Overall, however, any Emergency NP is capable of handling extremely stressful situations and of ensuring that he or she is ready for the next difficult condition that appears.
Southern Universities Offering Nursing Education
There are many universities all over the country that offer nursing education. In the south, many of these universities are concentrated in Alabama and Florida. Auburn University in Alabama has a school of nursing that was founded in 1979 (Auburn). The school's nursing program is designed for the adult or family nurse practitioner, and does not offer other specialties. However, it does offer courses such as Healthcare Policy and Ethics, along with Advanced Theoretical Formulations. The NP designation requires 43 credit hours and 840 clinical hours over a total of six semesters Auburn, 2012). That makes the degree relatively comprehensive, and compares favorably with other programs in the south (Auburn, 2012). The University of Alabama also offers a…...
mlaReferences
Auburn University (2012). Nurse Practitioner Track. Retrieved from http://www.auburn.edu/academic/nursing/academics/NE%20and%20NP%20Track.pdf
Flanagan, L. (1997). Nurse Practitioners: Growing Competition for Family Physicians? - Family Practice Management.
Horrocks, S., Anderson, E., & Salisbury, C. (2002). Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors. British Medical Journal, 324, 819-823.
International Council of Nurses. (2012). Nurse Practitioner/Advanced Practice Nurse: Definition and Characteristics. Nursing Matters Fact Sheets.
Nursing
Nurse Practitioner ole: Current and Future Trends
If one is looking for a bare-bones description of today's nurse practitioner, a description presented in quite simple terms, it is convenient to turn to The International Council of Nurses; this organization defines the "nurse practitioner / advanced practice nurse" as an N who has acquired an "expert knowledge base," who has a Master's degree, and whose expanded practice role is shaped "by the context and/or country in which he/she is credentialed to practice."
Meanwhile, Cheryl Stegbauer, a faculty member and nurse practitioner (NP) at the University of Tennessee for the past thirty years, delves a bit deeper into the NP's role in shaping contemporary healthcare: "Most of the medical profession and patients" may understandably "scratch their heads about how the NP role is defined" (Nelson, 2004), Stegbauer offers. "Because the NP approach is holistic, patients like the increased attention [afforded by NPs] and doctors…...
mlaReferences
Grossman, Sheila C, & Valiga, Theresa M. (2000). The New Leadership Challenge Creating the Future of Nursing. Philadelphia F.A. Davis Company.
Horrocks, Sue, & Anderson, Elizabeth; & Salisbury, Chris (2002). Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors. British Medical Journal, 324, 819-823.
Ketefian, Shake (2000). The New Leadership Challenge: Creating the Future of Nursing.
Nursing and Health Care Perspectives, 21(5), 257.
The WHNP is important because they can take the time to educate patients on health matters and establish a rapport that makes the patient feel comfortable and at ease.
II. TAINING and CETIFICATION
Women's Health Nurse Practitioners can work in various settings from private practice, hospitals, universities, clinics and other various medical settings. To become a WHNP, the person must first complete the requirements to become a registered nurse (N). This can be done by obtaining a four-year bachelor's degree in nursing. After the student completes the four-year nursing degree and passes state licensing, studies can begin to become a Nurse Practitioner by obtaining a master's degree or a post master's degree certificate. This is considered advanced level training and the student enters a program that specializes in the field she wishes to practice in, such as women's health. The requirement for a master's degree hasn't always been in place. There…...
mlaReferences
Women's Health Nurse Practitioners (2009). The Journal for Nurse Practitioners, 5(6), 466.
While nurses might not make as much money or have as much time as they would like, there are many aspects of their job that are extremely rewarding to them. When I interviewed this Nurse Practitioner, she told me about a young patient in the oncology ward whose bravery had made her smile, an elderly woman who kept vigil at her husband's bedside as he lay dying, and many other families that have both helped her and been helped by her. This showed me that, while nurses might not be rich financially, and they might be overworked quite often, they are wealthy in many emotional ways that make their professional extremely worthwhile. It is valuable to them, and valuable to others, as well.
The downside to working as a nurse, though, is the nursing shortage that is taking place today, and has been going on for some time. While nurse…...
Nurse Practitioner Models of Care -- Dorothea Orem
The objective of this work in writing is to choose a model of nursing care. The model chosen is that of Dorothea Orem. Orem's 'Self-Care Deficit Theory' is a general theory of nursing and one of the most utilized models in nursing in contemporary times.
Dorothea Orem - Background
Dorothea Orem was born in 1914 in Baltimore, Maryland. Orem earned her nursing diploma in the earlier part of the 1930s from Providence Hospital School of Nursing, Washington, D.C. As well as receiving three honorary doctorates and an Alumni Achievement Award for Nursing Theory in 1980 from Catholic University of America. (Bridge, Cabell, and Herring, paraphrased) Orem gained experience early in her nursing career in various hospital clinical settings as a staff nurse.
The work of Bridge, Cabell, and Herring (nd) states that Orem recalls from early in her career while serving as director of nursing service…...
mlaReferences
Bridge, J., Cabell, S. And Herring, B. (nd ) Dorothea Orem's Self-Care Deficit Theory. Retrieved from: http://prism.troy.edu/~scabell/Orem.pdf
Chinn, P.L., & Kramer, M.K. (2004). Integrated knowledge development in nursing (6th ed.). St. Louis: Mosby in: Bridge, J., Cabell, S. And Herring, B. (nd ) Dorothea Orem's Self-Care Deficit Theory. Retrieved from:
Nursing: Nurse Practitioner
The advanced practice nurse is a graduate with a master's or doctorate degree in nursing, certified to guide others in using the nursing process to maximize the community's health outcomes (Smith & ose, 2011). These nurses are prepared to pursue either direct practice roles, where they interact directly with families and patients to improve their well-being through disease management, or indirect practice roles, where they take a leadership role in the provision of care, but do not engage directly with patients (National CNS Competency Taskforce, 2008). Examples of indirect care activities include developing staff development activities, protocols of care and evidence-based guidelines. Specific direct care roles include nurse clinicians (practitioner) and nurse educators, whereas indirect roles include nurse administrator, nurse informatics, and nurse researchers (AACN, 2015). This text compares and contrasts the core competencies that govern the different roles, and identifies the differences/similarities in the implementation of competencies…...
mlaReferences
Smith, K. & Rose, M.A. (2011). Chapter: The Advanced Practice Nurse in the Community. Thomas Jefferson University. Retrieved May 7, 2015 from http://jdc.jefferson.edu/cgi/viewcontent.cgi?article=1059&context=nursfp
National CNS Competency Taskforce. (2008). Clinical Nurse Specialist: Core Competencies. National CNS Competency Taskforce. Retrieved May 7, 2015 from http://www.nacns.org/docs/CNSCoreCompetenciesBroch.pdf
Weber State University (n.d.). Master's of Science in Nursing Program: Nurse Administrator. Weber State University. Retrieved May 7, 2015 from http://www.weber.edu/wsuimages/Nursing/MSN/Nursing%20Administrator%20Outcomes.pdf
115). It seems many nurses or N who prepare for the role of nurse practitioner are not fully informed of the demands that may be placed on them in their new role. This in turn may lead to job dissatisfaction later down the line and ultimately limit ones ability to succeed in their chosen field. Presently there is not enough research provided to provide conclusive evidence one way or another as to the extent to which problems or gaps in teaching may influence one's decision to move from one career to the next.
More information could be collected in the form of self-report surveys as mentioned previous that would assess whether nurses felt they were prepared educationally to take on the challenges of the role they currently held or aspired to (Evans, n.d.; Dumas, Villeneuve, & Chevrier, 2000). There are others however, that believe that in some cases the N aspiring…...
mlaReferences
Blossom, Y.J., Ying-Chen, Y., & Wen-Hung, L. (2007). The influence of job characteristics on job outcomes of pharmacists in hospital, clinic, and community pharmacies. Journal of Medical Systems, 31(3): 224-29.
Buppert, C. (1999). Nurse Practitioner's business practice & legal guide. New York:
Aspen Publishers, Inc.
Dumas, L., Villeneuve, J. & Chevrier, J. (2000). A tool to evaluate how to learn from experience in clinical settings. Journal of Nursing Education, 39:6, 251-57.
Nurse Practitioners: Better Care Savings
Crosspost: Nurse Practitioner Workforce
Nurse Practitioners: Potential Better Care Savings
Nurse Practitioners: Potential Better Care Savings
With passage of the Patient Protection and Affordable Care Act (ACA) of 2010 and its stated agenda for controlling the cost of healthcare in America, many are advocating for expansion of the nurse practitioner (NP) workforce and its scope of practice (Poghosyan, Lucero, auch, and Berkowitz, 2012). The concerns about current and projected healthcare costs are warranted. In 2009, the U.S. allocated just over 17% of its gross domestic product to health care spending, which is at least 5% above that spent by other Western nations (Squires, 2012). Half of this was spent through Medicare and Medicaid, which provides coverage for retirees, the disabled, and those living in poverty. This is important because the latter two patient populations are those traditionally served by NPs (Poghosyan, Lucero, auch, and Berkowitz, 2012).
While many NP workforce…...
mlaReferences
CDC (U.S. Centers for Disease Control and Prevention). (2011). National diabetes fact sheet, 2011. CDC.gov. Retrieved 25 Mar. 2013 from http://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf
CHRT (Center for Healthcare Research & Transformation). (2010). The cost burden of disease. CHRT.org. Retrieved 25 Mar. 2013 from http://www.chrt.org/assets/price-of-care/CHRT-Issue-Brief-January-2010.pdf .
Horrocks, Sue, Anderson, Elizabeth, and Salisbury, Chris. (2002). Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors. British Medical Journal, 324, 819-823.
Newhouse, Robin P., Stanik-Hutt, Julie, White, Kathleen M., Johantgen, Meg, Bass, Eric B., Zangaro, George et al. (2011). Advanced practice nurse outcomes 1990-2008: A systematic review. Nursing Economics, 29(5), 230-250.
Nurse practitioners play a crucial role in the modern healthcare system given their responsibilities in administering patient care. One of the critical components in the delivery of healthcare services in the modern healthcare setting is collaboration between different stakeholders. Modern healthcare environments and settings are characterized by the establishment of a multidisciplinary team that provides patient care. Consequently, nurse practitioners are required to collaborate with others, particularly physicians in their respective roles in the care delivery process. Stewart & DeNisco (2019) states that collaboration among healthcare providers or clinicians is based on shared goals and decision making, mutual relationships, and use of collective knowledge of all stakeholders involved in the care process. Collaboration with physicians has tremendous impacts on the practice and job satisfaction for nurse practitioners. The collaboration changes the practice of nurse practitioners by shifting their focus to patient-care, holistic care. When collaborating with physicians, nurse practitioners help streamline…...
Nurse Practitioner Portfolio: A Review of Aspects Related to Nurse Practitioner (NP) Scope of Practice (SOP)
Negotiation Strategy
Numerous researches deal with patient outcomes or care quality offered by nurse practitioners, with current literature indicating that nurse practitioners’ care quality standards are nearly on an equal footing with that offered by doctors. A primary care NP meta-analysis revealed that researches which controlled for patient risks non-randomly found pathological ailment resolution and patient satisfaction to be greater in case of patients cared for by NPs; further, NPs were just as good as doctors in most variables within controlled researches (Bakken & McArthur, 2001).
Nursing professionals supplementing physicians offer services complementary to or going beyond services offered by physicians. The objective is improving care quality and extending the array of services offered to patients. On the other hand, nursing professionals substituting doctors offer services that would have otherwise been offered by physicians alone. In this context,…...
mlaReferences
Bakken, S., & McArthur, J. (2001). Evidence-based Nursing Practice: A Call to Action for Nursing Informatics. Journal of the American Medical Informatics Association, 8(3), 289-290.Jo, G. A., & Knestrick, J. M. (2017). Effective professional networking. Journal of the American Association of Nurse Practitioners, 29(8), 441-445. Retrieved from Maddalena, V. (2009). Cultural Competence and Holistic Practice. Holistic Nursing Practice, 23(3), 153-157.Xue, Y., Ye, Z., Brewer, C., & Spetz, J. (2016). Impact of state nurse practitioner scope-of-practice regulation on health care delivery: Systematic review. Nursing Outlook, 64(1), 71-85.https://journals.lww.com/jaanp/Citation/2017/08000/Effective_professional_networking.5.aspx
History of Nurse Practitioner in Canada
Advanced practice nursing is one of the fundamental components of the Canadian health sector and has continued to experience tremendous growth in recent years (Kaasalainen et al., 2010). Nurse practitioners are among the major professionals in the Canadian advanced practice nursing. Nurses have traditionally been practicing in expand roles in remote and rural areas across Canada, particularly informally. The role of the nurse practitioner was first introduced in the country in the 1960s – 1970s. This introduction was attributable to various factors including the perceived physician shortage, the launch of universal publicly funded medical insurance, increased medical specialization, and increased focus on primary healthcare. Nurse practitioner is one of the advanced practice nursing roles that emerged in Canada in the 1960s and 70s due to the belief that nurses were suitably positioned to meeting the nation’s emerging healthcare needs.
In the initial years of its introduction,…...
mlaReferences
Baker et al. (2016, December). Ties That Bind: The Evolution of Education for Professional Nursing in Canada from the 17th to the 21st Century. Retrieved October 14, 2018, from Hill, C. & Pickup, M. (2015, December). Nurse Practitioners and Canadian Health Care: Toward Quality and Cost Effectiveness. Retrieved October 14, 2018, from http://cwf.ca/wp-content/uploads/2015/12/CWF_NursePractitionersCanadianHealthCare_Report_DEC1998.pdfKaasalainen et al. (2010, December). A Historical Overview of the Development of Advanced Practice Nursing Roles in Canada. Nursing Leadership, 23, 35-60.https://www.casn.ca/wp-content/uploads/2016/12/History.pdf
Hiring a Nurse Practitioner reduces wait times (overcrowding) in the Emergency Department
estimation of the ED (Emergency department) compromise with care afforded to patients because of overcrowding from the perspective of the provider of services.
/I researched literature and bonafide / authenticated texts that chose to: Study causation, impacts and resolution tactics aimed at ED crowding; Collected and analyzed data using established methods; specifically target the ED scenario and the day-to-day crowding at the ED in care centers and hospitals. There is in each case a lot of reporting done on the circumstances ( like shortages of beds and staff) and that have led to the crowding that can be seen to increase with each passing day at ED centers, the overall impact that has had on the quality of care given to the patients as a result, and the solutions that have either been worked out or are being discussed (…...
mlaReferences
Bowers, M.R., Swan, J.E.,&Koehler, W. F. (1994).What attributes determine quality and satisfaction with healthcare delivery? Health Care Management Review, 19, 49 -- 55.
Carter, A.J., & Chochinov, A.H. (2007). A systematic review of the impact of nurse practitioners on cost, quality of care, satisfaction and wait times in the emergency department. CJEM, 9(4), 286.
Carter, E.J., Pouch, S.M., & Larson, E.L. (2014). The Relationship Between Emergency Department Crowding and Patient Outcomes: A Systematic Review. Journal of Nursing Scholarship, 46(2), 106-115.
Carter, E.J., Pouch, S.M., & Larson, E.L. (2014). The Relationship Between Emergency Department Crowding and Patient Outcomes: A Systematic Review. Journal of Nursing Scholarship, 46(2), 106-115.
registered nurse (N) possessing advanced level education (a master's degree or doctoral degree), and corresponding skills, scope of nursing practice, and knowledge that reflects their educational qualification(s) is termed as an Advanced Practice egistered Nurse (APN). On the other hand, Nurse Practitioners (NPs) are APNs who deliver quality patient care services (UAPN, n.d).
Although physician assistants (PAs) possess the requisite skills to perform specific duties by themselves, they carry out these duties under their supervising doctor's authority. In contrast, nurse practitioners (NPs) may have greater autonomy. This means that they can independently perform some assistance and healthcare-related tasks, without a physician's supervision, contingent on state laws, their educational level, and additional qualifications and certifications acquired by them. Because it is compulsory for PAs to work together with a qualified physician, their working hours are very closely linked with their supervising physician's work hours. NPs, in contrast, may have greater autonomy…...
mlaReferences
Cooke, L., Gemmill, R., & Grant, M. (2008). APN core competencies: A framework for developing and testing an APN discharge intervention. Clinical nurse specialist CNS, 22(5), 218.
Cresswell, S. (2013). What's The Difference between a Physician Assistant and a Nurse Practitioner and What Should You Choose? Retrieved August 25, 2015, from http://www.diffen.com/difference/Nhttp://www.gapmedics.com/blog/2013/12/23/what-s-the-difference-between-a-physician-assistant-and-a-nurse-practitioner-and-what-should-you-choose/urse_Practitioner_vs_Physician_Assistant
Graduatenursingedu.org. (n.d.). Steps to Becoming an APRN in Louisiana. Retrieved August 25, 2015, from http://www.graduatenursingedu.org/louisiana/
In Hamric, A.B., In Hanson, C.M., In Tracy, M.F., & In O'Grady, E.T. (2014). Advanced practice nursing: An integrative approach.
Filling the Gap Wisely
urse Practitioner Workforce
There is no question that healthcare costs have been weighing heavy on policy makers, especially with an aging 'baby-boom' generation and passage of the Patient Protection and Affordable Care Act (ACA) of 2010. Total national spending on healthcare was estimated to have exceeded $2.8 trillion in 2012, which represented 17.9% of the gross domestic product (GDP) (Turner and Hughes-Cromwick, 2013). Given its current trajectory, healthcare spending could reach $4.8 trillion by 2021 and consume nearly 20% of GDP (CMS, n.d.).
However, not everyone considers healthcare spending to be out of control. Rather than rely solely on percent GDP, Turner and Hughes-Cromwick (2013) looked at spending as percent potential GDP (PGDP). PDGP is considered a better long-term reference for economic trends because it minimizes fluctuations caused by short-term changes in inflation. Based on this comparison, U.S. healthcare spending is currently around 17.0% of PGDP, but more importantly,…...
mlaNewhouse, Robin P., Stanik-Hutt, Julie, White, Kathleen M., Johantgen, Meg, Bass, Eric B., Zangaro, George et al. (2011). Advanced practice nurse outcomes 1990-2008: A systematic review. Nursing Economics, 29(5), 230-250.
Pronsati, Michelle Perron. (2012). National Salary Report 2011: A dramatic drop in PA salary, but just a dip for NPs. Advance for NPs & PAs, Merion Matters. Retrieved 26 Mar. 2013 from http://nurse-practitioners-and-physician-assistants.advanceweb.com/Features/Articles/National-Salary-Report-2011.aspx .
Turner, Ani and Hughes-Cromwick, Paul. (2013). Connecting U.S. health expenditures with the health sector workforce. Business Economics, 48, 42-57.
Drug Addiction Treatment Act of 2000 certainly had noble intentions and safeguards. Indeed, there is a definitive reason why physicians are allowed a certain set of rights and responsibilities and why nurse practitioners are just a little further down the ladder in terms of rights and options. To be sure, anything related to opiates is something that should be regulated very highly as the ability and opportunity to abuse the rights to prescribe these drugs is prevalent and hard to miss. However, also hard to miss is the rampant amount of abuse and addiction that has been rendered and this problem is aggravated by the fact that drugs containing buprenorphine are restricted to physicians only despite the immeasurable benefit that could be rendered to addicted persons. While restricting such drugs is not a terrible idea, it is not the best idea with buprenorphine because of the amount of addicted…...
mlaReferences
Fornili, K., & Burda, C. (2009). Buprenorphine Prescribing: Why Physicians Aren't and Nurse Prescribers Can't. Journal of Addictions Nursing, 20(4), 218-226.
O'Connor, A.B. (2011). Nurse Practitioners' Inability To Prescribe Buprenorphine: Limitations Of The Drug Addiction Treatment Act Of 2000. Journal of the American Academy of Nurse Practitioners, 23(10), 542-545.
Rundio, A. (2012). Buprenorphine Prescribing by APRNs. Journal of Addictions Nursing, 23(1), 80-81.
Strobbe, S., & Hobbins, D. (2012). The Prescribing of Buprenorphine by Advanced Practice Addictions Nurses. Journal of Addictions Nursing, 23(1), 82-83.
First, we want to reassure you that being confused about nursing worldviews puts you in some good company. Many nurse practitioners find that the approach that place worldviews at the beginning of nursing inquiry may actually be hampering the development of nursing scholarship and keeping the profession from evolving as quickly and as efficiently as it should. In addition, the material can become very confusing because different authors use the words paradigm and worldview interchangeably, though they distinguish them from metaparadigms.
Broadly stated, an individual’s worldview consists of the beliefs and assumptions that the person uses to interpret....
The Transformative Power of Low-Code Programming: Empowering Citizen Developers in the Digital Age
In the era of rapid technological advancements, the ability to develop software has become increasingly critical. However, the traditional path to programming expertise, through complex coding languages and years of study, has proven to be a barrier for many aspiring developers. Low-code programming, an innovative approach, is revolutionizing the software development landscape by democratizing access to programming and empowering non-technical individuals with the ability to create powerful applications. This essay delves into the transformative power of low-code programming and its profound impact on citizen developers, the unsung heroes....
1. The Journey of a Nurse Practitioner: Following the Path to Empowerment and Healing
2. Rising Above Challenges: Becoming a Nurse Practitioner in Today's Healthcare System
3. Bridging the Gap: The Essential Role of Nurse Practitioners in Access to Quality Healthcare
4. The Power of Compassion: How a Nurse Practitioner Can Make a Difference in Patients' Lives
5. The Evolving Role of a Nurse Practitioner: Adapting to the Changing Healthcare Landscape
6. Empowering Nurses: Unveiling the Path to Becoming a Nurse Practitioner
7. Nurse Practitioners: Advancing Patient Care Through Advanced Practice
8. The Integral Role of Nurse Practitioners in Improving Healthcare Outcomes
9. A Holistic Approach to Healing:....
Elegant and Succinct Titles for an Essay on the Path of a Nurse Practitioner
The Call to Care: A Nurse Practitioner's Journey
The Path to Holistic Healing: Embracing the Nurse Practitioner's Scope
Bridging the Gap: Nurse Practitioners as Catalysts for Accessible Healthcare
Transforming Healthcare through Advanced Practice: The Rise of Nurse Practitioners
Intriguing and Provocative Titles
The Nurse Practitioner's Role in Redefining Modern Healthcare
Untapped Potential: Nurse Practitioners as Innovators in the Field
From bedside to Boardroom: The Ascendance of Nurse Practitioners
The Future of Healthcare lies with Nurse Practitioners: Exploring the Path
Titles with a Personal Touch
My Journey as a....
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