Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
History of nursing
Historical development of nurse practitioners
History of nursing
Don’t take our word for it - see why 10 million students trust us with their essay needs.
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.
Description of the Topic
Definition
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...
... middle of paper ...
...
Mundinger, M., (1994). Advanced-Practice nursing—good medicine for physicians? New England Journal of Medicine, 33(3), 211-214. Retrieved from http://www.nejm.org/doi/pdf/10.1056/NEJM199401203300314
National Council for the State Boards of Nursing, APRN background, (2012). Report of the nursing policy and legislative efforts. Retrieved from https://www.ncsbn.org/428.htm#Nurse_Practitioner_Certification
O’Brian, J. M., (2003). How Nurse Practitioners obtained provider status: History of nurse practitioners. American Journal of Health-System Pharmacy, 60(22). Retrieved from http://www.medscape.com/viewarticle/464663_2
Rashid, C., (2010). Benefits and limitations of nurses taking on aspects of the clinical role of doctors in primary care: integrative literature review. Journal of Advanced Nursing 66(8), 1658-1670. doi: 10.1111/j.1365-2648.2010.05327.x
Even so, physicians and nurses debated the best way and extent to which the NP role should be integrated into care, as well as how far NPs could extend their scope of practice. The National Joint Practice Commission (NJPC), funded by the Kellogg foundation in 1972 was one attempt to bring nurses, physicians, and broader professional organizations together to model the collaborative behavior that made nurse-physician teams so effective at the practice level. The NJPC funded nurse Virginia Hall to investigate legal issues related to expanding nursing roles related to nurse practitioner practice. In 1974, she published Statutory Regulation of the Scope of Nursing Practice – A Critical Survey. Hall’s work was one of few nationally unifying positions to guide physicians, nurse practitioners, and state boards (Hall, 1975). The Commission also published Together, as series of exemplars that highlighted effective NP-physician collaborations (Hidgen, Offan, & Starr, 1977). Still, the American Medical Association and other physician organizations could not accept the broader scope of practice recommended by the NJPC, and it folded in 1981 after only 9 years of existence. (Fairman, 2008,
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.
National Council of State Boards of Nursing. (2014). Nurse licensure compact. Retrieved February 9, 2014, from National council of state boards of nursing: https://www.ncsbn.org/nlc.htm
When this type of work entered the market: The medical profession of nurse practitioner was developed in the mid 1960s. The job of nurse practitioners grew from implementing work from primary care physicians into that of traditional nurses.
Routson, J (2010) Healthcare Reform and Nursing: How the New Legislation Affects the profession; HEALTHeCAREERS.com. Retrieved, September, 16, 2011 from: http://www.healthecareers.com/article/healthcare-reform-and-nursing-how-the-new-legislation-affects-the-profession/158418
Given the need for more nurses to serve as Advanced Practice Registered Nurses (APRN), I decided to be assertive with my own progress to achieve an advance degree. Last year, I got inspired to pursue a graduate degree in nursing in order to become a Nurse Practitioner (NP). My specialty interest is in Adult-Gerontology Primary-Care. I believe that this specialty will allow me to further define my career path, and give me the flexibility to work in multiple areas of medicine.
The American Nurses Association (ANA) developed a foundation for which all nurses are expected to perform their basic duties in order to meet the needs of the society we serve. The ANA “has long been instrumental in the development of three foundational documents for professional nursing; its code of ethics, its scope and standards of practice, ands statement of social policy.” (ANA, 2010, p. 87) The ANA defined nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” and used to create the scope and standards of nursing practice. (ANA, 2010, p. 1) These “outline the steps that nurses must take to meet client healthcare needs.” () The nursing process, for example, is one of the things I use daily. Other examples include communicating and collaborating with my patient, their families, and my peers, and being a lifelong learner. I continually research new diagnoses, medications, and treatments for my patients. As a nurse of ...
In 1990 a group of educators, called the National Task Force for Family Nurse Practitioner Curriculum and Evaluation, created the initial curriculum guidelines for nurse practitioners (Graduate nurse practitioners education competencies, n.d.).Today, the NONPF represents most NP educational institutions worldwide and they continue to develop/improve the NP competencies and guidelines in order to prepare healthcare professionals across the world (Graduate nurse practitioners education competencies,
West, E., Griffith, W., Iphofen, R. (2007, April vol.16/no.2). A historical perspective on the nursing
“REGISTERED NURSES AND NURSE PRACTITIONERS.” Labor Market Information. 2002. Employment Development Department. 12 Feb 2008 http://www.calmis.cahwnet.gov./file/occguide/NURSEREG. HTM.
Healthcare is viewed in an unrealistic way by most individuals. Many people view a physician as the only means to find a solution to their problem. Nurses are still seen by some as simply “the person who does what the doctor says.” This is frustrating in today’s time when nurses are required to spend years on their education to help care for their patients. In many situations nurses are the only advocate that some patients’ have.
One of the biggest conflicts between Advanced Practice Nurses and physicians has been in the news as of late. The struggle to gain full autonomy over prescriptive rights and practice independently of physicians. Doctors and nurse practitioners with who they work face many different conflicts. Conflicts can develop within the individuals as they change their professional self-images. Each doctor-nurse team must develop new ways of working together and must do so against a background of longstanding professional territoriality. Similar struggles have been felt within schools and hospitals (BATES, 2014 Rev.)
Over the years nursing roles have expanded and has significantly overlapped with medicine. This has led to the rise of Advanced Practice Nursing (APN). An Advanced Practice Nurse (APN) is a registered nurse that has acquired enhanced knowledge and skills through the successful completion of an organized program of nursing education at a Master’s degree level, and has been certified by the Board of Nursing to engage in the practice of advanced practice nursing. The APN essentially has expanded upon their skill set and the ability to provide accurate assessments, diagnose patients and plan and implement care. Advanced practice nurses exercise a higher level of autonomy to include: decision making, managing individual and group care, collaborations with clients, manage physical and labor resources, act ethically within the boundaries of the law, and prescriptive and referral authority. They also have the authority to admit patients to health care
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.... ...
Nurse practitioners (NP) are healthcare providers that are licensed and practice in an arrays of healthcare locales. According to the Association of Nurse Practitioners (2015), nurse practitioners can practice as autonomous practitioners in acute, ambulatory, and long-term facilities as either a primary providers or specialty providers. Each nurse practitioners’ state board of nursing plays a considerable role in their scope of practice with focal point on the community at large fortification and healthcare safety. Furthermore, the ability of the nurse practitioners to practice to fullest extent of their knowledge are structured, or governed and regulated by state law and the individual’s state Board of Nursing scope of practice (Xue, Ye,