1. IOM: Nurses should be leaders and partners with physicians and health care professionals. Nurses work first hand with most of the material that is wasted in the health care setting, they would be able to identify needed changes, and be able to track progress much easier and effectively than other health care providers. 2. Heller:
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,
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.
The nursing profession plays a vital role at the policy table in implementing full practice autonomy for Nurse Practitioners. Nurse Practitioners are contributing experts of the health care system. They have the education and skills needed to be a resource and partake in the policy process and political implementation. This particular policy development will require not just one nursing representative, but many, to push for and symbolize the dire need of full practice autonomy for Nurse Practitioners. In fact, the National Council of State Boards of Nursing [NCSBN] (2017) has formed the Advanced Practice Registered Nurse (APRN) Consensus Model, which streamlines the education, regulation, licensure, accreditation, and certification across the nation.
Role of Family Nurse Practitioners: Case Study The shortage of primary care physicians has been a problem in health care system and will continue to the next decade due to increasing of aging population. According to National Governors Association (NAG) (2012), the growth of the aging population combined with the initiative of the Affordable Care Act, the problem of primary care providers shortage is worsening. Nurse Practitioners (NPs) are educated and prepared to perform primary care services as physicians do. More importantly, studies showed that NPs’ role as primary care providers achieve equal or higher patient satisfaction rates (Evangelista et al., 2011, Albers-Heitner et al., 2013).
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,
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 purpose of the NLN is to support the education of nurses, provide testing services and grants for research, all with the purpose of achieving excellence in nursing (National League for Nursing [NLN], 2013). This organization impacts nursing by supporting nurse education in the development of nursing faculty. Additionally, they encourage research to advance nursing education through evidence-based teaching practices, and the instruction of nurses (NLN, 2013). The NLN role in Nursing Excellence is to influence public policy on nursing by providing backing for education with the expectation of excellence through growth, improvement, and understanding (NLN, 2013). I support mission of the NLN to promote and provide educational excellence standards.
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:
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).
According to the article, “at the state levels, [the] nurse [can be] instrumental in influencing change in scope of practice… expanded roles for advanced practice nurses” (Falk, 2014, p. 203). There are many people out in the community that now need primary care doctors because of the new health care laws and there are not enough doctors out there. By increasing the roles that an advanced practice nurse can do, it might help decrease the number of patient’s that do not have primary care doctors. By the master’s prepared nurse trying to get all people in the community a health care provider it will decrease on the visits to the emergency room that are
Registered nurses are required to deliver wide-range nursing attention and treatment to all persons in a healthcare setup (American Nurses ' Association, 2000). Notably, they have to offer emergency care and guarantee the safe execution of treatment. It is mandatory for nurses to demonstrate a broad knowledge of the laws and regulations that are in line with their profession. Additionally,
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. Oxford 's dictionary defines that discipline as ‘ a branch of knowledge, typically one studied in higher education’ .