Employer Quotes

The quotes below are about this issue:
The roles of health care professionals are changing as the health care industry moves from an acute care model to a community care model. Nurses will be working 'at the top of their degree' and taking on new roles with the possible development of new supporting occupations.

Employer Quote	Region
"Employer 1: That medicine technician mandate—who's managing that? What I think is happening—but I don't know because I'm not in that industry—is that your acute care stay is getting shorter, so there's more community care. And then the follow-up with the medications. So that whatever was achieved in the acute care setting can follow through when the person moves back into the community setting. And what do we need to do as educators to facilitate that process in our graduates? We're finding more and more difficulty in finding that next place. There's a huge need there. What can education do to help with that? Are you needing different skills? Are you looking at a site that might be formed to do that? Employer 2: More and more education on psychiatric care is definitely needed."	Northwest
"As we continue to transform the care delivery process, I think we're looking at maybe developing a couple of new types of roles. Again, it's stratifying who needs to do what. I guess the phrase that we would use is that everybody is working to the top of their license. And so, doctors are working to the top of their licenses. And NPs, PAs, RNs, LPNs, and aides are all working to the top of their licenses, too. So, we don't have RNs doing aide work, for example. And really stratifying that so that we use our resources to the best of their abilities. And that's the evolution that we're in right now. And we don't have enough doctors and we don't have enough NPs and PAs to deal with what's hitting the systems now. And so those become the ways that we look at how we can meet people's needs in a different way."	Southeast
"Chronic disease management. Case management. Having nurses work more in an ambulatory setting versus all just in the acute care hospital. It's going to be more outreached into home care and chronic disease management, maybe it's via phone. But nurses aren't going to all be working in the hospital."	Northeast
"Education. But I think you're looking at more—and we keep saying there's going to be more in clinics—but I think you're finally seeing that with home care and changes in the medical model that we're going to be focusing more on RNs going into clinics. Because they're going to have a more advanced role in the clinics. More focus on chronic disease management and the elderly. In the next 15 years, one out of five are going to over 65. And when we all start retiring, we're going to really need a big influx. I also think that we're building more hospital beds again now, which is a change from what we had a few years ago with everybody merging and closing beds. And those that are in the hospital now are so costly that we're going to have to have a very strong workforce. If you look at the Institute for Medicine, the recommendation is that by the year 2020, 80 percent of the nurses need to be baccalaureate prepared. So, that goes back to how are our schools going to be partnering our associate degree nursing programs? How are they partnering the baccalaureate programs?"	Northwest
"I think there needs to be some fundamental changes in the educational preparation. It's built on a medical model, and it needs to be built on a nursing model because that's what it is."	Northwest
"I think with primary care physician shortages, advanced practice providers are going to be expected to do more. I think RNs are going to be expected to do more, and just everybody's role in health care is going to change. And everybody is going to be working at the top of their license."	Metro
"I think you're going to see more home- and community-based services. The workforce is going to be going to the home and providing care. And I think that we're also going to see more palliative care type of nursing out there, palliative and hospice."	Metro
"I think, within the next one to three years, more and more health care will be moved out of our hospitals and will be provided in the in home setting. So, how do you manage that? Working with tele-health and things like that when students are not getting those skills in class today? Yet, that's where that care is going to be delivered."	Southeast
"There are some people who will project that this is all going to be a public health model or a community health model and not so much that acute care management model. That might be a piece to include—that emphasis on public health even if you're not a public health nurse or a public health employee. Question: The old visiting nurses model. Employer: That could be part of it. Probably over the phone or through email though. In the home."	Northeast
"There is so much change. And you're trying to match up the change that's happening in the industry. Because we're re-defining a lot of these roles, too—what an RN does versus what an LPN does versus what an aide does—and stratifying these types of things because there are cost factors that are at play. So, when we're changing roles it's not specific to the license, it's the work that's being done and how we might have different kinds of positions working in teams a little differently. And I think that's happening across the entire industry just because of pressures with reimbursements and a lot of those types of challenges."	Southeast
"Well, as someone else mentioned, via the phone at somebody's house. So, how do you be friendly and warm and loving and caring over the TV screen? It might be what you're talking about then, right?"	Northeast
"You know, you're starting to stratify even more than you normally do because it's a cost issue. And it's necessary based on the demand that's out there. So, if there is growth it's not going to be in—I don't really see it in the RN roles. It may be in the LPN roles, but you might have medical assistants that might have—we might come up with new titles. I don't know. But I don't think it's going to be in those hiring positions."	Southeast