Over the past 5 decades, nurse practitioners have been utilized to deliver primary care, traditionally in underserved areas or to vulnerable populations. With the primary care physician workforce in decline it has been estimated, in 2020 we will see a shortage of nearly 45,000 primary care physicians. Currently, a nurse practitioners scope of practice varies widely state by state, many believe that drafting new laws to expand their scope of practice would help create a readily available supply of primary care providers to help combat the expected shortage. Considering the intensified demand for primary care physicians amid this shortage, there have been many diverse elements influencing the current workforce 10. Given the patient expansion happening in 2014 the current supply of primary care physicians will likely be unable to properly care for the needs of the country. The aging physician population only fuels the need for a fresh supply of providers. In particular “A December 2010 Council on Graduate Medical Education report estimated that there were 242,500 PCPs in the United States in 2010, and almost 25% (55,000) of them aged ≥ 56 years.” 10! As with everything, there is also a financial incentive for the medical student to avoid going into primary care. PCP’s earn approximately only 55% of what their medical specialty counter part earns 10. In 2010 we are expecting PCP’s, which currently number at 205,000 to increase to 220,800. Conversely, PCP demand is expected to grow from 212,500 to 241,200, with such a significant shortage, nurse practitioners are now in an exciting position. For the first time, NPs are now in position make change happen, and take their position in the medical field 10. Several additional factors have ... ... middle of paper ... ...cern is the need to revise state laws governing NPs. Drafting correct legislation to clarify a NPs scope of practice is absolutely necessary to increase primary care capacity. “In some states, NPs provide care without any involvement from a physician. In other states providing the same care requires that NPs collaborate or even be supervised by a physician”. These are fundamental services that states are restricting NPs from. In addition, twenty-seven states have no restrictions on diagnosing and treating, where twenty states only require writing documentation. The remaining states have requirements but, no written documentation is necessary. It is clear that certain states have taken the correct steps to create a favorable situation for NPs. While these states have taken great steps in helping expand PCPs, other states need to follow suit. Law follows practice.
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. 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.
...nd disciplinary information of all licensed RNs and LPN/VNs” (Weber & Ornstein, 2010). Therefore, if all states used this database the disciplinary issues would be reduced.
Going to college is a big step in a young person’s life. That is why when going to college; one should know which college they would like to go to. For me personally, the college of my dreams is Louisiana State University. The top three majors at Louisiana State University are Biology, Biomedical engineering, and Business. The main reason I want to go to Louisiana State University is because of their amazing biology department .The main things that caught my attention about Louisiana State University, was how flexible I could be with my money, it isn’t that hard to apply and the admission process is pretty doable, and the campus life is interesting with many clubs and organizations that I could join.
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).
It is no secret that the current healthcare reformation is a contentious matter that promises to transform the way Americans view an already complex healthcare system. The newly insured population is expected to increase by an estimated 32 million while facing an expected shortage of up to 44,000 primary care physicians within the next 12 years (Doherty, 2010). Amidst these already overwhelming challenges, healthcare systems are becoming increasingly scrutinized to identify a way to improve cost containment and patient access (Curits & Netten, 2007). “Growing awareness of the importance of health promotion and disease prevention, the increased complexity of community-based care, and the need to use scarce human healthcare resources, especially family physicians, far more efficiently and effectively, have resulted in increased emphasis on primary healthcare renewal…” (Bailey, Jones & Way, 2006, p. 381). The key to a successful healthcare reformation is interdisciplinary collaboration between Family Nurse Practitioners (FNPs) and physicians. The purpose of this paper is to review the established role of the FNP, appreciate the anticipated paradigm shift in healthcare between FNPs and primary care physicians, and recognize the potential associated benefits and complications that may ensue.
About 32 million people will represent the newly insured, affecting the health care system and nurses are the fundamental in health system. Health care reform is positive for nurses. The health care bill provides money for advance practice and general nurse education. The law also creates a grant program for innovative safety net programs, such as nurse-managed health clinics. Due to the shortage of family Physicians, nurse practitioner programs are going strong. The health care reform is a good opportunity for nurses; the law will permit different approaches to deliver primary care and with the decreasing number of physicians going in to primary care, Nurses represent the best way to provide primary care to the millions of new insured people. (Satowski, 2010)
In consequence, this will limit poor adults finding the proper treatment since many doctors do not accept Medicaid patients. High rates of uninsured populations were associated with lower primary care capacity (Ku et al., 2011). Thus, expanding insurance coverage can support more primary care practices in rural areas and can help equal the gap in primary care positions. The impact of not expanding affects APRN practice by limiting them to practice in areas where they are needed the most. This not only affects APRNs from practicing without a physician supervision but also limit those that need coverage for basic preventive measures to reduce non-paying visits to the emergency room. Ensuring access to care will be contingent upon the ability to attain progress from insurance coverage and primary
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
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).
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’.
Florida International University (FIU) is not only a standard in quality education as it is also a innovator in best practices especially those that have to do with the environment. The University’s commitment to ensuring that its community contributes to the preservation and protection of the environment has led it to pioneer innovations in solid waste management, in particular, in recycling; because the University clearly understands that recycling is more beneficial compared to waste disposal, it has established its own reputation in the proper and efficient management of solid waste.
In a 2012 collection of state workforce studies and reports, each state evidently needs more physicians. There are shortages of primary care physicians and specialists in every health professions: dental, mental health, pharmacy, and many others. Previously to the Affordable Care Act (ACA) passing, a convergence of difficulties had added to labor force problems. The ACA will inflict additional pressures on the health care labor force.
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,
What will US healthcare look like in 2050? According to Getzen (2013), trends in better health will lead to greater need for long-term care and chronic care for the aging population while correspondingly trending toward less acute illnesses (p. 438). Personalized prognostic healthcare will lead to healthier longer lives (Lawrence, 2010). Physicians will become leaders of teams within healthcare organizations rather than the independent practitioners we are familiar with today (Getzen, 2013, p. 438). Thus, the concept of the primary care physician will become a thing of the past (Lawrence, 2010).
Over the last years, attention to public health issues has been increasing as well as aspirations to high health standards. Medical professions are in high demand because of the need of constant improvements of the health care system. The medical field offers a wide range of valued career paths and opportunities that differentiate by their responsibilities, obligations, educational requirements, and salary. When considering a career in health care, it is very important to analyze all the aspects involved and then determine the choice that best fit the person needs.