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 (APRN) 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 be permitted for advance practice registered nurses (Iglehart, 2013). Because the medical licenses are issued by states, the
The question is not simply one of whether advanced practice nurses should provide care that utilizes the full measure of their training and expertise, but whether advanced practice nurses should be permitted to function independently as clinicians or if they should be members of physician led teams (Iglehart, 2013).
Successfully integrated systems, such as those operated in Kaiser Permanente, Geisinger Health System, and the Department of Veterans Affairs, utilize hierarchically structured physician led teams with collaborative relationships between advanced practice nurses and other non-physician providers (Iglehart, 2013). Nayler and Kurtzman (2010) reviewed the current and projected workforce of nurse practitioners, and found within the available evidence regarding advanced practice nurses that substantive contributions were made toward improving the provision of primary care and effectively reducing the usage cost of healthcare resources. Indeed, Nayler and Kurtzman (2010) recommended standardization of nurse practice state laws and the provision of equivalent reimbursement rates for commensurate services regardless of the type of practitioner engaged in the service. Moreover, Nayler and Kurtzman (2010) argue that the performance outcomes of advanced practice nursing be reported in publically accessible formats in order to build awareness and credibility regarding the high-quality care provided by advanced practice nurses.
The literature shows consistent findings regarding the quality and outcomes of patient care by advanced practice nurses, such that…
NURSING AbstractThe growing needs of behavioral and mental healthcare have enforced the state regulation to rethink psychiatric mental health nurse practitioners across the country. The advanced practicing specialties need to be greatly emphasized in this field since its cost0-effective option grants a new role to these nurse practitioners for assessing, evaluating, diagnosing, and suggesting therapeutic interventions for the individuals who need prompt mental healthcare. The following paper aims to explore
Advance Practice Roles in Nursing The Main Roles Within Advanced Practice Nursing Nurse Practitioners They are charged with the responsibility to provide primary health care for clinics, hospitals and similar settings. They diagnose and treat common illnesses and immunize, examine the patients and deal with high blood pressure cases among others (Macdonald, Schreiber & Davis, 2005). Certified Nurse-Midwives: They are the ones that give gynecological care and prenatal attention to the normal women with
Healthcare Current needs in healthcare are rapidly changing as a result of technological advances, cultural transformations, economic and social deterioration, and other variables that are impacting the modern world in the 21st century. Yet, adequate services are not always available via the current roles in nursing. For instance, the demand for telehealth and eHealth is growing in the Digital Era and can be an effective means of overcoming obstacles of
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
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
Nursing Knowledge Annotated Bibliography Evidence Based Annotated Bibliography on evidence-bases educational program that will advance nursing knowledge on stress management methods and techniques that meets their assessed learning needs Annotated Bibliography on evidence-bases educational program that will advance nursing knowledge on stress management methods and techniques that meets their assessed learning needs. Nursing Times; Defining nursing knowledge, (2005), retrieved from: http://www.nursingtimes.net/nursing-practice/clinical-zones/educators/defining-nursing-knowledge/203491.article Nursing Times defines Nursing as a profession that is critical part of health care sector
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