In The 21st century, several factors have converged that have radically altered the environment, education, the practice of nursing in the United States. In addition, there are also significant changes in the roles and responsibilities that nurses are required to undertake. Nurses today are required to perform more tasks in the healthcare system and these demands that they advance their education and also a transformation of how nurses are taught. Apart from this, technological advancements have also been present in every facet of the healthcare system. This has also occasioned with increased funding for nursing education as campaigns to encourage students to pursue nursing or advance their education in the field. In addition, it has transformed the methods by which treatment is provided in the system evoked the need to promote continuity y in treatment and development of better payment methods, for example, by improving the Accountable Care Organizations (ACOs)
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