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The nursing practice has evolved in various ways allowing for role diversification that has enhanced care provision in underserved and remote areas. One notable change that has improved care provision at convenient locations is the introduction of mobile health clinics and home-based care systems (Dols et al., 2021). Mobile health clinics enhance the accessibility of healthcare services since they are not limited geographically. This means that people in underserved areas can receive quality care services without traveling far (Dols et al., 2021). Similarly, home-based care is safe because it reduces the patients susceptibility to get hospital-acquired infections.
Some obstacles to these changes include security issues for mobile clinics situated at dangerous places, such as areas that report a high number of bandit attacks. In addition, nurses may experience unprecedented situations such as domestic violence for home-based care, which may jeopardize their safety (Dols et al., 2021). Solutions to these issues include liaising with the government security agents to enhance security where nurses are stationed, to maintain their safety.
Protocols are regulations of practice that guide nursing practices at the facility. For instance, the American Nurse Association (ANA) codes of ethics provide principles of ethics such as autonomy for nurses to follow to provide quality care (Dols et al., 2021). On the other hand, standards of care are diagnosis and treatment procedures validated to be used by clinicians to treat different ailments. The policy of practice addresses the welfare of nurses and patients by advocating for safe working environments for healthcare providers and a healing environment for patients. The patients perception of the healthcare delivery system is based on quality. Adequate access to services and responsiveness by health workers improves the overall perception of the system.
Reference
Dols, J. D., DiLeo, H. A., & Beckmann-Mendez, D. (2021). Nurse-managed health centers: Financial sustainability, community benefit, and stakeholders. The Journal for Nurse Practitioners 17(6), 712-717.
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