Advance Practice Nurse Practitioner
Advance Nursing Practice Role
La’Shonda E Callahan
South University
Abstract
The Advance Practice Nurse Role can be nurse practitioners, nurse midwives, nurse anesthetists or clinical nurse specialists. They play an essential role in healthcare and are often primary care providers and are just as qualified as doctors to provide care. (Preventive Health Care: The Role of Nurse Practitioners, 2016). Advance Practice Nurse (APRN) is often defined as a constellation of four roles: the Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Nurse Midwife (CNM), and Certified Registered Nurse Anesthetist (CRNA). (Hamric, Hanson, Tracy and O’Grady 2014). Family Nurse Practitioner (FNP) is a clinical role that can work with a …show more content…
wide range of patients of all ages, genders and through all stages of life. The FNP is licensed or certified to practice as a nurse practitioner focusing in Family Medicine and may also specialize in areas like geriatrics or pediatrics depending on their experience and/or qualifications. The role of the NP was developed as a way to provide primary care to those in our communities that are under-served Their work can be found in several areas such as hospitals, doctor offices, community clinics, health departments, and outpatient clinics to name a few.
The role of the FNP is so vitally important because of the shortages of newly graduating physicians that choose primary care as their area of expertise.
The money for them is in specialization services of a particular area which leaves shortages in the primary care area. When you add in a population that is living longer and growing older the shortage of primary care providers is growing larger. In recent years The Health Resources and Services Administration (HRSA) has identified approximately 5,700 geographic areas with 55 million residents that would need more than 15,000 additional practitioners to meet the quotient of providing one primary care practitioner for every 2,000 residents. With that understanding the need for Family Nurse Practitioners is vital to maintaining healthy communities. In some rural and urban areas where there are physician shortages, FNPs are the only health care providers available. APRNs regardless of what specialty NP, CNS, CNM, or CRNA play a critical role in healthcare not only now but in the foreseeable future. In communities where there are shortages of health care providers they work autonomously in accessing, diagnosing and treating illnesses along with providing other health care services such as counseling. They are often primary care providers and are at the frontline to deliver preventative care to individuals under varying geographic or economic conditions that cover a full range of …show more content…
conditions.
Results demonstrate that nurse practitioner services are likely addressing primary care access gaps due to reduced numbers of family physician services in certain geographical areas, status, functional status, number of emergency department visits and hospitalizations, blood glucose, blood pressure, and mortality are similar for NPs and MDs.” (Stanik-Hutt, J., 2013) Shah, T. I., Milosavljevic, S., & Bath, B. (2017). In a Journal for Nurse Practitioners article it was purported that outcomes of Nurse Practitioner provided care was equal to those of physicians. However, individual states provide the guidelines that determine exactly what a FNP can do and what degree of supervision is needed. The question of the comparability of NP versus MD in regards to quality, safety and effectiveness of care can be answered in two ways as being comparable or as yet to be determined according to what guidelines are instituted by the state in which the FNP is providing service.
Patient safety is another concern. It has been noted that communities that employ nurse practitioners have lower hospitalization rates and improved health outcomes. Oliver, G. M., Pennington, L., Revelle, S., & Rantz, M. (2014). In the final analysis the nurse practitioner has more time to access the individual, provide counseling, and can better follow-up with the individuals. Advanced Practice Nursing is a professional specialized necessity not a medical substitution, but a complementary addition to patient care, that is distinctive and balances conventional medical practices.
Reasonable access and dissemination of health care services for rural and remote residents is a considerable task for health workforce and strategic planners. Geospatial analysis of accessibility to health care considers both supply and demand together to determine which contribute to a greater understanding of availability. APRN provides a full continuum of healthcare services to include counseling, disease management, health protection and end-of-life care. Family Nurse Practitioners fill a unique position in the healthcare profession. They have the opportunity to diagnose and treat patients from childhood to geriatric covering every age and background. This in itself provides continuity of care that is comprehensive and continuous which instills confidence in the patients to honestly express problems.
I plan to interview Joan Wortman, CRNA, She works in the Surgery Department at Eisenhower Army Medical Center (DDEAMC). The interview will take place the week of 5-9 February 2018 around 2pm. Below are the lists of questions I plan to ask.
1. Why did you choose CRNA as your career path?
2. What activities comprise your day-to-day job?
3. How long did it take you to get comfortable in your role?
4. What was the biggest challenge you faced when moving from the role of RN to CRNA?
5. Do you have to go to yearly training to stay updated in your field?
6.
What made you decide to work in DDEAMC vs. someplace in the civilian sector?
7. How long have you been a CRNA?
8. How long were you an RN before you decided to become a CRNA?
9. What information do you feel is most important for a recent graduate in Advance Practice Nursing?
10. What quality do you need to have before deciding to move from an RN to CRNA?
References
Nurse Practitioners and Primary Care, " Health Affairs Health Policy Brief, October 25, 2012. DOI: 10.1377/hpb20121025.457840 Preventive Health Care: The Role of Nurse Practitioners. (2016, December 19). Retrieved from Nursing @ Simmons: https://onlinenursing.simmons.edu
Shah, T. I., Milosavljevic, S., & Bath, B. (2017). Determining geographic accessibility of family physician and nurse practitioner services in relation to the distribution of seniors within two Canadian Prairie Provinces. Social Science & Medicine, 194:96-104. doi:10.1016/j.socscimed.2017.10.019
Stanik-Hutt, J., Newhouse, R. P., White, K. M., Johantgen, M., Bass, E. B., Zangaro, G., & ... Weiner, J. P. (2013). The Quality and Effectiveness of Care Provided by Nurse Practitioners. Journal For Nurse Practitioners, 9(8), 492-500.
doi:10.1016/j.nurpra.2013.07.004
La’Shonda E Callahan
South University
Abstract
The Advance Practice Nurse Role can be nurse practitioners, nurse midwives, nurse anesthetists or clinical nurse specialists. They play an essential role in healthcare and are often primary care providers and are just as qualified as doctors to provide care. (Preventive Health Care: The Role of Nurse Practitioners, 2016). Advance Practice Nurse (APRN) is often defined as a constellation of four roles: the Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Nurse Midwife (CNM), and Certified Registered Nurse Anesthetist (CRNA). (Hamric, Hanson, Tracy and O’Grady 2014). Family Nurse Practitioner (FNP) is a clinical role that can work with a …show more content…
wide range of patients of all ages, genders and through all stages of life. The FNP is licensed or certified to practice as a nurse practitioner focusing in Family Medicine and may also specialize in areas like geriatrics or pediatrics depending on their experience and/or qualifications. The role of the NP was developed as a way to provide primary care to those in our communities that are under-served Their work can be found in several areas such as hospitals, doctor offices, community clinics, health departments, and outpatient clinics to name a few.
The role of the FNP is so vitally important because of the shortages of newly graduating physicians that choose primary care as their area of expertise.
The money for them is in specialization services of a particular area which leaves shortages in the primary care area. When you add in a population that is living longer and growing older the shortage of primary care providers is growing larger. In recent years The Health Resources and Services Administration (HRSA) has identified approximately 5,700 geographic areas with 55 million residents that would need more than 15,000 additional practitioners to meet the quotient of providing one primary care practitioner for every 2,000 residents. With that understanding the need for Family Nurse Practitioners is vital to maintaining healthy communities. In some rural and urban areas where there are physician shortages, FNPs are the only health care providers available. APRNs regardless of what specialty NP, CNS, CNM, or CRNA play a critical role in healthcare not only now but in the foreseeable future. In communities where there are shortages of health care providers they work autonomously in accessing, diagnosing and treating illnesses along with providing other health care services such as counseling. They are often primary care providers and are at the frontline to deliver preventative care to individuals under varying geographic or economic conditions that cover a full range of …show more content…
conditions.
Results demonstrate that nurse practitioner services are likely addressing primary care access gaps due to reduced numbers of family physician services in certain geographical areas, status, functional status, number of emergency department visits and hospitalizations, blood glucose, blood pressure, and mortality are similar for NPs and MDs.” (Stanik-Hutt, J., 2013) Shah, T. I., Milosavljevic, S., & Bath, B. (2017). In a Journal for Nurse Practitioners article it was purported that outcomes of Nurse Practitioner provided care was equal to those of physicians. However, individual states provide the guidelines that determine exactly what a FNP can do and what degree of supervision is needed. The question of the comparability of NP versus MD in regards to quality, safety and effectiveness of care can be answered in two ways as being comparable or as yet to be determined according to what guidelines are instituted by the state in which the FNP is providing service.
Patient safety is another concern. It has been noted that communities that employ nurse practitioners have lower hospitalization rates and improved health outcomes. Oliver, G. M., Pennington, L., Revelle, S., & Rantz, M. (2014). In the final analysis the nurse practitioner has more time to access the individual, provide counseling, and can better follow-up with the individuals. Advanced Practice Nursing is a professional specialized necessity not a medical substitution, but a complementary addition to patient care, that is distinctive and balances conventional medical practices.
Reasonable access and dissemination of health care services for rural and remote residents is a considerable task for health workforce and strategic planners. Geospatial analysis of accessibility to health care considers both supply and demand together to determine which contribute to a greater understanding of availability. APRN provides a full continuum of healthcare services to include counseling, disease management, health protection and end-of-life care. Family Nurse Practitioners fill a unique position in the healthcare profession. They have the opportunity to diagnose and treat patients from childhood to geriatric covering every age and background. This in itself provides continuity of care that is comprehensive and continuous which instills confidence in the patients to honestly express problems.
I plan to interview Joan Wortman, CRNA, She works in the Surgery Department at Eisenhower Army Medical Center (DDEAMC). The interview will take place the week of 5-9 February 2018 around 2pm. Below are the lists of questions I plan to ask.
1. Why did you choose CRNA as your career path?
2. What activities comprise your day-to-day job?
3. How long did it take you to get comfortable in your role?
4. What was the biggest challenge you faced when moving from the role of RN to CRNA?
5. Do you have to go to yearly training to stay updated in your field?
6.
What made you decide to work in DDEAMC vs. someplace in the civilian sector?
7. How long have you been a CRNA?
8. How long were you an RN before you decided to become a CRNA?
9. What information do you feel is most important for a recent graduate in Advance Practice Nursing?
10. What quality do you need to have before deciding to move from an RN to CRNA?
References
Nurse Practitioners and Primary Care, " Health Affairs Health Policy Brief, October 25, 2012. DOI: 10.1377/hpb20121025.457840 Preventive Health Care: The Role of Nurse Practitioners. (2016, December 19). Retrieved from Nursing @ Simmons: https://onlinenursing.simmons.edu
Shah, T. I., Milosavljevic, S., & Bath, B. (2017). Determining geographic accessibility of family physician and nurse practitioner services in relation to the distribution of seniors within two Canadian Prairie Provinces. Social Science & Medicine, 194:96-104. doi:10.1016/j.socscimed.2017.10.019
Stanik-Hutt, J., Newhouse, R. P., White, K. M., Johantgen, M., Bass, E. B., Zangaro, G., & ... Weiner, J. P. (2013). The Quality and Effectiveness of Care Provided by Nurse Practitioners. Journal For Nurse Practitioners, 9(8), 492-500.
doi:10.1016/j.nurpra.2013.07.004