Part 1
Following graduation, nursing students are faced with the challenge of transitioning from student nurses to working nurses in an environment that is new to them. Since nursing roles evolve and are influenced by numerous environmental issues, it is necessary for nurses to plan for interventions to help them navigate through their first year of nursing practice.
Using the Brown and Olshansky’s model, the four phases for transitioning are laying foundation, launching, meeting the challenge, and broadening the perspective (Brown et al., (1997). The interventions for laying out a foundation that I plan to do include taking a month break to relax and heal from all the school work before joining the workforce. After the break, my next plan is making several applications for nursing positions in hospitals that I would find satisfactory. I will personally drop my letters and do online applications where necessary.
While it is normal to worry about my efficiency as a nurse in a clinical setting, my intervention to reduce my worrying is meditation to take my mind off stressful situations. Once I launch my career in a clinical setting, to control my anxiety find a mentor and ask for help from experienced nurses. To manage my time, I will get enough rest, and avoid picking up extra shifts until I am well into the system (Edwards et al., (2015). To reduce my emotions on feeling like an imposter, I will take socialize with my colleagues in and outside work to better understand them, making it is easy to work together. I will also take a tour all through the hospital, familiarizing myself with the various departments, rooms, cafeteria, and rest lounges.
To meet the challenges of nursing practice, I will keep a journal documenting my day-to-day activities, work together with other nurses and physicians to gain confidence, and report any problems, concerns and changes I meet during work. To broaden my perspectives, I will create my affirmation statement to keep me going through the day and determine an area that interests me most to continue my nursing education (Edwards et al., (2015).
Part 2
Patient-centered medical home and value-based payment will impact my nurse practitioner practice in several ways. Firstly, it will improve the quality of care that I give to patients because care is primarily focused on the patient. Also, it will give me time to perform other tasks for myself like attending graduate school to enhance my knowledge and specialization. Besides, with patient-centered home and value-based payment, I will be able to bond better with my patients, understanding their needs and concerns, and providing holistic care for them (Shi et al., (2017). Moreover, it leads to an increment in my earnings as a nurse practitioner, leading to better job satisfaction.
With the rise of patient-centered medical homes and value-based payment, there will be transformations in the delivery of primary care in the US. There will be fewer hospital admissions as more patients will prefer receiving treatment and recovering from the comfort of their homes. Also, it extends the availability of healthcare services to all citizens in the US as they can be attended to at home (Cuenca (2017). Moreover, it leads to accountable public and private collaboration and accountability improving overall healthcare in the US.
Part 3
With the rise of nurse practitioners, many physicians are searching for them to fulfill the growing needs in healthcare. Nurse practitioners offer significant economic benefits in healthcare practices. Nurse practitioners specialize in various areas of medicine and their pay is less that physicians leading to compensation saving (White et al., (2017). Also, nurse practitioners lead to better patient outcomes, such as length of stay leading to improvement in cost. Nurse practitioner care is associated with a decrease in overall cost of prescription drugs for patients improving the economy (Helms et al., (2015).
In an interview, if asked about the economic benefits of using nurse practitioners in healthcare practices, I would respond by stating the salary paid to them relative to the salary paid to physicians. I would also inform the interviewer about the enhanced patient outcomes due to better care given by the nurse practitioners.
References
Brown, M. A., & Olshansky, E. F. (1997). From limbo to legitimacy: A theoretical model of the transition to the primary care nurse practitioner role. Nursing research, 46(1), 46-51.
Cuenca, A. E. (2017). Preparing for Value-Based Payment: Five Essential Skills for Success. Family Practice Management, 24(3), 25-33.
Edwards, D., Hawker, C., Carrier, J., & Rees, C. (2015). A systematic review of the effectiveness of strategies and interventions to improve the transition from student to newly qualified nurse. International journal of nursing studies, 52(7), 1254-1268.
Helms, C., Crookes, J., & Bailey, D. (2015). Financial viability, benefits and challenges of employing a nurse practitioner in general practice. Australian Health Review, 39(2), 205-210.
Shi, L., Lee, D. C., Chung, M., Liang, H., Lock, D., & Sripipatana, A. (2017). Patient‐centered medical home recognition and clinical performance in US community health centers. Health services research, 52(3).
White, D. L., Torabi, E., & Froehle, C. M. (2017). Ice‐breaker vs. standalone: Comparing alternative workflow modes of mid‐level care providers. Production and Operations Management, 26(11), 2089-2106.984-1004.