Healthcare is constantly changing and it is a complex adaptive system. There are rule, regulation and principles that needs to be followed to achieve improvement in healthcare. The Institute of Medical (IOM) requires healthcare organization to follow the aims to improve quality care. The six aim are effective, timely, safe, patient centered, efficient and equitable and in order to meet these aims with increasing number of patients and the disparities of medical doctor, it has become essential to utilize the knowledge and service a nurse practitioner (NP) could offer. In this paper, I will be writing the reason why I believe that NPs are equipped to delivered primary, benefit and the outcomes of using NPs in healthcare. In 1965, Medicaid and …show more content…
Most people hear the word “nurse” and misunderstand that a nurse practitioners are the same as a register nurse. On the other hand, nurse practitioners have been trained to provide primary care, diagnosis and treat diseases with a focus of patient–centered and they should be allowed to practice independently. NPs provides high quality care with clinical outcomes that were not different than a physician and “the Institute of Medicine (2010) released a report on the future of nursing, which calls for an expansion of the NP workforce in primary care as the key to provide timely high-quality care” (Liu, Finkelstein, & Poghosyan, 2014, p.11). According to Naylor and Kurtzman (2010) study, patient outcomes, including mortality; satisfaction; and physical, emotional, and social functioning, to be the same between those seeing nurse practitioners and physicians. In another article, “nurse practitioners provided care that was equivalent to the care provided by physicians and, in some studies, more effective care among selected measures than that provided by physicians” (Naylor & Kurtzman, May, 2010, p.895). It would be wise for healthcare organization to utilize what NPs have to offer instead of underusing …show more content…
The studies were done using random (Markovian model) and deterministic (non-Markovian model) service time case. The dual NP model annual staffing cost per patient was lower than NP-MD model with and without an extra medical assistant (MA) and results using Markovian or non-Markovian model did not make any difference. The NP model with MD (2NPs+ MA) verse NP-MD model without an extra MA (2NPs + MD + MA) had an annual staffing costs per patients 38.8 to 39.3 dollars compare to the NP-MD model which were 56.7 to 57.3 dollars. The cost difference would have been dramatic, if the comparison would have been between 2 NPs with a MA verse 2 MD with a MA. The addition of an MA to NP’s increased productivity and maintained cost –efficient compared to MD with
The National Organization of Nurse Practitioner Faculties (NONPF) describes essential guidelines required for all Advance Practice Nurses (ANPs) to enter practice, regardless of their specialty (2010). The nine core competencies outline the best practice in providing quality educational programs and developing policies and curriculum at the national level. The purpose of this paper is to summarize an interview done with an APN leader in my community to understand the application of the NONPF NP core competencies in the role of Clinical Nurse Practitioner (CNP). Engaging in this interview process allowed me to collaborate with a practicing CNP through communication in person and on the telephone to facilitate professional
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...
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).
...r investigation and then devise a plan for best possible action recognizing the rights of the patient and its benefits followed by the application of the chosen intervention with positive outcome in mind (Wells, 2007). Delivery of excellent and quality of care at constant level (NMC, 2008) must be marked in any responsibilities and duties of the care provider to promote exceptional nursing practice
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).
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.
While a nurse and nurse practitioner are different in several ways, the similarities between the two are irrefutable. When compared side-by-side you can see that both are a vital necessity to the healthcare system, working in many settings, such as hospitals, physician’s offices, and clinics. They both also interact and care for patients in settings, such as neonatal, intensive care, and geriatric units. Not only do they interact with patients, they also interact with a patient’s family during treatment. Another similarity between a nurse and
Being a Nurse Practitioner takes more than just wanting to earn a pay check. It takes compassion, knowledge, and the want to help others. You can change lives on a daily bases. It’s a great responsibility that should be taken head on. It all started when Nurse Practitioners become in demand in the 1960s due to the increasing need for nurses. The first program to become an NP started at the University of Colorado by Dr. Henry Silver and Dr. Loretta Ford. (Historical) By the 1970s the programs increased to about 65 nationwide. The numbers of programs has helped increased the numbers of NPs to 195,000 in the U.S. as of 2014. (Historical) Being a Nurse Practitioner is truly a profession.
Profession of Nursing is always regards as a complex, dynamic and noble. The nursing profession requires many things such as hard work, a vast knowledge, excellent communication skills, and a passion for the noble profession. All these qualities are needed to be an effective nurse. Today, nurses are living in a world of ever changing field of medicine .The present patient statistics poses, nurses are expected to take responsibility of accomplishing the requirements. The requirement for excellent nursing skills is added as well as well-formed skills in different aspect. Because of the high demand in excellent nursing care, the IOM have declared the recommendations for the future of nursing.
It also proves that there should some retaining accountability in quality of care to individuals receiving healthcare. Aim is team work , planning, implementation , progress measuring of health care consumer within the organization.Promots continuous ongoing education of all healthcare providers.ANA provides some leadership qualities as nurses can act as a mentor to other colleagues for the improvement of nursing as a profession and quality of care. In leadership important personal qualities are communication and ability to resolve conflicts. So treat others with full of respect ,dignity and trust. Should consider the effectiveness of communication and ways to improve autonomy and accountability of nurses. Work under the influence of polcies and procedures and involve the patients and profession. Decision making bodies are taking the role for the sake of improve the healthcare outcomes and the professional practice improvement. In public health sectors there should be interprofessional team and that should be advance the nursing practice in interpreting the role for community as a whole. Also nureses can teach other staff members and patients. Pomoting good and healthy working atmosphere between local, national , international communities. Leaders are exhibiting the quality of flexible changing style and creativity according to the situation. They should be energetic in their action and also should accept the mistake by self and others . Other quality is co-ordination of care because in health sectors there is licensed and unlicensed nurses so there should co-ordination among staff members. Work as administrative team. Promote communication among staff members through written messages , publications and presentations. Promote direction to improve the effect of the multidisciplinary or interdisciplinary
a nurse practitioner (NP) is an advanced practice registered nurse who has completed grade level education, and has a master’s degree or a doctoral degree. There are roughly 3, o63, 162 practicing nurse practitioners in the workforce today. There continues to be a national physician shortage and the (NP) profession has grown. (NP) also fills an important and vital role in America’s health care system. The percentage of NP’s are low but have gotten higher over the years.
One of the goals of nursing is to respect the human rights, values and costumes of a patient and his or her family and with the community as a whole. The International Council of Nurses states that nursing practice can be defined generally as a dynamic, caring, helping relationship in which the nurse assists the client to achieve and maintain optimal health. As health care providers, we have some fundamental responsibilities such as to promote health, to prevent illnes...
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.... ...
Nursing entails self- directed and cooperative health care for the society at large in all contexts. It includes the promotion of appropriate practices to enhance health, prevention of diseases,