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). …show more content…
According to Lampe (2013) a clinical nurse specialist (CNS) is a graduate prepared advanced practice nurse that provides expert clinical care in a specialty population and practice in a variety of settings. Generally speaking their practice is specialized in a clinical area that can be identified in terms of: population, setting, disease or medical subspecialty, type of care, or type of problem. The main difference between a CNS and NP is that the CNS practices in a specialty population, and the NP can treat a larger population. Rules and regulations vary for CNS depending on the state in which they choose to practice. Rights for prescribing medications to patient range from independent prescribing authority to no prescribing authority. In some states they can only prescribe when collaborating with a …show more content…
From the research, it is believed by the author, that since the licensing is done at the state level, this is where changes in America should be implemented. APNs need lobbyists to advocate for the changes needed. It appears that in the states where there APNs have restricted practices, it is due to lobbying by the state’s medical board. The legislators should be presented with the facts, APNs provide safe and cost effective care to the patients. Citizens should get involved and write letters to make the legislators aware of the problem. APNs should be allowed to practice to the full extent of their education, and if they were, all of the states in America would allow full practice for their
Texas is home to nearly 10,000 nurse practitioners. Nurse practitioners (NPs) in Texas do not have as many freedoms as NP 's in many other states. In fact, Texas falls at the lower end of the spectrum regarding the freedoms it offers nurse practitioners. House Bill 1885 would grant full practice authority in Texas to all advanced practice registered nurses (APRNs), including nurse practitioners (NPs). It would authorize APRNs to evaluate and diagnose patients; order and interpret diagnostic tests; and initiate and manage treatments; prescribing of medications, these are currently job descriptions of APRNs and NPs that they are already doing, however, it would move these items under the exclusive licensure authority of the Texas Board of Nursing.
Conclusion In conclusion, APNs are equipped to deliver the same safe, efficient, and high- quality care as physicians. The clinical and professional background of nurses gives them an extraordinary opportunity to change the healthcare landscape and promote cost-effective, compassionate, and patient-centered care for people. In a study performed by Dill, Pankow, Erikson, & Shipman (2013), the patient preferred the APN to physicians due to greater accessibility, more personalized and compassionate care, increased comfort with communication, and past positive
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
In Arizona, NP’s do not have to work with a physician, but can manage patients independently (Buppert, 2015). This author’s understanding of NP’s scope of practice was changed. It is confusing to try to learn
FMLA and ACA in regards to APRN or NPs Introduction The Affordable Care Act created new health care delivery and payment models that emphasize teamwork, care coordination, value, and prevention: models in which nurses can contribute a great deal of knowledge and skill. Indeed, the nursing profession is making a wide-reaching impact by providing quality, patient-centered, accessible, and affordable care. - Institute of Medicine
The American Association of Nurse Practitioners (AANP): It was formed in 2013 by the fusion of the American Academy of Nurse Practitioners (founded in1985) and the American College of Nurse Practitioners (founded in 1995). The purpose of this association is to advocate for the issues and performance of the nurse practitioners. AANP’s mission is to lead nurse practitioners in turning the health care system into patient-centered care. According to the AANP website, this organization has more than 60,000 individual members, and 200
Thank you very much for your post. I also agree with you that both ANA and AMA has same goal of providing qualitative, affordable, and best care to the public and promote their health and well-being. As you mentioned that AMA has a strong opinion of providing care by a physician –led team, however I believe that both physician and nurse practitioners and even physician assistant can work collaboratively as a team to accomplish the common goal. The AMA should not really be threatened by the advanced practice nurses because we are not here to replace or take away their position. I feel that the AMA is still worried about losing their authoritative position.
APNs are also having the opportunity to support domestic violence laws by advocating for
While some barriers exist in order to keep patients safe there are others that lead to the physician shortages that the United States is facing today. In order to address the problem head on it
While the main focus of APNs is clinical practice and direct patient care,
Introduction There are many important positions that play vital roles in the general healthcare model. Two of these important positions that make up the team are the Physician Assistant and the Nurse Practitioner. Although their roles are very similar, the way in which each achieves their position in the healthcare field is very different. The Physician Assistant and Nurse Practitioner have differing education and specialty paths.
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.
A Nurse anesthetist, or a CRNA, is a registered nurse who specializes in anesthesia care. They work alongside Anesthesiologists, Surgeons, and other medical professionals to administer anesthesia to patients during medical or surgical procedures. Nurse anesthetists stay with their patients through the entire process of surgery to ensure the safe delivery of anesthesia. They constantly monitor and modify
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
In the U.S. (and increasingly the United Kingdom), advanced practice nurses, such as clinical nurse specialists and nurse practitioners, diagnose health problems and prescribe