Hello 901231637, Your interview along with your thoughts on how your interview impacts you was very interesting to read. Hearing about your NP 's struggles during her education was an unfortunate, but common, experience. It is good to know that professionals we look up to have also experienced the same feelings we have as new nurses. Some of the barriers NPs face are "limited number of clinical sites and preceptors, concentration of educational programs in urban areas, and limited funding" (Fitzgerald 2012). I would like to know if these, or any other barriers, were a problem for your NP and what steps she took to overcome them. Being a new nurse can be overwhelming, and the guidance of an experienced NP could help minimize any concerns an RN would have about continuing their education. …show more content…
It is unfortunate that patients that could have access to treatment, are unable to do so in states such as Texas. "The Affordable Care Act promised [sic] to add 32 million Americans to the rolls of insured" (Fairman 2011). With such a huge influx of patients, the scarcity of primary care physicians is only worsened. It is frustrating that NPs are available but underutilized. References Cynthia Fitzgerald, Ira Kantrowitz-Gordon, Janet Katz, & Anne Hirsch. (2012). Advanced practice nursing education: Challenges and strategies. Nursing Research and Practice, 2012, 854918-8. doi:10.1155/2012/854918 Fairman, J. A., Rowe, J. W., Hassmiller, S., & Shalala, D. E. (2011). Broadening the scope of nursing practice. N Engl J Med, 364(3), 193-196.
The Affordable Care Act has provided many Americans access to affordable healthcare. The group of newly insured Americans have reported that they have timely access to physicians and healthcare. Previously there was concern that the Affordable Care Act would limit access to physicians based on provider networks. Provider networks have proved less of an issue than previously anticipated partially because many of the previously uninsured Americans were not able to secure a relationship with a set provider or physician group. Some areas of concern that remain are high out of pocket expenses incurred with some marketplace plans.
I chose to interview someone that I have looked up to and has been an inspiring role model for deciding to pursue a career in nursing. I have known Phyllis Czarnecki, for six years now, however, I was never familiar with the details of her career as a registered nurse. This interview gave me more respect for Mrs. Czarnecki by giving me a better understanding of the path she has taken to be where she is now. I have always known the general idea of a nurse's responsibilities, however, this interview allowed me to learn the personal opinions and a specific job of a registered nurse. Phyllis realized, as a teenager, she wanted to become a nurse when her mom was hospitalized and undergoing surgery.
The last past eight weeks have provided an opportunity to achieve several program outcomes that will prepare me as my role of nurse practitioner. This course NR 602 has provided me with an opportunity to meet the MSN program outcome #6, the MSN Essential VII, and the Nurse Practitioner Core Competencies # 8. These program outcomes will institute a base upon which care can be delivered with quality. Program outcome # 6 examined ways to apply legal, ethical and human caring principles to situations in advanced practice nursing. There were several case studies that afforded a chance to implement this outcome.
Introduction A. The Affordable Care Act (ACA), also known as The Patient Protection and Affordable Care Act (PPACA), was created in 2010 under the President Obama administration. It is designed to reform the current healthcare system by offering more health insurance options at affordable rates. The reform aims to provide individuals with more health insurance options, alleviate out of pocket costs, and prevent gender discrimination. The basis of providing millions of Americans with quality health insurance options greatly benefits a majority of individuals.
According to Garment (2013), “The American Association of Medical Colleges (AAMC) estimates that the U.S. will face a physician shortage of over 90,000 physicians by 2020; a figure that’s expected to reach over 130,000 by 2025” (p.4). The increasing amount of money required for health care services from a physician is a driving force to pursue alternative ways of receiving primary care. According to The American Association of Nurse Practitioners (2013), “NPs in a physician practice potentially decreased the cost of patient visits by as much as one third, particularly when seeing patients in an independent, rather than complementary, manner” (p. 2). NPs are maintaining the standard of care and for a lesser amount for patients to pay. Mid-level practitioners are completing the same amount of work and improving the quality of care.
Advanced Practice Registered Nurse (APRN) has grown in the past years and continuation of its growth is expected. Studies show that there are some difficulties that a novice nurse experience as they transition to APRN. (Hill, L. *& Sawatzky, J. 2011). The transition is also stressful for the nurse practitioner, thus making the NP feel inadequate, overwhelmed and incompetent. Fortunately, there are steps that can help this transition run smoothly.
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
Retrieved from: https://www.aanp.org/legislation-regulation/state-legislation/state-practice-environment. Villegas, W.J. & Allen, P.E. (2012). Barriers to advanced practice registered nurse scope of practice: Issue analysis. The Journal of Continuing Education in Nursing, 43(9), 403-9. DOI:
Nurses are continuously advancing their nursing knowledge by advancing in their education. After a registered nurse (RN) attains their Bachelor of Science in Nursing (BSN), many options are available when looking into Master of Science in Nursing (MSN) programs. Advance Practice Registered Nurses (APRN) has a great deal of autonomy. APRNs usually have a minimum of a master’s degree in nursing, advanced education in pharmacology and physical assessment, and certification in a specialized are of practice. One of these core roles is the Nurse Practitioner (NP).
The DNP student stated that she has not implemented her project yet and it could not be discussed at the moment. The DNP student did discuss on how everyone, whether a nurse or not, can advocate for the community. The DNP discussed on the pros on advancing one’s education. DNP essential eight: Advanced Nursing Practice is not just entitiled to practice in hospitals. These individuals practice in hospitals, clinics, home health, and in the
I learned that CRNAs are compassionate and work meticulously to keep their patients safe. Before wanting to become a CRNA, I always wanted a doctorate-level degree. My educational goals have always been to become an expert in my field while being a lifelong learner. During my search for CRNA programs, I concluded that I wanted to attend schools that promoted
Advanced Practice Registered Nurses(APRNs) have expanded in numbers and competencies over the past several years. Because of the increasing needs of APRNs, they are being highly valued and became an integral part of the healthcare system. APRNs include Certified Registered Nurse Anesthetists, Certified nurse-midwives, Clinical Nurse Specialists and Certified Nurse Practitioners. Each has a distinct history and context but shares the commonality of being APRNs. They are educationally prepared to presume responsibility and liability for health promotion or maintenance, assessment, diagnosis and management of patient problems which includes the use and prescription of pharmacologic and non-pharmacologic interventions.
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
The basis of modern nursing has started with Florence Nightingale’s work towards the organization and development of education (GCU 2017). The strive for excellence in healthcare, changes in nursing practice and the technological advancement, calls for continuous improvement in education. Attaining the credential to practice nursing does not denote the end of the educational journey. Therefore, the nurse role in providing safe and holistic nursing care is supported by the continuous educational process. This paper will analyze the differences in competencies between nurses trained at the associate-degree level versus the baccalaureate degree level.
The Doctor of Nursing Practice (DNP) program focuses on the doctoral degree that influence the direct care of patients, health policy, and healthcare outcomes (Matthews, 2014). The DNP program prepared me for the role of leadership in solving complex clinical problems, interdisciplinary collaboration, health care engineering and systems approaches, as well as new knowledge that results in uniquely qualified providers. I discovered the activities of knowledge, behaviors/attitudes, and skills in the DNP IV while utilizing the Bloom’s Taxonomy to master the competencies of these outcomes (Huitt, 2011). As an educator, I can relate knowledge to future nursing students and utilize evidence-based practice. Billings and Halstead (2012) suggest