Preview

Policy Analysis and Influence Strategy

Good Essays
Open Document
Open Document
2630 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Policy Analysis and Influence Strategy
Running head: FOREFRONT OF CHANGE

Family Nurse Practitioners: The Forefront of Policy Change
Jeanene “Nikki” Bowen
Georgetown University Family Nurse Practitioners: The Forefront of Policy Change
In 2010 President Obama signed into law The Patient Protection and Affordable Care Act, also known as The Healthcare Reform Act and Obamacare. Healthcare Reform ensures the population that they will be afforded insurance regardless of pre-existing conditions; the insurance will cover sick visits and wellness/preventative services. Due to the additional 32-46 million Americans who now have health care coverage there is a serious shortage of primary health care providers. This creates a critical need to find a resolution for the shortage of primary care providers. Advanced practice registered nurses (APRN), such as family nurse practitioners, can help fill the gap with an increase in scope of practice that allows them to practice to the full extent of their competence and education. Title 40, Chapter 33 of the South Carolina Code of Laws addresses the profession and occupation of nursing and sets forth the Nurse Practice Act. This Act explicitly lays out the role of the APRN. Section 40-33-20 defines the advanced practice registered nurse and declares the advanced practice nursing scope of practice. This law has not been updated in South Carolina since 2005 (South Carolina Legislature, 2013). On December 8th, 2014, Lauren Sausser, a journalist for The Post and Courier (a South Carolina Newspaper), published an article stating that State Representative, Jenny Horne, will introduce legislation this week to make it easier for advanced practice registered nurses to expand and practice independently in rural areas due to the shortage of primary care providers in the state (Sausser, 2014).
As mentioned previously, South Carolina State Representative, Jenny Horne, is a political champion for increased scope of practice in South Carolina. Many organizations

You May Also Find These Documents Helpful

  • Good Essays

    The significant state-to-state variation of ARNP scope of practice creates some formidable barriers to the continuing advancement the profession, especially in the realm of autonomy. The impact of these variations include impeding acceptance of advance practice nurses as primary practitioners, both with organized medicine, as well as with insurance payers. In fact, even in states that grant ARNPs full autonomy, some payers impose more restrictive requirements and require APRNs to bill for their services under a physician’s name, or reimburse at a lower rate (Hain & Fleck, 2014). The disparity from state to state also has federal agencies, like the Federal Trade Commission, investigating their role in the regulation of the nursing profession…

    • 342 Words
    • 2 Pages
    Good Essays
  • Best Essays

    health care providers in America. Advance Practice Nurses (APN’s) will be in a position to have…

    • 2186 Words
    • 9 Pages
    Best Essays
  • Satisfactory Essays

    I have been a nurse for 14 years, mostly in the Emergency Department, and have become aware of the growing population and the need for Family Nurse Practitioners (FNP’s). According to Walden’s University Catalog (DEC. 2013a), FNP’s are defined as “advanced practice registered nurses with the knowledge and skills to assess and manage health issues in patients of all age groups, from birth through senior years.” My goal as a FNP is to provide advanced health…

    • 341 Words
    • 2 Pages
    Satisfactory Essays
  • Better Essays

    As mentioned above, there are over three million members within the nursing community, thus making the nursing profession the biggest division in the nation’s healthcare workforce. Nurses play a crucial part in setting the 2010 Affordable Care Act. This act provides Americans the quality and affordable healthcare despite their pre-existing health…

    • 1606 Words
    • 7 Pages
    Better Essays
  • Good Essays

    These roles have been established and sustained out of need. APRN’s are in demand due to a shortage of primary care providers, an aging population, and demand for more cost-effective health care. A recent study was…

    • 145 Words
    • 1 Page
    Good Essays
  • Good Essays

    Advanced Practice Nurses (APNs) are often primary care providers and are at the forefront of providing preventative care to the public. APN practice is typically defined by the Nurse Practice Act and governed by the states Board of Nursing, but other laws and regulations may impact practice, and other boards may play a role. The purpose of this paper is to develop a greater understanding of the scope of practice for nurse practitioners within the state of Oklahoma. Oklahoma’s mission for nurse practitioners is to promote, advance, and support high standards of health care delivery. The Association of Oklahoma Nurse Practitioners (AONP) and the Oklahoma Board of Nursing will help recognize professional guidelines for which Advanced Practice…

    • 573 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    With more than 3 million members, the nursing profession is the largest segment of the nation’s health care workforce. Working on the front lines of patient care, nurses can play a vital role in helping realize the objectives set forth in the 2010 Affordable Care Act, legislation that represents the broadest health care overhaul since the 1965 creation of the Medicare and Medicaid programs. A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care settings and an evolving health care system. These barriers need to be overcome to ensure that nurses are well- positioned to lead change and advance health.…

    • 354 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    There are two perspectives on this topic, with it or against it. Harp seals are overcrowding and lowering the population of fish in the Canadian waters, this leads to unemployment in many fish industries. There is an animal chain that has to be balanced, by having too many seals they overpopulate and jump the chain, their meat is a great source of omega 3 and 6, their pelts are water resistant and in many cases do not cause allergies, so the hunting sounds pretty beneficial. It’s the most regulated hunt of its kind & the population is large enough to sustain the hunting. There are 9.5 million harp seals and the hunting of seal pups has reduced the global seal population by two-thirds, but there are many other different ways to fix the problem…

    • 1173 Words
    • 5 Pages
    Good Essays
  • Good Essays

    However, reimbursement issues are limiting the progress of APRNs to practice fully of their educational background, thus limiting “American public access to the care they want,” which is “to receive care quickly from a competent person” (Hill, 2012, p. 5). Such barriers not only limit the public’s access to care but also fragment the health care system further. This necessitates a creation of environment with a single goal in mind: patient-centered care, which can be achieved by optimizing APRNs’ role in primary care since “there are simply not enough physicians to care for an aging population” (IOM, 2011, p.112). By expanding practice, APRNs can spend more time doing what they have been for years: patient education and coordination of care, thereby leading the system towards a collaborative approach advocated by the…

    • 1085 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    As the population grows, physicians will not be able to perform at a competent level and provide complete patient care without a substantial number of nurses. Reliance on nurses is necessary to reform the health care system. Barriers such as regultatory restrictions regarding scope of practice, professional resistance by physicians, and insurance company reimbursment pactices hinder RN’s and Advanced Practice Nurse’s from practicing to the full extent of their education and compromise patient outcomes (Richard Ridge, 2011). Autonomy is an issue in some states regarding APN’s role. Some states require physician oversight to diagnose, treat, prescribe, or make referrals. Compensation for services is also an concern. Independent insurance providers, Medicaid, and Medicare compensate APN’s at reduced rates or not at all and may not cover prescribed prescriptions unless a physician signs off. Professional resistance is also an problem. The Scope of Practice Partnership lobbies against state expansion of the APN’s role stating they lack medical education, clinical knowledge and cognitive and technical skills which are acquired only in medical school ( IOM, 2011). These restrictions make it difficult to meet the demands of patient care. Outdated insurance practices also pose an obstacle by restricting insurance reimbursement to APN’s. Some…

    • 1140 Words
    • 5 Pages
    Powerful Essays
  • Better Essays

    Adavance Practice Nurse

    • 998 Words
    • 4 Pages

    There are four major advanced practice nursing roles in United States. They are Nurse Anesthetists, Nurse Midwife, Clinical Nurse Specialist, and Nurse practitioner (NP). This paper will address the history and development of advanced practice in nursing and the role of nurse practitioners in primary care (Hamric, Spross &Hanson, 2005). Nurse practitioners are expert clinicians, who conduct comprehensive health assessment, make diagnosis, prescribe pharmacological and non pharmacological interventions, evaluate outcomes in the direct management of individual patients with acute and chronic illness and also engage in health promotion and disease prevention education (Hamric, Spross &Hanson, 2005).…

    • 998 Words
    • 4 Pages
    Better Essays
  • Good Essays

    The Health care reform has been a major issue over the past decade. In December, 2009, the decision was made to pass the health care reform ("ANA", 2010, p. 10). This decision will change America forever, and the nursing industry will help hold this new program together by constituting the largest single group of health care professionals. The nursing industry will be the glue holding the new healthcare intact. It is estimated that by 2015 the number of nurses will need to increase to over 4 million (Hein, RN, Ed, 2009). A nurse’s main concern is always to insure quality care and safety of their patients; under the new health care reform several new measures have been set into place to ease the transition and improve the quality of care for all patients. The health care reform will provide millions of Americans with health care, and many nurses see their jobs as constantly changing. Their positions as primary advocates for their patients can be compromised when adequate healthcare is not provided.…

    • 1001 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Advanced Practice Registered Nurses (APRN) represent a powerful force in the healthcare system. As APRNs became the integral part of the healthcare system, their education, accreditation, certification and licensure need to be aligned effectively to ensure patient safety while expanding patient access to APRNs. An APRN includes, certified nurse practitioners, certified registered nurse anesthetists, certified nurse-midwives and clinical nurse specialists. Even though, each role has a unique history and context, but shares the commonality of being APRNs. In order to prepare an APRN for practice, the necessary components of education, accreditation, and certification are important, however, the licensing boards governed by state regulations and…

    • 1087 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Obama Care

    • 2709 Words
    • 11 Pages

    The health care law – the Affordable Care Act – has given nurses and other health care professionals a historic opportunity to improve the health of millions of Americans. The nursing profession is positioned to contribute even more to both health and health care.…

    • 2709 Words
    • 11 Pages
    Good Essays
  • Good Essays

    The first week lesson was focused on the historical development of the Advanced Practice Nursing (APN) role and evidence-based practice from the perspective of various philosophical and theoretical foundations. In which I have learned about various roles and responsibilities of APN. As the scope of practice for APN is vary from state, I have explored the role and scope of practice of Nurse Practitioner (NP) in Texas. The second week lesson was focused on the complexity theory and selected skills, understandings, and integrative abilities of the APN and specialty nurse practitioner practice. In which I have learned about the APN’s leadership role in healthcare policy to facilitate best practices for diverse populations. It is important for APN…

    • 705 Words
    • 3 Pages
    Good Essays