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Overall, however, any Emergency NP is capable of handling extremely stressful situations and of ensuring that he or she is ready for the next difficult condition that appears.
Southern Universities Offering Nursing Education
There are many universities all over the country that offer nursing education. In the south, many of these universities are concentrated in Alabama and Florida. Auburn University in Alabama has a school of nursing that was founded in 1979 (Auburn). The school's nursing program is designed for the adult or family nurse practitioner, and does not offer other specialties. However, it does offer courses such as Healthcare Policy and Ethics, along with Advanced Theoretical Formulations. The NP designation requires 43 credit hours and 840 clinical hours over a total of six semesters Auburn, 2012). That makes the degree relatively comprehensive, and compares favorably with other programs in the south (Auburn, 2012). The University of Alabama also offers…… [Read More]
Nurse Practitioner ole: Current and Future Trends
If one is looking for a bare-bones description of today's nurse practitioner, a description presented in quite simple terms, it is convenient to turn to The International Council of Nurses; this organization defines the "nurse practitioner / advanced practice nurse" as an N who has acquired an "expert knowledge base," who has a Master's degree, and whose expanded practice role is shaped "by the context and/or country in which he/she is credentialed to practice."
Meanwhile, Cheryl Stegbauer, a faculty member and nurse practitioner (NP) at the University of Tennessee for the past thirty years, delves a bit deeper into the NP's role in shaping contemporary healthcare: "Most of the medical profession and patients" may understandably "scratch their heads about how the NP role is defined" (Nelson, 2004), Stegbauer offers. "Because the NP approach is holistic, patients like the increased attention [afforded by…… [Read More]
The WHNP is important because they can take the time to educate patients on health matters and establish a rapport that makes the patient feel comfortable and at ease.
II. TAINING and CETIFICATION
Women's Health Nurse Practitioners can work in various settings from private practice, hospitals, universities, clinics and other various medical settings. To become a WHNP, the person must first complete the requirements to become a registered nurse (N). This can be done by obtaining a four-year bachelor's degree in nursing. After the student completes the four-year nursing degree and passes state licensing, studies can begin to become a Nurse Practitioner by obtaining a master's degree or a post master's degree certificate. This is considered advanced level training and the student enters a program that specializes in the field she wishes to practice in, such as women's health. The requirement for a master's degree hasn't always been in place.…… [Read More]
While nurses might not make as much money or have as much time as they would like, there are many aspects of their job that are extremely rewarding to them. When I interviewed this Nurse Practitioner, she told me about a young patient in the oncology ward whose bravery had made her smile, an elderly woman who kept vigil at her husband's bedside as he lay dying, and many other families that have both helped her and been helped by her. This showed me that, while nurses might not be rich financially, and they might be overworked quite often, they are wealthy in many emotional ways that make their professional extremely worthwhile. It is valuable to them, and valuable to others, as well.
The downside to working as a nurse, though, is the nursing shortage that is taking place today, and has been going on for some time. While nurse…… [Read More]
Nurse Practitioner Models of Care -- Dorothea Orem
The objective of this work in writing is to choose a model of nursing care. The model chosen is that of Dorothea Orem. Orem's 'Self-Care Deficit Theory' is a general theory of nursing and one of the most utilized models in nursing in contemporary times.
Dorothea Orem - Background
Dorothea Orem was born in 1914 in Baltimore, Maryland. Orem earned her nursing diploma in the earlier part of the 1930s from Providence Hospital School of Nursing, Washington, D.C. As well as receiving three honorary doctorates and an Alumni Achievement Award for Nursing Theory in 1980 from Catholic University of America. (Bridge, Cabell, and Herring, paraphrased) Orem gained experience early in her nursing career in various hospital clinical settings as a staff nurse.
The work of Bridge, Cabell, and Herring (nd) states that Orem recalls from early in her career while serving as…… [Read More]
Nursing: Nurse Practitioner
The advanced practice nurse is a graduate with a master's or doctorate degree in nursing, certified to guide others in using the nursing process to maximize the community's health outcomes (Smith & ose, 2011). These nurses are prepared to pursue either direct practice roles, where they interact directly with families and patients to improve their well-being through disease management, or indirect practice roles, where they take a leadership role in the provision of care, but do not engage directly with patients (National CNS Competency Taskforce, 2008). Examples of indirect care activities include developing staff development activities, protocols of care and evidence-based guidelines. Specific direct care roles include nurse clinicians (practitioner) and nurse educators, whereas indirect roles include nurse administrator, nurse informatics, and nurse researchers (AACN, 2015). This text compares and contrasts the core competencies that govern the different roles, and identifies the differences/similarities in the implementation of…… [Read More]
115). It seems many nurses or N 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 as to the extent to which problems or gaps in teaching may influence one's decision to move from one career to the next.
More information could be collected in the form of self-report surveys as mentioned previous that would assess whether nurses felt they were prepared educationally to take on the challenges of the role they currently held or aspired to (Evans, n.d.; Dumas, Villeneuve, & Chevrier, 2000). There are others however, that believe that in some cases the N…… [Read More]
Nurse Practitioners: Better Care Savings
Crosspost: Nurse Practitioner Workforce
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, auch, 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, auch, and Berkowitz,…… [Read More]
Nurse practitioners play a crucial role in the modern healthcare system given their responsibilities in administering patient care. One of the critical components in the delivery of healthcare services in the modern healthcare setting is collaboration between different stakeholders. Modern healthcare environments and settings are characterized by the establishment of a multidisciplinary team that provides patient care. Consequently, nurse practitioners are required to collaborate with others, particularly physicians in their respective roles in the care delivery process. Stewart & DeNisco (2019) states that collaboration among healthcare providers or clinicians is based on shared goals and decision making, mutual relationships, and use of collective knowledge of all stakeholders involved in the care process.
Collaboration with physicians has tremendous impacts on the practice and job satisfaction for nurse practitioners. The collaboration changes the practice of nurse practitioners by shifting their focus to patient-care, holistic care. When collaborating with physicians, nurse practitioners help…… [Read More]
Nurse Practitioner Portfolio: A Review of Aspects Related to Nurse Practitioner (NP) Scope of Practice (SOP)
Numerous researches deal with patient outcomes or care quality offered by nurse practitioners, with current literature indicating that nurse practitioners’ care quality standards are nearly on an equal footing with that offered by doctors. A primary care NP meta-analysis revealed that researches which controlled for patient risks non-randomly found pathological ailment resolution and patient satisfaction to be greater in case of patients cared for by NPs; further, NPs were just as good as doctors in most variables within controlled researches (Bakken & McArthur, 2001).
Nursing professionals supplementing physicians offer services complementary to or going beyond services offered by physicians. The objective is improving care quality and extending the array of services offered to patients. On the other hand, nursing professionals substituting doctors offer services that would have otherwise been offered by physicians alone.…… [Read More]
Health Care System Today
government has the highest expenditures on health care than any other country in the world yet Americans are yet to obtain better results. Given increased health care costs that account for 17% of the country's GDP with minimal results, health care reform has attracted considerable attention throughout the years. One of the recent initiatives adopted towards health care reform is the enactment of the Patient Protection and Affordable Care Act on March 23, 2010 by President Obama. As the provisions of this act continue to be enforced until 2020, significant gains have been realized with regards to reforming health care. Some of these gains include reduction of the uninsured population, Medicaid expansion, and increased affordability and accessibility of care services.
In light of the reforms brought by the Patient Protection and Affordable Care Act, the role of nurse practitioner has relatively changed. The changes in the…… [Read More]
History of Nurse Practitioner in Canada
Advanced practice nursing is one of the fundamental components of the Canadian health sector and has continued to experience tremendous growth in recent years (Kaasalainen et al., 2010). Nurse practitioners are among the major professionals in the Canadian advanced practice nursing. Nurses have traditionally been practicing in expand roles in remote and rural areas across Canada, particularly informally. The role of the nurse practitioner was first introduced in the country in the 1960s – 1970s. This introduction was attributable to various factors including the perceived physician shortage, the launch of universal publicly funded medical insurance, increased medical specialization, and increased focus on primary healthcare. Nurse practitioner is one of the advanced practice nursing roles that emerged in Canada in the 1960s and 70s due to the belief that nurses were suitably positioned to meeting the nation’s emerging healthcare needs.
In the initial years of…… [Read More]
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 at the ED in care centers and hospitals. There is in each case a lot of reporting done on the circumstances ( like shortages of beds and staff) and that have led to the crowding that can be seen to increase with each passing day at ED centers, the overall impact that has had on the quality of care given to the patients as a result, and the solutions that have either been worked out or are being…… [Read More]
registered nurse (N) possessing advanced level education (a master's degree or doctoral degree), and corresponding skills, scope of nursing practice, and knowledge that reflects their educational qualification(s) is termed as an Advanced Practice egistered Nurse (APN). On the other hand, Nurse Practitioners (NPs) are APNs who deliver quality patient care services (UAPN, n.d).
Although physician assistants (PAs) possess the requisite skills to perform specific duties by themselves, they carry out these duties under their supervising doctor's authority. In contrast, nurse practitioners (NPs) may have greater autonomy. This means that they can independently perform some assistance and healthcare-related tasks, without a physician's supervision, contingent on state laws, their educational level, and additional qualifications and certifications acquired by them. Because it is compulsory for PAs to work together with a qualified physician, their working hours are very closely linked with their supervising physician's work hours. NPs, in contrast, may have greater autonomy…… [Read More]
Filling the Gap Wisely
urse 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 spending could reach $4.8 trillion by 2021 and consume nearly 20% of GDP (CMS, n.d.).
However, not everyone considers healthcare spending to be out of control. Rather than rely solely on percent GDP, Turner and Hughes-Cromwick (2013) looked at spending as percent potential GDP (PGDP). PDGP is considered a better long-term reference for economic trends because it minimizes fluctuations caused by short-term changes in inflation. Based on this comparison, U.S. healthcare spending is currently around 17.0% of PGDP,…… [Read More]
Drug Addiction Treatment Act of 2000 certainly had noble intentions and safeguards. Indeed, there is a definitive reason why physicians are allowed a certain set of rights and responsibilities and why nurse practitioners are just a little further down the ladder in terms of rights and options. To be sure, anything related to opiates is something that should be regulated very highly as the ability and opportunity to abuse the rights to prescribe these drugs is prevalent and hard to miss. However, also hard to miss is the rampant amount of abuse and addiction that has been rendered and this problem is aggravated by the fact that drugs containing buprenorphine are restricted to physicians only despite the immeasurable benefit that could be rendered to addicted persons. While restricting such drugs is not a terrible idea, it is not the best idea with buprenorphine because of the amount of addicted and…… [Read More]
Before entering the School of Nursing program, I had spent 16 years in CCU, ER, and Same Day Surgery. My personal experience has been in management where I had gotten used to delegating tasks and overseeing performance from others. In these roles, teamwork is crucial for patient outcomes. Working in teams with a positive patient outcome focus taught me valuable lessons in ensuring that each task was completed in a timely manner. In a management role, you are responsible for performance by other team members. Leading the team taught me the importance of building on the strengths of each member to gain performance improvements. This allowed me to value the strengths of other members and taught me how to integrate those strengths in ways to reach team goals.
Working in groups doing numerous projects helped in facilitating collaboration. It was effective in teaching how to build deeper relationships…… [Read More]
Mental Health Disparities in the U.S.
The most frequently unaddressed and critical matter is mental health in ethnic and racial minority communities. The American Indians/Alaska Natives, Blacks, Asian-Americans, and Blacks are populations that are over-represented are at particularly at risk for mental health disparities. The minority individuals may also experience undiagnosed, misdiagnosed, underdiagnosed symptoms for linguistic, cultural or historical reasons. Attention has not been given the needs of racial and ethnic minorities about mental health disparities and inadequate provision of linguistically and culturally appropriate care in these communities demonstrates a great and clear need for encouraging collaboration. In essence, health care institutions need to find ways of closing this gap because it is widening and increases the mortality rates of the affected communities. Both the federal government and mental health care practitioners need to support existing legislation and regulation that will see to the improvement of health and well-being of…… [Read More]
Family Nurse Practitioners: Improving Quality of Care
A study published in 1976 helped to establish the meaningful difference between family nurse practitioners and traditional health care providers such as doctors and nurses. Patients reported higher satisfaction with family nurse practitioners than with traditional providers, revealing the need to integrate family nurse practitioners into the repertoire of care (Linn, 1976). Because of research like this, the value of the nurse practitioner and the family nurse practitioner in particular has been highlighted in the scholarly literature as well as in anecdotal practice.
Part of the reason for the increased awareness of the role the family nurse practitioner fulfills is the improvements in overall quality of nursing care and delivery of services. This is because the nursing profession has become fully distinct from the medical profession in ways that are well articulated. As McDowell (1984) notes, "The values of nursing must not…… [Read More]
Analysis of an Adult Nurse Practitioner
The profession of a nurse practitioner is highly important in the medical and support industries, and nurses are instrumental in providing the level of care and attention that patients need, deserve, and desire. Simply providing care is only one of the many facets of the nursing profession, however, and there are many considerations that an Adult Nurse Practitioner and indeed all nurse practitioners must be aware of and take into account when making large-scale professional decisions as well as when completing the day-to-day tasks required of them due to their roles in providing care. This paper will examine three specific issues that are important aspects of a nurse practitioner's profession and task performance, focusing specifically on the role of an Adult Nurse Practitioner when applicable.
Though not directly related to either increasing nursing knowledge or providing care to patients, understanding the…… [Read More]
Who is LAMMICO?
LAMMICO is an insurance company that covers medical professional liability. They help clinical and medical practitioners to choose services and packages that best suit their needs (lammico.com/why-lammico, 2015)
Why should I be interested in LAMMICO for my future Nurse Practitioner Practice?
LAMMICO is one of those few medical insurance agencies that offers the full package on medical liability issues. For example, the firm offers risk management resources which include online programs and live lectures to teach their clients (a nurse and health care practitioners) on how to avoid claims. They also have a very aggressive team of lawyers that closes approximately 90% of their cases with no settlement payments; this coupled with their personalized claim handling means that as a firm they really take their clients seriously and can help one to continue practicing even with false or shaky medical liability claims. In fact, their work…… [Read More]
Clinical Experience and the ole of the Advanced Nurse Practitioner
For so long, nursing was so limited from a clinical perspective. It was only recently that nurses of all levels were allowed to actually participate in the clinical process in any sort of meaningful manner. Yet, this new development illustrates how important Advanced Practice Nurses are in the actual field. Clinical experience is an absolute must for all Advanced Nurse Practitioners because it gives them the experience they need to push forward with innovative thinking that can help solve real health issues and prevent future ones from plaguing patients later in life.
From almost every research perspective, clinical experience is a must for the advanced nurse. This goes for Clinical Nurse Specialists, but also anyone in an Advanced Practice nursing field. According to the research, "direct clinical practice is a core competency of any APN role, although the…… [Read More]
The NP emphasizes health promotion, while, partiularly in North Ameria, the MD primarily fouses on disease treatment. The role of the NP and the MD are simultaneously similar yet differ from eah other. Consequently, no reason supports the ontention that one group must be dependent and the other dependent. "Measuring NP performane against the physiian (or any other group) as the gold standard is inappropriate beause the philosophial approah of the NP is singular," Weiland (the NP as…setion, ¶ 2) stresses. NPs offer a unique approah to health are and are independent providers of health are servies. They are not physiian substitutes. Weiland points out:
Underutilization of NPs has been estimated to ost soiety approximately $9 billion annually. Indeed, the soial burden of healthare spending nears $1.9 trillion. Mediare alone spent up to $256.8 billion in 2003. Additionally, a physiian shortage of 200,000 is projeted by 2020, and 46.6 million…… [Read More]
To make the point Silverstein reiterates the history of psychiatric specialty nursing, a traditional role for specialty care in nursing.
To deliver specialized care to those in mental institutions, mental nurses were required to possess specific qualities and demonstrate unique abilities, such as sympathy, intelligence, and trustworthiness (Church, 1982). Other essential attributes included knowing how to calm the nerves of an anxious or suicidal patient by using empathy and tact. Mental nurses' abilities set them apart from other nurses, but were difficult to define and understand, for they were ethereal in nature and not easily describable. (Silverstein, 2006, p. 33)
These understandings, described by Silverstein as "ethereal" have become a basic core set of values for the nurse in training and practice and must not be lost, regardless of the transition to autonomous scientific-based care.
Hales et al. has the most comprehensive description of the modern trend to create specialized…… [Read More]
Adult Nurse Practitioner Marketing Portfolio
"NPs diagnose and treat a wide range of health problems.
They have a unique approach and stress both care and cure.
Besides clinical care, NPs focus on health promotion, disease prevention, health education and counselling"
(About NPs, 2011, FAQs about nurse practitioners section).
To secure the opportunity to serve as an Adult Nurse Practitioner in a clinical setting
Collaborate with physicians and other professionals working in the medical facility; upholding the goals, mission, and values of the contracting sponsor
To perform therapeutic and/or corrective measures, including urgent care for adults
To formulate and implement independent decisions concerning management and treatment of identified medical problems and concerns
To initiate and participate in relevant, credible research studies and projects
To instruct individuals as well as groups of clients about health-related topics
To proffer outreach health education services in the community
To serve as preceptor for medical, nursing,…… [Read More]
Increased genetic and reproductive alternatives have also become available. Health care costs are, however, high and some resources are scarce. As a result, ethical issues and conflicts develop. Patients, their families and the health care community tend to have divergent views. They likewise often have conflicting beliefs on health and illness and views on what is right or wrong. The nurse's experience of ethical dilemmas and moral distress are proportionate to of the patient and/or the family. The nurse, the patient or surrogate decision-maker and family struggle to discover what can be done to prevent, improve or cure a particular medical condition according to a common belief of what "ought" to be. Supports can come from sources, such as ethics consultants and committees, nurse ethicists, pastoral care providers and institutional review boards. As a consequence, the Joint Commission for Accreditation of Healthcare Organizations requires agencies seeking accreditation to come up…… [Read More]
Family Nurse Practitioner: ole and Setting
In this discussion, I will focus on the Family Nurse Practitioner role. In an attempt to research and find out more about this role, I will source for information from three different materials -- two research articles and an opinion article. In brief, it is important to note, from the onset, that the role a Family Nurse Practitioner -- FNP plays in meeting the health care needs of the family unit cannot be overstated. In the execution of their roles, FNPs typically collaborate with various professionals, including but not limited to, primary care physicians.
To find out how Family Nurse Practitioners thrive in their respective roles and how motivated they usually are in various care settings, it would be prudent to review past research studies on Family Nurse Practitioners' job satisfaction. In one such study, De Milt, Fitzpatrick, and McNulty (2010), authors of a…… [Read More]
Family Nurse Practitioner Program
Define Advanced Nurse Practitioner (Arizona)
Nurse practitioners are able to assume many of the medical responsibilities once relegated to doctors. The profession arose as a way to provide more personalized and cost-effective care than was possible using physicians alone. Advanced Nurse Practitioners (APNs) are able to obtain intake patient's health histories and perform complete physical examinations. They can diagnose many medical conditions, order and interpret medical tests, and prescribe and manage medicine. They can evaluate care, admit patients, counsel patients on wellness and management of chronic illnesses, and also develop care plans. APN are part of a holistic model of care and frequently collaborate with other healthcare professionals (Services provided by a nurse practitioner, 2011, Arizona Nurse Practitioner Council).
Describe the role of the Advanced Practice Nurse, Family Nurse Practitioner
The APN Family Nurse Practitioner (FNP) can provide many of the services the general APN provides…… [Read More]
Family Nurse Practitioner
My career objectives, as I apply for a MS degree in the family nurse practitioner field, are to receiving the training necessary to become a qualified, competent family nurse practitioner. This essay reflects those career goals by pointing out what I will be doing as a family nurse practitioner.
My Duties and Expectations
First of all, I am an RN and I originally entered this field because I really care about people and health, and I want to be hands-on in the healthcare / medical field. Nurse practitioners (NPs) work independently of physicians in many instances, which has an appeal to me. That means that I will be able to treat that patient one-on-one and in some cases prescribe necessary medications. Nurse practitioners also "…conduct research and teach within their speciality" (Money / U.S. News). Conducting research has a great appeal to me as I have always…… [Read More]
Family Nurse Practioner
Family Nurse Practitioner (FNP) in family surburban clinic
The paper provides information on an advanced nursing role (Family Nurse Practitioner). It consists of the requirements of the nursing role in terms of certification, education qualifications, and also the persons responsible for certifying nurses for this role. The paper discusses the job duties associated with the practice. It creates the understanding of collaborative associations that promote success of the nursing role. The paper identifies various issues (environmental) which influence nursing practice.
FNP's are not just primary care givers as it was in previous years but their roles have evolved to include the treatment of both physical and psychological situations, which is done through conducting: physical exams, ordering and interpreting diagnostic tests and comprehensive history taking. It is worth noting that the FNP's are educated, certified and accredited nationally in areas of: Pediatrics- under pediatrics they can serve in…… [Read More]
nursing profession has been a vital part and backbone of health care all over the world. Its methods and practiced discipline focuses on the assistance being rendered to an individual or a group, a family and a community with its primary concern on the attainment and re-attainment of optimal health and functioning*. Nursing being defined in modern times as;
A science and an art that focuses on quality of life as defined by persons and families. Nursing is not only concerned about health and functioning but with quality of living and dying, lived experience, and universal lived experiences of health
From the time of Florence Nightingale to the early 20th century, the role of the typical nurse has evolved in a criterion of responsibilities. Nightingale' commitment have regained tremendous impact to this profession that up to the entry of the new millennium world recognition have been given to thousands of…… [Read More]
A practitioner in the nursing profession is someone who is intelligent enough to offer comprehensive health services for the people of Alberta at all times whereas an NP (Nurse Practitioner) is a registered professional with high level education at graduate level. An NP's role involves the provision of a wide range of health services and the role played by an NP is different from that played by a registered nurse due to the fact that an NP has to have superior knowledge and advanced skills in decision making which need to be acquired through extended clinical practice, experience and education. This makes it possible for the NP to manage more duties that are beyond the scope of what a registered can do. The NP’s accountability, responsibilities and professional role entails consultation, referral, collaboration, leadership, research and most of all clinical practice (College and Association of Registered Nurses of Alberta,…… [Read More]
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 tests, prescribing non-pharmacologic treatment and pharmacological mediators, and educating and advising their patients (American Association of Nurse Practitioners, 2015).
History of the Nurse Practitioner Role, in General
The demand for individuals providing primary care in the nation grew with the launch of the Medicaid and Medicare initiatives, developed after the enactment of the 1965 Social Security Amendments. The two initiatives ensured low-income kids, women, aged persons, and disabled individuals could now access healthcare. Thus, with the enhanced need for…… [Read More]
Martin, P.D. And Hutchinson, S.A (1999) "Nurse Practitioners and the problem of discounting." Journal of Advanced Nursing. 29(1), pp. 9-17.
Critical evaluation of the research of the article
This article presents a critique of the current state of the health care industry, from the point-of-view of a nurse practitioner. It notes that, because of the limits of managed care, more primary care practitioners and primary care institutions are turning to nurse practitioners to provide primary care giving for patients. Although this shift has been beneficial to many patients, given that nurse practitioners are, if not equally competent, at times even more efficient than physicians in diagnosing, treating, providing patients with satisfactory treatment, and follow-up, there is the potential for the abuse of this system, from the point-of-view of the nursing practitioner. (Brown and Grimes, 1993, cited in Martin & Hutchinson, 1999, 10).
Research problem -- its purpose and question or…… [Read More]
qualify as a nurse practitioner in the state of Florida, one must have completed the required education and training for expert knowledge and skills. The process entails acquiring a bachelor's degree or a diploma and associate degree from accredited institution offering the nursing program. There is no licensing exam for one to become an NP as one has already done it after completing a diploma or undergraduate training. The state administers examinations to test the competencies of the NPs. However, they must acquire a license for prescribing drugs or medication. Individuals are eligible to enroll for a national certification exam in their area of specialization to be certified as an NP. The American Academy of Nurse Practitioners and American Credentialing Center certify the NPs (Buppert, 2008).
The Nurse Practitioners of Florida have the freedom to prescribe drugs that include habit forming drugs, harmful to the patient or toxic, and have…… [Read More]
Evolving Practice of Nursing and Patient Care Delivery Models
How the Practice of Nursing is Expected to Grow and Change: The Future of Nursing has a few healthcare delivery challenges unique to it, but there are several such issues that commonly occur in other nations, as well. Population aging is one issue that generates demand for increased healthcare services. A growing number of individuals, from all age groups, suffer from chronic illnesses; about 50% of U.S. citizens have been diagnosed with arthritis, diabetes, cardiovascular diseases, mental disorders, and hypertension (Reinhard & Hassmiller, n.d.).
A 2009 report by the AARP (American Association of Retired Persons) pertaining to chronic problems notes that patients and caregivers have firsthand experience of the absence of patient care-related coordination amongst healthcare workers, typically leading to needless repeat hospitalizations, repeat procedures and examinations, and arduous hospital-to-home moves. An acute dearth of professionals (such as nurses) is being…… [Read More]
Nursing Doctoral Business Proposal
The benefits of staffing Advanced Nurse Practitioners (ANP) as ANP Case Managers
A Nurse Practitioner (NP) is a registered nurse educated and certified to operate autonomously and collaboratively in an advanced and comprehensive medical responsibility. The practitioner has several additional roles under which they are to conduct diagnostic investigations, prescribe medications and undertake referrals to specialist clinical medications. esearch suggests that when nurses undertake prescription roles, it can result to increased efficiency, maximization of resources, and improve patient access to medicines and enable nurses to provide timely and extensive care packages (Cashin, Buckley, Newman & Dunn, 2009). In the advanced practitioner context, the roles that exist include the Clinical Nurse Specialist, the Certified Nurse Midwife, the Nurse Anesthetist and the Nurse Practitioner.
On the other hand, an Advanced egistered Nurse Practitioner (ANP) is also a registered nurse who possesses professional knowledge base, intricate decision-making skills and…… [Read More]
Nurse Practitioners Should Work Independently of Physicians
One of the problems facing health care is the inadequate number of primary-care physicians, more so among the rural population. There are fears that shortages will only get worse as a rising number of patients look for care Under Affordable Care Act. esides the provision of advanced nursing care, nurses have licenses to offer clinical care, including the ordering of X-rays and lab work, and are particularly helpful in helping patients having chronic conditions like high blood pressure and diabetes cope (Holmes, 2013).
Nearly one third of states now permit nurse practitioners to practice in the absence of physician supervision. Nursing groups as well as health-care interests are however lobbying that nurses be granted the same level of autonomy in all states as in the other states that do not require physician supervision. Some interest group, while still appreciating the efforts put forth…… [Read More]
Nurse Practitioners: Summary, ecommendations, and Implications
Any country serious about improving its health care standards and make basic health care accessible and cost effective for all, must first and foremost pursue development of its nurses and those in the nursing profession. More than a few countries are faring far better with the primary care of their women and children in the hands of nurses, health workers, and nurse-midwives. U.S. is not doing so well, on the other hand, as far as the end results are concerned.
Primary health care cannot be concentrated in one person or profession, it is a joint effort that needs to be fully understood and every individual should be fully qualified and prepared to handle any situation. There should be no limitations on any practitioner (Pohl et al., 2010, p. 900).
Nurses, even the advanced practice nurses, continue to answer to the decisions of the doctor…… [Read More]
Nursing Practice Expected to Grow and Change
Ageing of population and healthcare providers, coupled with reforms to healthcare, will raise demands for professionals in the field, also expanding existing professionals' required skill sets and roles. Physicians, physician assistants, nurse practitioners, nurses, and medical assistants are included in this growth area. Fortunately, healthcare is characterized by a swiftly expanding and large workforce (with 23000 new entrants every month, nationally); this sector progressed even in recent economic recessions (Survey, 2013). Registered Nursing (RN) is one of the leading U.S. occupations which is projected to grow 26% and add the highest number of jobs by 2020 (an estimated 1.2 million RNs overall), as per U.S. ureau of Labor Statistics (Survey, 2013). This stems from a projected rise in demand, as well as a need for replacing the current ageing RNs. Nursing careers are being pursued in America increasingly; the number of students enrolled…… [Read More]
As a family nurse practitioner, I would expect work in a type of organization such as a doctor's office. There are several factors that have led me to consider this highly distinct possibility, not the least of which is the increasing trend for family nurse practitioners to provide primary care to patients. The provisioning of such care, of course, is usually conducted under the auspices of a formally trained physician. However, there are several recent developments that may contribute to nurse practitioners working with patients in a primary care role even without direct supervision of physicians. egardless, it is highly likely that I will find work as a family nurse practitioner in a formal doctor's office, either small or big.
There has been a projected shortage for qualified health care professionals for quite some time now. The factors that have contributed to this shortage include the fact that there…… [Read More]
adult life, I have been immersed in the healthcare professions. Working in several different sectors of healthcare has afforded me the opportunity to understand different models of patient care, different administrative systems and organizational cultures, and also different philosophies and theories of nursing. After many years of working in the emergency care sector including work as an emergency room paramedic and ambulance worker for ten years, I transitioned to working in a position of leadership in my organization. As Director of Nursing, I have grown tremendously both professionally and personally. I have also witnessed transformations in care delivery as evidence-based practice and new medical information systems have been increasingly normative in healthcare. Although I love my work, my career has never once stagnated and I aim to continue to develop myself through ongoing professional advancement. The natural next step for me is to become a family nursing practitioner, which is…… [Read More]
Family Nursing Practitioner Application Justification
The quest to become a nurse, that was finally realized when I became a registered nurse, was prompted by the need to work among the very underprivileged of the community in the poorest areas and vulnerable conditions. Having been a N, there are vast experiences that I have undergone, not only in the technical aspect of learning the prognosis and prescription but also further experiencing first hand the social needs of nursing and the existing gaps at the homestead levels. Combining the expertise and the human face to nosing will enable me to positively contribute in to improvement of the health status of both the American citizens who are extremely poor and the foreign missions that will be the next quest, particularly to Africa or Asia. This way the training I have undergone will not be confined to the codified nursing tenets and bedside care…… [Read More]
Quality of Care Provided by Nurse Practitioners
Cost and quality of healthcare access are two inter-related concepts that are central to the healthcare debate in the United States of America. The study will compare the effectiveness of quality and costs between NP and physicians. To achieve this purpose, the study will be guided y the following research questions; how does the cost of care provided by nurse practitioners compare to that of physicians: and how is the quality of care provided by nurse practitioners? The Jean Watson's Theory of Human Caring is adopted for this study. The study will be conducted in five different hospitals that have health services being provided by both NP and physicians. Study participants will be selected from hospital databases with the help of hospital staff to establish which patients will be more suited for the study. esearch questionnaires will be used for data collections. The…… [Read More]
Advance Practice egistered Nurse (APN) role of Family Nurse Practitioner
The US is witnessing a growing demand for the services of primary care providers, owing to an increase in the nation's elderly population. With Obamacare's enactment in the year 2010, the above trend is predicted to persist in the course of the next many years. FNPs or Family Nurse Practitioners can help mitigate the forecasted dearth of primary care providers. Available literature on the subjects indicates that FNPs might be capable of delivering a subsection of services categorized under primary care better than, or at least, just as proficiently as, doctors. Increased NP employment can improve healthcare access, especially in generally underserved localities and communities. For furthering this, APN stakeholder bodies and state nursing boards have endeavored to revolutionize and standardize FNP practice (National Governors Association, 2012).
APN represents a broad term utilized for defining nursing practice which exhibits competencies…… [Read More]
An increasing number of people trust NPs with their health and choosing them as their preferred healthcare provider. The range of health services NPs provide is amazing and they help their patients make better healthcare and lifestyle decisions. The role NPs play is particularly unique as they provide a wholesome service that includes even educating the clients about their conditions and how to have an excellent life with their conditions (AANP 2014). The number of U.S. NP programs is rising as the number of students seeking enrollment increase. Many more people appreciate being a nursing provider as a noble profession with the increasing demand for primary caregivers all over the country. Most of the applicants who want to be NPs are registered nurses followed by second-degree holders. Selecting the right NP program is not an easy task. The features that influence one's choice like preceptor requirements, curricula and…… [Read More]
Motivation for the Primary Health Care Nurse Practitioner (PHCNP) Comment by babyliza: Part 2 of 3 not answered: How are NPs important in the delivery of primary health care to diverse populations?
In my opinion, the profession of nursing is more of a degree in changing habits. Nurses are essentially individuals who are extraordinarily enthusiastic when it comes to their own and others' wellbeing and health. Nurse practitioners (NPs) are individuals who apply appropriate knowledge to aid patients in identifying and adopting suitable health and food habits to suit their bodies' unique needs. I am personally keen on utilizing the established system to ensure patients develop healthy, lasting behaviors and habits with positive global health effects. I would proudly make a difference in people's life, effectively differentiating between theoretical knowledge on what is good and bad for people's health and practically applying my knowledge. Nurses function as guides, empowering individuals…… [Read More]
Family Nurse Practitioner
The expansion of healthcare coverage through the Affordable Care Act (ACA) is expected to create an enormous increase in the number of people seeking medical treatment and healthcare. A number of demographic issues exacerbate the situation: An aging population requiring more extensive treatment and care, a rising national population, and a shortage of primary care physicians (Iglehart, 2013). The shortage of primary care physicians is one of the most crucial for national medical care because of two substantive dynamics: 1) The number of graduates from medical school who plan to enter careers as primary career physicians is currently estimated at 25%; and 2) the care that advanced practice registered nurses (APN) can provide is constrained by the current scope-of-practice laws on the books in any states (Iglehart, 2013).
An enduring tension exists between the American Medical Association and nursing advocates regarding the scope of practice that should…… [Read More]
Personal Statement Application for the Nurse Practitioner Program at UCSF
I first experienced the duties of a nurse practitioner in WHATEVER, a small mountain village in Nepal.
From 1996-1998, I worked as a Community Health Volunteer with the American Peace Corps. During those two years, I worked with Nepalese women and children, teaching classes on first aid, family planning and nutrition. I also organized immunization clinics, ran a health library, and conducted community needs assessments.
I have always found great fulfillment in healthcare and in being part of people's recoveries. For this reason, I majored in Kinesiology and Biology at the University of Minnesota, even working towards an application to the Physician Assistant program during my last two years. After graduation, I worked as a nursing assistant.
Since then, I have also gained greater familiarity with pharmaceuticals and the managed healthcare system in my present work with the Daiichi Corporation.…… [Read More]
So, they have the best chance of isolating the underlying cause from the non-underlying causes. They are well-versed in the structure and classification of the ICD-9 codes as well and this helps them to better report the mortality.
Another reason is ANPs have the independence to handle their case load and they are able to better understand the patient's health problems. This gives them a close interaction with the patient and a better understanding of the case history helps them to diagnose ICD-9 codes better. They also get an opportunity to interact with the family members of the patients and this can sometimes help to identify the right causes. These are some of the reasons why ANPs are better-suited to diagnose ICD-9 codes so that it can help the family to claim any reimbursements.
How do ANPs decide the best diagnosis?
ANPs work closely with the patients to diagnose and…… [Read More]
Self-Assessment of Clinical Skills
The three strengths that I was able to identify after completing the isk Control Self-Assessment Checklist for Nurse Practitioners are: 1) professional conduct, 2) scope of practice, and 3) assessment skills. I consider these my strengths because I always take seriously myself and my workplace environment and thus make every effort to conduct myself in a professional manner. I believe that the work calls for professionalism and that doctors, patients and co-workers all expect and appreciate when an NP shows the kind of professional conduct that one wants to see from one in a leadership role. I always view my scope of practice as a strength because of my years of experience in nursing and all the different training I have received over the years with many fine co-workers at my side. This, in addition to my schooling, allows me to take a broad view of…… [Read More]
Nurse Practitioners and Strategies the Students Can Adopt to Succeed in School
Nursing students worldwide face quite a number of challenges in the course of undertaking their highly engaging and mind-intensive nursing practitioner programs. Non-completion of the practitioner program means that the student is not adequately prepared to practice as a nurse. This paper looks into the various challenges nursing practitioners undergo, and the ways or strategies to overcome them (Curtis, 2013).
Nursing Practitioner Challenges
One of the main challenges identified by nursing students is lack of sufficient money; many of the students reveal that they have to work part time to make ends meet, apart from studying. For some of them, the work means that they cannot attend class, and thus have to extend their programs (Loftin, Newman, Dumas, Gilden, & Bond, 2012).
Lack of Moral and Emotional Support
Lack of moral and emotional support has also…… [Read More]
Orienting Toward the Future: How an Online Orientation Program for Adjunct Nurse Practitioners Promotes IOM Goals
In 2010, the Institute of Medicine (IOM) released a pivotal report citing the need for greater numbers of nurses, especially those in positions of leadership practicing to the full extent of their abilities. The IOM report has helped shape the future of nursing, which depends critically on effective nursing education. Higher education and training for nurses can and should be available, and the nurses who graduate from those programs should be practicing to the full extent of their training as equal partners with physicians and other healthcare practitioners in a team-based environment rather than the outmoded hierarchies that once characterized medical care. Also important in the new healthcare environment is greater attention to diversity. To meet the goals of the IOM and to improve standards of care, an orientation program for adjunct clinical nurse…… [Read More]
competencies of the direct care provider and the indirect care provider are similar in many ways because both are based on the idea that quality care is the ultimate goal for any stakeholder in healthcare. The competencies are also different in some ways because direct and indirect care providers must focus on roles that are oriented towards using different skills from one another. This paper will compare and contrast the core competencies of the role of a nurse educator with those of a nurse practitioner to show how they are the same and different in a variety of ways.
The core competencies of the nurse educator are based on the idea that the instructor needs to be a leader for students. The National League for Nursing (2017) identifies 8 core competencies for the nurse educator -- and every one of them has something to do with leadership at root --…… [Read More]
Psychiatric Nurse Practitioner Program
A critical component of nursing is treating a patient's psychological as well as physical needs. I have seen this again and again in my work for an intensive care unit. Every day, more and more patients who are HIV positive come through our doors. HIV can take a tremendous psychological as well as physical toll upon the individual. Additionally, although HIV and AIDS can be contained, the drug regime prescribed must be carefully followed. For patients with ambivalence, shame or guilt about their illness, they may unconsciously sabotage themselves; for patients with deep and entrenched mental health problems outside of their HIV status, following a recommended program of drug therapy and counseling can be even more arduous.
Of course, the failures of HIV treatment are not the patient's 'fault.' There is also the problem of providers who themselves are ill-equipped to deal with the psychological challenges…… [Read More]
attain qualitative infomation fom Advanced Nuse Pactitiones (APNs) to ascetain best pactices fo teating women who have expeienced Intimate Patne Violence (IPN)?
Take Home Message: Yes, it is possible to attain best pactices in such a way; these pactices include the fact that APNs can ceate a significantly positive impact on victims of IPN and thei families by poviding a safe envionment in which patients can addess these issues, and by continually asking questions egading thei safety in these mattes.
Bykczynsnki, K.A., Cane, P., Medina, C.K., Pedaza, D. (2009). Intimate stoes of patne violence: Advanced pactice nuses clinical stoies of success and challenge. Jounal of the Ameican Academy of Nuse Pactitiones. 23, 143-152.
Seach Stategy: The subsequent tems wee input into MEDLINE database: domestic violence advanced nuse pactitiones, health pomotion, intepeting esults. The aticles wee naowed down accoding to thei abstacts and titles. This aticle best suited the seach tems…… [Read More]
Nurse Practitioner has evolved throughout the decades. It is one that continues to change as health care further develops into a continuum of patient care and continuous educational access. The Family Nurse Practitioner (FNP) has become synonymous with that of a primary care physician. In all 50 states, including the District of Columbia, and around the globe, FNPs are being used to fill the growing gap that medical doctors are leaving behind. FNPs are able to assess, diagnose, and treat acute and chronic illnesses, conduct routine patient check-ups and annual physical examinations, provide counseling, prescribe and order medications and labs, and manage a patient's overall care (AANP, 2015). Numerous states allow FNPs to practice autonomously, while others require supervision or collaboration with a medical physician in order to legally practice for a specific amount of time.
There are clinical and non-clinical ways in which the Family Nurse Practitioner role comes…… [Read More]
Loretta Ford was a revolutionary in her time. She took a chaotic period of social and political unrest and used it in order to spearhead new directions for modern nursing. She helped recreate the role of the NP in a much more clinical context. The clinical emphasis of the clinical field was opened up for a new generation of nurses to expand their roles and become much more powerful within the operation of the health care system. The 1960s also saw some uniquely difficult challenges in the health care industry. During the time, the needs of the system were changing. There were more people in greater need. Physician shortage in an era that was demanding greater levels of care and opening up the "opportunity to advance nursing through education and an expanded role in healthcare" (American Academy of NPs, 2005). This increase in clinical emphasis helped empower the modern…… [Read More]
Letter of Intent
hat is your motivation for earning a doctoral degree?
First, I have always been motivated to succeed in every aspect of education and professional training that I have pursued. I have never settled for anything less than excellence in all endeavors I have undertaken -- in particular, education and training. I conduct research with thoroughness and I have fine-tuned my study strategies so I can make the most of my pursuit of pivotal knowledge. To wit, by learning more and through advanced training strategies, I will definitely be of greater assistance to those whose care will be my responsibility -- and my ability to mentor young people that entering the nursing field will also be greatly enhanced.
Hence, a doctorate program will certainly help me fulfill my strong desire to obtain the knowledge I need to pursue my goals in nursing education. I am aware that the…… [Read More]
Nursing Future in 2021
Nursing has not changed greatly for decades. Nurses now have more freedom than they did two decades ago, but nurses still provide the same care they have for the past century. This has been changing with the advent of nursing master's programs that are allowing registered nurses the opportunity to become more specialized in fields of their choice. A nurse can choose from many different nurse practitioner specialties to become more engaged in their field. Nurse practitioner programs allow nurses to be more involved in decisions that are made regarding patient care, so that the nurse becomes more responsible. The position of neonatal nurse practitioner is explained more fully in the following essay.
Neonatal care refers to the hospital department that takes care of an infant at the earliest stages of life. A neonatal nurse practitioner "frequently reports directly to a neonatologist or other specialists who…… [Read More]