The existing legal and policy-based changes in the management of healthcare advocate for quality through accessibility, affordability, and reliability. Such changes have created a shift in the commitment of healthcare professionals to handling presenting health conditions by patients. Other than considering quality through the engaged treatment commitment, healthcare professionals are beginning to realize reliability, as an aspect of quality, through the satisfaction of the patient needs and values (Kitson, Marshall, Bassett, & Zeitz, 2013). Advanced practice nurses are encouraged to realize quality through positive attention to the needs of the target patients. To achieve this, it is critical to engage comprehensive attention to understanding such needs and values before influencing the right treatment plan.

The best and most useful theory and the principle of nursing that works effectively in realizing the desirable environment for realizing quality through complete attention to the explored needs and values of patients is the patient-centered care theory of nursing (Kitson, Marshall, Bassett, & Zeitz, 2013). The patient-centered theory of nursing advocates for dignifying and respectful responses to patients while engaging the right treatment approach that would satisfy the presenting needs and values of patients. To achieve this, the theory encourages the involvement of patients in making the desired decision for nursing practice. Matters of concern revolve around the social responsibility of the realized healthcare environment.

The existing five elements that make the patient-centered care theory the best and most preferable approach to quality integration in nursing practice include an increased level of respect for the expressed needs, value and preferences for target patients, education and information, access to care, emotional support to the target patient, and involvement of friends and family members of the target patient (Kitson, Marshall, Bassett, & Zeitz, 2013). The engagement of evidence-based practices coupled with high levels of professionalism and ethical compliance is critical to effective compliance to the mentioned five elements of the patient-centered care theory.

Another important and most useful learning theory and principle for the advanced practice nurse (APN) in providing high-quality healthcare to patients is the environmental theory of nursing (ANGELO, 2021). The relevancy of the theory in promoting the right attention to quality care is based on its commitment to an improved relationship between the nurse and the target patient. The theory advocates for the need to enhance positive response to the nursing process by realizing considerable attention to the general environment exhibited by the patient. The basis of the theory comes when the current measures for quality healthcare advocate for prompt and promising attention to the social determinants of health. In realizing this, nurses are required to pay more attention to population health as a strategy for preventing potential health issues rather than handling the implications of unmanaged population health. The initiative works to ensure an impressive response to the affordability, accessibility, and reliability of healthcare.

The existing strategy for maintaining proper healthcare tends to involve patients in devising the right environment for improving their health. A good example of such attention to social determinants of health is the engagement of self-care practices, which are confirmed to be affordable, reliable, and effective in maintaining proper population health. The existing five environmental factors for Florence Nightingale's Environmental Theory are pure water, fresh air, efficient drainage, cleanliness or sanitation, and direct sunlight (ANGELO, 2021). Such factors are significant components of the social determinants of health, which form the basis of realizing a promising response to self-care practices. Therefore, effective engagement and implementation of Florence Nightingale's Environmental Theory would form the basis of achieving the current advocacies for quality healthcare, which permit positive attention to affordability, reliability, and accessibility.

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