What is the ACA? - ANS Affordable Care act- 2 laws
1) Patient protection and affordable care act
2) Health care and education affordability reconciliation act
-Passed in 2010
What did the ACA do? - ANS changed how Amer access healthcare and how it is paid for
-Nurses get to...
What is the ACA? - ANS Affordable Care act- 2 laws
1) Patient protection and affordable care act
2) Health care and education affordability reconciliation act
-Passed in 2010
What did the ACA do? - ANS changed how Amer access healthcare and how it is paid for
-Nurses get to help improve and redesign healthcare (cool)
What type of people make up nursing? - ANS 83.2% women
8% male
19% ethnic minority
91% nurses younger than 50 are employed
Ho wmany nurses were ther ein 2016 - ANS over 4 million
Nursing push/pull factors - ANS push: instability, money, political instability, lack of career
opp
pull: opp fo rbetter quality of life, bette rpay, better hospitals
Practice settings - ANS 63.2- hospitals
10.5 ambulatory care (clinics, medical offices, SNFs)
7.8- public and comm health
6.4- home health
5.3- extended care facilities
6.8 other
3 ways to qualify for NCLEX - ANS 1) 4 year BSN
2) 2 year ADN
3) 3 year diploma in nursing
How did nursing start? - ANS in homes
-In hospitals for 150 years
Direct patient care is - ANS medical or surgical conditions
Practice settings for nurses - ANS Direct patient care
Research (teaching students)
, Advanced education (masters, phd)
Advanced practice nurses (APNs): NPs, Clinical nurse specialists (CNS), Certified nurse
midwives (CNM), CRNA
Telehealth
Upsides
downsides - ANS Upsides: can look up labs online, patient daa monitored even when
patients are home, get healthcare to underserved populations
Downsides: legal and regulatory issues, patient may not have internet or lighting
New legislation concerning telehealth - ANS Veteran bill- nurses can now serve veterans
nationwide
--> Corona Virus Preparedness and Response Supplemental Appropriations Act (payers
reimburse Telehealth at same rate as clinic visit, setting restrictions lifted)
Nurse entrepreneurs - ANS -Identify need and provide services
-Ex: nurse managed center, consultatnts to hospitals, health equipment agencies, home health
agencies, stethoscope cover
Adv. of nurse ent - ANS great autonomy
Freedom to control own practice
Disadv of nurse entre - ANS lose financial investment if it fails, regular paychecks are rare,
pressure created becaues responsibility of meeting deadlines, and paying bills falls on you
Employment outlook for nurses - ANS -Expected 15% employment growth from 2016 to
2026
-Tech advnacements
-Increasing emphasis on primary care (cheaper than urgent c)
-Aging population so jobs are opening up
Wage compression - ANS Wage growth occurs early on and then flattens out quickly
-Leave nursing to seek higher education
What did nursing becoming a profession do for it - ANS -defines and establishes
parameters and boundaries of a profession and clarifies the work of nursing
-Guides edu prep
-Helps aspiring practitioners guide
-Makes the work of nursing visible to outsides and policy makers
Flexner Report
-Year
-What he did
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