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.
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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 is unaware and confused about the different providers available to them and the services that they are capable of providing. When the public is unaware of the dysfunctions, then how could one expect things to change. Groups that restrict the practice of APNs are misinformed about the exact capabilities and roles of the APN. Physician and other healthcare professionals’ lack knowledge about the of APN 's scope-of-practice. Safriet mentioned Nurses can do much more than they may legally do. Burgener & Moore (2002) state that the outcome studies indicate that APNs care consistently results in positive client outcome and satisfaction. They further state that APNs have better interpersonal skills than physicians. A great deal of public education about the different roles has been effective. However, more work needs to be done. APNs should continue to vocalize and educate the public about the different roles and capabilities of the APN. It is difficult for APNs to advocate something that you do not quite understand …show more content…
It is essential to get out from underneath the collective “thumb” of the medical community. APNS can deliver care from a different perspective providing preventive care and health promotions. APNs are not planning to take over the practice of physicians; they are merely trying to provide quality health care to expanding needs of the public. APNs are capable of providing safe, cost-effective care that is comparable to that of a physician. The end picture should be to increase patient satisfaction, accessibility and provide competent care. A 2012 report by the National Governors Association, a bipartisan group of U.S. governors who aim to shape public policy, suggests nurse practitioners provide effective primary care. The APN community must be active participates in the full spectrum of health care and health care reform if we want to maintain our relevancy in the future.
APNs scope of practice should commensurate with their training and education in all states, not only the state in which they reside. When deemed necessary, APNs will collaborate with other physicians as well as another specialist to achieve 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,
The model discusses the impact of new regulations on education for APRN, Licensure Accreditation, Certification & Education Document, certification and practice. The model is implemented to grasp the general understanding and definition of advance practice registered nurse APRN role, inconsistencies with state by state recognition of APRN roles, and determining eligibility for APRN licensure (Consensus Model for APRN Regulation, 2015). The consensus model definition of APRN is a nurse who is educationally rounded to assume the responsibility of assessing, diagnosis, treating, teaching health promotion and disease maintenance, acquired advanced clinical knowledge and skills to provide direct patient care, has passed a national certification examination, and licensed to practice in one of the four roles (Consensus Model for APRN Regulation, 2015).
The Affordable Care Act (ACA) was passed in 2010 with the goal of expanding healthcare coverage to all Americans by reforming insurance policies and practices (Tillett, 2011). The ACA upsurges the demand for an increase in primary care providers in order to supply quality care to the much larger population that will have coverage and therefore acquiring healthcare. The Institute of Medicine (IOM) through its report The Future of Nursing: Leading Change, Advancing Health has generated a solution to the shortage of primary care providers by promoting a transformation of the nursing profession to fill the gap.
Financial implications: Lower overall costs have been associated with NP (nurse practitioner) care. Studies show that the average cost of a nurse practitioner visit is approximately 25-30 percent lower compared to that of a physician visit. For exam...
In order to make ones’ health care coverage more affordable, the nation needs to address the continually increasing medical care costs. Approximately more than one-sixth of the United States economy is devoted to health care spending, such as: soaring prices for medical services, costly prescription drugs, newly advanced medical technology, and even unhealthy lifestyles. Our system is spending approximately $2.7 trillion annually on health care. According to experts, it is estimated that approximately 20%-30% of that spending (approx. $800 billion a year) appears to go towards wasteful, redundant, or even inefficient care.
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).
Main, R., Dunn, N., & Kendall, K., (2007). ‘Crossing professional boundaries’: barriers to the integration of nurse practitioners in primary care. Education for Primary Care, 18, 480 – 487. Mundinger, M., (1994).
In the United States, depending upon the state in which they work, nurse practitioners may or may not be required to practice under the supervision of a physician, frequently referred to as a “collaborative practice agreement”. However, in consideration of the shortage of primary care/internal medicine physicians, many states are eliminating or lessening the restrictive authority which allows and nurse practitioners the ability to function more autonomously (AANP 2015).
The process of role development goes beyond networking and taking on a new role as an APN. According to Brykczynski’s study of clinical nurse specialists, role development involves a complete makeover of one’s professional identity and the ability to integrate the seven core advanced practice competencies.1 New graduate APNs go through phases during their transitioning period, from a registered nurse to an APN; these phases include orientation, frustration, implementation, integration, frozen, reorganization and complant.2
...sa, H. Cashin, A. Buckley, T. Donoghue, J. (2014). Advancing advanced practice — clarifying the conceptual confusion. Nurse Education Today 34 (2014) pp. 356–361
Advanced Practice nursing (APN) is considered the usage of a broader scope of constructive, logical and research-based expertise related to the health and well-being of patients, within a varying disciplines (DeNisco & Barker, 2013). What is the future position of APNs in the progression of our healthcare system? What role will this writer assume, educator, practitioner, population health coach, or all three? The use of theory, primarily Sister Callista Roy’s Adaptation Model, and EBP give this writer a firm foundation to develop and modify her own practice framework.
The acceptance of the DNP has not come without some hesitation. There were many leaders in nursing who had some beliefs that the practice doctorate would somehow take away the spotlight from the research being done in the field of nursing (Zaccagnini & White, 2017). Many physicians also view the DNP as trying
What Seems To Be The Problem? A discussion of the current problems in the U.S. healthcare system.
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
The 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.
To briefly summarize, the report identifies nurses as an important factor in enabling access to high quality, affordable health care. This was supported by the development of four fundamental recommendations. The first suggests that nurses be allowed to practice within the scope of their degree. This becomes evident in the differences in state laws that pertain to nurse’s who have acquired advanced degrees, such as the nurse practitioner.... ...