¶ … Providers
Over the last several years, the majority of graduating medical students (90%) has been focused on careers in specialized care. (Pickert, 2009) This is because they will make more money in comparison with doctors that are working in a primary care environment. As a result, a shortage has developed with many health care providers turning to Nurse Practitioners. These are nurses with some kind of advanced degree in Nursing. Their job is to diagnose / treat patients and prescribe medication. To fully understand what is happening requires looking at how this trend is having an impact on accountability, quality, costs / health promotion and risk reduction. These different elements will provide the greatest insights as to how Nurse Practitioners are having an effect on a health care environment.
The Current Trends with Nurse Practitioners
There is a crisis happening with many primary care providers. The number of doctors working in these facilities has been decreasing with a variety having shortages of up to 30%. This makes is difficult for hospitals to be able to keep up with demand. (Pickert, 2009) To deal with these challenges many of facilities began to use Nursing Practitioners. These are trained nurses, who have advanced degrees (in Nursing) and several years of experience working in the field. The results are that this has helped to decrease the cost of providing basic primary health care services. This is because the cost for Nurse Practitioners is less in comparison with physicians. Evidence of this can be seen by looking at the below table (which is showing the total number of Nurse Practitioners and the average weekly salary)
The Total Number of Nurse Practitioner in Comparison with the Average Weekly Earnings
Year
Total Number of Positions
Average Weekly Salary
2009
98,535
$747.00
2010
99,927
$751.00
2011
100,294
$762.00
("Earnings of Wage and Salary Workers," 2012)
These figures are lower than the average weekly salary for doctors' (which is $2,664.85). ("Physician Salaries," 2011) This is illustrating how: the cost of Nurse Practitioners in primary care is less, there is better quality and more personalized attention. The big challenge going forward is being able to ensure that the training standards and experience continue to remain high in the future.
Accountability
Nursing Informatics Field Definition of informatics nurses Example of nursing informatics in practice (software applications) Recent Growth Nursing shortage and its impact Need for automated processes over manual processes Need for increased patient safety in terms of medication, care and records Need for data security and compliance with HIPPA rules Need for increased healthcare coordination between nurses and others Phases of Nursing Informatics Implementation Design and Analysis Phases a) Request for Proposal (RFP) process b) Need for collaboration with other stakeholders Configuration Phase Testing
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