Current Healthcare Issues

Ariel Cordova Lopez

Walden University


The healthcare system is being faced by varying issues that escalate challenges with dynamics of the healthcare system. The healthcare system is impacted by changing legal environment, technology, as well as expectations of patients. With the increasing patient expectations, it is important for the stakeholders within the health system to collaborate in order to offer wholesome care and promote better outcomes for patients. The healthcare issue that will be considered in the today’s healthcare system is the co-management between the nurses and nurses.

National Health Issue

There are different models of care that are implemented in pursuit of ensuring patient demands are met wholesomely. Comanageemnt aims at offering care to a patient by more than one clinician to alleviate the strain experienced in the primary care systems (Norful et al., 2018). This has been one of the models that proposed to promote better patient outcomes and should be ado0pted by physicians and other nursing specialists in the critical care units. Shifting from the current model of clinicians’ independently promoting care will ensure that there is efficiency in patient care in critical care units of the hospital. Nurses and physicians are basic to the delivery of quality, safe, timely and efficient care to patients. A common stressor in healthcare system is poor collaboration between healthcare professionals in the delivery of care (Norful et al., 2018). The current system has been characterized by limitations of autonomy of the nursing professionals in their practice by the restrictions imposed by the supervisory relationship with the physicians. Such a limiting relationship restricts the abilities of the nurses to offer patient care based on their skills as opposed to depending on their relationship with physicians to implement their duties independently. To overcome such challenges there is need to implement effective communication strategy, mutual respect, and trust among patients and physicians (Norful et al., 2018). The currently framework of comanagement is affected by poor supervisory relationship between the physicians and the practicing nurse.

How the Issue Impact on Work Environment

Inadequate communication between the nurse and physicians during the care delivery jeopardize the efficacy of teamwork much needed to implement meaningful care to patients. The nurses under the supervision of physicians are likely to achieve considerably little in terms of workload. Nonetheless, this challenge can be overcome if such duties are shared among the nurses (Wen et al., 2017). Besides, the workload will decline significantly if the nurses are allowed to carry out tasks without having to wait for the directions from the physicians. When a nurse has to wait for directions from the physicians, a patient might lack desired care due to lack of autonomy. The scope of work and the restrictions that nurses have to experiences in the workplace make the demotivated to perform their duties (Amadi, 2020).

How Healthcare System has Responded to the Issue

Healthcare systems are working towards the promotions and improvement of relationship between the nurses and the physicians by devising the models that creates a harmonious relationship between the nurse and the physician. Various states have come up with strategies to address similar stressors. As a result, the nurses are able to exercise freedom when providing care based on their level of competence (Norful et al., 2018). However, such models are yet to be implemented in all the states and nurses in such states feel they are not motivated to exercise their duties based on proficiency. Besides, healthcare providers are employing more trained nursing professionals to ensure the nursing practitioners are able to practice their mandate independently (Norful et al., 2018). Deploying highly skilled nurses ensures that they are able to offer quality care without waiting for directions from the physicians.


Amadi, R. H. (2020). Improving interprofessional collaboration between physicians and nurse practitioners in virtual primary care telehealth through co-management education (Doctoral dissertation).

Norful, A. A., de Jacq, K., Carlino, R., & Poghosyan, L. (2018). Nurse practitioner–physician comanagement: a theoretical model to alleviate primary care strain. The Annals of Family Medicine, 16(3), 250-256.

Wen, D., Zhang, X., Wan, J., Fu, J., & Lei, J. (2017). The challenges of emerging HISs in bridging the communication gaps among physicians and nurses in China: an interview study. BMC medical informatics and decision making, 17(1), 1-11.



Current Healthcare Issues

Ariel Co

rdova Lopez

Walden U



Current Healthcare Issues

Ariel Cordova Lopez

Walden University

Scroll to Top