NRS 440V Evolving Practice of Nursing and Patient Care Delivery When thinking about the United States and their health care delivery system it has been noted for the past two decades that Americans are unhappy with their existing health care systems (Blendon, 2006).This is where the change comes into play. When talking with some colleagues who are registered nurses they all have said we can expect that, in addition to proposed results, there will be unseen stresses and unplanned outcomes occurring as a result of the reform.Some of these unplanned events are expected to slow down nurses ability to guarantee quality of care and secure settings for patients. The nursing profession has to have change to their preparation, training, and management in order to satisfy their part in the new delivery of U.S. healthcare.Others stated that only time can really tell whether these investments and changes will pay off and help the health care system in the United States.If registered nurses are supported with knowledgeable and strong clinical leadership, if they partake in creating an reachable visualization of the time ahead, and if they agree to accept possibilities and transformation that will increase the value and effectiveness of health delivery, at that point the nursing career is expected to be headed for success instead of struggle in the course of the health reform that are expected to be ahead.Increasing and advancing the training and ground work of nursing leaders, and for the most part what is needed is managers within each departments which will be progressively more essential for nursing to grow in the time to come. It gives nurses more resources in order to allow them to grow within the profession. The management and resources for nurses through this change seemed to be a large concern among those whom I work alongside.When I asked my colleagues how they think their practice of nursing is expected to grow and change; Most stated in regards to the practice of nursing in their opinion will change not simply just in their practice, but as well in leadership and training in order to achieve its full purpose in providing health care in the United States (Blendon, 2006).Continuing of education is a major concept of these new health care changes. Many of my colleagues have only obtained their associated degree in nursing and have really had no intentions on going back to obtain anything higher.However after explaining with this new health care reform it is almost mandatory for nurses to obtain a higher level of education, it almost brought some reality to them about this new change and how it truly effects the entire profession.This change will be a huge shock for many health care workers but hopefully with all the changes there will be a positive outcome for both patients as well as health care providers. These changes will allow nurses to become more independent when treating their patients and providing care.With so many identified and unidentified modifications developing, one might look into how easily the nursing profession is situated to compete with, and still succeed, during the next decade (Buerhaus, DesRoches, & Applebaum, 2012).When change occurs it effects everyone and many become nervous not knowing what may come from the change. However many times change brings great things it is just getting to that point for everyone to really understand.When talking about the changes for the roles of nurses in the hospital setting the three nurses I interviewed explained that as far as patient safety goes in the hospital they do not see that this reform is going to make any difference in the hospital.However they believe that the timeliness and the efficacy could improve with this health care system. Where a large portion of medical care for patients occurs in a hospital setting some portions of the reform will help
