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
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. Establishing an independent nursing practice is an opportunity to obtain greater autonomy in your practice and focus on a particular population or healthcare venue. As long as the NPs cannot overcome the
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
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
It is unfortunate that the consequence of Julie Thao’s decision to work overtime to help the hospital actually did the opposite by affecting her health and caused a fatal medical error. I completely agree with your 3 weapons against healthcare harm: leadership, safe practice, and technology. As Advanced Practice Nurses, I strongly believe we must to be accountable, responsible, and approachable in order to be an effective healthcare role model and leader. Our priority should always be patient safety as we assess, diagnose, and implement interventions. APNs should conduct continuous research for self-knowledge, to educate staff members, and to educate the patients. Like you had mentioned, patient education is important so they are aware
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).
Due to hospital care reaching an all-time high in America, we need nurses now more than ever before. Currently in America, we have an issue with nurses having too many paperwork to fill out. In the article “We Need More Nurses” by Alexandra Robbins argues we need more nurses in the hospital. Nursing shortage has been a common issue throughout the world. Because of this issue others are being affected in many different ways. This issue is not only affecting the hospital, but also the patients. In the article “When Hospital Paperwork Crowds Out Hospital Care” by Theresa Brown argues that nurses have too much paperwork to fill out about their patients. Having too many paperwork takes away from the nurses getting involved with their patients. In my opinion, neither of the arguments are valid because they lacks supporting details .Even though Robbins and Brown are passion about their topic, they both did a great job using pathos
Many nurses do not get involved in health care policy even though the nurse should. Most nurses do not know much about health care policies, some view it as “foreign and complex” (Falk, 2014, p. 203). I consider myself one of the nurses that do not know much about health care policy and I am one of the nurses that do not get involved in health care policy. I do not get involved with health care policy because I was never taught about it, so I do not want to get involved in something that I do not know much about. I look forward to learn more about health policies and becoming more involved in health policies.
They assess, diagnose and treat acute and chronic illnesses as well as preventative healthcare for individuals and families. As their care is family-centered, they must also be able to understand the relevance of the family’s identified community. In addition to the nine essentials as outlined by the AACN, the FNP must meet competencies in advanced health assessment skills in order to differentiate between normal and abnormal findings. They should able to use screening and diagnostic strategies to develop diagnosis and they must be able to prescribe medications to enable them to work as independent practitioners (Competencies for Nurse Practitioners, 2012). In order to meet these competencies, the Consensus Model for APRN Regulation (2008) requires three separate graduate-level courses in advanced physiology and pathophysiology, health assessment and pharmacology as well as appropriate clinical experiences across the age
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.
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.
Highly motivated to impact patient safety and quality of care. Experience with project management within Bellin’s refill pilot team, involving one-one training with orientation, competency assessment completions, evaluation of knowledge and understanding, in addition to implementation of evidenced-based practice involvement with protocol utilization. Achieved bachelor’s degree in nursing from Marian University May 2013. Part-time nursing master’s student at Marian University graduation anticipation December 2019. Licensure/Certification: WI Nursing License (File Number: 198659-30), CPR/AED Certified, NIH Stroke Scale Certification (2015), Pain Management Course Completion. Leadership involvement achievements: One of two selected Refill Pilot
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,
Registered nurses need evidence-based gerontological nursing knowledge and skills to practice successfully in today’s health care environment (NGNA, n.d.). Raising the standards of nursing care for older adults through pre-license education and continuing education for practicing nurses will prepare nurses to deliver appropriate care for older adults to age with optimal function, comfort, respectful care and dignity (NGNA, n.d.).
I am a Registered Staff nurse who working at Bukit Batok Polyclinic. I am currently studying at the University of Sydney at Singapore Institute of Management pursuing Bachelor in Nursing (Post -registration ) programme. I am writing this letter because I would like to share with you my thoughts on the important of studying the discipline of nursing. I have a deep realization that it is important to study discipline of nursing.