¶ … 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 hypothesis
Thus, the central question is, is such an evaluation of the current state of care a fair and a just one from the point-of-view of nursing as a profession? Are nursing practitioners being abused because of the current state of the health care profession? The hypothesis or tentative assumption behind the study is yes. But if so, exactly how is this occurring? Why is it occurring? And how can the system be remedied to make the current modalities of providing care more beneficial to nursing practitioners, without compromising patient care?
Review of the currently existing literature
It has been suggested in the past that despite the efficacy of NPs, quite often nurse practitioners have been subject to the practice of 'discounting,' defined by the study as the practitioners...
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