1 Running head: Practice of Nursing How Practicing Nursing Is Expected to Grow Adrian Macwan Prof. MaryLou Devlin NRS- 440VN 5/8/2019 INTRODUCTION /4 The key fact about the United States’ health care system is that nurses represents the biggest number of medical practitioners, having a number of 3.4 million. This represents about 84.5% number of registered nurses. This means that lives of many American people depend on nurses in order to access affordable health care services given that it is among the biggest sector of the American workforce and this number is expected to increase every year by 200,000 from 2016 to 2026. This presentation is aimed at helping usas understand the developments expected in the nursing and I am optimistic that at the end we will all have understood the importance of nursing, and how it contributes to our Economy and the health care sector. Comment by Devlin, Mary: This is confusing. In the previous sentence you said there are 3.4 million nurses, but in this sentence you said that the 3.4 million is 84.5% RNs. I think you mean that the other 15.5% are LVNs but I’m not sure. You always want to be very clear so that your reader knows what you are saying and doesn’t have to guess at what your meaning is. Comment by Devlin, Mary: This statement is confusing. You are talking about American people depending on nurses to access the health care system, but the way this is written the next part of the sentence says the health care services are the biggest sector of the American workforce. I think you mean nurses, not the health care system. First and foremost I am going to talk about the continuity of nursing care: we all know as from 2016, the Federal government announced the intention of employing and registering 200,000 nurses every year. This means that by 2026 the number of registered nurses will be 5.4 million, this is in addition to the 3.4 million who are already registered. What does this imply? This simply means that the continuity of nursing will need the support from the patients together with the United States health care sectors who must combine their efforts and work in partnership and collectively to achieve a quality and affordable health care services. This is because nurses play a key role in ensuring that patients get the medical services that they deserve, and we can’t therefore hid the fact that nurses are the backbone of the American health care system, and they must be enthusiastic regarding the role they play and embrace it. And the government also should ensure that nurses’ grievances are heard, looked at and solved. For this country to achieve a formidable continuity of care system, all the two key dimensions of continuity of care must be looked at and considered and these dimensions are the traditional in which the all patients should have a continuous medical care with medical practitioners who are well- known, this will not only motivate nurses to register but also improve the .

1. 1
Running head: Practice of Nursing
How Practicing Nursing Is Expected to Grow
Adrian Macwan
Prof. MaryLou Devlin
NRS- 440VN
5/8/2019
INTRODUCTION /4
The key fact about the United States’ health care system is that
nurses represents the biggest number of medical practitioners,
having a number of 3.4 million. This represents about 84.5%
number of registered nurses. This means that lives of many
American people depend on nurses in order to access affordable
health care services given that it is among the biggest sector of
the American workforce and this number is expected to increase
every year by 200,000 from 2016 to 2026. This presentation is
aimed at helping usas understand the developments expected in

2. the nursing and I am optimistic that at the end we will all have
understood the importance of nursing, and how it contributes to
our Economy and the health care sector. Comment by Devlin,
Mary: This is confusing. In the previous sentence you said there
are 3.4 million nurses, but in this sentence you said that the 3.4
million is 84.5% RNs. I think you mean that the other 15.5% are
LVNs but I’m not sure. You always want to be very clear so that
your reader knows what you are saying and doesn’t have to
guess at what your meaning is. Comment by Devlin, Mary: This
statement is confusing. You are talking about American people
depending on nurses to access the health care system, but the
way this is written the next part of the sentence says the health
care services are the biggest sector of the American workforce.
I think you mean nurses, not the health care system.
First and foremost I am going to talk about the continuity of
nursing care: we all know as from 2016, the Federal government
announced the intention of employing and registering 200,000
nurses every year. This means that by 2026 the number of
registered nurses will be 5.4 million, this is in addition to the
3.4 million who are already registered. What does this imply?
This simply means that the continuity of nursing will need the
support from the patients together with the United States health
care sectors who must combine their efforts and work in
partnership and collectively to achieve a quality and affordable
health care services. This is because nurses play a key role in
ensuring that patients get the medical services that they deserve,
and we can’t therefore hid the fact that nurses are the backbone
of the American health care system, and they must be
enthusiastic regarding the role they play and embrace it. And
the government also should ensure that nurses’ grievances are
heard, looked at and solved. For this country to achieve a
formidable continuity of care system, all the two key
dimensions of continuity of care must be looked at and
considered and these dimensions are the traditional in which the
all patients should have a continuous medical care with medical
practitioners who are well- known, this will not only motivate

3. nurses to register but also improve the rate of transparency and
accountability in the field of nursing. All the health care
agencies should have a coordinate system through which
information is shared. The multidimensional aspects should not
only be developed to be improved to. Comment by Devlin,
Mary: To be improved to what?
The other thing to be I want us to share about accountable care
organizations: we all know that this group of medical care
services providers are committed to ensuring that American
citizens receive the best health care services, and they do this
voluntarily without expecting payments in return. This therefore
means that the government, through the State’s health care
agencies and departments, need to recognize the efforts being
made by these people by creating a conducive working
atmosphere and regulations and even fund them even if they
give the medical services voluntarily. The nurses family is very
large and if the government finds a way to motivate more and
more nurses will not only look for jobs so that they can be paid,
but they will lead some of these organization so as to ensure
that there is provision of quality health care given that if the
ACOs achieve providing quality health care, millions of dollars
will be saved and spent in a good way to improve the U.S health
sector. Lastly lets as look at the medical facilities or homes and
the nurse managed health clinic as factors that can play a role in
improving and developing the nursing field. We all know that
the medical homes isare a group kind of medical service system
that are controlled by qualified medical practitioners to achieve
a progressive and inclusive health care services to patients and
their main objective is to see to it that patients receive the best
primary medical care services. On the other hand, the nurse
managed health clinics are managed by qualified and registered
nurses who strive to provide quality and affordable primary
interpersonal health care services. This there that for the
nursing field to improve and grow, the government must find a
way to support such medical care facilities through funding,
creating a proper supportive environment and ensuring that the

4. governing regulations don’t aren’t oppressive. Comment by
Devlin, Mary: I’m confused. ACOs are a way to provide cost
effective care but the providers do get paid. Comment by
Devlin, Mary: This sentence is a run on sentence. Your reader
loses sense of what the sentence is about before reaching the
end of the sentence. Comment by Devlin, Mary: Doesn’t make
sense.
Part two of the question: Nurses feedback on the role of nurses
in hospital setting, clinic, medical homes and communities.
Comment by Devlin, Mary: The following section is very
interesting, but it does not make any reference to the feedback
from your colleagues. It appears to be an essay about the role of
nurses in the different settings, not what your fellow nurses
thought of your presentation.
Nurses play a direct role in all factors when it comes to the
hospital venture to provide high quality medical services, they
carry out the daily activities, which includes managing patients’
medication, patient care, helping during surgeries, and
collecting information about the patients. They also have a duty
to directly monitor and asses the patients, intervene whenever
necessary so as to reduce and prevent medical related
complications. They also have a duty enlightening patients and
families on the care after one leaves the hospital and before
they leave the hospital. Nurses play all these key roles in
hospitals because of factors such as: the high need for
improvement in hospital standards and quality. Demand for
standards and quality is rising and is attributed by the mandates
of the Federal government and the local government’s
requirements, regulation boards, organizations that bring
together hospitals, medical communities, Non-Governmental
organizations and the insurance programs and plans on health.
Other factors include: the recognition magnet programs, the
need for patient related quality, the challenges that are involved
in the nursing duties and the need for staffing that determines
the quality of patient care. Comment by Devlin, Mary:
Educating patients would be a better word choice than

5. enlightening patients.
When it comes to the clinics just like in the hospitals, a clinic
nurse has several roles and duties that they play to ensure the
provision of quality health services and such duties include:
conducting patients intake where they work relatively and
closely with the patients during the process so as to assist
doctors in developing plans and methods of treatment, they do
this by asking patients question regarding the symptoms, their
medical records, and the medications they may have used before
so as to give doctors a better understanding on the patient’s
medical requirements, and they also do first or preliminary
testing which include respiratory and blood pressure checks.
They also support the doctors by preparing the needed
equipment, this therefore forces nurses to quickly change tasks
together with duties to suite the doctors’ requirements. The
clinical nurses also provide medication and care directly to the
patients such as treatments where they do wound dressing,
topical application of treatments and even provide medication
through intravenous ways and injecting that they administer
directly. They also make a follow up on patients to evaluate if
the objectives of the treatments process and yielding positive
results since they examine the patients when they do a follow-
ups.
Besides the direct medical care services that clinical nurses
provide, they also have other duties such as keeping the relevant
detailed medical records of their duties and work. They have to
record what they find out when they administer tests and keep
the outstanding log on the patient’s progress and hey also have
to record lab findings. These nurses also play a role of
educating the patients in an outpatient environment, and they
are the basic contact for patients and those that care for the
patients at home. They enlighten the patients on how they can
administer to themselves medication and observe physical
therapy need. Nurses also provide information on the
importance of nutrition and pain control and on how to
recognize sickness symptoms and together with complications.

6. The outpatient service nurses hold different community forums
and seminars to address precise health care aspects and family
health care givers on how to take care of those they love.
In home health care nursing, nurses give several care to patients
from the young to the old. They view this as a low cost but
effective method through which they can give quality care in a
convenient way to the patients and clients. They strive to
achieve objectives as per their patient’s diagnosis and their
plans involves preventative measures, rehabilitation measures
and the therapeutic treatments. The nurses under the home care
supervise the qualified assistants in the nursing field. These
nurses also act as case or situation mangers as they coordinate
several services that are from different patient disciplines such
as pharmacy and community resources. According to the set
regulations by the government and other nurses’ bodies, all
those practicing nursing from the hospitals to the clinic and
home health care services must have at least a diploma
certificate or bachelor degree of science in nursing. They must
also be licensed to practice nursing. After they can sit for an
examination they are administered by the American Nurses
Credentialing Center which then certifies them to become home
nursing services providers.
Also, according to the three nurses the general scope and
quality of the home health care nursing practice relates directly
with the process of nursing which includes assessing,
diagnosing, creating plans, putting the plans into
implementation and the evaluation of the outcomes. The
qualities of home nursing involves proper researching, the
correct use of resources, educating, the standards of the care
that is being provided, the teamwork and the societal principles.
However, there are a few challenges that affect home nursing
care such as impossibility of them relying on others given that
when they are visiting the clients they are sometime alone this
means that they must adapt to being autonomous. Other
challenges come from some of the homes that the home health
nurses may go to since the car for patients highly relies on the

7. level of safety and cleanliness and sometime not all homes have
the capacity and capability of providing these two requirements.
In conclusion, the role nurses play must be honored and
appreciated by everyone staring from the government all the
way to the people. As the number of nurses increases, the
number of medical facilities and equipment that will facilitate
quality provision of health care services should be increased
and the standards of the existing ones should also be improved.
References Comment by Devlin, Mary: Please review APA
format for your references. You need a hanging indent.
De Vliegher, Kristel; Aertgeerts, Bert; Declercq, Anja; Moons,
Philip (December 2015). "Exploring the activity profile of
health care assistants and nurses in home nursing". British
Journal of Community Nursing. 20 (12): 608–
614. doi:10.12968/bjcn.2015.20.12.60
Ellen Becker, Carol Hall; Samia, Linda; Cushman, Margaret J.;
Alster, Kristine (2008). "Patient Safety and Quality in Home
Health Care". National Center for Biotechnology Information.
Agency for Healthcare Research and Quality (US). Retrieved 24
September 2017
Stanhope, Marcia; Lancaster, Jeanette (2014). Foundations of
nursing in the community: community-oriented practice (4th
ed.). St. Louis, Missouri: Elsevier/Mosby. pp. 549–
563. ISBN978-0-323-10094-6
Homer CJ, Klatka K, Romm D, et al. (October 2008). "A review
of the evidence for the medical home for children with special
health care needs". Pediatrics. 122 (4): e922–
37. doi:10.1542/peds.2007-3762. PMID18829788.
National Commission on Correctional Health Care 2019
https://www.ncchc.org/
Adrian,
I can tell you worked hard on this paper, but, as you can see
from my comments, there are some issues with it. In many
places, it is difficult for me to understand the point you are
making. I marked a few of those places but I don’t like to return
a paper that is completely marked up. Your description of ACOs

8. is inaccurate, which makes your discussion of them inaccurate.
There are some APA mistakes in the paper, specifically in the
reference list and your margins. If you need help with APA, you
can check out the GCU writing center under the student
resources tab in the classroom. Another great APA resource is
the Purdue University Online Writing Lab. They are free and
user friendly. I just google Purdue OWL when I need APA help.
Finally, another strategy that you might try is to ask someone to
read your paper before you submit it. I always did that and my
friend always found mistakes I missed, or places where my
friend didn’t understand what I was saying and I thought I was
very clear. You have really good ideas, they just need to be
clear so your reader can benefit from those ideas.
Please let me know if you have questions.
Mary Lou