Nurse Practitioner Model

“Escape Fire: The Fight to Rescue American Healthcare” is a documentary concerning the state of health care in the United States. It alleges that the American healthcare system is a broken system that mainly focuses on getting as many people treated the healthcare system, without actually treating their true medical issues. It challenges that the healthcare system is more about bringing in revenue than providing adequate medical care. It further contends that the healthcare system is more about increasing healthcare numbers than improving health. Escape fire is defined as a fire intentionally set to provide protection against a larger uncontrolled fire (Heineman & Fromke, 2012). This documentary maintains that in order to

What is the projected demand for workers in the health care field over the next 20 years?

Moreover, several studies have been conducted to examine the effects of low nurse staffing on patients hospitalization experiences, as well as its effect on nurse careers in the long run. A recent study by Frith, Anderson, Tseng, and Fong (2012) to explore the relationship between nurse staffing and medication errors, demonstrated that medication errors were higher in a cardiac care unit and non-cardiac care unit when staffing levels were lower. In addition, Frith et al. (2012) pointed out that medication errors increase by 18% for every 20% decrease in nurse staffing below the average due to failure to follow medication administration protocol As mentioned earlier, nurses perform the last and the most important step of medication administration. Thus, having adequate time to assess each patient efficiently and following the medication rights is critical to provide safe patient care and prevent errors.

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

Every day nurses are faced with ethical dilemmas. Challenges in these situations are becoming more and more complex due to increasing workload and sicker patients. When a nursing unit is understaffed not only are nurses more likely to become burnt out, but their patients are far less likely to receive the quality of care they deserve. The problem is that the Federal regulations require hospitals who participate in Medicare to “have ‘adequate’ numbers of licensed nurses (RN, LPN, CNA) to provide care to all patients as needed,” but the regulations

The different departments of a hospital incorporate various services that aim to improve the health of those who seek care. Preventative care, primary care, rehabilitation services, psychiatric services, surgical services, and so on that do their part to ensure patients are living a health and making health lifestyle choices. The emergency department is no different.

Urgent care centers bridge the gap between emergency rooms and primary care physicians. By doing so such facilities are able to fill a niche in the market. However, one of the main drawbacks of urgent care centers is that continuity of care is low. Many patients, particularly the elderly, place a high importance on building relationships with their providers. Convenient care, with its episodic nature, poses the risk of fragmenting and disrupting such relationships. Once the ailment is treated, patients are referred back to their primary care physician or a specialist for ongoing care. Therefore, I propose that the Northwell Health GoHealth Urgent Care Centers incorporate a multitude of specialties and expand their services outside of the urgent

Emergency and ambulatory care is one of the largest-volume patient activities, which makes it a key point of the continuum of health services in Canada. To better understand how this component of care is formed and shifting, several databases are managed to provide stakeholders with insight on visits, patient demographics and clinical, administrative and service-specific data associated with day surgery, emergency departments and outpatient clinics. These databases are fundamental components in carrying out the mandate to deliver unbiased, quality, reliable and relevant information to support decision-making and inform health care discussions. One of these core databases is National Ambulatory Care Reporting System (NACRS). The NACRS is a

Patient entering into the healthcare setting often hae their expectation and hope of receiving prompt and uptimal ealthcare services delivered in a professional way, and that any complication that may arise as a result of their illhealth or treatment plan will be promptly identified and treated appropriately. Therefore, complications and deaths from treatable complications, which are preventable clearly reflects the failures of the system of care that patients have placed themselves.

Primary care cost should be lowered due to the lack of primary care physicians currently available. If the advanced-practiced nurses do not provide basic primary care services to patients then who will at a reasonable cost. As stated in the textbook, by allowing advanced-practice nurses to perform routine duties often completed by physicians the United States could save billions of dollars in medical care cost. When someone goes to the doctor’s office nowadays they often see the nurse instead of the doctor unless the patient has a serious condition. Most APNs have either at least a master’s or doctoral degree, and recent studies show that the quality of care by nurse practitioners and physicians was equivalent. It seems the issue here is more

The power point presentation involved several aspects of the professional and the role of advanced practice registered nurse (APRN). I presented the presentation to my co-workers directly following are Emergency Department (ED) monthly staff meeting. Unfortunately, there was low turn this month and I only had 12 participants who attended the presentation. The audience included eight registered nurses, three nursing assistants, and one emergency physician. Majority of the participants remained after the staff meeting for the presentation, which was not a mandatory part of the staff meeting. The time frame was thirty minutes as set by the director of the ED and went over by 10 minutes, secondary to the questions following presentation.

In response to the need for health care enhancement and quality of care deliverance, the health care system is evolving and changing. The aim of this paper is to discuss the subsequent concepts influencing the future of nursing: Accountable Care Organization (ACO), continuity or continuum of care, nurse-managed health clinics and medical homes.

Stage number five is Process, Outcome Evaluation. This is probably the most important stage. It answers questions such as “Did the change have an impact?”. The answer to the questions is obtained by evaluation. It is one of the best ways to evaluate the impact of EBP on patient health outcomes, provider and patient satisfaction, efficacy, efficiency, and health status impact, to name a

Nursing Shortage is a problem we all should be aware of. There are many factors that may lead to a nursing shortage, such as having stressful and unsafe working environments, and our nurses are being overworked. This is a problem we should be aware of because it is affecting the patient care. Nurses would not have enough time to stay with a patient if they have more patients to worry about. Nurses play a big role in our hospitals and communities, “Nurses play significant roles in hospitals, clinics and private practices. They make up the biggest health care occupation in the United States. Nursing job duties include communicating between patients and doctors, caring for patients, administering medicine and supervising nurses ' aides”(study).

Overcrowding and long waits in EDs have been the focus of attention of studies, as the discussion continues on how best to provide high-quality care in an efficient, cost-effective manner. The US Institute of Medicine (IOM) report of June 2006, "Hospital-Based Emergency Care: At the Breaking Point" underscores the importance of the critical challenges faced by EDs in the United States, including overcrowding, ambulance diversions, and inefficient patient flow and hospital operations. According to the report,