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. There is a great need to open communication and education among other health care professionals
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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
The AMA is the American Medical Association Interest Group. "The American Medical Association helps doctors help patients by uniting physicians nationwide to work on the most important professional and public health issues." (Project Vote Smart) It is the biggest physician organization in America that has doctors from all across the country.
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.
Differences between Nurse Practitioner and Physician Assistant in USA Nurse Practitioners and Physician Assistants are two such professionals in the field of medicine who are important for the medical field equally. Their functions are also quite similar with very minor differences between the two. Due to such similarities it becomes difficult for the general population to differentiate between these two professionals. The nurse practitioners undergo their training through nursing schools, whereas the physician assistants study in medical schools (Nurse Practitioner Schools, 2015).
Yes, I believe it is important because communication is a key to providing patient safety. A safe hand-off supports good communication and a safe transfer of care. Yes, and I think the level of education should increase more over time. The more patients are aware the better the outcomes.
The patients I have worked with have become my greatest teachers. I can’t sit down and flip to a chapter in a textbook that would teach me how to listen to a patient and let their unique history paint the picture of their present illness. A physician that I shadowed told me something that has since resonated with me. She told me how every patient has a story, and you always need to listen carefully because these stories aren’t pointless, they often can lead to your diagnosis. I personally believe the most important member of the care team is the patient; without communicating with the patient there is no chance to obtain crucial insight as to the illness that is presented to you.
For my senior project I job shadowed a registered nurse on the Acute Rehab floor at Mercy General Hospital. My goals for senior project were to learn the basic skills a nurse needs to help a patient and to learn how to interact with different types of personalities. My mentor for my project was Michelle Whitten, she has been a nurse for two and a half years. Michelle has a B.S in nursing and a B.A in human development. She is certified in cardiopulmonary resuscitation CPR, Basic Life Support BLS, Advanced cardiac life support ACLS, Pediatric Advanced Life Support PALS, Cardiac Monitoring, MPR, and Certified Rehabilitation Registered Nurse CRRN.
Finally, it will explain the importance of ethics in communication and how patient safety is influenced by good or bad team communication. The first method of communication is mutual respect. The patient and clinician have a partnership based on trust. The patient has respect for the clinician 's experience and the clinician has respect for the patient 's wishes, needs, concerns and builds on past experience to meet immediate needs. (Paget, 2011).
Reflecting on the past seven weeks I have acquired countless knowledge, which I will use to further strengthen my profession as an Advanced Practice Nurse. The course allowed me to think beyond my current practice knowledge and acquired innovative ways to evaluate the situation at hand. The learning objective in program outcome four helps set standards that I will use to guide my clinical practice to meet various healthcare needs. Using the case studies has helped to further enhance my knowledge on disease physiological state, using differential diagnosis, disease manifestations, and clinical presentation. It has also taught me the skills on how to differentiate between similar diagnoses to properly identify the problem and treat the patients.
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:
She must understand the doctor's instructions and the patient's concerns. Her communications skills focus on both giving and receiving information as well as creating an environment of confidence. Some consequences of ineffective communication can be chaos, confusion, disorder, fear, conflict, inefficient systems, and wasted resources (Vertino, 2014). An ineffective communication can lead to errors in patient’s misdiagnosis and even medication on admission, during hospital stay, and after discharge, and whether these errors were potentially harmful.
It is perceived that multi-disciplinary collaboration when it comes to service-user care is linked to more positive outcomes and experiences (Clifton et al., 2007). Teams which are able to communicate and are well coordinated have a lower rate of error (Despins, 2009). An effective team can be achieved through an effective model of communication, where members of each profession can openly share their opinions and challenge the opinions of others, in the hopes of improving service-user care and thus service-user safety. However, this type of honesty can only work well when there is a mutual respect and understanding within a team. Mutual respect, understanding teamed with effective communication lead to a
Without strong communications, this team may not find their balance. It is important to collaborate and build this trust among the office members. The doctors can’t effectively lead change without the understanding of the staff to make the necessary
REFLECTION OF THE INTERVIEW 2.1 Description A component of the Effective Communication module, is an Inter-professional Education (IPE) enrichment activity and we were put into groups with the Pharmacy students. There were in total 2 Nursing students and 3 Pharmacy students. We were tasked to interview a healthcare professional. We interviewed Dr Edwin Lim from Tzu Chi Free Health Screening and Free Clinic (TCFC). He specialises in Family Medicine.