Case Study: Dina

Nurses demonstrate the value of autonomy by acting on their own intuition daily to improve the quality of all aspects of human life. This is evident when a patient arrives into an urgent care center with an asthma attack. A prudent nurse will act autonomously by giving the patient a nebulizer treatment, place him on oxygen, or take the time to find out if there are standing orders and carry them out without a doctor’s order.

Bahadori and Fitzpatrick conducted a study regarding the actual level of autonomy of the APRNs in primary care settings. They compared clinical outcomes for patients assigned to either APRNs or physicians and found there was no significant differences in reported health status between patients treated by NPs or by the physicians. Also Bahadori and Fitzpatrick (2009) stated within their report although the APRNs had more restrictions regarding their professional authority and struggle with maximal autonomy they recommend APRNs have more autonomy and decision-making authority to allow them to work as competent professionals, and improve patient care outcomes.

The role of nurse practitioner is valuable when discussing collaborative care. There are so many levels of care, so many health entities, and so many insurer criteria involved that it is instrumental to have a role that can work towards help bring all aspects together. In addition to diagnosing, treating, and managing care, the role of the nurse practitioner is to manage simple and episodic acute health issues along with chronic disease (Sangster-Gormley, Martin-Misener, & Burge, 2013). It is important to note that although this is a function of this role, nurse practitioners also practice from a holistic point of view which allows them to help manage patient conditions or wellness in a more complete fashion. This includes helping patients have access to care beyond primary and secondary care settings. This encourages nurse practitioners to work alongside other health care and allied health professions, and families to create an individualized plan for every patient (van

There is a growing trend where physicians are choosing different specialties instead of choosing primary care, primarily due to the low reimbursement rate in primary care. According to Iglehart (2014),” the Association of American Medical Colleges (AAMC) still projects a shortage of 130,000 physicians by 2025, split almost equally between primary and specialty care” (para. 1). With this decline comes an answer, an increase in the number of nurse practitioners providing patient care, reported 154,00 in 2012 and growing every year (Iglehart, 2014). This increase in nurse practitioners’ helps fill that gap, allow greater health care access to the community, especially special populations. By gaining access to healthcare were a nurse practitioner is the provider not only with the special population have high quality affordable health care, a trusting long lasting relationship will develop. This relationship will break the barriers of; lack of trust, lack of health care education and discrimination. Nursing is a trusted profession that provides education and care that no other health care professional

While the demand of healthcare need increasers the United States facing a physician shortage. In recent years the number of nurse practitioners (NPs) and physician assistants (PAs) has significantly increased and they are taking the part in providing healthcare cervices to the majority of patients. I believe nurse practitioners and physician assistants can practice independently from doctors and be free of oversight. Expanding the scope of NPs and PAs is essential to overcome the healthcare crisis we are facing; it will increase patient satisfaction and stabilizing the healthcare economy.

With the passing of the Affordable Care Act in 2010 approximately 32 million more people will be insured throughout the United States. The need for healthcare workers and providers will be in drastic demand to provide care to these insured Americans. The 2010 IOM report details out how the advanced practice nurse can be a valuable asset in primary, chronic and transitional care and their skill set should be used to promote better healthcare across the nation (IOM, 2010). This impact of this report should help progress advanced practice nurse’s ability to practice without individual state regulation and be governed under one body to server in and outside of the hospital setting

Hain, D., & Fleck, L. (2014). Barriers to NP Practice That Impact Healthcare Redesign. Online J Issues Nurs, 19(2). Retrieved from http://www.medscape.com/viewarticle/833516_print

The present healthcare system in the United States (U.S) faces various challenges due to changing demographic, economic and political pressures. The need of primary care provides are increasing as a result of increasing access to healthcare, increasing expenditures, and growing populations of the elderly and chronically ill patients. Even with the plenty of evidences that Nurse Practitioners (NP)are well educated, competent, health care professionals who are able to improve access to high-quality health care and lower health care costs, restrictive practice regulations still exist. The quest for NPs independence practice has surpassed and it became a necessary practice transformation to improve the health of the nation (The National Organization

Health care has evolved and is continuously evolving. The management of care now involves different clinicians to better assess, diagnose and cure a patient. The clinicians evolved from a general practitioner to a team now comprised of Physician’s Assistant, Nurse, License Practical Nurse and Specialists. These health care professionals now compose a team of health care providers that are essential in a patient’s over all health care. The team-based approach is a delivery system that provides a patient an all-encompassing health care delivery system. “ By practicing in a team-based care model, physicians and other

There is an increasing demand for nurse practitioners, which makes this a crucial period in the development of their practice and profession. Nurse practitioners must face increased opportunity and continuing opposition towards independent practice all while defining their role in health care delivery and establishing their connections. The practice of nurse practitioners still varies widely across the states. These inconsistencies make it difficult for nurse practitioners as well as patients when practice

Public health requires the collaboration of all healthcare providers. Interdependent means health care providers are a part of a team that cooperates with each other to provide high-quality patient care. All team members are dependent on each other, and responsible for their action and the patient’s wellbeing. On the other hand, independent means that health care practitioners can practice independently within their scope of practice. Health care practitioners make decisions and provide care based on their knowledge and patient situation, therefore, they are personally responsible and accountable for all their actions.

The incorporation of the Nurse Practitioner-led clinic in the primary health care is necessary to improve access to health care. The Nurse Practitioner-Led Clinics (NPLCs)

My one colleague Martha, said first time she was hearing these kinds of health care delivery models which one I mentioned in my speech. She enjoyed the idea of exploiting interdisciplinary teamwork to deliver excellence care of patients at a community level, promotion and prevention, to the disease rather than treating the disease. Martha was surprised by how APRNs are one actuality seen as an equal to Doctors. They know that health care applied with cut price and with the same time deliver superiority care that nurses have always been recognized to fix greatest. She, comparable more and identified there was successful to be an entry of afresh covered Americans, placing a request for nursing services in all settings, but she was not aware

As we know nurse leaders, nurse practitioners, and researchers in particular are in a unique position to demonstrate excellent clinical outcomes, identify wasteful practices, and eliminate inappropriate care. They are needed, they are handful, they are full with ethical practices and certify. If the non-nurses are all effectively trained and qualify to perform, is can be their advantage and both of them can communicate and complete the task in timely manner effectively.

The direct and indirect competitors currently being used are mid-level health practitioners, physician assistants and nurse practitioners. However, according to a Canadian article, “PAs (physician Assistants) do not pose a serious threat to NP (Nurse practitioners), just as NP do not pose a serious threat to family physicians” (Bourgeois-Law, 2008). With that being said, there are advantages and disadvantages my competitors have. Collaborative practice between physicians and mid-level heal practitioners play and important role in improving patient quality of care and outcomes. When working towards achieving high quality care, successful collaboration through interventions that target effective collaborative practice is necessary. Furthermore, PAs (physician assistants) and NPs (nurse practitioners) took over some parts of the physicians’ workload, which include follow up care, routine cases, and patient with minor illnesses and chronic diseases. Other advantages of having NPs (nurse practitioners) and PAs (physician Assistants) working collaboratively with physicians to improve patient outcomes are not limited to reducing waiting time, improving prescribing processes, shorter treatment periods, and lower costs.