With changes in healthcare such as the Affordable Care Act of 2010 (ACA), nurses will be playing an ever increasing role in patient centered care as healthcare moves away from acute and specialty care, and focuses more on primary care. Today the top providers of primary care are physicians (287,000), nurse practitioners (83,000), and physician assistants (23,000) (Steinwald, 2008; HRSA, 2008). The demand for advanced practice registered nurses (APRN) is expected to increase dramatically to accommodate patients seeking primary care. The IOM suggests that to prepare for this increased demand for nurse practitioners “all health care professionals should practice to the full extent of their education and training so that more patients may benefit” (IOM, 2010, p. 96). This would include standardizing the scope of practice nationwide. Across the United States, scopes of practice vary widely, inhibiting many nurses to provide the full scope…
A Clinical Nurse Specialist (CNS) is an expert clinician who works in a specialized area of nursing practice. The CNS role in hospital has extended to responsibility for collective care concerning patient populations. CNS’s are now being used for case management, identifying and correcting systems problems, assess utilization patterns, and to establish large-scale organizational quality control. The research brief, Role Delineation Study of Nurse Practitioners and…
Nurse practitioners are registered nurses with the education and extensive experience required to perform in an advanced clinical role. A nurse practitioner's scope of practice extends beyond that of the registered nurse. In Australia, the Nursing and Midwifery Board Australia (NMBA) endorses nurse practitioners in accordance with their scope of practice. The nurse practitioner role includes assessment and management of clients using nursing knowledge and skills and may include but is not limited to the direct referral of patients to other health care professionals, prescribing medications and ordering diagnostic investigations.…
The American Association of Medical Colleges estimates that by 2025 the U.S. will face a physician shortage of over 130,000 physicians. This deficiency is creating an increased demand for Nurse Practitioners and Physicians Assistants. With approximately 205,000 nurse practitioners and 104,000 physicians assistants, they are increasingly becoming the solution to the country’s physician shortage. They are helping to provide cost-effective patient care routinely provided by physicians. Though they are filling essentially the identical positions, there are differences between the two professions.…
This report clearly shows that there will be a shortage of physicians soon and that nurse practitioners (NP) will be needed to fill the gap. The report also shows that NP’s are completely capable of stepping up and taking control in the care of all patients, And that if the NP feels that the patient is too complicated She/he will send the patient to a Physician who practices within the field in which the patient needs to be seen by. The patient satisfaction…
As stated, Nurse practitioners did not have an easy road to where we are today. Changes were needed to ensure medical care was available to those in need. Physician availability was compromised and…
Nurse Practitioners has an important occupation. They credibility are more than health care providers but they are educators, mentors, researchers, and administrators. Having all those credentials and training help advance NPs roles to make sure their professional standards are maintained. They have low health care cost because clients that see NPs have low emergency visits, shorter hospital stays, and lower medication cost. The patient reported a high level of satisfaction is greater than those of a…
The nurse practitioner is a licensed independent practitioner who can fulfill a majority of tasks in the healthcare. They not only provide primary and some acute care and but are also qualified to meet the majority of patients' health care needs in accordance with State and Federal rules and regulations and the nursing standards of care. They promote a comprehensive approach to health care and emphasize the overall health and wellness of their patients. They may work in both inpatient and outpatient situations as they specialize in family practice, adult health, women's health or…
The number of Nurse Practitioners has grown tremendously over the years. NPs provide inexpensive quality care and are known to impact patient outcomes. NPs still face issues such as autonomy and prescriptive authority. With the consensus model in place, it can help improve the future for NPs. NPs are working toward being able to practice independently and is a goal they are working toward achieving. Allowing NPs to practice independently will decrease the load of the physicians as the demand of care rises (Trossman, 2008).…
While researching texts written and published about Nurse Practitioners, I have found that Nurse Practitioners are rapidly becoming the top health partner choice for many Americans. Nurse Practitioners have been servicing patients for over forty years. The NP role had its initiation in the mid-sixties in response to a lack of physicians in the United States.They can perform very extensive and concentrated examinations; distinguish and treat common keen illnesses, as well as laboratory tests; and educate and instruct patients and their loved ones about maintaining a healthy lifestyle and possible health care options. In all fifty states Nurse Practitioners are allowed to prescribe medications to patients, including controlled substances. Only twenty-six states allow Nurse…
“ The term professional nurse, as used in this document, refers to that individual prepared with a minimum of a baccalaureate in nursing but is also inclusive of one who enters professional practice with a master’s degree in nursing or a nursing doctorate.” (2008, p. 2) The three main roles of the professional nurse talked about in the American Association of Colleges of Nursing are being a provider of direct and indirect care to individuals, families, groups, communities, and populations. Secondly, they are designers, managers, and coordinators of care and lastly they are members of a profession.…
Licensed practical nurses (LPN's) fill an important role in modern healthcare practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes. Licensed Practical Nurses duties generally include providing routine care, observing patients’ health, assisting doctors and registered nurses, and communicating with patients and their families. A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate, educator, counselor, consultant, researcher, collaborator, and even manager. It is the nursing process and critical…
1. How would you describe your role in your current position and your educational preparation for this role? “Being a Masters trained nurse allows me to obtain advanced level positions within the field of study I love. I have leadership and educational nursing experience gained through the MSN program coupled with my personal nursing experience within hospice. It is my job to hire nurses and ensure they are properly trained and set for success within our company. I also have the skills and knowledge needed to assess potential patients and determine whether they meet criteria. Once we’ve admitted the patient, I am responsible for placing that patient on a team that I fell best fits that patients individual needs.” 2. How would you explain the unique contributions you as a nurse bring to an interdisciplinary team?“I believe we all have something special to bring to the team, but if I were to focus on my skills and attributes, I would say I have the training and knowledge needed to assess and treat the clients we serve. Being the clinical director for this office allows me the ability to hire and supervise nursing staff that I feel have the skills needed to ensure our patients and families are cared for in the best possible manner.”…
Since the arrival of African Americans in this country blacks have always had differing experiences. Consequently, African-Americans have had to forge a self-identity out of what has been passed on to them as fact about their true selves. History has wrought oppression and subjugation to this particular race of people and as a result, certain institutions were formed in order aid African-Americans, culturally, spiritually and economically. The African-American Church has served of one such institution. From the time of slavery, though outlawed, many slaves found ways to congregate and form their own "churches", away from the one-sided and bias lessons about the bible that they were being taught in the white church. The white ministers and clergymen of this time argued that it was the will of God that Blacks should be obedient and submissive to their masters, and that that was the will of God. In his article "Black Consciousness and the Black Church: A Historical and Theological Interpretation," James Cone examines whether the African-American Church and calls into question whether or not it has truly evolved and separated itself from the traditionally pacifistic ways of the Anglo-Saxon and Post-Civil War black church. He is arguing whether or not the Black church meets the basic need of African-American to resist oppressive forces of society and to find teachings that are void of the white perspective of religion. In her article "The Image of God: Black Theology and Racial Empowerment in the African American Community," author Allison Calhoun Brown conducts a scientific study as to the significance of the image of God in shaping views about religion in the African American community. Calhoun attempts to draw a link between how big an impact the image of God in the African-American community affects political participation in the Black community. The articles provide the basis for examining the effect of religion in the lives of African-Americans, and also an…
For the certified nurse practitioners, care along the wellness-illness continuum is a dynamic process in which direct primary and acute care is delivered across settings. They are the members of the health delivery system and can practice independently in areas such as internal medicine, family practice, geriatrics, pediatrics, and women’s health care. They are responsible to diagnose and treat patients with undifferentiated symptoms as well as those with established diagnoses. Their responsibilities include, provide initial, ongoing, and comprehensive care, includes providing physical examinations, taking comprehensive histories, and other health assessment and screening activities, and diagnosing, treating, and managing patients with acute and chronic illnesses and diseases. They are also responsible for ordering, performing, supervising, and interpreting laboratory and imaging studies; prescribing medication and durable medical equipment; and making appropriate referrals for patients and families. Other responsibilities includes, health promotion, disease prevention, health education and counseling (American Nurses Association, 2016). Mary is a baccalaureate prepared registered nurse and has been practicing for fifteen years in various departments such as pediatric, surgical and emergency departments as well as in various positions includes floor nurse and charge nurse. Mary has an extensive knowledge and experience in various patient care areas. Based on her experience and knowledge, it is better for Mary to select a career as a certified nurse practitioner, as many of the responsibilities of a CNP was practiced by Mary while working as a bedside nurse. A CNP program will further improve Mary’s clinical decision making skills and knowledge and give her more…