Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 825-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.

Include the following:

1-Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system in the U.S. Describe the effect of this on nursing practice and the nurse's role and responsibility.
2-Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
3-Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
4-Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.
You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Sample Answer

The previously mentioned instances of tangible analogies show that even inconspicuous, coincidental physical encounters can unknowingly influence musings about figuratively related targets. Most of the led tactile allegory analyses are identified with social brain science, a part of brain science that manages social communications, including their starting points and their consequences for the distinct (individual to individual). It is fascinating to analyze whether these tangible similitudes can likewise be applied to organizations or retail locations. In todays stores many (tactile) advertising exercises are as of now being applied: music is played, explicit hues and light and here and there even fragrances are utilized. These sensations will make a specific view of the earth of the store. Notwithstanding, we accept that the impression of a store can be improved by utilizing tangible illustrations that influence the buyer reactions in an oblivious manner.

So as to gauge the impact of tangible allegories on purchaser reactions, some essential however significant parts of showcasing correspondence explore on customer reactions should be estimated. To start with, we need to look at whether the general demeanor of the respondents will be subliminally affected by the allegorical relationship of tangible similitudes. The 'general' some portion of this 'general frame of mind' variable alludes to the general properties of an organization that will be estimated. Since 'disposition' is one of the most prominent builds in advertising correspondence look into, numerous estimations and scales are accessible to inspect frames of mind (Olson, Zanna, and Mark, 1993). Furthermore, we need to look at whether buyers can see an organization or store as increasingly social subsequent to being infleunced by tactile similitudes. Hence, the second reliant variable in this test is 'the customers' impression of the organization's social direction', curtailed to 'organization's social direction'. The third and last ward variable for this analysis is 'purchaser buy goal', condensed to 'buy goal'. Buy goal is an every now and again utilized develop in both customer conduct research and promoting research and can be depicted as a person's cognizant arrangement to attempt to buy something (Spears and Singh, 2004).

2.5 Manipulating tangible similitudes

So as to quantify the impact of tangible representations on the needy factors: 'the buyers' general frame of mind towards the organization', 'the customers' view of the organization's social direction', and 'purchaser buy expectation', two tactile analogies with respect to warmth and haptics were chosen. They were picked for further research since their capacity as tangible allegories was demonstrated by different investigations. This passage will further clarify the power and relationship of the chose tangible illustrations inside this investigation.

2.5.1 Warmth illustrations

A typical utilized illustration in day by day life is that of warmth and cold as a character characteristic. Seeing somebody as warm or cold involves an expansive understanding that spotlights on a specific level of socialilty. We depict individuals as warm when we see them as social, pleasant, neighborly, supportive and reliable, and then again as cool when we see them as unsocial, unpleasant, beguiling and problematic (Rosenberg, S. et al. (1968), fiske cuddy glick, 2008). The intensity of this representation is likewise exhibited as a tactile similitude by Williams and Bargh (2008). Subjects of their investigation quickly held some hot espresso or some frosted espresso after which they needed to fill in a character impression survey. Therefore, the subjects who held the warm mug of espresso had a higher seen social warmth in other individuals than the subjects who held the frosted espresso. Another concentrate by Williams and Bargh (2008) presumed that when holding a warm article rather than a colder one, individuals will act in an all the more socially warm and minding way, for instance by preferably picking a present for their companions over for themselves. The subjects who held a virus item were increasingly insatiable and in 75% of the cases they picked a present for themselves.

The previously mentioned examinations indicated that coincidental encounters with physical warmth transformed into social warmth in an intuitive way. How could warm items produce indistinguishable emotional states from a 'warm' individual? As indicated by Asch (1946), most unique ideas in brain science are allegorically founded on concrete physical encounters and the emotional reactions are put away together in memory. Thus, the sentiments of warmth when one holds a hot mug of espresso or scrubs down might enact recollections of different emotions related with warmth (trust and solace), as a result of prior encounters with overseers who gave warmth, safe house, security, and sustenance. Due to these continuous early educational encounters with the dependable parental figure, a nearby mental affiliation for the most part creates between the ideas of physical warmth and mental warmth. This examination by Asch has uncovered that the separate cortex is involved in preparing both the physical and the mental adaptations of warmth data. For these hypothetical and experimental reasons, we speculate that minor material encounters of physical warmth ought to initiate ideas or sentiments of relational warmth. In addition, this briefly expanded initiation of relational warmth ideas should then impact, in an inadvertent way, decisions of and conduct toward other individuals without one monitoring this impact.

Cool temperatures expanded the longing for social utilization settings. Their discoveries feature the bidirectional connection among physical and social warmth (Bargh and Shalev, 2012) and unite with another examination on social warmth that was led by Zhong and Leonardelli (2008). They demonstrated that members experience a room as physically colder in the wake of having been socially dismissed. Another study revealed that customers saw the encompassing temperature to be cooler when eating alone than when eating with an accomplice (Lee, Rotman, and Perkins, 2014). Zwebner, Lee, and Goldenberg (2014) considered whether the relationship of physical and socio-passionate warmth likewise reaches out to items. They found that higher encompassing temperatures are related with progressively positive full of feeling reactions and lower apparent separation to the objective item, bringing about expanded item valuation.

In view of the previously mentioned investigations and the positive figurative relationship of warmth, we expect that customer reactions will likewise be impacted by encountering physical warmth. Consequently we anticipate that:

H1a. Holding a warm drink has a huge constructive outcome on 'general frame of mind'.

H1b. Holding a warm drink has a huge constructive outcome on 'organization's social direction'.

H1c. Holding a warm drink has a huge beneficial outcome on 'buy aim'

2.5.2 Haptic allegories

Normal contact related illustrations are likewise much of the time utilized in day by day life, for example "it was an unpleasant day", "contemplating profound issues" and "she's my stone". As per Ackerman, Nocera and Bargh (2010), these similitudes are likewise amazing as a tangible representations. They found that overwhelming versus light clipboards made employment up-and-comers show up increasingly significant. The allegorical relationship of greatness and softness is 'significance', which ensnares the heavier, the more significant something is (Jostmann, Lakens, Schubert, 2009). Another concentrate by Ackerman et al (2010) found that that contacting an unpleasant versus a smooth item makes social cooperations increasingly troublesome. They contended that the experience of unpleasantness and smoothness is figuratively connected with ideas of trouble and cruelty. They additionally indicated that tactile similitudes with respect to hardness and non-abrasiveness intuitively influence one's judgment. In day by day life, we portray somebody as delicate when we see that person as defenseless, enthusiastic, compassionate and touchy, and we depict somebody as hard when we see the person in question as immune, dispassionate, non-sympathetic, inflexible and unfeeling. In the trial of Ackerman et al. (2010), members either contacted a delicate cover or a hard square of wood. The members who contacted the hard square of wood made a decision about somebody as more inflexible and severe than members who contacted the delicate cover. Haptic encounters as for hardness and non-abrasiveness are figuratively connected with (psychological) adaptability, including solidness, unbending nature and severity.

The previously mentioned investigations demonstrated that encounters that are figuratively identified with haptics intuitively impact social impression and basic leadership. The inquiry that emerges is the manner by which such fundamental haptic encounters concerning weight, surface and hardness, impact our subjective handling.

As per a few researchers (Barsalou (2003), Mandler (1992), sensorimotor encounters are put away in our psyche since early stages, which structures a framework for the improvement of reasonable information. This implies contacting something hard actuates the grounded reasonable learning identified with hardness. This calculated learning can likewise be an analogy, for example feeling a harsh bit of wood sharpens us to unpleasant surfaces and may likewise trigger allegorical harshness. Another concentrate by Ackerman et al. (2010) found that sitting on a hard seat expands unbending nature in dealing, and then again, sitting on a delicate seat prompts speedier understanding in bartering. This examination moved past dynamic touch controls to explore whether aloof touch encounters can also drive typified intellectual handling. Rather than having members contact objects with their hands, they prepared members by the seat of their seat. Eighty-six members sat in either a hard wooden seat or a delicate padded seat while finishing both an impression development task and an exchange task. This last basic leadership undertaking had members envision