Health care is one of the major stories in newspaper and television and a group of nurses are interested in how the economy impacts their nursing practice
The group critiques the relationship between contemporary economic trends and professional nursing practice and finds:
a. the implementation of the DRG system led to the nursing shortage since cost of nursing care is not billed.
b. nursing care is focused on technologically advanced acute care rather than preventive, patient-centered care.
c. with pay for performance, nurses have a significant effect on the quality of patient outcomes by reducing errors and providing care based on best practices.
d. economic issues have little or no impact on nursing practice.
ANS: C
Correct: Pay for performance, where providers are reimbursed based on the quality of care, gives nurses an opportunity to reduce costs and adopt practices that improve quality of care.
Incorrect:
a. DRGs have created additional opportunities for nurses, giving them roles as administrators and reviewers of necessity of services ordered.
b. Nursing care is moving toward preventive outpatient care rather than illness-based acute care.
d. Economic issues have a tremendous impact on nursing practice, affecting both the ability of patients to access care and receive treatment and how treatment is rendered and evaluated.
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