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Nursing has always been a crucial part of the healthcare delivery system all over the world. The essentials of nursing practice in the community is now so much fragmented that it does not hold its place properly. The expected quality of work and services from the nurses is becoming individualistic rather than being holistic. But still the nursing job is an important part of the healthcare system of the country. More jobs are expected to come in the coming phases of time with the involvement of new and challenging developments in the medical science. As the profession is advancing to new heights more employment seems to arise in the coming era. Nurses must be given more control and dependence over their work so as to reduce the expenses on patient care and improve quality of treatment given to the patients. (Berlin , Grote , Scheidler, 2012)
Many hospitals and health systems have found it very challenging to maintain a stable and qualified nursing staff and have succeeded also at many places so far. The quantity of voluntary workers in nursing is much more than in any other occupation.
The accountable care organizations (ACOs) work in collaboration with the hospitals and the healthcare systems to give an affective and good quality care to the sufferers. This has helped a lot in changing the running trends of nursing care delivery to a new dimension. According to the various surveys and feedbacks, nurses are now more free to work in accordance with the system and therefore able to render quality treatment at low costs. The primary step taken in care of the patient largely depends on the co-ordination and education of the healthcare providers of the hospital. The organizations train the nurses and other staff to work in co-operation with each other to give a better care and get great responses.
Many medical or health homes have also come into practice to deliver valuable care and primary support to the healthcare providing staff members. These medical or health homes are almost similar to ACOs in meeting statutory requirements that emphasize care and services equally within nursing area of practice. (Haney, 2010)
The nurses must be qualified with a bachelor or diplomatic degree to meet the demands of the current scenario in patient-care. They should be well skilled in critical thinking, case management, and health awareness and must have practice of variety of inpatient and outpatient cases. The education of nurses is laid great stress now so as to increase work efficiency and fruitful outcomes in the field of healthcare. The American Association of Colleges of Nursing (AACN) have encouraged the employees to create a practice environment that hold lifelong learning and offer incentives for registered nurses to achieve higher degree levels in their education. (Robert , 2014)
Attaining feedback from the nurses work as an important tool to enhance their morale and confidence towards work. In some places patients have started giving badges og great quality care to the nurses which has resulted largely in boosting up the overall activity of the nursing staff and other healthcare members. The feedback can be taken as a guidance that would suggest ways to improve performance. (Middleton, 2007)
Approximately 40 percent of U.S. hospitals are currently participating in the National Database of Nursing Quality Indicators (NDNQI), to measure ways of nurse care and outcomes. Nurses examine the data and seek useful and meaningful solutions to improve quality of care that must be given to the patient. Many organizations like the ACO’s have made the nurse practitioners to be professionals and have added to their carrier new heights of success in the field of nursing care and its implementations. The basic aim behind this step was to provide high quality primary care and also to gain positive feedbacks from the nurses.
The nurses who are registered to the advanced practice courses have the skills and education to provide valuable services to the ACO participants. All over the country, at present 250,000 nurses are nationally board-certified APRN’s (Advanced practice registered nurses) and are a major source of primary care in community health settings and are highly skilled in managing patients of all ages.
According to the new health care reform law, one more basic advantage of having an ACO can be seen. It states that a medical reimbursement becomes easy and confirmed once ACO’s come into practice in the hospitals. This has far more resulted in gaining a positive feedback from the medical practitioners. (University, (2016)
Apart from the ACO’s there are some health clinics also which are run by nurses only. Most of these are running as nonprofit organizations that works to encourage nurse-led health care through policy, consultation, programs and various researches to reduce health complexities and also to meet public’s primary care and wellness needs.
After the successful and valuable success of such organizations majority of the nursing staff have been in the favor of their working regime and have also stated that working under these types of accreditations will help improve their practice and skills to a further level.
Many organizations and hospitals have found a variable reduction in the quantity of re-admissions, cost and even in hospitalization; this clearly indicates the effective working system of the healthcare providers. This has also resulted in great improvement in the management of care and also in treating patients with complex health needs.
The working of healthcare team in some of the rural areas has also resulted in overall development of the place. These places are mostly handled by the nurses who take care of all the medical needs and train the residents about health and hygiene.
Numerous activities of care coordination are found effective and purposeful. The potential concept and unending efforts of these PCMHs, ACOs and nurse managed health clinics must be shared widely to promote their learning and also to improve their quality. (Aetna Foundation, 2010.)
University, A. (2016). Online accredited Bachelor's & Master's Degrees by American Sentinel.Americansentinel.edu. Retrieved from
Berlin, G., Grote, K., Scheidler, G., (2012). Health International. Retrieved from
Haney, C., (2010). Anna Issue Brief. Retrieved from
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Robert J. (2014). The American Association of Colleges of Nursing. Retrieved from
Middleton, J., (2007). Nursing Times Retrieved from
The Role of Nurses in ACO’s. Pdf pg. 1-2. Retrieved From
Aetna Foundation. Program Areas: Specifics. 2010.
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