How Nursing is Growing How nursing practice is anticipated to grow and change More and more Registered Nurses (RNs) would continue to be employed in hospitals. However, the relative significance of hospitals as an employer is expected to reduce. By 2020, roughly 58 percent of Registered Nurses would be employed in hospitals, in comparison to an estimated 60 percent in the year 2010 (Spetz, 2014). The health reform law consists of various initiatives aimed at redesigning the organization, financing, as well as delivery of healthcare. Some of these programs, such as medical homes and ACOs, actually rely upon the interventions which fall exactly within the nursing scope of practice, for instance transitional care and care coordination. Moreover, increasing the coverage of health insurance would bring about increased demand on the primary care system in the United States and, therefore on nurse practitioners and Registered Nurses to practice in these primary care settings (Cropley, 2013; Sochalski & Weiner, 2013). Continuity of care: In essence, the phrase continuity of care is used in describing various relationships between patients or clients and the delivery of care (Cropley, 2013). Accountable Care Organizations (ACO): ACOs are essentially networks of hospitals as well as doctors who share accountability for delivering health care to patients in accordance with the health reform law.
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