Comparing Nurses Practitioners And Clinical Nurse Roles

There are four types of Advanced Practice Nurse roles, the nurse practitioner, clinical nurse specialist, certified registered nurse anesthetist, and certified nurse-midwife. The Family Nurse Practitioner is the advanced practice role that will be discussed. According to Hamric, Hanson, Tracy, and O 'Grady (2014) the primary care NP provides care for patients in diverse settings, including community-based settings such as private and public practices, acute, and long-term care settings across the life span (pg. 396). Family Nurse Practitioners have faced many challenges in the medical profession to be recognized as health care providers. Most of these challenges where from fellow nurses. According to Hamric, Hanson, Tracy, and O’Grady (2014) conflict and discord about the Nurse Practitioner role continued to characterize relationships between NPs and other nurses (pg. 18). Despite the resistance to NPs in nursing, physicians increasingly accepted NPs in individual health care practices (Hamric, Hanson, Tracy, and O’Grady, 2014, pg. 18). Physicians readily accepted the role of the Nurse Practitioner, working together to improve patient outcomes and safety.

Nurse Educators are indirect care advanced practice nurses while Nurse Practitioners are primarily direct care practitioners. With direct care the practitioner uses their clinical expertise to assess, diagnose, treat and educate the client. Nurse educators are in key positions to promote leadership. Nurse educators serve as leaders to their colleagues. They develop relationships with new nurses and groom the nurse to their fullest potential to promote their professional development and facilitate their personal leadership abilities.

Advanced Practice Registered Nurses are registered nurses who have completed masters or post-masters degrees. The National Council of State Boards of Nursing recognizes four APN specialties

Budzi, Lurie, Singh, and Hooker (2010) state, “Nurse Practitioners’ (NP) interpersonal skills in patient teaching, counseling, and patient centered care contribute to positive health outcomes and patient satisfaction.” According to their research they encourage healthcare systems in the U.S. to hire more NPs to allow for better access affordable, and quality care (Denisco & Barker, 2016). With the demand for primary care providers, The NP role aids in delivering a solution to some of the healthcare issues that exist today. Organizations like the Institute of Medicine (IOM) and Centers for Medicare and Medicaid (CMS) all agree to allow nurses to practice to their full abilities to make healthcare more accessible and affordable, especially for the aging baby boomers and less accessible rural neighborhoods, and densely populated urban areas. Research has proven that NPs that provide primary care have similar health outcomes to primary care physicians (DeNisco et. al., 2016). NPs particularly take pride in their holistic approach, forming therapeutic relationships between other providers of the healthcare team, patients, and their families, aiding the informed decision making process, use of the evidence based practice approach in health management (Brown, 2005). Some of the other actions or qualities that

When there are Nurse Practitioners that are filling in for doctors, this can improve quality. The way that this takes place is to have these individuals work with select amounts of patients. This creates smaller teams and more personalized attention in providing these services. This is when mistakes will decrease with health care professionals doing more for everyone. Once this happens, is when the underlying quality of care will rise. (“Scope of Practice,” 2010)

Advanced Practice Nurses are Registered Nurses with specialty training at the master 's-degree level, in primary care settings, such as the Nurse Practitioners and Nurse Midwives and acute care of inpatients, such as the Clinical Nurse Specialists and in operating rooms, such as Nurse Anesthetists. This has opened a door in the nursing field. Nurses ' roles are no longer limited. Nurses now have opportunities to advance their career and expand their roles. Advanced Practice Nurses can be more directly involved in patient care

Clinical Nurse Specialists (CNSs) and Nurse Practitioners (NPs) are both considered advanced practice nurses (APNs) in Canada (Donald et al., 2010). Although these roles have existed in Canada for decades (Canadian Nurses Association, 2008), confusion still remains about the titles and exact roles that these professionals play (Donald et al., 2010). This paper will use the Saskatchewan Nursing Advanced Practice model as a framework to highlight the similarities and differences between both types of advanced practice nurse. The scope of practice, registration, education, practice settings, and effectiveness of CNSs and NPs will be examined. Although their roles overlap, CNSs and NPs have both been shown to be important members of the health care team (DiCenso & Bryant-Lukosius, 2010). Research has shown that adding CNSs and NPs to our health care system can increase patient satisfaction, decrease wait times, and decrease readmissions (DiCenso & Bryant-Lukosius, 2010). Increased public and health care professional awareness is needed to have these roles fully incorporated into our current health care system (DiCenso & Bryant-Lukosius, 2010).

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

The educational requirement for advanced nursing practice is a master’s level education in a program or track leading to APN licensure, including graduate degree-granting and post-graduate certificate programs with established educational standards and attainment of the APN core, role core and population core competencies (National Council of State Boards, 2012). APN’s acquire increased knowledge in the sciences of anatomy, physiology, microbiology, chemistry, pathophysiology, and pharmacology. The core curriculum for the advanced practice role includes priorities in

“Advanced nursing practice is the deliberative diagnosis and treatment of a full range of human responses to actual or potential health problems.” (Calkin, 1984). Advanced nurse practitioners attempt to maximize the use of knowledge and skills and improve the delivery of nursing and health care services. The field of advanced nursing practice differs from basic practice as the former requires clinical specialization at the master’s level. At this level, nurses become expert practitioners whose work includes direct and indirect patient care. Direct patient care involves caring for patients and their families; this is the focus of my section on nurse clinicians. Indirect patient care includes work as an educator, researcher, and a

I would like to finish this presentation by explaining the importance of Nurse Practitioners in our current health care system, there is a growing need for health care providers, especially in primary care and Nurse Practitioners are a clear solution for patient centered accessible health care. In 2010, a report by the Institute of Medicine identified nursing as a key element in transforming the U.S. health-care system by increasing timely access to high-quality, patient centered care. (Poghosyan et al., 2013, p. 7). We all experience this in our emergency department every day, there is a too many patients and in the rooms and in the lobby waiting to see the doctor and the nurse practitioners are a relief for a lot of those patients, let work

Mid level providers such as a nurse practitioners are important primary health care providers for the US health care industry. With the shortage of physicians predicted by 2025 of a shortage of 90,000 (Lenny Bernstein, 2015), the need for mid level practitioners are essential. Nurse practitioners are capable of providing safe and effective patient care (Pauline, Chen., 2013). According to Pauline Chen, (2013), physicians believed they “ provided higher-quality care” (para 10) compared to nurse practitioners. To this, comparing the work of physicians and nurse practitioners became an interest of research.

The patients will be able to obtain health care despite the expected shortage of doctors in the next decade. The nurse practitioners will be able to fill the gap and the patient will still be able to receive health care. In addition to just filling the gap, the independence of nurse practitioners will also lead to cost effective and high-quality care solutions to the patients (Donelan, 2013). According to studies, patient seen by nurse practitioners were reported to receive good care that was sometimes better than from the accustomed physicians. The level of satisfaction by the patients was also

In their article Why Are Nurses Leaving? Findings from an Initial Qualitative Study on Nursing Attrition, MacKusick and Minick (2010) outline a participatory case study using a phenomenological research design to identify factors that influence Registered Nurses (RNs) decisions to leave clinical nursing practice. This paper will examine the study using a qualitative critiquing approach. The information discovered will be used to determine whether the findings of the study have the rigor and credibility to be applied to the development of effective nursing-retention strategies.

Historically, nurses focused on the diagnosis and treatment of a disease, sickness or condition and emphasis on health promotion was nonexistent. However, today that has all changed. Nurses are now expected to expand their primary care services to include psychosocial nursing, advocacy, behavioral science, counseling and advocacy in addition to patient assessment, clinical diagnosis and patient-case management. In the article “Defining Nurse Practitioner Scope of Practice: Expanding Primary Care Services,” Sherwood, Brown, and Wardell (1997) state “the role of the nurse practitioner continues to evolve in response to changing societal and health care needs as consumers in all settings seek increasing services”. (Sherwood, Brown and Wardell, 1997).