In the contemporary society, the increase in diversity, in addition to the prevalence of different kinds of health problems as well as the increasing demand to meet the health care needs of the diverse population has led to the rising need of primary health care practitioners in the community. This has also led to the shift towards community based practices as primary care in the community focuses on both treatment and prevention of different health conditions at primary, secondary and tertiary level, and serves as the first point of contact to the people to utilize to manage their health issues. Primary care in the community is very important as it is the Frontline of health care system. It lessens the pressure on hospitals, reduces the …show more content…
Furthermore, DNP advanced practice track will prepare and enable me to utilize my leadership skill in teaching, mentoring and educating other nurses and patients in a wide variety of community-based- setting because knowledge is important and creation of awareness about various health problem and preventive measures to take to prevent those health problem is vital as well.
More so, Irrespective of the increasing demand to meet the health care needs of the diverse population, workforce shortage is still a challenge to meeting this demand of provision of primary care services in the community. Since there has been an increasing decline in the number of medical students and residents entering primary care and or pursuing internal medicine or family practices, there has also been an increasing need for nurse practitioners to bridge these
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
For example, a DNP degree instructor can provide education to MSN or DNP students, therefore, making the student realize the increase level of confidence in clinical, leadership, and application skills that can be gained with a DNP degree. Evidently, this increases the number of DNP degree holders in the long run which subsequently improves patients’ care in nursing practice. DNP- prepared faculty members can act as a model for advanced practice education (Dunbar- Jacob et al., 2013, p.425). Since one of the roles an ARPN is leadership, which also involves with mentoring, other staff members may visualize the ARPN as a role model, thus, enhancing the self-concept of advance nurse
During Therapeutic Community, Pete always says he’s tired because he’s bored with the monotonous schedule he lives day after day. In the mental hospital, Nurse Ratched and the doctor have the patients get together, and Nurse Ratched tells them to admit their secrets. At McMurphy’s first meeting, Chief remembers one time when the meeting went differently than it usually does. Before getting hushed like usual, Pete Bancini admits his truth, and Chief describes it as, “Then old Pete was on his feet. ‘I’m tired!’ was what he shouted, a strong, angry copper tone to his voice that no one had ever heard before”(Kesey 51). When Pete says “I’m tired,” he asserts that he’s tired of his boring routine. In the hospital, everyone is forced to follow a specific
I am delighted in my career as a professional nurse and seeking the Doctor of Nursing Practice (DNP) gives me the opportunity to expand my knowledge base in order to practice at a higher level, and obtain the terminal degree in my profession. My goal is to become an adult nurse practitioner, with primary focus to improve the practice of nursing. The Doctor of Nursing Practice will equip me with knowledge and skills needed to understand and appreciate research and facilitate the process of putting evidence into practice, with the overall goal of achieving improve patient safety, satisfaction and outcomes. The Doctor of Nursing Practice will enable me to assume more leadership role, in practice and in research. I should be able to participate in research and formulate nursing models guided by evidence based practice models of care. Having practiced as a professional nurse for five years, obtaining the Doctor of Nursing Practice gives me the opportunity to foster my professional growth and development.
The recently developed Doctorate of Nursing Practice program encourages the development of practice competencies including translating and disseminating research into practice, active involvement in health policy issues related to practice, and incorporating healthy promotion and disease prevention (Moran, Burson, & Conrad, 2014). These important leadership functions will prepare nurses for the new roles encouraged by the IOM. By facilitating these changes the report anticipates improvements across the healthcare system from a less acknowledged but important
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).
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’.
A community can be defined as a group of people, who live, learn, work and play in an environment at a given time. (Yiu, 2012, p.213) There are many factors that may influence the community’s development and health status. These can include resources available, accessibility, transportation, safety, community needs etc… These influences may combine together to form community strengths and as well as community challenges or weaknesses. As a community health care nurse, it is significant for us to assess and identify these strengths and challenges within the community in order for us to intervene and provide the appropriate needed health care services for the community members. This individual scholarly paper will explore and focus on one challenge issue identified from our group community assessment.
My vision for the Family Nurse Practitioner in a primary healthcare setting is to bring health care to small communities, comprised of predominately poor working class people, who are classified as underprivileged. Performing exams on the sick, providing immunizations to the young, educating all, and assisting the elderly with chronic illness and disease management, while providing preventative care and education on wellness. The Family Nurse Practitioner sees patients from young to old in need of a wide variety of care. As a Family Nurse Practitioner I will provide education and holistically meet the health care and wellness needs of my community, and others like it, by providing critical access to health care for the most vulnerable
With my academic, professional and volunteer experience, I have reached a point in my career where I am fully equipped to enter the advanced curriculum of the Doctor of Nursing practice, Family Nurse Practitioner program. Working in the nursing profession for the past three years has shown me that there is an increasing need for research to improve health care delivery and access to vulnerable populations. It is rewarding to be a nurse; however there are limitations in my current scope of practice that prevents me to go beyond my job requirements. Through advanced education, my aim is to provide quality patient-family
There has been a drastic cut in both the Medicare and Medicaid reimbursement rates. According to Robert (2012), “cuts of more than $360 billion to Medicare and Medicaid will be made over the next 10 years. The focus of nursing needs to emphasize more on wellness care and prevention rather than acute care” (McNeal, G., 2012). Nursing practice will need to shift more towards community and population focused nursing. Baccalaureate prepared nurses are provided with a curriculum that includes both community health and leadership skills that are not included in the associate program. By encouraging associate’s degree nurses to obtain a bachelor’s degree in nursing, an increase in the awareness of the needs of the community and population may be seen. The IOM report has outlined the anticipated obstacles that healthcare will face if changes are not made. By allowing nurses to provide care within their full scope of practice, quality care may be provided at an affordable cost to the population. The use of advanced practice nurses in primary care may provide quality, access, and cost efficient healthcare to high-risk populations and possibly decrease hospital admission rates, thus lowering the overall cost of healthcare. If nurses partner with doctors and other healthcare providers, it may improve healthcare by providing seamless transitions (Institute of Medicine,
Primary health care is the indispensable care based on the real – world, systematically sound, socially adequate technique and technology which made unanimously available to the families and every individuals in the community through their fully involvement where the community is capable to afford at a cost to uphold at every phase of their growth in the essence of self-reliance and self-government. Primary health care in international health is associated with the global conference held at Alma Ata in 1978; the conference that promoted the initiative health for all by the year 2000. “Primary health care defined broadly at Alma Ata emphasized universal health care across to all individuals and families , encouraged participation by community members in all aspects of health care planning and implementation and promoted the delivery of care that would be scientifically sound , technically effective , socially relevant and acceptable” (Janice E.Hitchcock,2003). Primary health care is commonly viewed as a level of care or as the entry point to the health care system for its client. It can also taken to mean a particular approach to care which is concerned with containing care, accessibility, community involvement and collaboration between other sectors. The primary health care policy has some principals that have been designed to work together and be implemented simultaneously to bring about a better health outcome for the entire society.
The purpose of this community profile is to discuss a particular health improvement issue within a chosen community. A community can be defined using many different terms. You can belong to a community through religious beliefs. Through shared experiences or interests. You can belong to a political community where all involved share the same political interests. A community can also be defined as ‘a family’ a small village where many have lived most of their lives who share the same desire to belong to that community.
From the literature I learned about the importance of driving the nursing profession towards the community health-care system. There is currently a need for revitalization of the primary health care system as stated in this document. There is a need to change some of the focus of education and training in new nurses in an effort to respond to the health care demands of today and the future, since many students are not going into this field. In addition, nurses already working in community health should begin focusing on current prevention and promotion aspects of health. I plan to apply these ideas in my own nursing practice to this rotation.