Nursing
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 get lost in the dominant medical culture. If they do, you justly risk the epithet of junior doctor. Patients do not need junior doctors. They need the knowledge and skills of both medicine and nursing."
I am embarking enthusiastically on a career as a family nurse practitioner because I believe in the profession and what it can do to improve quality of care. I also understand that the family nurse practitioner serves a unique role in the medical care system, as an individual who develops long-term relationships with patients and who views patient success within the greater context of family and community. Family nurse practitioners develop cultural awareness and sensitivity, in addition to providing optimal delivery of care.
Personal Reasons
My grandmother was a nurse, and my aunt is a nurse practitioner. Although neither were officially family nurse practitioners, both of my role models illustrated the ways nurses do take family issues into account when delivering care. My grandmother worked as a nurse in the army. She provided care under stressful conditions, and frequently interacted with people from various cultural backgrounds and who spoke different languages than she did. Treating soldiers outside of their family context proved challenging, but my grandmother made every effort to communicate with the patients about their lives outside of combat. When the patients were able to provide family context, it was easier and more effective to provide care that was meaningful for that individual. My grandmother practiced nursing in this way, long before she had heard of terms like "cultural competence."
My aunt was from a different generation, in which nursing was becoming more established from a scholarly standpoint. She has become familiar with phrases like "cultural competence" during her work, and is continually reflecting on the role of the nurse in the community. As a Registered Nurse, my aunt has worked in a hospital that sees a lot of economically disenfranchised people in the community. She has gone beyond the parameters of the profession to become involved in community organizations that provide outreach services for addicts and homeless people. In this way, my aunt has taught me about the need to understand context in health care. Whereas doctors only see the broken leg or cancerous lung, the nurse sees the whole person. The nurse takes into account family background, history of abuse, and other issues that might impact the patient's current situation and future ability to stay healthy. Nurse as health promoter is the primary concept that I have worked with because of my personal interaction with the two great nurses in my life.
Why Family Nurse Practitioner?
Of all the different types of nursing and areas of specialization, why would I select to be a family nurse practitioner? After all, the nursing profession is a diverse one with several different potential areas of professional practice application. There are several reasons why being a family nurse practitioner is the way I want to contribute to the profession.
For one, I strongly believe in reducing or eliminating disparity related to gender, race, or socio-economic class. As Gibson (2013)...
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