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Development of nurse practitioner role
Development of nurse practitioner role
Overview of affordable care act
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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.
This paper explores how the Affordable Care Act (ACA) addresses the Family and Medical Leave Act (FML) in regards to Advanced Practice Registered Nurses and Nurse Practitioners. Dietrich (2013) defined how The Family Medical Leave Act (FMLA) was enacted into law in 1993 to allow up to 12 weeks of time off for employees to care for themselves or immediate family members who had a serious medical condition. FMLA is not an anti-discrimination law, it is an entitlement law and a very complex one. The resulting
Jessica, I agree with you 100%. The differences and variation in the ANP scope of practice among the nation, does not allow for others especially legislators, to have a clear view of the ANP nurse and what it can be accomplish it all the restrictions and barriers were eliminated. It will also change the public perception and attitudes towards nurse practitioners. I firmly believe that NPs have not only the power, but the ability to improve and make sustaintials changes to our health care system, Excellent
Nurse practitioners will be present at all outpatient locations functioning as primary care providers in family practice and other practice settings (pediatrics, geriatrics, acute care, and other specialties). CNMs will be providing midwifery care along with primary health care of women. Nurse-midwives in United States have demonstrated excellent results in their field of practice throughout the years, especially attending to underserved, uninsured, low-income women (Lindeke, Fagerlund, Avery, & Zwygart-Stauffacher, 2010). CNSs will serve the role of case managers and care coordinators mainly at the hospital leading discharge planning of those patients with complex health problems. CRNAs will provide their services at the hospital for the patients in the intensive care unit.
Authors in this article asserted the position of American Nurses Association (ANA) in addressing disparities in the health care system. Because there is a social contract between the nursing profession and society, nurses continue to strive to fit the profession in meeting the public health care needs. Aware of the social change and multi-cultural presence in the United States, ANA appointed 40 expert nurses to revise the 2010 nursing scope and practice to include the cultural competency aspects. The result was the addition of the Standard 8: Culturally Congruent Practice.
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,
Nurse practitioner as an economic reality, Nurse Practitioner, 1, 2, 60-63. (I) This
Objectives: 1. To assess how broad is the scope of practice among physicians of primary health care centers of Al-Khobar, Eastern Province, Saudi Arabia. 2. To identify what services are provided in the primary health centers. 3.
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
Nurse practitioners play an important role in healthcare in every state. However, each state has specific regulations pertaining to state regulations that guide prescriptive practice related to educational requirements, advance practice licensure requirements, and prescriptive authority (specifically controlled substances) of nurse practitioners. This paper will analyze the governing regulations of nurse practitioners in three states with full practice authority, reduced practice authority, and restricted practice authority. It will compare and contrast Washington D.C., New York, and Georgia, which have similar educational and licensure requirements, but vastly different approaches to the scope of practice in their respective states.
My knowledge in the Doctor of Nursing Practice (DNP) continues to expand as I progress through the DNP program. The knowledge I have attained while in the study of the DNP I and DNP II is priceless. For example, recognizing stakeholders and utilizing networking has helped me to progress on my DNP project (Gokenbach, 2012). I also have a better understanding as well as the purpose of a DNP project. My mentors have been great in directing me in remaining on the right track.
Nurses play an essential role in the healthcare industry. The nurse workforce is made up of licensed nurses: registered nurses (RNs), licensed vocational nurses (LVNs) and licensed practical nurses (LPNs), along with nurse aides. Registered nurses are responsible for assessments of patients’ needs, development of care plans, medication administration, and treatments, while licensed vocational nurses perform specific care under the delegation of the registered nurses and supervisions. Nursing aides perform activities of daily living (unskilled attention) to the patient. Adequate nursing staffing is essential to both patient care and outcomes, also to the retention of nurses while inadequate staffing creates problems for both the patients and
Expanding the number of HIV- infected persons who know their status is a foremost objective of the US. Centers for Disease Control and Prevention. “ The 2006 guidelines for HIV testing of adults, adolescents, and pregnant women recommend a universal routine HIV screen in all public and private health care settings” (Pinkerton, S., Bogart, L., Howerton, D., Snyder, S., Becker, K., & Asch, S. 2010). These settings include hospitals, emergency departments, urgent care settings, inpatient services, and health departments. By including all medical care settings throughout the country in rapid HIV- testing research has suggested that rapid testing was more desirable for people getting tested for the virus.
Advocating for the creation and adaptation of policies to insure honesty, quality and access is part of the policy competencies (Thomas et al., 2011). By utilizing the tools in the Adaption Model, nurse practitioners can adapt health care policy across disciplines, and assess the impact globalization will have on the creation of policy. Adaptability allows for the creation of policies for a variety of patients. There are great variations in ethnicity, religion, environmental factors and rituals that must be accounted for when creating health care policy. The ability to adapt knowledge and ideas into ethical policies and practice contributes to the creation of successful and quality healthcare (Current Nursing,
