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.
The main focus of APNs are patient education, disease management, treatment, illness prevention, and health promotion. There is a strong support within the education for the essential role of advanced practitioners. Nurse practitioners are highly qualified nurses with an enhanced level of authority to prescribe medication, refer patients and order diagnostic tests (ICN Nurse Practitioner/Advanced Practice Nursing Network 2013). Researchers have predicted that by 2015 primary care will be provided providers other than physicians , including Nurse practitioners (NPs) (Poghosyan, Lucero, Rauch, & Berkowitz, 2012).
Urinary Incontinence (UI) is a prevalent medical problem in the U.S. Agency for Healthcare Research and Quality (AHRQ) estimates that about 25 percent of middle aged and postmenopausal women and about 75 percent of older women in nursing homes suffer from some form of UI...
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...audience. The NPs were able to get a good number of attendees on the urinary continence screening / awareness day by advertising on the hospital website, newspaper, and flyers that were provided to the community facilities, such as other Northwest community hospital related facilities, libraries , and other community centers. Word of mouth would be another way to promote the service.
Marketing is an ongoing process. The NPs need to revisit the marketing plan often to ensure the U I service is compatible and able to provide all the services that clinic was intended to provide in a cost-effective and quality care manner. Starting a independent clinic would be challenging for the novice NP; but with right partnership, careful implementation of the plan, frequent evaluation of the services and commitment, it could be satisfying and rewarding endeavor.
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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.
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
As an advanced practice nurse (APN), one must interact with other medical professionals cooperatively and collaboratively to ensure the best outcomes for his or her patient population. Interprofessional collaboration happens when providers, patients, families, and communities work together to produce optimal patient outcomes (Interprofessional Education Collaborative Expert Panel, 2011). This type of teamwork and cooperation ensures that all of the providers caring for a patient act in a cohesive manner in which everyone including the patient plays a role in the management of the individual’s health. The purpose of this discussion is to evaluate interprofessional practice and provide the view of a
My personal advanced practice nurse philosophy is to provide the best care to my patients primarily by staying up to date on current practices. Staying up to date allows for the patient to receive care based on evidence. Through assessing, diagnosing, managing and treating patients I plan to take on all functions of a nurse practitioner to the best of my ability. Advocating and educating patients are two words that I will live by as a practitioner. I plan to be inspiring to my patients by developing a therapeutic relationship with each patient that is centered on trust and understanding. I want to be a practitioner for families that helps people to understand the change that needs to take place in their lives in order to live the healthiest
Sullivan-Marx, E. M., McGivern, D. O., Fairman, J. A., & Greenberg, S. A. (2010). Nurse practitioners: The evolution and future of advanced practice. (5th ed.). New York: Springer Publishing Company.
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 American Nurses Association (2008) has defined the FNP, under the broader title of Advanced Practice Registered Nurse (APRN), as one “who is educationally prepared to assume responsibility and accountability for health promotion and/or maintenance as well as the assessment, diagnosis, and management of patient problems, which includes the use and prescription of pharmacologic and non-pharmacologic i...
The National Council of State Boards of Nursing (2015) describes an advanced practice nurse as a nurse with a graduate level education in a specific area of study including nurse anesthesia, nurse midwifery, nurse practitioner, and clinical nurse specialist. Advance practice nurses have been crucial to meeting the demands of the growing patient population due to the implementation of the Affordable Care Act. These nurses bridge the gap between physician and patient and are a vital part of the healthcare team. There are a variety of specializations and educational paths nurses may pursue in order to advance their career towards advanced practice nursing.
Nurses have too often in the past not spoken or lobbied with one voice. Name recognition for the advanced practice nurse (APN) was a huge issue in the beginning. Many people question whether APNs are nurses or mini doctors. Decades of APNs struggles with licensing, certification, scope of practice, and recognition by others in the healthcare field added to delaying and expanding prescription authority for all APNs (Berg & Roberts, 2012).
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 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.
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).
Urinary incontinence is a major problem for many people and some treatments are time-consuming and come with many risks, such as the insertion of a catheter. Furthermore, it is a problem for many older people because they are less mobile and may not be able to care for themselves; it may lead to more complications such as urinary tract infection. This study may not be conclusive but it is a step towards finding a more noninvasive and conservative way in managing urinary incontinence.
There was a situation in which we had and outbreak of urinary tract infections. While most nurses emphasized hand washing and proper perineal care one of the managerial nurses who had her BSN. took it a step further. She analyzed the data for the urinary tract infections. Taking into consideration who the primary care givers were for those residents, she was able to track down the care givers who most probably did not give proper perineal care and gave them individual in-service training on top of the facility wide in servicing. She reviewed and amended the facilities policy and procedure on Urinary tract infections and then educated all staff on the revised plan of care with follow up schedules to ensure compliance. She implemented set standards of care for everybody to prevent urinary tract infections and also for those who had signs/symptoms of a UTI. The 3 quarters following the implementation of the revised pol icy and procedure for UTI’s there was not a single UTI in the facility. This definitely improved the outcome for