. L. M. (2020). Framework for creating

sustainable tourism using systems thinking. Current Issues in Tourism, 23(3): 280-296. DOI:10.1080/13683500.2018.1534805

Yoost, B. L., & Crawford, L. R. (2021). Fundamentals of nursing E-book: Active learning for

collaborative practice. Elsevier Health Sciences.

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Assessment Description

Consider the evolution of the U.S. health care system. Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse. Project what major evolving trends in the health care delivery system will affect nursing practice and how advanced registered nurses will influence the direction of health care.

Topic 1 DQ 2

Assessment Description

Based on your experience, explain how systems thinking helps leaders to build strong interprofessional and organizational relationships. Discuss some system thinking tools nursing leaders can apply to increase interprofessional collaboration to benefit patient outcomes or organizational initiatives. Make sure to incorporate the Interprofessional Education Collaborative (IPEC) competencies in your response.