Evolution of Nursing Roles and Responsibilities in the US Healthcare System

Running Head: NURSING ASSIGNMENT 0
Nursing Assignment
9/28/2018

NURSING ASSIGNMENT 1
Question 1
A transformed healthcare system will require redesigning the role and responsibilities
of healthcare professional and nurses, to deliver effective care and treatment to patients.
Nursing represents as the largest sector of the health professions with more than 3 million
registered nurses in United States. The new healthcare law identifies challenges in the
management of chronic conditions, primary care, prevention and patient’s wellness, and
prevention from clinical misadventures or adverse events. Thus, it shows a radical change in
the scope and expectations in the nursing practices from 20th to 21st century. Population’s
healthcare needs have changed; there has been more scope towards training or educating
nurses to ensure undertaking complex roles to deliver effective services to patients (Salmond
& Echevarria, 2017). Today nurse practitioners, (NPs) together with healthcare professionals
are more committed towards their responsibilities in providing their most of the primary care
in the United States (Smolowitz et al., 2015).
In addition, the number of NPs and other physical assistants in the healthcare are
steadily increasing while, the medical residents and the residents going to primary care has
been decreased. Roles and responsibilities of the nurses in the American healthcare system
has been evolved over time, as they are now focused and driven towards delivery valuable
services towards their patients. Role of the registered (RN), leading healthcare states that
nurses have now operate as full partner to achieve the triple aim of an improved patient in
American healthcare. These aims include assuring quality and satisfaction of the services,
improved outcomes, or health of the population, and decrement in the per capita cost of these
health-cares. Hence, these are the ways mentioned above stating about evolution in the
advanced registered nurse roles and responsibilities (Hoeve, Jansen & Roodbol, 2014).
Question 2
Professionalism in any field requires obligations, duties, and responsibilities to be
fulfilled by an individual, complying with standard behaviour or attitude towards work.
Professions refer to those occupations, a mix of qualities and thought be a skill, self-
sufficiency, duties, or obligations. Nursing is considered a free and helping profession that
provides benefits and adds strength to the individual. Crucial components of the nursing
practices include care, cure of the patients and co-appointment. Professionalism and the code

NURSING ASSIGNMENT 2
of conduct followed in the nursing differ from other profession or work groups such as
teachers, or any social worker (Stewart et al., 2015). For an instance, to compare the nursing
profession with a teaching or teacher, both focus on helping others providing care in different
ways. Similarity is that both then jobs require licensing, and offer advancement opportunities
but they differ in their working. In cases of law enforcement, and nursing both of their goals
is to help others, social workers helps people through varied life challenges whereas, in
nursing an individual is primarily involved in the health outcomes of patients. Similarly,
nursing practice or profession differs in some way or other from other professions and
working. Case study related to nursing, i.e. nursing practice councils: The Quest for
excellence states that the quest to achieve excellence in nursing requires nurses’ enthusiasm,
commitment, dedication and a positive approach in the healthcare (Coyne et al., 2016).
They need to be strong, follow morals and ethics of professionals, to act for benefits
of the patients. Others include treating all patients equally, behaving in responsible and
professional manner and positive attitude towards work is essential. In cases of adverse
events in treating patients, they must listen to the parents of the patients, and must not enforce
their standards or decision upon patients or their supporting members. Professionalism
standards for an advanced nurse than an RN or LPN states that RNs have more duties than a
LPN and they are frequently added more in the hospitals. The duties for LPNs are more
limited whereas, RNs are accountable and responsible, and are expected to have active
license more than LPNs (Manners, 2017).
Question 3
Discussing about the future of nursing, leading changes and advancing health, it has
been analysed that United States have the opportunity to transform their healthcare system to
provide effective and quality healthcare services. Future of nursing deals with exploring the
roles and responsibilities of the nurses to be changed to meet the increased demands of the
quality care in the healthcare. Thus, it will be ensured by the healthcare, to make reform or
changes in the increasing complexity of the American healthcare system. To achieve this
transformation in the healthcare, it will require remodelling or reshaping the aspects of the
healthcare system in the United States (Masters, 2015).
There are some recommendations, which can help in delivery effective healthcare
services to the patients. Recommendations in nursing education describe that nurses should