As a future nurse practitioner, I have given immense thought in the selection of a clinical practice based on the primary care setting that utilizes the collaboration model. I have selected this type of clinical practice because it best suits my professional and personal goals. I value autonomy while having the ability to work within a healthcare team and enjoying teach my patients. Nurse practitioners (NP) are a valuable part of the healthcare team. In 1960s, from a vision to improve primary healthcare to under-serviced communities the development of the first NP program developed out of need as a public service and focused on the care of pediatrics and since then the care of other specific populations such as families, adults, geriatrics, and women health has emerged (Anderson & O’Grady, 2009, p. 380).
The first step of deciding what practice setting and clinical model that I would prefer. I did research and decided that a primary care provider fit my career goals. A primary care nurse practitioner is defined as a nurse that works in a practice setting the has "the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health needs, developing a sustained partnerships with patients, and practicing in the context of family and community" (Anderson & O’Grady, 2009, p. 383). I believe my past and future education along with my years of clinical experiences has prepared me to take a novice role as a NP in this care setting. When I graduate and I am working in a clinical practice setting I look forward to continue my education through my practice by formal and informal training. I planned to continue utilizing a constructivist theoretical f...
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...k employment in a clinic setting that fosters primary healthcare and utilizing the collaboration approach.
References
Anderson, A. R., & O’Grady, E. T. (2009). The primary care nurse practitioner. In A. B. Hamric, J. A. Spross, & C. M. Hanson (Ed.), Advance practice nursing and integrative approach (4th ed., pp. 380-402). St. Louis MO: Saunders.
Gardener, A., Hase, S., Gardner, G., Dunn, S. V., & Carryer, J. (2007). From competence to capability: a study of nurse practitioners in clinical practice. Journal of Clinical Nursing, 250-258. doi: 10.111/j.1365-2702.2006.01880.x
Levin, R. F. (2010). Integrating evidence-based practice with educational theory in clinical practice for nurse practitioners: bridging the theory practice gap. Research and Theory for Nursing Practice: An International Journal, 24, 213-216. doi: 10.1891/1541-6577.24.4.213
Burns, N., & Grove, S. K. (2011). Understanding nursing research: building an evidence-based practice (5th ed.). Maryland Heights, MO: Elsevier/Saunders
...mental changes of transforming health care organizations to support interprofessional collaboration and interprofessional education will create a highly functional nursing workforce that is capable of working with other health care professionals to ensure successful health outcomes (Chan et al., 2010). Thus, Administrators and policymakers may use the research of this interprofessional framework to address the crucial need to implement the interprofessional collaboration recommendations to improve the knowledge and skills of interprofessional collaborative teams to coordinate patient-center care. Consequently, there must be collaborative trust and support among all stakeholders in order for interprofessional collaborative practice to advance and have an optimal impact on the quality of patient centered care, healthcare professionals and health care organizations.
The NP core competencies are independent practice, ethics, health delivery system, policy, technology and information, practice inquiry, quality, leadership, and scientific foundation are accomplished by mentored patient experiences. However, stress on independent and interprofessional practice is essential (Thomas, Crabtree, Delaney, Dumas, Kleinpell, Logsdon, Marfell, & Nativio, 2012). Therefore, the NP and other providers must work in a collective fashion that includes mutual respect among all individual healthcare team members.
Fundamentals of nursing: the art and science of nursing care (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Evidence-based practice integrates best current evidence with clinical expertise and patient/family preferences and values for the delivery of optimal health care (qsen.org). Like most medical professions, nursing is a constantly changing field. With new studies being done and as we learn more about different diseases it is crucial for the nurse to continue to learn even after becoming an RN. Using evidence-based practice methods are a great way for nurses and other medical professionals learn new information and to stay up to date on new ways to practice that can be used to better assess
The nursing profession is considered both an art and a science. An example of the science of nursing is the theory and evidence based practice guidelines (EBP), which influence a nurses practice. The art of nursing is fluid of bringing science and patient care into nursing practice. Nurses in all levels of nursing educational programs should study nursing theory. According to Eun-Ok (2015) theory evaluation has declined and it is essential to developing nursing knowledge; which, leads to the development of nursing discipline. Nursing theory should be continually evolving as current health care trends evolve. The best way to accomplish this is through incorporating theory in academia and nursing
Cullum, N. Ciliska D. and R. Haynes, Marks (2008;) Evidence – based Nursing: An Introduction.
Nursing is a knowledge-based profession within the health care sector that focuses on the overall care of individuals. According to The American College of Nurse Practitioners (ACNP), “defines nurse practitioners as registered nursed who have received graduate-leveling nursing education and clinical training, which enables them to provide a wide range of preventative and acute health care services to individuals of all ages. They deliver high-quality, cost effective care, often performing physical examinations, ordering tests, making diagnoses, and prescribing and managing medication and therapies”. Nurse Practitioners are able to specialize in a particular area, such as family and adult practice, pediatrics, and women’s health; and refer patients to other specialist when necessary. Some Nurse practitioners work under the supervision of a physician; while others run their own practices.
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).
K. K. Bais & J. S. Hayes (2011) Professional nursing practice: concepts and Perspectives. United States of America. Pearson. Upper Saddle River, New Jersey. Julie Levin Alexander
As an NP K.W. often needs to collaborate with other disciplines and thus this competency holds a major role in the care of patients to drive high-quality and cost-effective care (National Organization of Nurse Practitioner Faculties, 2012).
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).
Collaboration is the foundation to success in any team. In the healthcare setting, interprofessional collaboration (IC) has been a significant trademark among numerous highly successful innovations. Collaboration between nurses and other healthcare providers improves the quality of care, coordination, and communication between the team leading to increased patient safety. Working in a team to achieve common goals implies open communication, respect for others, mutual trust, and honesty. The purpose of this paper is to discuss the meaning of interprofessional collaboration, its implications for practice, describe the role of IC in the provision of patient and family-centered care,
At this point, this writer is slightly unsure of which pathway she may take, once she has completed her studies; the writer is currently contemplating education, health population, or a career as a practitioner. So, this writer had the privilege of interviewing two individuals, one practitioner, and one population health coach. Each gave this writer interesting, sometimes similar, perspectives of being an advanced practice nurse.