APA Annotated Bibliography Andrus, L. H. & Fenley, M. D. (1976). Evolution of a family nurse practitioner program to improve primary care distribution, Journal of Medical Education, 51, 4, 317-324. (E) This article examines the role of the Family Nurse Practitioner in the delivery of primary care in California. Bullough, B. (1974). Is the nurse practitioner role a source of increased work satisfaction? Nursing Research, 23, 1, 14-19. (E) This article presents the questionnaire and outcomes used to determine the satisfaction of nurse practitioners, the autonomy of the role and creativity in the new role. Draye, M. A. & Stetson, L. A. (1975). Nurse practitioner as an economic reality, Nurse Practitioner, 1, 2, 60-63. (I) This …show more content…
Outcomes demonstrated that patient access to care improved and there was high quality of care provided. Edmunds, M. (1978). Evaluation of nurse practitioner effectiveness: An overview of the literature. Evaluation and the Health Professions. 1, 69-82 (E, A, I P/A) This article provides an overview of published literature that focuses on the effectiveness of the NP. Ford, L. (1975). An interview with Dr. Loretta Ford, The Nurse Practitioner: A Journal of Primary Care Nursing, 1, 1, p 9. (A) This article presents the views on the role of the nurse practitioner, the beginnings of the program at the University of Colorado and the social forces bringing about the new role. Linn, L. (1976). Patient acceptance of the family nurse practitioner. Medical Care, 14, 357-364. (P/A) This article compares patient satisfaction with the care received from nurse practitioners as opposed to the care received by traditional providers. Merenstien, J. H., Wolfe, H. & Barker, K. M. (1974). The use of nurse practitioners in a general practice, Medical Care, 12, 5, 445-452. (I) This article reports on the finding of the usefulness and acceptance of nurse practitioners in a private practice in a middle class
One similarity between NPs, other APNs and PAs is that, they all play a very important role in health care and patient centered approach of care is their objective. Also, their practice is based upon their education, training and certification in collaboration and under supervision of physicians. Another similarity is that, their scope of practice face limitations and restrictions in practicing be it state base or nationally. State laws and regulations act as barriers towards the broadening of PAs professional competencies same as NPs face licensure and practice laws that prevent full extent of their education practice. NP practice requires supervision, delegation, or team-management by an outside health discipline in order to provide
A family nurse practitioner (FNP) is a member of the health care team who provides quality and cost-effective care to patients across the lifespan, from newborn to old age. They provide care in various healthcare settings such as outpatient clinics, hospitals, community health centers and public health departments. They focus on disease prevention, health and wellness promotion. The FNP empowers patients through patient education and partnerships in clinical treatment decisions (Hamric, 2014; “Nurse Practitioner,” 2014). How does one become an effective Family Nurse Practitioner?
Nurse practitioners will be present at all outpatient locations functioning as primary care providers in family practice and other practice settings (pediatrics, geriatrics, acute care, and other specialties). CNMs will be providing midwifery care along with primary health care of women. Nurse-midwives in United States have demonstrated excellent results in their field of practice throughout the years, especially attending to underserved, uninsured, low-income women (Lindeke, Fagerlund, Avery, & Zwygart-Stauffacher, 2010). CNSs will serve the role of case managers and care coordinators mainly at the hospital leading discharge planning of those patients with complex health problems. CRNAs will provide their services at the hospital for the patients in the intensive care unit.
In conducting their duty, FNPs need to educate their patients frequently on certain issues including diet, and lifestyle issues relating to the patient’s health problem. The FNP role also requires the nurse to prepare patient educational material on proper medication and other issues relating the patient’s wellbeing. The FNP diagnoses patients, uncovers underlying medical complications, and plans a proper plan of care to ensure that the patient receives proper treatment. Additionally, FNPs constantly collaborate with other health care providers such as nurse practitioners with other specialties, physicians, nursing scholars, and the government. Apart from providing health care services, Family nurse practitioners are involved also involved in teaching of other FNPs, nursing research, patient advocacy, and policy creation at both the state and the national level (Nurse Journal,
Ontario, Canada 's most populous province with a population of more than 13.5 million, accounts for nearly 40 percent of all Canadians. To render healthcare services to people in Ontario through hospitals, clinics and other medical facilities, registered nurses and specialty nurse practitioners are needed more than ever in Ontario. In present scenario, the biggest population of baby boomers who were born between 1946 and 1964 is getting old. As a result, their health care needs are also increasing at a rapid pace.
Decision makers will need to determine how to best utilize nurses, technicians, and other professionals to close the gap in providing services to patients. Nurses require less time to train, are less expensive to train, cost less to employ, and can increase the efficiency and productivity of physicians who provide care to patients. The increase in the use of health care services as well as the increase in the number of venues where health care is provided has also increased the job opportunities for nurses and other members of the healthcare workforce. The demand for primary care services has stimulated the training of nurse practitioners, physician assistants, and certified nurse
According to the Bureau of Labor and Vital Statistics (2015), the care provided by Advanced Practice Nurses, is equal to or better than physicians, and APRNs have been providing primary health care for children and adults for many years (Bureau of Labor Statistics, 2015). Nurse practitioners are and
My knowledge in the Doctor of Nursing Practice (DNP) continues to expand as I progress through the DNP program. The knowledge I have attained while in the study of the DNP I and DNP II is priceless. For example, recognizing stakeholders and utilizing networking has helped me to progress on my DNP project (Gokenbach, 2012). I also have a better understanding as well as the purpose of a DNP project. My mentors have been great in directing me in remaining on the right track.
Recently the advanced practice registered nurse (APRN) became a very important profession due to the major changes in the healthcare system and the Patient Protection and Affordable Care Act (PPACA) goals that focus on providing patients with affordable but quality care, improving patient health outcomes, expanding care to the underserved areas, and lowering the costs. It became apparent that over the years nurses played an important role in healthcare system. According to the National Governors Association (2012) “The demand for primary care services in the United States is expected to increase over the next few years, particularly with the aging and growth of the population and the passage of the Affordable Care Act (ACA)” (p. 1). In addition,
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.
Despite accepting advanced roles and responsibilities APRNs have often encountered various barriers in the delivery of effective health care based on the variability in the legislative requirements endorsed by various states. To overcome these barriers and improve the delivery of healthcare the Consensus Model for APRNs has been endorsed by 41 various nursing organizations focusing on defining the roles, population foci and implementation strategies across the nation (American Nurses Association [ANA], 2017). Creating a standard expectation regarding the practice of APRNs will help to foster more consistent, quality education APRN programs nationwide (Rounds, Zych, & Mallary,
Nurses suffered from loss of job and difficulty in finding another place of work just as nearly everyone faced during the Great Depression. Many families traveled from town to town looking for work, and nurses were not an exception. The need for education was growing as numbers of enrolled college or university enrolled tripled while high school attendance doubled . Although the country was facing great hardship, women like Annie Goodrich were fighting to further change the image of nursing to standardize nursing education in efforts for “establish nursing as a distinct profession.” One might ask how is it possible to make such a name for nursing during the immense lack of work in which is needed to establish nursing as distinct.
After 10 years working as a registered nurse in many aspects of healthcare, felt an overwhelming desire to advance my career and myself to expand my role in caring for others. Becoming a nurse practitioner has always been a goal of mine. During my time working as a nursing manager, I became acutely aware of the need of skilled and talented providers that desire to provide passionate care to all individuals. I became especially concerned with the needs those with limited access to healthcare services. I knew my desire to care for individuals in a more autonomous role and I set out to develop the skills needed to meet the need I witnessed.
This career did not come from nowhere, it began in 1965. " Loretta Ford and Henry Silver, a nurse and a physician, created the first training program for nurse practitioners. In 1970s, they documented that they increased the availability of primary care services" (O'Brien). I chose this career because nursing has always been
According to the National Center for Health Statistics, the most recent estimates from 2009, the number patients that visited physician offices was more than 1 billion. It is obvious with these types of numbers that patients are seeking care and one might question the need to “market” a practice. However, when reviewing history it is evident that the types of physician practices have evolved from simple family practice settings to an increased number of specialty practices as well at a number of procedures being performed in physician offices versus in hospitals. The reasons for these shifts can be attributed to increased costs of hospital care, tightened payer restrictions,