APRN Nursing Practices
comparative Essay
1339 words
Considering this problem, I would propose to introduce a new policy to establish independent practice authority for APRNs in Texas in accordance with the educational preparation to meet the health care needs of Texas’ population and reduce primary care shortage. State regulations for Advanced Practice Registered Nurses (APRN) Practices are different from one state to the other. According to Stout (2007), Texas is one among highly regulated states in the United States (U.S) in comparison to all other states in relation to APRN practices. In the state of Texas, APRN requires physician supervision and prescriptive delegation for an APRN to practice, even though they are qualified with a Masters or doctoral education. The state practice acts, …show more content…
In this essay, the author
- Proposes a new policy to establish independent practice authority for aprns in texas in accordance with the educational preparation to meet the health care needs of texas’ population and reduce primary care shortage.
- States that texas is one among highly regulated states in the united states in relation to aprn practices.
- Explains that primary care is facing severe shortage due to aging populations, more insured people through affordable care act, and less number of u.s. medical graduates.
- Cites simmon’s school of nursing and health sciences. the role of nurse practitioners.
- Concludes that granting full practice authority to aprns in ohio will benefit healthcare of that state.
- Cites anderson, l., and pham, h.h. (2017). the role of nurses in politics and health policy.
- Cites eastin, e., & fleck, l. m. (2014). barriers to np practice that impact healthcare redesign.
I., & Arifkhanova, A. (2015). The Impact of Full Practice Authority for Nurse Practitioners and Other Advanced Practice Registered Nurses. Retrieved from http://www.rand.org/pubs/research_reports/RR848.html
Milstead, J. A. (2016). Health Policy and Politics: A Nurse’s Guide (Fifth). Burlington,MA: Jones&Barlett Learning.
Reagon, P., & Salsberry, P. (2013). Full Practice Authority for Nurse Practitioners
Increases Access and Controls Cost. Retrieved from https://canpweb.org/canp/assets/File/Bay%20Area%20Council%20Report%204-30-14/BAC%20NP%20Full%20Report%204-30-14.pdf
Simmon’s school of Nursing and Health sciences. (2017). The Role of Nurse Practitioners. Retrieved from http://onlinenursing.simmons.edu
Stout, K. (2007). Comparing State Regulation of Nurse Practitioners. Retrieved from https://www.texaspolicy.com/library/doclib/2007-11-PB34-nursepratitioner-mks.pdf
Texas Medical Association. (2016). Why Texas Needs More Physicians. Retrieved from https://www.texmed.org/template.aspx?id=5427
Woolbert, L. (2017). Overview of APRN Prescriptive Privileges in Texas. Retrieved from
Related
- opinion
- argumentative
- explanatory
- Analysis Of The Article 'Federal Options For Maximizing The Value Of Advanced Practice Nurses'opinion essayIn 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.
In this essay, the author
- Analyzes barbara safriet's article, "federal options for maximizing the value of advanced practice nurses in providing quality, cost-effective health care" from a legal perspective.
- Explains that safriet identified several barriers to the removal of restrictive practices including lack of awareness of apns roles and abilities, purposeful or inertial retention of the dysfunctions resulting from historical evolution of our state-based licensure scheme, and organized medicine’s continued opposition to expanding ity of other providers to practice and be paid directly for the services.
- Opines that apns should continue to vocalize and educate the public about the different roles and capabilities.
- Argues that the "turf" battle between physician and apns is not new to legislatures. physicians were the first health practitioners to gain legislative recognition of their scope of practice.
- Explains that physicians have a financial incentive to prevent the apn from advancing professionally and legally. the faulty reasoning of the public and legislative officials needs to be corrected.
- Argues that the ama's position is to inhibit the apn, making it legislatively subservient and an appendage of the physician, rather than an autonomous care provider.
- Explains that state-based limitations on the scope of practice have hindered apns from practicing a fraction of what they are capable of.
- Explains that apns are invisible revenue makers because they cannot bill directly for services provided. billing under a physician's name bolsters their invisibility.
- Explains that the affordable care act, adopted in 2010, was to allow easier access to health care for many americans.
- Opines that utilization of apns is not the absolute answer to all of our health care issues. general medical practitioners alone cannot manage the imperative aspect of disease prevention and health promotion.
- Opines that apns should collaborate with other medical professionals and political leaders to allow them to practice to their full capabilities.
- Opines that the collective health care system (physicians, apns, nursing, administrators and legislators) needs to recognize the urgency of the crises.
- Opines that the current system cannot meet the needs of 30 million additional patients. nurses and physicians need to become partners in health care reform.
1924 wordsRead More - Whole Health and Advanced Practice Nursesargumentative essayCredentialing and Privileging Privileging and credentialing are procedures used by health care systems to evaluate a professional's qualifications. Through these processes, the organizations are able to provide high quality care and avoid malpractice incidences. An APRN can be granted authority to provide care and services in a certain health care facility through the process of privileging. A select committee of ones peers from the institution evaluates a person's education, experience, training, etc. to determine the APRN's capabilities.
In this essay, the author
- Explains that credentialing and privileging are procedures used by health care systems to evaluate a professional's qualifications.
- Explains that an aprn's licensure and authority to practice in a certain state are confirmed through the process of credentialing.
- Opines that it is important to uphold all these norms along with whole health's high safety and quality standards when adding aprns to the staff.
- Concludes that aprns enhance both quality and safety in all areas of health care delivery.
- Explains that the robert wood johnson foundation (2013) relates that conclusions from the studies they reviewed noted that cnms had similar or better results in caesarean section rates, apgar scores, and birth weight.
- Explains that the administration of anesthesia is a health care discipline which deals with complex, high-risk situations. it is built on sound safety principles and has been successful in reducing inpatient surgery errors and morality.
- Analyzes o'grady's findings regarding fetal and infant deaths, preterm infants, rehospitalizations and shorter lengths of stay in hospitalized congestive heart failure patients.
- Explains that aprns have many advantages in health care due to their nursing training and background. they are skilled in working in complex health organizations and circumstances and influence patient outcomes.
- Explains that the joint commission expands this excellence in care to aprns. their collaborative ability aids them in obtaining superior patient outcomes while promoting health and determining appropriate care plans.
910 wordsRead More - The role of Advanced Practice Nursing (APN)explanatory essayThe role of Advanced Practice Nursing (APN) has changed dramatically in recent years. Currently, the Unite States (U.S.) health care is focusing on delivering a cost -effective health care to all patients. In the last decades, there were many efforts to control health care over spending in the U.S. One of such efforts is to focus on applying proven principles of evidence-based practice and cost-effectiveness to find the least expensive way to produce a specific clinical service of acceptable quality (Bauer, 2010). The vast changes in health care system, such as cost, need for high productivity, limitation on reimbursement, and the inadequacy on access have made APNs to think in a way where they most fit to provide independent care for children and adults of all ages while focusing on providing high quality and preventative health care services.
In this essay, the author
- Describes the purpose of the practice plan to develop a hospital-based outpatient adult continence clinic that offers comprehensive, holistic, coordinated, state-of-the-art urology screening and wellness program for chicago's northwest community.
- Describes the multidisciplinary services available for people with urinary incontinence and other bladder dysfunctions.
- Explains flexible delivery of clinic based service approach and outreach services dependent on client need and resource availability.
- Recommends adherence to appropriate legislation governing health service practice, including the illinois nurse practitioner scope of practice.
- Describes the urinary continence and wellness clinic services as a client-centered urinary continence service that embraces the principles of participation, sharing, and exchange of information.
- Opines that the standards of professional practice are integral to the role of all practitioners working within continence clinic.
- Explains that the marketing plan is necessary for the success of the clinical practice venture.
- Explains that advanced nurses are educationally prepared to care for wide range of health issues and perform many procedures that traditionally carried out by the physicians. they are capable of assessing, diagnosing, treating, prescribing medications and ordering and interpreting tests.
- Explains that the urinary continence clinic would be a low cost clinic compared to the clinics in the area.
- Explains that the u i clinic will be located in the hospital adjacent to the wound and ostomy clinic.
- Explains that promotion is the advertising part of marketing. the promotion ui clinic let people know the existence of the clinic and the services that are offered by it.
- Explains that marketing is an ongoing process, and nps need to revisit the marketing plan often to ensure the u i service is compatible. starting an independent clinic would be challenging, but with right partnership, careful implementation of the plan, frequent evaluation of services and commitment, it could be satisfying and rewarding endeavor.
- Explains that the role of advanced practice nurses has changed dramatically in recent years. they focus on patient education, disease management, treatment, illness prevention, and health promotion.
- Explains that the novice np needs to obtain a certification in wound, ostomy, and continence (wocn) care.
2075 wordsRead More - Essay On The Doctorate Of Nursing Practiceexplanatory essayIn fact, there have been numerous studies supporting the clinical performance and outcomes of NPs. A systematic review covering the literature from 1990-2008 found that patient outcomes of care provided by APRNs in collaboration with physicians were similar to and in some manners, exceeded those of physicians alone (Newhouse et al., 2011) Newhouse, et al’s review added to the available evidence that APRNs provide safe, effective, quality care to specific populations (2011). In their review, they did not separate outcomes of NPs with full practice authority from those with reduced or restricted practice. Due to the patchwork of state regulation and restrictions on NP practice, it may be challenging to compare the outcomes of NPs with full independent practice from those with reduced or restricted practice. Furthermore, the AANP states “there are numerous studies that demonstrate nurse practitioners consistently provided high-quality and safe care” (n.d.). They go on to state “in the more than 100 studies on care provided by both nurse practitioners and physicians, not a single study has found that nurse practitioners provide inferior services” (AANP, n.d.). The Federal Trade Commission (FTC) has also reviewed the literature and determined there is not a significant difference in the outcome of NPs and physicians that would necessitate the anti-competitive nature of scope-of-practice regulations and restrictions on advanced practice nursing (Federal Trade Commission [FTC],
In this essay, the author
- Explains that the doctorate of nursing practice represents the terminal practice degree for the field of nursing.
- Explains that the dnp embodies the convergence of the various practice doctorates in nursing and was adopted as the terminal practice degree by the american association of colleges of nursing in 2004.
- Explains that the doctorate education for nursing began at columbia university teachers college in 1924, and new york university offered the first phd in nursing.
- Opines that the introduction of a practice doctorate in nursing has been controversial and faced significant opposition both within and outside of the field of nursing.
- Explains that the american medical association (ama) strongly supports scope limiting laws to prevent aprns from practicing independently, and instead requiring supervision by physicians.
- States that studies have not supported the idea espoused by the ama that apns provide a lower quality of care than physicians.
- Opines that the primary focus of opposition to independent practice of nps by the ama and other physician groups has not focused on outcomes, but on the differences between the educational preparation of physicians and dnp.
- Describes the aprn consensus model for licensure, accreditation, certification & education, a collaborative effort among more than 40 nursing organizations.
- Explains that the consensus model defines advanced practice registered nurses (aprns) as independent practitioners who provide direct care to individuals in one of the four roles.
- Explains that case western reserve university created the first nursing degree dedicated solely to practice in 1979, which evolved into advanced practice preparation.
- Opines that the dnp does not represent a role, but is more robustly educated on through the essentials of doctoral education for advanced practice nursing (aacn, 2006).
- Explains that pmhnps are graduate-prepared registered nurses who provide psychiatric evaluation and treatment to individuals across the lifespan. they synthesize nursing, psychosocial and neurobiological evidence to address the mental health needs of the populations they serve.
3424 wordsRead More - A Career As A Career In The Career Of Nursesexplanatory essayAdvanced practice registered nurse (APRN) is an umbrella term given to a registered nurse who has at least a Master’s degree and clinical practice requirements beyond the basic nursing education and the license required of all RNs and also who provides at least some level of care to many number of patients. Under this umbrella fit the principal types of APRNs: Nurse
In this essay, the author
- Explains that nurses are hands-on health professionals who provide focused and highly personalized care. the median national annual salary for registered nurses is $65,470.
- Explains that nursing careers are in more demand than ever before, as the population in the u.s. continues to age.
- States that the median national annual salary for registered nurses is $65,470, based on specialization, location, years of experience, and a variety of other factors.
- Explains that advanced practice registered nurses provide primary and preventive health care services, prescribe medication, and diagnose and treat common minor illnesses and injuries.
1046 wordsRead More - Independence at Home Actexplanatory essay...addition, the lack of independence to fully make some reasonable decisions in a care of a patient by an NP can make the NP less active in his or her practice. According to Squires ( n.d.), the American Association of Retired Persons (AARP) Public Policy Institute stated to allow Advanced practice registered nurses (APRNs) to certify home health and hospice services, and eliminating the need for physician sign-off to expedite treatment and make care more efficient.
In this essay, the author
- Explains that the independence at home act (iah) is a type of health care delivery model created to improve healthcare for medicare beneficiaries with multiple chronic disorders.
- Explains that the iah act provides high quality care and reduces health care cost by providing direct care to patients with chronic conditions at home instead of the hospital.
- Explains that eligibility for iah requires that the individual have two or more chronic conditions, have coverage from original, fee-for-service (ffs) medicare, and have had a non-elective hospital admission within the last 12 months.
- Explains that the iah act has a positive effect on the elderly population health care and allows for continuing care. home care allows providers to spend more time with patients while performing assessment in the patient’s home.
- Explains that although the iah act has impacted consumers positively, providers such as nps face barriers that prevent them from providing care more efficiently.
1035 wordsRead More - Pediatric Palliative Careopinion essayThe advanced practice nurse is well positioned to be a leader and catalyst for change. “There is a huge opportunity for nurses to step up, provide leadership and make clear nursing’s unique set of contributions to people who need palliative care” (RWJF, 2010). Working with state boards of nursing and nursing organizations to develop plans and advocate for legislative change. The advanced practice nurse ability to practice to the full scope of practice and training requires the removal of restrictions and barriers.
In this essay, the author
- Opines that the life of a child, requiring pediatric palliative care or living with chronic illness, deserves continuous holistic quality care. the advanced practice nurse can provide optimal care and meet those needs.
- Opines that advanced practice nurses are the fundamental answer to providing pediatric palliative primary care and meeting the unmet needs of this vulnerable population.
- Defines pediatric palliative care as the active total care of the child's body, mind and spirit, and also involves giving support to the family.
- Opines that research and education contribute to the evidence base of pediatric palliative care, the advanced practice nurse role, and supports optimal care.
- Opines that it is vital for advanced practice nurses to develop, document, educate, and implement quality care for the pediatric palliative patient and family.
- Opines that despite unmet needs in pediatric palliative care and the undeniable significance of the advanced practice nurse role, barriers persist in care.
- Opines that palliative care was first introduced in 1990 by the world health organization. lack of knowledge, communication, restrictions, policies, and regulations prevent the fundamental positive changes necessary for optimal care.
- Explains that outdated regulations, laws, and restrictions prevent advanced practice nurses from practicing to the full scope of practice, providing primary care and responding to unmet needs of the pediatric palliative care patients.
- Explains that advanced practice nurses are prevented from certifying and ordering home palliative care, an unnecessary barrier that delays continuity of skilled quality care.
- Explains that stakeholders are influential and significant for change in pediatric palliative care and the advanced practice nurses’ role.
- Explains that the unmet needs of pediatric palliative care patients and the advanced practice nurse role are significant reasons for change.
- Explains that the current primary care provider shortage and projected increase in need presents a driver for change. the consensus model for aprn regulation presents changes that when implemented completely promotes and recognizes the advanced practice nurse role.
- Opines that education on pediatric palliative care and the advanced practice nurses role is of the utmost importance for change.
- States that standards for pediatric palliative care and advanced practice nurses are becoming a worldwide priority.
- Argues that the consensus model will allow aprns to practice to the full scope of their education and more easily move from one state to another, increasing access to quality health care services.
- Opines that active involvement and increasing awareness by advanced practice nurses at the state and national levels to promote issues can make a difference pediatric palliative care.
- Explains that advanced practice nurses deliver knowledgeable, competent holistic quality care that is cost efficient. through increased funding, research studies, and analyzing data, they can provide relevant information to promote policy changes.
- Opines that it is a critical time for role definition and recognition of the advanced practice nurse capabilities. meeting the unmet needs with respect and consistent holistic quality care.
- Explains the importance and necessity of the advanced practice nurse providing quality care for the pediatric palliative patient and family.
1977 wordsRead More - My Plans for Nursingexplanatory essayUllman, Melanie. "Exploring a Variety of Nurse Practice Settings." EzineArticles Submission - Submit Your Best Quality Original Articles For Massive Exposure, Ezine Publishers Get 25 Free Article Reprints. 12 Aug. 2009. Web. 29 Nov. 2010. .
In this essay, the author
- Opines that pursuing a career in nursing is more than just choosing what kind of nurse you want to become. there are many roles that nurses have such as caregiver, educator, advocate, and many more.
- Explains that nurses have many responsibilities and roles to their patients. they are a caregiver, educator, and advocate.
- Explains that they want a career that helps people and cares for others, which is why they chose nursing as their major.
- Opines that a nursing career is an excellent career for those who love kids and don't mind hard work.
- Explains that nurses can work in any setting they want, such as a hospital, home nursing, or flight nursing.
- Opines that in five years, they will be graduated from college and have their bacclerate in science of nursing.
- Explains how to become a nurse researcher, and the importance of submitting original articles for massive exposure.
1296 wordsRead More - Difference Between Nurse Practitioner And Nurse Informaticsexplanatory essayMy plans after obtaining my advanced degree is to acquire licensure to practice as AGNP in the state of Texas. The Texas BON acknowledges that APN education, experiences, and competency levels vary, hence, holds individual APN accountable for knowing and practicing within their own scope of practice and competency always. The APN’s education is the grounds to their scope of practice: however, the APN can expand the scope of practice within the role and population-focus, as long as it remains within limits of the law. The Texas BON restricts the scope of practice for the APNs. The Nurse Practitioner Supervision Laws require¬¬¬¬¬ APN to work under physician supervision within seventy five mile perimeter. In addition, there is the Texas ' Nurse Practitioner Prescribing Laws which require APNs to prescribe medications under physician supervision and APNs are not allowed to prescribe schedule two drugs. All prescriptions written by the NPs must include the supervising physician 's name, address, Drug Enforcement Administration (DEA) number and phone number (Texas BON,
In this essay, the author
- Explains the roles of nurse practitioner (np), nurse educator, nurse informatics, and nurse administrator (na). all four roles act as leaders within health care organizations depending on their designated areas of duty.
- Explains that the ne and np roles involve direct patient care and must possess competence in the nurse-patient relationship by attending to the patient's responses to changes in health status and care.
- Explains that nps are clinicians that focus on comprehensive perspective of health care by blending clinical expertise in diagnosing and treating health conditions with an added emphasis on disease prevention and health management.
- Explains that the nurse administrator (na) is required to acquire the necessary competencies to help them in their careers. they assume a managerial role within an organization and are responsible for supervising nursing staff.
- Explains that the american medical informatics association (amia) indicates that ni integrates nursing information, knowledge, and management of information and communication technologies to promote people's health.
- Explains that the ne serve in a variety of roles that often range from nursing college to clinical practice. they may have dual roles both in clinical and college setting.
- Explains that the texas bon recognizes that apn education, experiences, and competency levels vary, hence, holds individual nps accountable for knowing and practicing within their own scope of practice.
- Explains that the agnp can actively participate in professional organizations that advocate for the active role of nps in providing high-quality, cost-effective, comprehensive, patient-centered health care.
- Explains that the american association of nurse practitioner (aanp) is the largest professional membership organization for nps. the american nurses credentialing center (ancc) supports excellence in nursing and quality patient care while providing safe and positive work environments.
1125 wordsRead More - Advanced Practice Nursing Essayexplanatory essayAccording to Hamric, Spross and Hanson (2005), “advanced practice nursing is the application of the expanded range of practical, theoretical and research based- competencies” to provide patient care in different settings (Pulcini, 2013). Advanced practice registered nurse APRN is a nurse that completed a graduate level program that can practice as a certified nurse practitioner, (NP) certified registered nurse anesthetist (CRNA), clinical nurse midwife (CNM) or clinical nurse specialist (CNS) (Scope and standard, 2010). To be licensed to practice as APRN, they need to pass a national certification exam and maintained their license via recertification through continuous competencies.
In this essay, the author
- Explains that advanced practice nurses (apns) direct clinical practice and patient/families. aprns must pass a national certification exam and maintain their license through continuous competencies.
- Explains that nps provide direct clinical practice to patients and their families. they can manage acute or chronic illnesses.
- Explains that certified nurse-midwives are advanced practice nurses with additional training in delivering babies and prenatal and postpartum care to women. they can administer anesthesia during surgical procedures.
- Explains that most direct patient care is acted upon by nps, cnms and crnas. certification advances the profession of nursing by encouraging and recognizing professional achievement.
- Explains that in a survey done by jacobs & glassie (2004), 86 percent of nurse managers indicated that they would hire certified nurses over non-certified nurses since they have proven knowledge base in their specialty and demonstrates commitment to life ling learning. certification is an official recognition of achievement, expertise, and clinical judgment.
620 wordsRead More