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 treat their…...
mlaReferences
DeLaune, Sue C.; Ladner, Patricia K. (2002). Fundamentals of Nursing: Standards & Practice.
Publication: Albany, NY Thomson Delmar Learning.
Groenwald, Susan L. (1997). Cancer Nursing: Principles and Practice
Publication: Boston Jones & Bartlett Publishers, Inc.
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 clinical capabilities for…...
mlaReferences
Cashin, J.A., Buckley, T., Newman, C., & Dunn, V.S. (2009). Nurse practitioner provision of patient education related to medicine. Australian journal of advanced nursing, 27(2), 12-
18.
Carter, N. et al. (2010). The role of nursing leadership in integrating clinical nurse specialists and nurse practitioners in healthcare delivery in Canada. Nursing leadership, 167-185, doi:
10.12927/cjnl.2010.22274
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 enteed and…...
mlareferences to other studies. It is likely that when this research question is applied to IPV, the author's research was original. But it appears that it had already been established that input from experienced nurses can influence best practices.
This help in solving conflicts between patients in a hospital.
In nursing practice, there are quite different in between clinical nursing specialist and nurse practitioner in the scope of operation. Therefore, a clinic nurse specialist works under the legislated scope of practice for a registered nurse but has advanced education. While nurse practitioner works under a separate scope of practice and can perform certain functions and tasks that are outside of the scope of practice of registered nurse, including clinical nurse specialist. However, nurse practitioner generally provide primary care, and clinical nurse specialists act more a s consultants in their roles as expert clinicians, clinical leader, educators, collaborators and researchers.
Many researches have written that emotions sometimes can influence ethical decision making in a health care system. Therefore, nurses are equipped with knowledge to make decision without any kind of influence. The model demonstrates that certain emotional states influence the individual's…...
mlaReferences
Royal of nursing college (2010). Advanced nurse practitioners, an RCN guide to the advanced
Nurse, Practitioner role, competences and program accreditation
Marie-Laure Delamaire, Gaetan Lafortune (2010). Nurses in Advanced Roles
A description and evaluation of experiences in 12 developed countries
Advance Practical Nurse Professional Development Plan
Nursing is a very lucrative career. However, it takes a lot of work and determination to be a nurse. The job requires specific skills and education as well as licensing. Find below my personal Advanced Professional Development Plan (APN). I will also discuss such aspects as background, marketing strategies and curricula.
I appreciate that to get the education and practice I need as a nurse I have to follow the APN professional development plan. I have discussed in this paper how I will achieve this. The outline is as follows:
Identify
Prioritize
Plan
Do
Evaluate
ecord
Identify My Learning Needs
I can do this in a variety of ways. First, I will reflect on my practice. I will determine which of my practicing areas I feel uncomfortable or unsure. I will evaluate if any of the areas I feel uncomfortable have something associated with the safety of the client or patient's health. If for…...
mlaReferences"
1) Writer Thoughts
2) Professional Development For Nurses. (n.d.). Retrieved December 2, 2014, from http://www.learningnurse.org/index.php/library/pro-development
3) Scope of Practice. (n.d.). Retrieved December 2, 2014, from http://www.nursingworld.org/EspeciallyForYou/AdvancedPracticeNurses/Scope-of-Practice-2
4) Howell, N. (n.d.). How to Write a CV for a Nurse. Retrieved December 2, 2014, from http://www.ehow.com/how_4799318_write-cv-nurse.html
Advance Practice oles in Nursing
The Main oles 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 little or no health complications. They assist the women deliver in a range of places including hospitals, homes, clinics and health centers. They also give postpartum care (Macdonald et al., 2005).
Clinical Nurse Specialists: They are the ones involved in specialty areas such as neonatal, oncology, cardiac, pediatric, gynecological nursing or obstetric service (Macdonald et al., 2005).
Certified egistered Nurse Anesthetists: They provide and administer over 65% of all anesthesia administered to patients every year. They are also the only ones who…...
mlaReferences
Federal Register, (n.d.). The Constitutional Amendment Process, National Archives. Retrieved from on August 30, 2016https://www.archives.gov/federal-register/constitution/
Graduatenursingedu.org, (n.d.). Family Nurse Practitioner (FNP). Retrieved from on August 30, 2016http://www.graduatenursingedu.org/family-nurse-practitioner/
Huston C. (2008) Preparing nurse leaders for 2020. Journal of Nursing Management 16, 905 -- 911
Jennings, B.M. (2008). "Work Stress and Burnout Among Nurses: Role of the Work Environment and Working Conditions." In: Hughes, R.G. (editor). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (U.S.).
Nurse Licensure
Do you believe that nurse licensure (and scope of practice) should be controlled at the state or federal level?
The NLC (Nurse Licensure Compact) is a mutual acknowledgement licensure model. Many states have thought of authorizing it. Nonetheless, there were various factors that either terminated the bill while it was being processed or had it cancelled after adjournment. National licensure involves setting of criteria for universal licensing nationally, and administering it per state. It relinquishes, to some level, state authority over criteria for licensing and would expect states to bargain and agree on a complicated chain of regulatory factors including discipline and investigations. National licensure would bring about one license for every registered nurse, which would be administered and granted by the national government. The fact that this model completely takes away state authority makes it special. Most of the issues raised on national licensure are also applicable in nursing…...
mlaReferences
David Gorski. (2014, January 6). Expanding the scope of practice of advanced practice nurses will not endanger patients. Science-Based Medicine.
(2013). Nursing Licensure Portability. American Nurses Association.
Sarah Robinson, & Peter Griffiths. (2007). Nursing education and regulation: international profiles and perspectives. National Nursing Research Unit - King's College London.
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 be permitted…...
mlaReferences
Iglehart, J.K. (2013, May). Expanding the role of advanced nurse practitioners: Risks and rewards: Health policy report. New England Journal of Medicine, 368(20), 1935-1941.
National Organization of Nurse Practitioner Faculties (NONPF) (2002). Family nurse practitioner primary care competencies in specialty areas: Adult, family, gerontological, pediatric, and women's health. Pp. 21-24. U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, Division of Nursing. Retrieved from http://c.ymcdn.com/sites/www.nonpf.org/resource/resmgr/competencies/primarycarecomps02.pdf
Naylor, M.D. And Kurtzman, E.T. (2010, May). The role of nurse practitioners in reinventing primary care. Health Affairs, 29(5), 893-899. DOI: 10.1377/hithaff.2010.0440.
Savrin, C. (2008). Growth and development of the nurse practitioner role around the globe. Journal of Pediatric Health Care, 23(5), 310-314. DOI: 10.10.1016/j.pedhc.2008.10.005.
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 healthcare providers in…...
Nurse Practitioner
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…...
mlaBibliography
AANP. (2014). Planning Your NP Education. Retrieved September 09, 2016, from https://www.aanp.org/education/student-resource-center/planning-your-np-education/1058-i-want-to-become-an-np
Catar, W. (2014, February 23). Why did you become a Nurse Practitioner? Retrieved September 09, 2016, from http://allnurses.com/advanced-practice-nursing/why-did-you-908035.html
DeCapua, M. (n.d.). 5 Reasons to Become a Nurse Practitioner. Retrieved September 09, 2016, from http://www.nursepractitionerschools.com/blog/5-reasons-to-become-an-np
Napolitano, M., & Klein, T. (2012, October 22). So You Want to Be a Nurse Practitioner? Choose the Right Program. Retrieved September 09, 2016, from http://www.medscape.com/viewarticle/772568
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…...
mlaWorks Cited
Martin, P.D. And Hutchinson, S.A (1999) "Nurse Practitioners and the problem of discounting." Journal of Advanced Nursing. 29(1), pp. 9-17.
Article Review
Professional Association
Joining a professional association is crucial for nurse practitioners (NPs). It enables NPs to remain abreast with trends in their field of practice, access a network of peers, and expand professional networks. Joining a professional association is also important for certification, career assistance, as well as getting free or discounted rates for annual conventions, journal articles, and educational materials. Indeed, joining a professional association is essential for NP professional growth and development.
One professional organization a NP may join is the American Association of Nurse Practitioners (AANP). The organization was formed in 2013 following the merger of the American College of Nurse Practitioners (established in 1995) and the American Academy of Nurse Practitioners (established in 1985). AANP is the largest professional organization for NP in the U.S., bringing together over 222,000 NPs from all nursing specialties (AANP, n.d.). The mission of the organization is to bring NPs together and empower…...
mlaReference
American Association of Nurse Practitioners (AANP) (n.d.). About AANP. Retrieved from: https://www.aanp.org/about-aanp
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 experienced already,…...
mlaBibliography
ANA. (2011). ADVANCED PRACTICE NURSING: A NEW AGE IN HEALTH CARE. American Nurses Association, 1-7. Retrieved from: http://www.nursingworld.org/FunctionalMenuCategories/MediaResources/MediaBackgrounders/APRN-A-New-Age-in-Health-Care.pdf
Reinhard, S., & Hassmiller, S. (n.d.). The Future of Nursing: Transforming Health Care. AARP Internation: The Journal. Retrieved from: http://journal.aarpinternational.org/a/b/2012/02/The-Future-of-Nursing-Transforming-Health-Care
Ridge, R. (2011). Future of Nursing special: Practicing to potential. Nursing Management, 32- 37. Retrieved from: http://www.nursingcenter.com/journalarticle?Article_ID=1176058
Wilson, A., Whitaker, N., & Whitford, D. (2012). Rising to the Challenge of Health Care Reform with Entrepreneurial and Intrapreneurial Nursing Initiatives. The Online Journal of Issues in Nursing. Retrieved from: http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No2-May-2012/Rising-to-the-Challenge-of-Reform.html
Status of Advanced Practice Nursing in Your State or Country
The status of advanced practice nurses (APNs) in the United States has changed significant in recent years, and the scope of their practice now extends into areas that were previously not available to them. Indeed, the American Association of Colleges of Nurses (AACN) reports that APNs can now prescribe medications in at least 45 states, and another 16 states (including Alaska, Arizona, Colorado, Hawaii, Idaho, Iowa, Maine, Montana, Oregon, New Hampshire, New Mexico, North Dakota, hode Island, Vermont, Washington, Wyoming and the District of Columbia) have authorized APNs to practice independently completely without physician collaboration or supervision (Expanded role for advanced practice nurses, 2016).
Who are the stakeholders?
From a broad perspective, the stakeholders involved in the debate over the precise role of APNs extend to all Americans. The extent to which APNs are authorized to provide healthcare services comparable to physicians…...
mlaReferences
Advanced practice nurses. (2016). American Nurses Association. Retrieved from nursingworld.org/Especiallyforyou/Advancedpracticenurses.http://www.
Expanded role for advanced practice nurses. (2016). American Association of Colleges of Nurses. Retrieved from http://www.aacn.nche.edu/media-relations/fact-sheets/apn-roles .
Issues-at-a-glance: Full practice authority. (2016). American Association of Nurse Practitioners. Retrieved from imported/Full%20practice%20authority.pdf.http://c.ymcdn.com/sites/www.npamonline.org/resource/resmgr/
Manuscript Discussion
The Grade Experience of Online Nurse Practitioner Students Who Took More Than One Clinical Course Per Quarter
The shortage in primary care physicians has increased the demand for nurse practitioners (NPs). Online NP programs are of interest to working students with other personal and professional life demands. This study examines grade experience differences for students of an online NP program who took more than one clinical course per quarter (OCCPQ) as compared to those who did not take more than OCCPQ. This retrospective study consisted of 3,760 NP students who graduated between fall 2013 through spring 2016. Those who took more than OCCPQ had a greater percentage of clinical course failures at first attempt as compared to those who did not take more than OCCPQ (2.1% versus 0.8%, p=0.001). Multivariate logistic regression adjusting for relevant covariates maintained these results with increased odds for clinical course failures for those who took…...
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