Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,100 word
paper, discuss action taken for reform and restructuring and the role of the nurse within this changing
environment.
Include the following:
Outline a current or emerging health care law or federal regulation introduced to reform or restructure some
aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role
and responsibility.
Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect
nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
Discuss professional nursing leadership and management roles that have arisen and how they are important in
responding to emerging trends and in the promotion of patient safety and quality care in diverse health care

Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or
transform within the next five years to respond to upcoming trends or predicted issues in health care.
You are required to cite to a minimum of three sources to complete this assignment. Sources must be
published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style
Current or Emerging Health Care Law or Federal Regulation and Effect on Nursing Practice, Role and
Responsibility
20.0
Emerging health care law or federal regulation is omitted. The law or regulation presented is not relevant to
health care.
Emerging health care law or federal regulation is incomplete. Effect on nursing practice and nurse role and
responsibility is partially described.
Emerging health care law or federal regulation, and effect on nursing practice and the nurse role, and
responsibility is summarized. There are some inaccuracies.
Emerging health care law or federal regulation, and effect on nursing practice and the nurse role, and
responsibility is described. Some information or detail is needed for clarity.
Discussion on emerging health care law or federal regulation, and effect on nursing practice and the nurse role,
and responsibility is well-developed.
Quality Measures Pay for Performance, Patient Outcomes, and Effect on Nursing Practice
20.0
Discussion on how quality measures and pay for performance affect patient outcomes, and how they affect
nursing practice, expectations, and responsibilities of the nursing role, is omitted.
Discussion on how quality measures and pay for performance affect patient outcomes, and how they affect
nursing practice, expectations, and responsibilities of the nursing role, is incomplete.
Summary on how quality measures and pay for performance affect patient outcomes, and how they affect
nursing practice, expectations, and responsibilities of the nursing role, is presented. There are inaccuracies or
slight omissions.
Discussion on how quality measures and pay for performance affect patient outcomes, and how they affect
nursing practice, expectations, and responsibilities of the nursing role, is presented. Some information is
needed for clarity.
A thorough and insightful discussion on how quality measures and pay for performance affect patient
outcomes, and how they affect nursing practice, expectations, and responsibilities of the nursing role, is
presented.
Professional Nursing Leadership and Management Roles

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