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Development of nurse practitioner role
Development of nurse practitioner role
Roles and responsibilities of nurse practitioners
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Recommended: Development of nurse practitioner role
The scope of practice of a family nurse practitioner enables them the ability to serve as a primary care provider for families. This includes providing care for each member of the family individually and for the entire family collectively as a whole. Family nurse practitioners typically work in either a family practice or community health setting, where they are often responsible for the care of the entire family. Within each setting, there are numerous cultural variations that a family nurse practitioner might encounter. It is important that the family nurse practitioner is able to meet the families’ and are culturally competent when doing so.
Role of Family Nurse Practitioners: Case Study The shortage of primary care physicians has been a problem in health care system and will continue to the next decade due to increasing of aging population. According to National Governors Association (NAG) (2012), the growth of the aging population combined with the initiative of the Affordable Care Act, the problem of primary care providers shortage is worsening. Nurse Practitioners (NPs) are educated and prepared to perform primary care services as physicians do. More importantly, studies showed that NPs’ role as primary care providers achieve equal or higher patient satisfaction rates (Evangelista et al., 2011, Albers-Heitner et al., 2013).
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.
A family nurse practitioner (FNP) is a member of the health care team who provides quality and cost-effective care to patients across the lifespan, from newborn to old age. They provide care in various healthcare settings such as outpatient clinics, hospitals, community health centers and public health departments. They focus on disease prevention, health and wellness promotion. The FNP empowers patients through patient education and partnerships in clinical treatment decisions (Hamric, 2014; “Nurse Practitioner,” 2014). How does one become an effective Family Nurse Practitioner?
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.
The American Association of Nurse Practitioners (AANP): It was formed in 2013 by the fusion of the American Academy of Nurse Practitioners (founded in1985) and the American College of Nurse Practitioners (founded in 1995). The purpose of this association is to advocate for the issues and performance of the nurse practitioners. AANP’s mission is to lead nurse practitioners in turning the health care system into patient-centered care. According to the AANP website, this organization has more than 60,000 individual members, and 200
Nurse Practitioner are registered Nurses who serve as primary and specialty health care providers under a physician. Much like a geriatrician, Gerontological Nurse Practitioners work with elderly patients, diagnosing illness, conducting exams, and prescribing medication. (“Geriatric Nurse…”). These type of nurses work at nursing homes, with home healthcare services and in hospice facilities, or run your own private practice. A geriatric nurse work with finding illnesses and diseases, prescribing medication and therapy, routine check-ups and screenings, etc…etc.
After 10 years working as a registered nurse in many aspects of healthcare, felt an overwhelming desire to advance my career and myself to expand my role in caring for others. Becoming a nurse practitioner has always been a goal of mine. During my time working as a nursing manager, I became acutely aware of the need of skilled and talented providers that desire to provide passionate care to all individuals. I became especially concerned with the needs those with limited access to healthcare services. I knew my desire to care for individuals in a more autonomous role and I set out to develop the skills needed to meet the need I witnessed.
Nurse Practitioner Interview I spoke with a friend’s sister, a recent graduate DNP, who works as a women’s health NP at a public health clinic system in Utah. Role The role of the women’s health care nurse practitioner can vary widely depending on the setting. J. Yale sees patients for both annual visits as their main care provider and for gynecological issues (personal communication, September 9, 2016). “Many people don’t realize you can do annual visits,” she said, “for example, I can treat someone for high blood pressure in the clinic, in an office setting.”
Institute of Medicine Report In 2010, a report from the Institute of Medicine (IOM) called on the nursing profession to assume a greater role in the changing health care system. This report listed four key points on the future of nursing including: 1) nurses should practice to the full extent of their education and training; 2) nurses should achieve higher levels of training through an improved education system that promotes seamless academic progression; 3) nurses should be full partners, with physicians and other health professionals, in redesigning health care in the United States; 4) effective workforce planning and policy making require better data collection and an improved information infrastructure (Institute of Medicine, 2011). This paper will focus on the first two key points. Nurses should practice to the full extent of their education and training
Jennings, N., Clifford, S., Fox, A. R., O'Connell, J., & Gardner, G. (2015). The impact of nurse practitioner services on cost, quality of care, satisfaction and waiting times in the emergency department: A systematic review. International Journal Of Nursing Studies, 52(1), 421-435. doi:10.1016/j.ijnurstu.2014.07.006
The path that has led me to pursue a career in the medical field started about five years ago. In 2010 I was informed by my employer about downsizing our hourly employees and possible relocation for managers. At this time I was also told I would be expected to earn my MBA and eventually relocated because they would be eliminating my department at the current location. It was a goal of mine to go return to school but at this point I was not sure if wanted to continue in my current field. Being an accountant and an assistant controller I earned a very good living and I was successful at my job but never felt passionate or enjoyed my job.
As a family nurse, it is important to focus on the family as a whole and ensure each member is addressed. The nurse can collaborate with the family to formulate a plan for what are the most important issues to work on and create goals. The family nurse should always be aware and value the racial, ethnic, cultural, and socioeconomic differences of the family (Kaakinen, Coehlo, Steele, Tabacco, & Harmon Hanson, 2015). It is vital that the strong relationships with the church, extended family, and counselor be supported throughout the plan of care. The nurse could encourage A.L. to seek another primary care physician, specialist, or holistic practitioner who would address her emotional needs as well as her physical needs.
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).
The main role of the public health nurse is to provide the best evidence based quality of care to the client and his/her family in order to encourage independence and well-being. This in turn will help improve the client’s quality of life throughout the disease progression. Within the community the public health nurse must assess individual needs, plan care, implement care by liaising with the primary care team and evaluate the care provided. Throughout this process the client and his/her family must be involved and an adequate timeframe provided.