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Nursing questions

How has healthcare changed overtime?

Four of the five questions ask you to predict. The one that does not, the before-and-after comparison, is the only evidence the other four can rest on.

Editorial process

Last reviewed · August 25, 2026

01

The comparison is the evidence for every prediction

Four questions ask for forecasts and one asks for a comparison, which makes the comparison the load-bearing section: without it the predictions are opinion. Do the comparison concretely, on a small number of things that can be described in both states. Telehealth is the clearest, moving from a marginal service constrained by reimbursement and licensure to a mainstream one when those constraints were temporarily lifted, and its subsequent partial retreat is itself informative. Scope of practice is another, since emergency waivers expanded what several professions could do; supply chains, workforce attrition, hospital finances and the location of care are all describable in the same way. Each of those can be described in both states with a date attached, which is what makes the comparison evidence rather than recollection. Choose three or four and track them consistently through the whole paper. Supply chains, workforce attrition, hospital finances and the location of care all work the same way.

The question of whether things return to normal then has an answerable form rather than a rhetorical one, and the discriminator is whether a change was structural or emergency. A change that required a temporary waiver reverts when the waiver lapses unless the underlying rule is amended; a change that involved capital investment, retraining or a shift in patient expectation is much stickier. Sort your examples into those two categories and the prediction sections write themselves, because you are extrapolating a mechanism rather than a mood. Be careful with sources: this is a fast-moving topic, so date every claim, prefer analyses that cover a defined period, and say explicitly what vantage point your paper is written from. A prediction is only assessable if the reader knows when it was made. Undated claims on this subject age badly, and a marker reading the paper later cannot tell whether you were right or merely early.

Likely learning objectives

  • Ground forecasts in a described before-and-after comparison.
  • Distinguish emergency changes from structural ones.
  • Use waiver dependency as the test of whether a change persists.
  • Date claims on a fast-moving topic and state your vantage point.

Assignment instructions

Read the full question

Review every instruction before using the planning guidance that follows.

Comparison of Healthcare Paper Assignment In this assignment, students will search the internet for the latest articles referring to COVID-19 as it relates to healthcare. Students will submit a short 4-5 page paper, double-spaced, using APA format answering the following questions: • Where do you see healthcare in 1 year? • Where do you see healthcare in 5 years? • How has healthcare changed in the past 6 months? (Describe healthcare prior to COVID-19 and how it compares and contrasts with healthcare today.) • Will things go back to “normal” or will healthcare as we know it be forever changed? • Does this change how we will deliver healthcare moving forward? If no, why not? If yes, how so? Students will explain in detail how COVID-19 has impacted the healthcare system and what it means for the patients, stakeholders, and healthcare professionals. Please submit the paper in a Word document. This assignment is worth 20% of your grade. Please include 5 references and a reference page, in APA format, listing your sources that support your findings.

Course-wide instructions that accompany this question

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes. Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages. Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor. The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

02

What the comparison paper requires

  1. 01A 4-5 page double-spaced paper in APA format.
  2. 02Where you see healthcare in one year and in five years.
  3. 03How healthcare has changed in the past six months, describing it before COVID-19 and comparing it with the present.
  4. 04Whether things will go back to normal or be forever changed.
  5. 05Whether this changes how healthcare will be delivered, with reasons either way.
  6. 06An explanation of COVID-19's impact for patients, stakeholders and healthcare professionals, with 5 references.
03

Before, after, and what persists

01

Healthcare before

Describe the baseline for the services you will track.

What the assessor is likely looking for

A baseline specific enough to compare against.

02

What changed

Describe the same services now, with dates.

What the assessor is likely looking for

Comparison on the same dimensions.

03

Emergency versus structural

Sort the changes by what sustains them.

What the assessor is likely looking for

A test that could be applied to a new example.

04

One year out

Extrapolate the near-term from waiver status and investment.

What the assessor is likely looking for

A mechanism behind the forecast.

05

Five years out

Extrapolate the structural changes and their consequences.

What the assessor is likely looking for

Longer horizon handled with appropriate uncertainty.

06

Patients, stakeholders and professionals

State what each group experiences differently.

What the assessor is likely looking for

Three perspectives, not one.

04

Where the change evidence sits

Recommended databases

  • KFF
  • PubMed Central
  • CMS
  • NCBI Bookshelf

Search sequence

  1. 1.Find dated analyses of telehealth use before, during and after the emergency period.
  2. 2.Look up which regulatory flexibilities were temporary and which were made permanent.
  3. 3.Search workforce attrition and hospital finance data for the same period.
  4. 4.Check patient expectation and satisfaction evidence for the demand side.
05

Reference shortlist

These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.

Telehealth Systems

StatPearls, NCBI Bookshelf · 2023

Review before citing

Telehealth systems, for the structural requirements that make a change stick.

06

Before you submit

Common mistakes

  • Predicting without establishing what actually changed.
  • Describing change in general terms rather than in named services.
  • Ignoring which changes depended on temporary waivers.
  • Using undated sources on a fast-moving subject.
  • Answering for patients only and omitting stakeholders and professionals.

Submission checklist

  • Is the before-and-after comparison concrete and specific?
  • Are changes sorted into emergency and structural?
  • Do the predictions extrapolate a stated mechanism?
  • Is every claim dated and the vantage point stated?
  • Are patients, stakeholders and professionals all addressed?

Use this guide to plan and review your own work. Follow your institution's rules and read Brinevia's academic-integrity policy.

Written by

Maren Caldwell

MSN, RN, CNE

Medical-surgical nursing, pharmacology and NCLEX preparation

Maren is a registered nurse with over 15 years of clinical and educational experience in medical-surgical nursing. She writes on NCLEX preparation, patient care fundamentals, pharmacology and evidence-based practice.

Reviewed by

Dr. Tessa Redmond

DNP, RN, CNE

Evidence-based practice and clinical education

Tessa is a doctorally-prepared nurse educator. She reviews Brinevia content for clinical accuracy and alignment with current evidence-based guidelines.

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