Reaction to Safriet Article
In 2011, Barbara Safriet published an article “Federal options for maximizing the value of Advanced Practice Nurses in providing quality, cost-effective health care” from a legal perspective. The article focused on the benefits of utilizing Advance Practice Nurses to the full extent of their abilities as well as the current barriers that APNs encounter in their practice. The aim of this paper is to discuss two regulatory provisions to full deployment of APNs in current health care system, as well as three principle causes of current barriers to removal of the restrictive provisions for the APN. Furthermore, I will discuss the critical knowledge presented in the article and how it relates the APN practice. This article was incorporated into a two-year initiative was launched Institute of Medicine (IOM) and by the Robert Wood Johnson Foundation (RWJF) in 2008 which addressed the urgency to assess and transform the nursing profession.
Safriet identified several barriers to the removal of these restrictive practices include (1) lack of awareness of APNs roles and abilities, (2) purposeful or inertial retention of the dysfunctions resulting from historical evolution of our state-based licensure scheme and (3) organized medicine’s continued opposition to expanding the authority of other providers to practice and be paid directly for the services.
lack of awareness of APNs roles and abilities,
Role clarity and title confusion pose barriers to the amalgamation of advanced practice nursing roles. Colleagues and the public are unaware of the precise roles of the APN. Much of what the public knows about medicine is associated with a doctor, and the “doctor knows best” (Safriet, 2011). The public i...
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... desirable outcomes. The collective health care system (physicians, APNs, Nursing, administrators and legislators) needs to recognize the urgency of the crises. There are many players involved including health care insurance, business, government officials that play an important role in the transformation of our broken health system.
The needs of 30 million additional patients cannot be met by the current system. Many opponents contend that it is not a sustainable answer to the health care crisis in America.
Nurses and physicians need to become partners in health care reform. We have a responsibility to provide competent care to our patients. National standards need to be put in place to decrease the inconsistencies in APN practice. Overwhelming data supports the APN over the physician in cost effectiveness, quality and access to care and many other aspects.
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