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. When the consensus model reaches the goal …show more content…
The consensus model also allows them to move freely state to state. This model has support from 48 different nursing associations, which shows that the support is there for implementation (NCSBN, 2017). Nursing plays an essential part in shaping the future of healthcare to improve quality, safety, and cost and this happens by advocating and participating in the policy development of full practice autonomy for Nurse Practitioners.
Nationally, there is a dire need for primary health care clinicians which specifically affects the underserved. 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
Click here to unlock this and over one million essaysShow More
Hi Freylen, as you discussed the Consensus Model allow APRNs to practice to the full scope of their education, able to move to different states, providing quality care. My new role as a primary care NP I agree with the continuity of care and follow patients into acute or long-term care facility to help them through their ongoing health issues and managing their chronic diseases(Stanley,2012).
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
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.
These studies illustrates that NPs can play a key role in providing services to health care market. NPs provide a full range of high quality care to patients of all ages. These services include primary care, acute care, special health care services such as oncology, gerontology health, or women’s health to name a few (American Association of Nurse Practitioners (AANP), 2015). NPs practice in many health settings, including private physician office, hospital, urgent care site, emergency room, community health center, school, and others. Family Nurse Practitioners (FNPs) are NPs are primary care providers who focus on
Conclusion In conclusion, APNs are equipped to deliver the same safe, efficient, and high- quality care as physicians. The clinical and professional background of nurses gives them an extraordinary opportunity to change the healthcare landscape and promote cost-effective, compassionate, and patient-centered care for people. In a study performed by Dill, Pankow, Erikson, & Shipman (2013), the patient preferred the APN to physicians due to greater accessibility, more personalized and compassionate care, increased comfort with communication, and past positive
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
APRN’s have more access to EHR. For example, they have access to pictures of MRI, Echo and x-rays. Business/Finance Family Nurse Practitioners play a significant role in delivering cost effective health care to the community by emphasizing more on healthy life styles, preventive health care and provide better primary care compared to physicians by listening to the patients and spending more time with
In the clinical setting, the nurses’ expertise can be used to make clinical assessments and recommendations for routine care at a lower cost than a physician visit. This would increase the number of patients seen and increase the quality of the care provided. The advance practice nurse would be able to hone in on preventative measures and increase patient education. The advance practice nurse can also make recommendations about practice changes needed to facilitate better health outcomes through the use of evidence-based practice. Nursing leaders are aware of how important nursing science is to provide needed evidence to transform practice, even though, finding the time and resources to support any research activity is often challenging (Stone, 2017).
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:
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
Shared governance is an innovative model used to provide direction for the professional practice of nursing. This model is used to direct nurses to participate in unit-based decision making that allow nurses to demonstrate accountability and ownership for their practices. The goal of the model is to improve quality patient care contain costs, and retain nursing staff. According to Marquis and Houston (2012), “In shared governance, the organization’s governance is shared among board members, nurses, physicians, and management” (p. 270-271). Shared governance is imperative in the healthcare institutions.
APRN Advisory Committee suggested a APRN Consensus Model. According to this committee, many benefits are attainable with the APRNs Consensus Model. There will be consistency in the scope of practice across all the states. Future APRNs would have confidence in the quality of education programs. Board of Nursing would be able to meet equal requirements and able to ensure public protection.
9. PROFESSIONAL AUTONOMY IN NURSING Nursing has come a long way from being the hand maidens of the physician to having control over nursing knowledge and practice. It now has two essential ingredients of accountability and autonomy. There is more demand from the nurses now than in the past when all they were expected to do was just to provide comfort and care.
Professional practice reflects autonomy when the nurse respects patient’s rights to make decisions about their health care” (Taylor, 1997). At the nursing home, I witnessed many of the nurses discuss with the residents what they wanted to do about certain situations. Autonomy honors the fact that it is the patient and the families right to make certain decisions about health care. Nurses also are constantly making sure that they can provide their patients with the best information to help them make a more successful choice about their health care (Taylor