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Nursing scope of practice case study
Scope of practice in nursing word
Nursing scope of practice case study
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More handpicked essays just for you.
Nursing scope of practice case study
Scope of practice in nursing word
Nursing scope of practice case study
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Recommended: Nursing scope of practice case study
Texas is home to nearly 10,000 nurse practitioners. Nurse practitioners (NPs) in Texas do not have as many freedoms as NP 's in many other states. In fact, Texas falls at the lower end of the spectrum regarding the freedoms it offers nurse practitioners. House Bill 1885 would grant full practice authority in Texas to all advanced practice registered nurses (APRNs), including nurse practitioners (NPs). It would authorize APRNs to evaluate and diagnose patients; order and interpret diagnostic tests; and initiate and manage treatments; prescribing of medications, these are currently job descriptions of APRNs and NPs that they are already doing, however, it would move these items under the exclusive licensure authority of the Texas Board of Nursing.
Decision makers will need to determine how to best utilize nurses, technicians, and other professionals to close the gap in providing services to patients. Nurses require less time to train, are less expensive to train, cost less to employ, and can increase the efficiency and productivity of physicians who provide care to patients. The increase in the use of health care services as well as the increase in the number of venues where health care is provided has also increased the job opportunities for nurses and other members of the healthcare workforce. The demand for primary care services has stimulated the training of nurse practitioners, physician assistants, and certified nurse
One similarity between NPs, other APNs and PAs is that, they all play a very important role in health care and patient centered approach of care is their objective. Also, their practice is based upon their education, training and certification in collaboration and under supervision of physicians. Another similarity is that, their scope of practice face limitations and restrictions in practicing be it state base or nationally. State laws and regulations act as barriers towards the broadening of PAs professional competencies same as NPs face licensure and practice laws that prevent full extent of their education practice. NP practice requires supervision, delegation, or team-management by an outside health discipline in order to provide
From the research, it is believed by the author, that since the licensing is done at the state level, this is where changes in America should be implemented. APNs need lobbyists to advocate for the changes needed. It appears that in the states where there APNs have restricted practices, it is due to lobbying by the state’s medical board. The legislators should be presented with the facts, APNs provide safe and cost effective care to the patients. Citizens should get involved and write letters to make the legislators aware of the problem.
LPN Scope of Practice Are you considering becoming an LPN? LPN stands for Licensed Practical Nurse. The nursing field can be a challenging, but rewarding field to enter into. Before one starts a career as an LPN, there are six questions and pieces of information that needs to be addressed in order to fully understand the role of the LPN.
The Affordable Care Act has shifted focus on health and wellness of patient populations urging hospitals to do a community needs assessment and come up with a strategy to address these needs. Hospitals most often partner with community and professional organizations to address the health need (Stempniak, 2014). This is an example of how the four spheres are all interrelated. Nurses are at the heart of this movement, providing the necessary skills, experience and expertise to address the needs of the population being served (Shamian,
As we have been noted the role and the scope of practice of the nurse practitioners in the healthcare system are unmeasurable. The nurse practitioners (NPs) play a tremendous role in providing healthcare to the people in the United States. Their presence has been recognized in developing the health care industry not only in the US but also globally. Despite the role that the NPs have played into the healthcare system, they still encounter some challenges that can impact their practice. One of these challenges is the NP autonomy of practice.
Outcomes demonstrated that patient access to care improved and there was high quality of care provided. Edmunds, M. (1978). Evaluation of nurse practitioner effectiveness: An overview of the literature. Evaluation and the Health Professions. 1, 69-82 (E, A, I P/A) This article provides an overview of published literature that focuses on the effectiveness of the NP.
With the ongoing healthcare demands and shortages, the appropriate role and responsibilities of the advanced practice registered nurse (APRN) will continue to be a controversial debate. There were many points addressed in your post that I agree and don’t agree with. It is most certainly not arguable that physicians do endure a longer, more intense education. I personally believe their role as a hospitalist is valuable and should never be discredited for their knowledge and expertise. However, I also believe that they are doing their patients a disservice if they are being overworked due to provider shortages.
As Comprehensiveness remains one of the least studied functions of primary care.(11) The aim of this study is to measure the scope of practice and what services do primary health care centers actually do. Literature review: Anastasia J. Coutinho, MD, MHS; Anneli Cochrane, MPH; Keith Stelter, MD, MMM; Robert L. Phillips Jr, MD, MSPH; Lars E. Peterson, MD, PhD (2015) a study in the US To compare intended scope of practice for American Board of Family Medicine initial certifiers at residency completion with self-reported actual scope of practice of recertifying family physicians. Using the Scope of Practice for Primary Care score (scope score). It was concluded that family physicians taking ABFM examinations, graduating family m edicine residents reported an intention to provide a broader scope of practice than that reported by current practitioners.
Even nurse practitioners themselves can be perplexed about what they are legally allowed to do in their state. Much of the confusion revolves around the differences between physicians, physician assistants and nurse practitioners. In order to start to diffuse the confusion regarding the role of the NP, Buppert (2015) offers many definitions but one that is succinct and understandable is the one offered by a national NP organization relaying “Nurse practitioners are registered nurses who are prepared, through advanced education and clinical training, to provide a wide range of preventive and acute healthcare services to individuals of all ages”
Appropriately, competent and adequately trained Advanced Nurse Practitioners (ANP) are capable of being primary care providers. ANP's will alleviate the shortage of primary care providers in CHC's, assist with providing health care to patients, and ensure continuity of delivering affordable health care. Socioeconomic barriers and health care disparities have prevented many patients from receiving quality health care which has limited their quality of
According to Garment (2013), “The American Association of Medical Colleges (AAMC) estimates that the U.S. will face a physician shortage of over 90,000 physicians by 2020; a figure that’s expected to reach over 130,000 by 2025” (p.4). The increasing amount of money required for health care services from a physician is a driving force to pursue alternative ways of receiving primary care. According to The American Association of Nurse Practitioners (2013), “NPs in a physician practice potentially decreased the cost of patient visits by as much as one third, particularly when seeing patients in an independent, rather than complementary, manner” (p. 2). NPs are maintaining the standard of care and for a lesser amount for patients to pay. Mid-level practitioners are completing the same amount of work and improving the quality of care.
In the clinical setting, the nurses’ expertise can be used to make clinical assessments and recommendations for routine care at a lower cost than a physician visit. This would increase the number of patients seen and increase the quality of the care provided. The advance practice nurse would be able to hone in on preventative measures and increase patient education. The advance practice nurse can also make recommendations about practice changes needed to facilitate better health outcomes through the use of evidence-based practice. Nursing leaders are aware of how important nursing science is to provide needed evidence to transform practice, even though, finding the time and resources to support any research activity is often challenging (Stone, 2017).
Nurses, equipped with knowledge and skills, are positioned to contribute and lead the changes that are occurring in the health care environment. The IOM Future of Nursing report (2010) emphasizes the importance of nurses to lead the transformation and assume a leadership role in meeting the demands of the changing health care system of America into a high-quality and affordable delivery of health care. Furthermore, the movement toward evidence-based practice (EBP) creates a quality-improved health care environment in cost-effective services (Gillam & Siriwardena, 2014). Nurse leaders in their strategic position in building and investing a supportive culture for EBP facilitates optimum patient health outcomes (Melnyk, Fineout-Overholt, Gallagher-Ford, & Kaplan, 2012). The success of health care reform does not solely rely in the hands of nurses, but it is a unified contribution of health care professionals, policymakers, and public and private health sectors to work together in their full scope of practice to achieve toward a common