The Role Of a Nurse Practitioner In Acute Care
Seynor Massalee Kennedy
South University
The Role Of a Nurse Practitioner In Acute Care
There are several recognized advanced practice nursing roles in many countries with requirements of a graduate education with a specified focus. These roles includes: Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Nurse-Midwife (Cnm), Certified Registered Nurse Anesthetists (CRNA). A NP main focus is direct patient care which comprises of delivering to patients and their families medical and nursing care. However, the introduction of a NP to health care team and resulted into both negative and positive responds (Kilpatrick, Lavoie-Tremblay, Lamothe, Ritchie,
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The study was designed as an integrative review of an informative, single case study with embedded unit of data analysis and a method of important documentations and semi-structured examination with participants (n=16) from three primary health care units in British Columbia was incorporated into the data source. Inclusion criteria included PHC units where the NP had worked for at least six months, English speaking participants that worked directly or indirectly with the NP and have worked on the unit for at least six months before the NP role …show more content…
Additionally, documents were reviewed to corroborate data from the interviews. All interviews occurred as a private, face-to-face encounter in a location that had been mutually agreed upon except one which was conducted as a telephone interview. The research questions that were asked focused on how identifying the intentions of the NP’s role and involvement and acceptance of team members (Physicians, managers, other staff and the NP) influence the role implementation process. In Addition, what was the change in PHC setting after the NP enacting the role domains of clinical practice, collaboration, research, leadership, and change agent (Sangster-Gormley et al., 2013)?
The results indicated that there are barriers to overcome when unfamiliar roles are introduced to a unit. In order to overcome these barriers, members of the team should be informed of the need and the role of the nurse practitioner during the hiring process. Involvement of the community health care providers in the implementation of the new role of a nurse practitioner can developed acceptance with gaining knowledge of the new role (Sangster-Gormley et al.,
Nurse practitioners (NPs), one type of advanced practice nurses, are licensed by the states where they practice and certified by private boards. Nurse practitioners hold advanced degrees in clinical practice and function in a wide variety of settings and across the life span. They provide a broad array of healthcare services ranging from managing treatment plans, to prescribing medications, to implementing health promotion services. As of 2014, 205,000 NPs were licensed in the United States with 86% of those prepared to deliver care to patients in primary care settings (NP Facts, 2015). The progression of the Nurse Practitioner movement that occurred in the 1960 and 1970s emerged as a creative and
Every little kid has high exceptions for what they want to be when they grow up. Some dream of becoming president of the United States of America, or becoming an Astronaut, a lot of little kid’s say that they want to be a Doctor. What kids do not understand is that there are many types of doctors, like an orthopedic surgeon, they work with feet, or an oral surgeon, who work with the mouth. Another similarity to a doctor is a nurse practitioner. They do many of the same tasks, like performing minor surges, fixing broken bones, or simply giving a routine check up. Becoming a nurse practitioner takes many years of schooling, good grades, a lot of time and dedication, and money.
...on rates have shown to improve when the facility is practicing patient- and family- centered care, which ultimately can increase the reimbursement rates from Medicare and Medicaid. The increase reimbursement rates are extremely important for non-profit health care system such as OhioHealth Mansfield whose revenue comes from over sixty percent in Medicare and Medicaid funding. The PFCC self-assessment tool was analyzed based on OhioHealth Mansfield with strengths and weaknesses, which one big weakness consisted in the personnel domain which consists of support for staff, and the utilization of patients and family involvement in decision making and new employees. The system change of adding the new role of the patient navigator allows collaboration with a diverse team including patient and family members, along with ultimately increasing patient satisfaction rates.
Teamwork and collaboration in healthcare delivery are “top of the mind” issues and government reports have called for improved collaboration among healthcare professionals as a key strategy in healthcare renewal (Canadian Health Services Research Foundation, 2006, p. 10). The term team defines a collection of individuals who are interdependent in their tasks, who share responsibility for outcomes and who manage their relationships across organizational borders (Canadian Health Services Research Foundation, 2006, p. 8). Moreover, the Canadian Nurses Association (CNA) believes that interprofessional collaborative models for health service delivery are critical for improving access to client-centred health care in Canada (CNA, n.d. p. 1). This paper will discuss a care scenario, Canadian Interprofessional Health Collaborative (CIHC) framework, TeamSTEPPS framework analysis, strategies to promote collaborative leadership and interprofessional communication with outcomes, strengths and limitations of
Advanced practice registered nurses play a significant part in extending access to health care by providing primary care and specialty care services to clients. Advanced practices registered are mentors, educators, researchers, and administrators. According to Health Resources and Services Administration, “Ninety-six percent of the NP workforce reported being in clinical practice, providing direct patient care” (Health Resources and Services Administration 2016). Furthermore, “Nearly three percentages were in faculty positions and approximately one percent was in administrative positions”(Health Resources and Services Administration 2016).
It is no secret that the current healthcare reformation is a contentious matter that promises to transform the way Americans view an already complex healthcare system. The newly insured population is expected to increase by an estimated 32 million while facing an expected shortage of up to 44,000 primary care physicians within the next 12 years (Doherty, 2010). Amidst these already overwhelming challenges, healthcare systems are becoming increasingly scrutinized to identify a way to improve cost containment and patient access (Curits & Netten, 2007). “Growing awareness of the importance of health promotion and disease prevention, the increased complexity of community-based care, and the need to use scarce human healthcare resources, especially family physicians, far more efficiently and effectively, have resulted in increased emphasis on primary healthcare renewal…” (Bailey, Jones & Way, 2006, p. 381). The key to a successful healthcare reformation is interdisciplinary collaboration between Family Nurse Practitioners (FNPs) and physicians. The purpose of this paper is to review the established role of the FNP, appreciate the anticipated paradigm shift in healthcare between FNPs and primary care physicians, and recognize the potential associated benefits and complications that may ensue.
The PES-NWI survey is used as a measurement tool to look at the quality of a nursing practice environment. Dr. Lake added five subscales to be included in the PES-NWI survey. “The five subscales are Nurse Participation in Hospital Affairs; Nursing Foundations for Quality of Care; Nurse Manager Ability, Leadership, and Support of Nurses; Staffing, and Resource Adequacy; and Collegial Nurse-Physician Relations” (Lake, 2007, p.109S). Dr. Lake felt it was necessary to include these five subscales in the survey to incorporate leadership and administrative qualities along with the other characteristics.
Healthcare is a continuous emerging industry across the world. With our ever changing life styles and the increased levels of pollution across the world more and more people are suffering from various health issues. Nursing is an extremely diverse profession and among the highest educated with several levels ranging from a licensed practical nurse (LPN) to a registered nurse (RN) on up to a Doctorate in Nursing. Diane Viens (2003) states that ‘The NP is a critical member of the workforce to assume the leadership roles within practice, education, research, health systems, and health policy’.
Defining the role of an advanced nurse practitioner (ANP) is complex and commonly open to interpretation. Internationally there are many variances in what the role of the advanced practitioner entails, and the characteristics of individual roles are often shaped by the country and particular speciality in which they are practising (Mantzoukas & Watkinson 2006), (Sheer & Wong 2008), (Stasa et al 2014), (ICN 2008), (Dalton 2013), (NHS Wales 2010), (Haidar 2014), (Lowe et al 2011), (Pearson 2011).
Masters, K.(Ed.). (2005). Role Development in Professional Nursing Practice (p. 186). Sudbury, MA: Jones & Bartlett Learning.
The Ottawa Model of Research Use (OMRU) offers a “comprehensive, interdisciplinary framework of elements that affect the process of health-care knowledge transfer, and is derived from theories of change, from the literature, and from a process of reflection” (Graham & Logan, 2004, p. 93). It promotes research use, and could be used by policymakers and researchers (Logan & Graham, 1998). The OMRU is an example of a planned change theory, which helps “administrators control factors that will influence the likelihood of changes occurring at the organizational level and how these changes occur” (Graham & Logan, 2004, p. 2).
I want to be a nurse, specifically a nurse practitioner. I have always been fascinated with the medical field and see a bright future in it for me. I have the opportunity of meeting new people every day with a variety of personalities. There is always something new to discover in this field. A nurse practitioner's job is to be able to diagnose and treat illnesses. They also prescribe medicine and run physical exams. I am highly interested in pursuing the career of a nurse practitioner because the healthcare field is always in need for medical professionals, it pays well, and I am helping people at the same time.
The first key message that is discussed is that nurses should practice to the fullest extent of their education and training. Most of the nurses that are in practice are registered nurses. Advanced nurse practitioners are nurses that hold a master’s or doctoral degree and include nurse midwifes, clinical nurse specialists, nurse practitioners, and nurse anesthetists and consist of about two hundred and fifty thousand of the nurses currently working today. Advanced practice nurses are limited to what
I have had the privilege to work with an incredible nurse leader over the past two years. This particular nurse leader shares my passion for population health and case management for the support of patients in their homes and keeping patients safe and healthy. The purpose of this interview was to obtain further knowledge about the role desired by the interviewer. By attaining information from a practicing Master’s prepared nurse, the interviewer will develop a deeper understanding of the career advancement and potential opportunities that are available in the local community.
The nursing profession has changed drastically over time. The roles and responsibilities that nurses take on have increased and become far more complicated. Nurses are managers, leaders, supervisors and have become experts in many areas of care. Every day nurses are faced with the task of improving and strengthening professional leadership within their work environment. Managing good quality and eliminating risk is the major challenge in health care. All members of the team must work together to accomplish outstanding patient care. Budget cuts and nursing shortage in all areas of health care leads to less licensed staff, where use of unlicensed personnel have been used widely, where delegation is not an option, but a necessity. Nurses must be aware of delegation guidelines, what tasks to delegate,when to delegate for the safety of patients, liability of nurses and the facility.