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The Pros And Cons Of The Introduction Of Advanced Practice Nurses

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The demand for highly skilled nurses and physician shortage prompted the introduction of Advanced Practice Nurses (APNs) in the delivery of primary care in the United States. The increase in education, training, and enhanced professional standards allowed the nurses to be clinically capable. As a result, it transformed APNs in advanced roles which were only performed by physicians in the past. The increased visibility of the APN role provides a “historical benchmark” that allowed for other countries emulate this success (Schober, 2016). Many countries then start to introduce APNs in their healthcare system because of the demographic changes and demands for improved access to healthcare services (Wisur-Hokkanen et al., 2015). In order to ensure APRNs are practicing within their scope of practice, implementation of regulations will provide a safer environment for all primary and acute care patients (Miller, …show more content…

It allows the APN to be more competitive through their advanced training and education. At the same time, analyzing the limitations of the APN may help clarify their roles in the workplace setting. Poor restrictions, poor APRN-administration relations, physician opposition, and lack of understanding of APRN roles lead to barriers to APRN practice environment (Schirle et al., 2020). The challenges must be explained in order to improve the processes and factors that promote wellness among certain groups. This transition will lead to the cost-effective healthcare provided by the APNs; and to understand that this is without sacrificing quality of care. The aim of this study is to explore the scope of practice of APNs, to identify the effects of care of patients in a specific setting, and how to overcome barriers to the

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Hi Freylen, as you discussed the Consensus Model allow APRNs to practice to the full scope of their education, able to move to different states, providing quality care. My new role as a primary care NP I agree with the continuity of care and follow patients into acute or long-term care facility to help them through their ongoing health issues and managing their chronic diseases(Stanley,2012).

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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

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Lindeke, Fagerlund, Avery, and Zwygart-Stauffacher (2010) noted that such APNs deliver anesthesia and anesthesia-related service in collaboration with other healthcare professionals. Lastly, APNs would be a great addition to New Mexico Essential Healthcare because they not only assume active leadership roles, but also serve as educators, patient advocates, and consultants (Zwygart-Stauffacher,

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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.

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While some states provide full practice authority, others impose restrictions that can affect APRNs' ability to provide optimal care. It is important to understand this interplay to maximize the contribution of APRNs to healthcare delivery. Importance of the APRN scope of practice Tipton (2021) emphasizes its critical role in ensuring patient access to high-quality care. Tipton highlights how the

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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,

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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.

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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.

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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.

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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

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APRN’s have more access to EHR. For example, they have access to pictures of MRI, Echo and x-rays. Business/Finance Family Nurse Practitioners play a significant role in delivering cost effective health care to the community by emphasizing more on healthy life styles, preventive health care and provide better primary care compared to physicians by listening to the patients and spending more time with

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Nurse Practioners and Physician Assistants in the United States provide cost-effective patient and preventative care within two different scopes of practice. Nurse Practioners and Physician Assistants share many of the same responsibilities. Both professionals write prescriptions, conclude

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While the main focus of APNs is clinical practice and direct patient care,

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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).

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834 Words | 4 Pages

In the U.S. (and increasingly the United Kingdom), advanced practice nurses, such as clinical nurse specialists and nurse practitioners, diagnose health problems and prescribe

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