Introduction Advance practice Nursing origins date back more than a century. Advance practice nursing roles do not stand apart from nursing rather it builds on foundation and core values of nursing discipline (Hamric, Hanson, Tracy & O’Grady, 2014). Advance practice nurses (APN’s) are distinctive of other healthcare professionals such as doctors and physician assistants because of their holistic approach and its nursing framework at its core. Barbara J Safriet’s article ‘Health care dollars and regulatory sense: The role of advanced practice nursing’ highlights the effectives of APN’s in terms of both quality and cost effectiveness and challenges barriers to practice. This paper is the reaction to the article and will identify the two issues …show more content…
Interestingly, OTA analysis revealed that out of 14 studies reviewed, 12 studies showed the quality of care given by NP’s was better than physicians. Quality of care was measured by number of diagnostic tests, interpersonal management, thoroughness of tests and documentation and outcome measures such as reduction in patient symptoms, control or managed chronic care condition, lower hospitalizations etc. Most importantly patient satisfaction was equal and in some cases, higher with NPs care as compared to physicians. Nurse practitioners have continued to provide high quality care and this has not changed. There has been a lot of supportive literature in recent times on NP’s high quality care. According to Bauer (2010), the internationally recognized Cochrane collaboration published a detailed review of more than 30 studies that suggests patient care outcomes with NP provided care are similar to physician provided care and Np’s scored better on subjective areas of quality measure such as patient satisfaction than …show more content…
The article grabbed the attention of many including the legislators and policy makers who failed to recognize the contribution of nurse practitioners in making healthcare more affordable and accessible. The aftermath of this article is the current state of advance nursing practice. Even though we have not overcome all the barriers but there has been a lot of improvements in existing barriers. As Safriet mentioned in her article that nurse practitioners can be fundamental in restructuring the complex healthcare system. Nurse practitioners have repeatedly proved that they can provide cost-effective and high quality care to patients of all
Jessica, I agree with you 100%. The differences and variation in the ANP scope of practice among the nation, does not allow for others especially legislators, to have a clear view of the ANP nurse and what it can be accomplish it all the restrictions and barriers were eliminated. It will also change the public perception and attitudes towards nurse practitioners. I firmly believe that NPs have not only the power, but the ability to improve and make sustaintials changes to our health care system, Excellent
Advanced practice nurses (APN) have a vital role in the future of health care, especially since the enactment of the Affordable Health Care Act. With more citizens having health insurance coverage they will be seeking health care providers, and there are not enough physicians to care for them all. According to Letiziam (2014), advance practice nurses are licensed autonomous health care providers that have been trained to evaluate, diagnose, and treat patients and their conditions. Advanced practice nursing is an umbrella that covers four separate roles of nurses, this includes: the certified nurse midwife (CNM), certified registered nurse anesthetist (CRNA), certified nurse practitioner (CNP), and certified nurse specialist (CNS).
As we have been noted the role and the scope of practice of the nurse practitioners in the healthcare system are unmeasurable. The nurse practitioners (NPs) play a tremendous role in providing healthcare to the people in the United States. Their presence has been recognized in developing the health care industry not only in the US but also globally. Despite the role that the NPs have played into the healthcare system, they still encounter some challenges that can impact their practice. One of these challenges is the NP autonomy of practice.
The purpose of this review of literature article was to create a conceptual framework model of practice recommendations and interventions that can be used to acknowledge the benefit of expanding nurse practitioner scope of practice (SOP); develop a uniform nationwide consensus APRN SOP; and reveal evidence that shows that poor patient healthcare outcomes can occur as a result of restricted NP scope of practice due to barriers created by either physician-related, political, and/or organizational opposition. According to Poghosyan, Boyd & Clarke (2015) over a 4-month period articles were used to build the model. Policy papers, research studies, including original research and reviews, and reports focused on nursing workforce in the United
Practice Policy Appropriate health care continues to be one of the major challenges throughout the nation. Financial and educational hindrances can produce negative health effects on individuals and communities. Advanced practice nurses can implement their evidence based knowledge and skills within any environment to increase the knowledge and health of the surrounding populations. However, nurse practitioners must comply with the protocols and laws mandated by the board of nursing. This paper will discuss the setting in which nurse practitioners practice in, along with the laws and limitations that they must adhere to at all times.
With the ongoing healthcare demands and shortages, the appropriate role and responsibilities of the advanced practice registered nurse (APRN) will continue to be a controversial debate. There were many points addressed in your post that I agree and don’t agree with. It is most certainly not arguable that physicians do endure a longer, more intense education. I personally believe their role as a hospitalist is valuable and should never be discredited for their knowledge and expertise. However, I also believe that they are doing their patients a disservice if they are being overworked due to provider shortages.
The guidelines set by the NP’s Core competencies involves educational programs for nurse practitioner and are referred to as essentials behaviors for all NPs (The National Organization of Nurse Practitioner, ([NONPF],2017). As a future NP, this course has echoed the importance to critically examine information given by finding evidence to support and manage care for the individual or the population, which I will apply to my practice. This, in turn, will offer better treatment plan and optimize better patient outcome. Using the differential diagnosis to pinpoint the best possible diagnosis for individuals has helped me to use critical thinking about my patient and to find the appropriate plan of care.
As there continues to be an initiative to improve quality healthcare while simultaneously reducing costs, the importance of the nurse with advanced education in transforming healthcare delivery and healthcare policy will continue to grow. Opportunities for nurse managed health clinics, quality nursing research to improve evidence based practice, leadership of multidisciplinary health management teams and change agents in health policy and improved patient outcomes make the nurse with advanced education the “escape fire” in health care now and in the
APRN’s have more access to EHR. For example, they have access to pictures of MRI, Echo and x-rays. Business/Finance Family Nurse Practitioners play a significant role in delivering cost effective health care to the community by emphasizing more on healthy life styles, preventive health care and provide better primary care compared to physicians by listening to the patients and spending more time with
I feel the obligation to get involved as an Advanced Practice Nurse (APN) and help change the outlook of the population that is living older. Within twenty years, one in five Americans will be over 65 and an estimated 90 percent of those Americans will have one or more chronic condition (Wood,
The great importance of being prepared for our future role as an advanced practitioner nurse is to enhance our knowledge, the proneness to participate in the new world, and understanding that praxis no only cares for the concern of the facts but also how people involved in such facts, what we can learn from them and assist in their transformation. This means that the practices not only seeks to improve practice nursing but also teach to participate in building the knowledge and thus achieve freedom, independence and autonomy of the profession in the health area (Kagan, Smith, Cowling & Chinn, 2009). As the transformation process is known take time and it requires courage, patient, knowledge, perseverance and professional commitment; so nursing
Health care is in a constant state of change. For a long time, care was dictated by the physician and the patient was expected to treat the diagnosis or treatment plan as final. Nurses served the physician, while providing the beginnings of holistic care to the patient. Today, the industry is rapidly evolving. Terms such as medical home, evidence-based practice, patient-centered care, nursing science, advanced practice providers and so forth dominate the academic publications.
The review relied on appropriate material and used a majority of primary source articles. The researchers included a couple of primary article’s graphs and tables as noted in figure one and two. The cross sectional results of the researchers own findings are found in table one, two and three. This data coupled with the numerous research articles reviewed, identified and supported the research problems and yielded important evidence for nurses because it reflected expert opinion about areas of needed
The Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) launched a two-year initiative in 2008 to take action in order to assess and transform the needs for the nursing profession. They looked into the nurse’s responsibilities, roles, background, and education levels to foresee the future of the nursing profession, where they developed four key messages of recommendations. The first recommendation is “Nurses should practice to the full extent of their education and training.” (IOM, 2010) There are differences in nursing practices, education, licensing, and regulation across states, which leads to a lack of inconsistency in the health care industries.
This article was published on The Journal of Clinical Nursing in 2011, which is a high impact forum. The researchers had identified the aim and the need of the study clearly. The researchers aimed to target nurses and GPs due to the researchers’ statement that healthcare practitioners underestimate