Examine changes introduced to reform or restructure the U.S. healthcare delivery system. In a 1,250-word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.Include the following:1. Outline a current or emerging healthcare law or federal regulation introduced within the last 5 years to reform or restructure some aspect of the healthcare delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.2. 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.3. 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 healthcare settings.4. Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years in response to upcoming trends or predicted issues in health care.
Sample solution
Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell.
In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.
God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.
Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.
To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.
References
Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.
Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies, 4(8), 487.
Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.
Sample Answer
Sample Answer
Restructuring the U.S. Healthcare Delivery System: The Evolving Role of Nurses
The U.S. healthcare delivery system has undergone significant reforms and restructuring in recent years, aiming to enhance quality, efficiency, and patient outcomes. Nurses play a crucial role in this changing environment, adapting to new regulations, quality measures, and leadership responsibilities to promote patient safety and quality care. This paper explores key aspects of healthcare reform, the impact on nursing practice, quality measures and pay-for-performance, professional nursing leadership roles, and emerging trends shaping the future of nursing.
Healthcare Law or Regulation: The Affordable Care Act (ACA)
The Affordable Care Act (ACA), introduced within the last five years, has brought sweeping changes to the U.S. healthcare system. One significant aspect of the ACA is the emphasis on value-based care and payment reforms, shifting focus from volume to value. This shift has implications for nursing practice, as nurses are increasingly involved in care coordination, prevention, and patient education to improve outcomes while controlling costs.
With the ACA’s emphasis on population health management and preventive care, nurses are taking on expanded roles in chronic disease management, health promotion, and care coordination. The nurse’s responsibility now extends beyond traditional bedside care to include patient education on preventive measures, medication adherence, and lifestyle modifications. This shift aligns with the ACA’s goal of improving health outcomes and reducing healthcare costs through proactive, patient-centered care delivery.
Quality Measures and Pay-for-Performance
Quality measures and pay-for-performance initiatives have become integral components of healthcare delivery, influencing patient outcomes and nursing practice. By linking reimbursement to quality metrics and patient outcomes, these initiatives incentivize healthcare providers, including nurses, to deliver high-quality, evidence-based care.
Nurses play a vital role in ensuring compliance with quality measures, documenting patient outcomes accurately, and implementing best practices to improve care quality. Through ongoing assessment, monitoring, and evaluation, nurses contribute to the continuous improvement of patient outcomes and overall healthcare quality.
Professional Nursing Leadership and Management Roles
In response to emerging trends and the evolving healthcare landscape, professional nursing leadership roles have become increasingly important in driving organizational change, promoting patient safety, and ensuring quality care delivery. Nurse leaders are instrumental in fostering a culture of safety, facilitating interprofessional collaboration, and advocating for patient-centered care practices.
Nursing management roles have expanded to encompass strategic planning, resource allocation, staff development, and quality improvement initiatives. Nurse managers play a key role in coordinating care delivery, optimizing workflows, and ensuring adherence to regulatory requirements to promote patient safety and enhance care quality.
Emerging Trends in Nursing Practice
Looking ahead to the next five years, several trends are poised to shape the practice of nursing and nursing roles:
1. Telehealth Integration: With the increasing adoption of telehealth services, nurses will need to adapt their practice to deliver care remotely, leverage technology for patient monitoring and communication, and ensure continuity of care across virtual platforms.
2. Emphasis on Mental Health: As awareness of mental health issues grows, nurses will play a more significant role in addressing mental health needs, providing emotional support, counseling services, and collaborating with mental health professionals to deliver holistic care.
In conclusion, as the U.S. healthcare delivery system continues to evolve through reforms, restructuring efforts, and emerging trends, nurses remain at the forefront of patient care. By embracing new regulations, quality measures, leadership roles, and upcoming challenges in healthcare, nurses can drive positive change, promote patient safety, and deliver high-quality care in diverse healthcare settings.
