"I do see it improving on the acute care level, with care coordinators working with primary care physicians," Kadlick says. "As you add care coordinators and change the delivery models, you will see registered nurses more at the bedside than tied to the computer, and the communication will be getting better. You have more advanced nurse practitioners popping up in the acute care settings. We are getting there, but still moving at a snail's pace.
"Physicians have acknowledged how important it is to have that mid-level provider to help them with their greatest commodity—time," Kadlick says.
But as health systems work to improve value-based care, nurses see themselves as becoming increasingly important to coordinate care and should have more of a stake in care delivery, the survey of nurse leaders shows. Indeed, nearly one in 10 respondents say he or she believes nurses will help save healthcare, though most (28%) say they see hospitals as the key to righting the healthcare ship, followed by the government (13%).
While most healthcare leaders acknowledge that the industry is in a mess, not one lays the blame on nurses. Of the more than 1,000 survey respondents, most say government is the culprit (40%), followed by health plans (22%), and even 6% cited physicians.