Patient Care Delivery Models

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Changes within the healthcare system are inevitable considering the technological advances and the new approaches to managing illnesses. Nurses are the most direct caregivers for many patients, and therefore, they can either affect or be affected significantly by the changes that are expec

Continuum of Care

Regarding the continuum of care, nursing care is expected to grow and change. According to Salmond and Echevarria, this form of care involves tracking patients over time while providing various health services to improve the health outcomes of patients. Patients under this model receive multiple services such as acute hospital care, extended care, and home care. Nurses who will use this model will plan patient follow-up and track the health status of patients even when patients do not have any illnesses. In the process, nurses will ensure the prevention of diseases and the treatment of acute illnesses to avoid disease complications. Salmond and Echevarria  assert that this model also involves the coordination of services. Therefore, during the follow-up process, nurses will improve their relationships with allied health professionals such as social workers to ensure proper coordination of health services in the hospitals and communities.

Accountable Care Organizations (ACOs)

About the ACOs, nurses will collaborate effectively with other health professionals to ensure that patients are satisfied with the health services that they receive. Babyar affirm that ACOs involves a collaboration of physicians, hospitals, and other health professionals who provide voluntary and high-quality care to Medicare patients. This affirmation indicates that for healthcare services to be efficient, healthcare providers have to work together for a common goal. Therefore, in the future, nurses are expected to align their goals with those of hospitals and other health professionals to meet the needs of patients. Although some nurses may require independence, they will have to make the necessary consultations and provide appropriate advice when it comes to patient care. This process will improve the relationships that nurses will have with hospitals and other health professionals.

Medical Homes

The medical homes will provide an opportunity for nurses to demonstrate their artistic skills while caring for patients. Reibling  argue that in medical homes, patients must be treated with respect, and dignity must be guaranteed when addressing patient concerns. Other qualities such as compassion must also be evident, and nurses have to create trusting relationships with patients within a medical home. In the future, nurses are expected to respect the beliefs and values of patients while also demonstrating compassion during the process of care. Nurses will also improve the way they create rapport with patients during nursing care. For these reasons, patients will experience significant satisfaction with nursing services.

Nurse-Managed Health Clinics

Regarding the nurse-managed health clinics, nurses are expected to enhance the provision of primary care services including conducting follow-ups to ensure proper treatment of acute illnesses and the prevention of chronic diseases. According to Xue et al., such clinics are run by nurse practitioners who function as primary care providers. In primary care, health professionals make their first contact with patients. Therefore, nursing care will involve understanding the problems that patients have before patients proceed to hospitals for advanced or acute care. In the process, nurses will implement plans to treat minor illnesses in entirety and conduct follow-ups for patients with illnesses such as diabetes to prevent complications.

Feedback Summary

The above presentation was shared with three nurse colleagues. The discussion centered on hospitals, communities, clinics, and medical homes. The nurses interpreted the statements provided in the presentation, and their impressions aligned with what I had researched on health reform.

The first nurse was female and had worked in both acute and primary care settings. She confirmed that she had experienced significant changes within the nursing profession, and she looks forward to other changes in hospitals and other health facilities. The nurse indicated that the continuum of care would surely ensure proper monitoring of patients to prevent illnesses and to treat diseases. She also said that accountable care organizations would guarantee collaborative efforts among health professionals, and medical homes would help nurses to ensure cultural competence. Most importantly, the nurse indicated that the nurse-managed health clinics would reduce health disparities that exist, especially among the underserved people. According to Obama, the primary aim of health reform is to ensure that all Americans get health services at affordable costs. The sentiments of this nurse indicate that the nurse-managed health clinics will enhance access to care by all patients, and thus, her statements align with my research on health reform.

The second female nurses had experience with medical homes and intensive care units, and she also provided sentiments that aligned with my research on health reform. For instance, the nurse agreed that the continuum of care would ensure that patients not only access health services but also receive the needed attention to help them to be free from additional health problems. Obama indicates that access to healthcare has been a challenge, but health reform will ensure that all patients get health services. Thus, the perception of the nurse about the continuum of care and access to care is consistent with my research on health reform. While responding to the issue of medical homes, the nurse indicated that nurses will ensure patient-centered care and will respect the cultural needs of patients. This response showed that nurses would allow patients to get health services regardless of their background thus meeting the needs of the underserved patients. Overall, the reactions of the nurse showed how nursing would ensure the treatment of diseases, illness prevention, and patient dignity. These factors are all covered in health reform as presented by Obama.

The last nurse was a fresh graduate who had only worked within the health facility for only one year. Her statements were solely based on what she had read about nursing and the expected future changes. For example, the nurse said that many people are at risk of various health problems, and therefore, the continuum of care was an efficient model to ensure that patients do not experience worst outcomes due to illnesses. The nurse also said that hospitals were relevant in healthcare provision, but primary care was efficient in ensuring disease prevention. Thus, she insisted that nurse-managed health clinics would contribute immensely to improving primary care and health promotion. Obama  assert that a lack of health insurance has limited access to health services, and thus, patients often suffer the worst outcomes of illnesses. This statement is consistent with the comments of the nurse as it justifies the need to prevent diseases to prevent poor health outcomes.


Nursing care is indeed expected to change since the healthcare system involves various patient care strategies that are changing. For example, the continuum of care assists health professionals in monitoring the health status of patients. The accountable care organizations promote collaboration, and medical homes ensure that patients receive the needed care including earning respect from health professionals. The nurse-managed health clinics can improve primary care, and they can promote access to health services. Nurses are aware of these changes. Although they have varied opinions about the anticipated changes, their sentiments are consistent with the available information about health reform. The sample of the three nurses has assisted in understanding that curses can adapt well to the anticipated changes.