Health Carereform


A number of barriers prevent nurses from being able to respond effectively to rapidly changing healthcare settings and an evolving health care system. These barriers need to be overcome to ensure that nurses are well-positioned to lead change and advance health ("The IOM Issues Recommendations’ for Transforming Nursing Practice," 2010, p. 1).
Given the increasing complexity and overwhelming challenges that exist within the healthcare systems in which one practice nursing, it is no longer possible for nursing practice and nursing education to function in isolated silos. It is not easy to describe one’s attitude towards other healthcare professionals because it is an integrated multidisciplinary problem. So, one should adjust their attitude towards the way nursing administer care, to be more cost effective by concentrating on prevention of chronic illnesses through patient education and collaborating with other disciplines to reduce duplication of services.   Having negative attitudes and blaming top executives of the insurance companies, pharmaceutical firms, hospital executives, family-practice physicians, medical specialists, powerful interest groups and our government for this country’s expensive and inefficient healthcare delivery system will not benefit anyone.
The objective of this paper is how the nursing practice affects nursing practice and how nurses can lead the innovative strategies to improve the changing health system.

There are a multitude of problems in healthcare availability, access and affordability, our aging population, faulty prenatal care, overall poor health status, increases in chronic diseases, abuse and diversion of drugs, large numbers of uninsured and underinsured, improper patient use of hospital emergency room facilities and lack of adequate attention to long-term care and end-of life initiatives.
The 2010 healthcare reform act (Patient Protection and Affordable Care Act, or PPACA) gives nurses new opportunities to...