A nurse practitioner (NP) are trained, educated and knowledgeable professionals that flourish in primary care. There is no comparison between NP and physician, their aim should be to provide exceptional care for patients. With all respect to the medical doctors, nurse practitioners are capable of managing the medical problem as well as nursing problems (Weiland, 2015). There are many barriers which APNs have to face within their scope of practice especially in the state of Georgia (Shilling, & Hodnicki, 2015). This barrier impedes the type of care which are delivered by NPs to their patients. In order for changes to take place in Georgia and other state APNs have to be an advocate for themselves. Their voiced have to be strong in the community
Primary care practice will be greatly impacted by health care reform. To provide better health care, the country will see a trend away from specialty to primary care and the avoidance of acute issues by delivering this care in the community setting. As a result, primary care physicians will be overwhelmed with the patient load as the number of the insured increases exponentially. The committee recognizes the scope of nursing practice that remains untapped and therefore the profession
The role that nurse practitioner (NP) plays within the increasing complex health care system is a constant changing role with the Consensus Model and the introduction of the Affordable Care Act in 2010. The scope of the nurse practitioner (NP) includes the care of the young, the old, the sick and the well. The educational needs of a nurse practitioner vary greatly from that of a Registered Nurse (RN), in the amount of education as well as the focus of the education. NPs provide coordinated primary care with the use of comprehensive health histories and physical examinations, diagnosing and treating acute and chronic illnesses, the management of medications and therapies, ordering and interpreting tests results, and educating and
This paper explores the practice of the APRNs autonomy in the state of Georgia and compares it with other states. Also to advocate for policy recommendations of the APRNs scope of practice that are needed to improve the healthcare in the state of Georgia. APRNs are registered nurses that provide continuous care and treatment in many different areas, such as pediatrics, primary care, acute care, maternity, mental health and chronic disease management. APRNs also have advanced education, training, and national certification in specific areas of practice. Even with the changing and expanding of healthcare, APRNs continue to face challenges in practicing to the full extent of
The purpose of this paper is to identify the type of facility and the resident being served. In addition, this paper will identify the role of the Nurse Practitioner (NP), and the regulatory issues as it supports this role.
As resistant as some states’ legislative and regulatory bodies are to grant APNs autonomy of practice, the damage being done by over-regulation is clear (Safriet, 1992). Physicians are forced into a position to either supervise the APN’s practice or be constantly consulted for approval of their practice decisions. Safriet (1992) described that in and of itself, this constant supervision may appear to patients that the APN is not competent to provide adequate or care equivalent to that of a physician. If the role of the APN is to bridge gaps in health care by relieving the medical establishment of some of the patient load by performing the same function as a physician in a primary care setting, it seems wholly unnecessary to restrain their scope of practice in those areas. This type of restrictions affect cost and patient care accessibility (Safriet, 1992). This was a problem stated in the article, however 25 years later, populations of patients remain unseen or cared for and APNs continue to be underutilized (Safriet, 1992). Rigolosi and Salmond (2014) cite the American Association of Nurse Practitioners (AANP) when they state that not utilizing nurse practitioners due to practice restrictions costs $9 billion annually in the US (p. 649).
Both Nurse Practitioners (NP) and Physician Assistants (PA) are two very important professionals in the field of medicine. They both work under the supervision of a licensed physician, and their functions are also quite similar with very minor differences between the two. Due to such similarities it has become very difficult for the general population to differentiate between these two professionals (Nurse Practitioner School, 2015). The nurse practitioners are registered nurses who have gone on to earn a master's or doctorate degree in a specialty area of nursing, such as family practice, adult practice, pediatrics or women's health. Their duties include diagnosing and treating acute and chronic conditions, prescribing medication,
Since the inception of the Nurse Practitioner (NP) role in the 1960s, NPs have thrived in the delivery of primary healthcare and nurse case management. Despite patient satisfaction with NPs ' style of care, nurses have been critical of NPs, while physicians have been threatened by NP encroachment on MD practice. Balancing assessment, diagnosis, and treatment with caring defines NPs ' success as primary care providers. Understand the role and Scope of Practice of NPs is sometimes difficult for some to understand. The purpose of this paper is to define the role and history of NP, compare and contrast licensure versus certifications, understand NP Scope Of Practice and Standards of Care, discuss how the State Practice Acts regulate FNP practice, discuss credentialing and privileging, and differentiate between legislative and regulatory processes.
These impose severe constrictions on the ability of the nurse to move forward or advance into the areas of practice where traditional nursing practices were not allowed {Institute of Medicine, 2010}. However with the increase in the number of nurses graduating with advance degrees in nursing; the situation is changing. These well educated nurses are leading the charge to confront the complex issues that the rapidly changing health care situation presents. Regulatory barriers must be lifted so that nurses can practice within their scope in order to be reimbursed by private insurance for the services they provide. These changes can be done through the federal and state legislators as well as supervisory agencies and bodies such as congress and licensing regulatory boards. The IOM also recommends that nurses will expand their scope of practice and increase their responsibility through teaching and counseling of patients. {Institute of Medicine,2010}. The use of Advance Practice Registered Nurses and Physician Assistant in providing primary care services will decrease wait time and increase patient satisfaction. The high turnover of nurses transitioning from school to practice also affects the quality of care. These nurses do not have enough experience to make decisions in patient care.{Institute of Medicine,2010}.The IOM and JCAHO{2012} report supports the recommendations for the introduction of nursing residency
Personal Practice Framework Part Two Nurse practitioners (NP) provide a combination of direct nursing care and medical management to the patient as a whole. The NP is considered a leader and should provide education and support to the patient (Elliott, Begley, Sheaf, & Higgins, 2016). As a leader it is important to recognize and assist in finding solutions to barriers. The NP is responsible for advocating for the patient and recommending treatments that consider the best interest of the patient. The integration of personal practice framework helps make the provider aware of their own views and provide better patient-centered treatments (Moyo, Goodyear-Smith, Weller, Robb, & Shulruf, 2016).
Every individual in the world deserves to enjoy health and wellness. Maintaining or achieving proper health needs enables individuals to be productive at work and leisure. Traditionally, many people have had barriers obtaining adequate healthcare due to economic constraints or personal inconveniences. Despite impressive technological advances in medicine, the challenge of delivering quality healthcare to the Americans continues to be debated amongst the nation’s political and healthcare leaders. The aging baby-boomers and the increased number of uninsured people add to the equation of population growth which results in limited access to primary healthcare for the entire public. On the
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.
The role of the Nurse Practitioner (NP) can be described as diverse and challenging; while at the same time, rewarding and the mainstay for future healthcare. Like many early nursing pioneers, breaking misperceptions by focusing on national recognition and public awareness of the role continues to be an emphasis of today’s NP. Both similarities and distinct differences can be seen between nurse practitioners, registered nurses, and physicians. The nursing model, whether as a registered nurse (RN) or NP, has holistic care at the core of patient care.
As our healthcare continue to evolve, Advanced Nurse Practitioners' role is a crucial key component in the way health care is delivered in multiple settings, particularly in the primary care to improve patient's health outcomes. Nevertheless, the existing barriers limit nurse practitioners to practice to full capacity or extent of their training and education. One of the main obstacles faced by the advanced practitioners are the laws that govern the profession. Presently, NP practice rules and regulations vary from state to state(Hain and Fleck, 2014).
First, the state licensure regulates NP practice and it has been a big issue since NPs are not able to practice to the fullest extent despite of their education and training. NPs practice is regulated by state licensure and only about one-third of the nation has adopted full practice authority licensure and practice laws for NPs (Hain & Fleck, 2014). The American Association of Nurse Practitioners (AANP) reports that, under a full practice authority model, NPs are still required to meet
Nurse practitioners (NP’s) are registered nurses that have advanced education and training to provide services in academia and clinical services. Nurse practitioners have to follow state practice regulations. Now more than ever, NP’s can assert role significance by participating in health policy activities at the local, state, national, and international levels (American Association of Nurse Practitioners, n.d.). The American Association of Nurse Practitioners (n.d.) reports that NP’s offer high-quality care during a time that the U.S. faces a major population increase and primary care shortage. The increasing demand for primary care providers