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Nurse Practitioners: Better Care Savings
Crosspost: Nurse Practitioner Workforce Horrocks and colleagues (2002) conducted a systematic literature review of empirical studies that had investigated quality of care issues surrounding NPs and found no difference in health status, prescriptions written, return consultations, or referrals. However, NPs tended to spend significantly more time with patients and conduct more tests. This would probably explain why patients reported greater satisfaction with NP care.
Nurse Practitioners: Potential Better Care Savings
Nurse Practitioners: Potential Better Care Savings
With passage of the Patient Protection and Affordable Care Act (ACA) of 2010 and its stated agenda for controlling the cost of healthcare in America, many are advocating for expansion of the nurse practitioner (NP) workforce and its scope of practice (Poghosyan, Lucero, Rauch, and Berkowitz, 2012). The concerns about current and projected healthcare costs are warranted. In 2009, the U.S. allocated just over 17% of its gross domestic product to health care spending, which is at least 5% above that spent by other Western nations (Squires, 2012). Half of this was spent through Medicare and Medicaid, which provides coverage for retirees, the disabled, and those living in poverty. This is important because the latter two patient populations are those traditionally served by NPs (Poghosyan, Lucero, Rauch, and Berkowitz, 2012).
A more recent systematic review of the literature encompassed 37 studies, many of which had been published since Horrock and colleagues (2002) conducted their study (Newhouse et al., 2011). Based on this analysis, NPs are equivalent to physicians in terms of patient satisfaction, health status, hypertension control, emergency department visits, hospitalizations, ventilation duration, length of hospital stay, and mortality; however, NP patients tended to control their serum glucose and lipid levels better. These findings suggest primary care provided by NPs is at least equal to that provided by…
References
CDC (U.S. Centers for Disease Control and Prevention). (2011). National diabetes fact sheet, 2011. CDC.gov. Retrieved 25 Mar. 2013 from http://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf
CHRT (Center for Healthcare Research & Transformation). (2010). The cost burden of disease. CHRT.org. Retrieved 25 Mar. 2013 from http://www.chrt.org/assets/price-of-care/CHRT-Issue-Brief-January-2010.pdf.
Horrocks, Sue, Anderson, Elizabeth, and Salisbury, Chris. (2002). Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors. British Medical Journal, 324, 819-823.
Newhouse, Robin P., Stanik-Hutt, Julie, White, Kathleen M., Johantgen, Meg, Bass, Eric B., Zangaro, George et al. (2011). Advanced practice nurse outcomes 1990-2008: A systematic review. Nursing Economics, 29(5), 230-250.
Squires, David A. (2012). Explaining high health care spending in the United States: An international comparison of supply, utilization, prices, and quality. The Commonwealth Fund. Retrieved 20 May, 2013 from http://www.commonwealthfund.org/~/media/Files/Publications/Issue%20Brief/2012/May/1595_Squires_explaining_high_hlt_care_spending_intl_brief.pdf.
Filling the Gap Wisely Nurse Practitioner Workforce There is no question that healthcare costs have been weighing heavy on policy makers, especially with an aging 'baby-boom' generation and passage of the Patient Protection and Affordable Care Act (ACA) of 2010. Total national spending on healthcare was estimated to have exceeded $2.8 trillion in 2012, which represented 17.9% of the gross domestic product (GDP) (Turner and Hughes-Cromwick, 2013). Given its current trajectory, healthcare
Today, health care in the United States is characterized by growing demand combined with skyrocketing costs and critical shortages of qualified health care practitioners. In response to these challenges, there has also been a growing consensus among health care providers that nurse practitioners possess the education, training and expertise that are required to provide high quality medical services for a wide array of disorders. In fact, some studies have indicated
Manuscript Discussion The Grade Experience of Online Nurse Practitioner Students Who Took More Than One Clinical Course Per Quarter The shortage in primary care physicians has increased the demand for nurse practitioners (NPs). Online NP programs are of interest to working students with other personal and professional life demands. This study examines grade experience differences for students of an online NP program who took more than one clinical course per quarter (OCCPQ)
115). It seems many nurses or RN who prepare for the role of nurse practitioner are not fully informed of the demands that may be placed on them in their new role. This in turn may lead to job dissatisfaction later down the line and ultimately limit ones ability to succeed in their chosen field. Presently there is not enough research provided to provide conclusive evidence one way or another
NP "role" definition A nurse practitioner is any independent certified nursing care provider who offers primary, specialty, or both primary and specialty, nursing services in long-term, ambulatory and acute care settings. NPs are engaged in the chronic or acute episodic ailment assessment, diagnosis, treatment, and management. They are specialists in the areas of illness prevention and health promotion, and perform the tasks of ordering, performing, overseeing and interpreting lab and diagnostic
Hiring a Nurse Practitioner reduces wait times (overcrowding) in the Emergency Department estimation of the ED (Emergency department) compromise with care afforded to patients because of overcrowding from the perspective of the provider of services. /I researched literature and bonafide / authenticated texts that chose to: Study causation, impacts and resolution tactics aimed at ED crowding; Collected and analyzed data using established methods; specifically target the ED scenario and the day-to-day crowding