Recently, I have been reading publications regarding the “debate” over what type of patients should be seen by which licensed professional. Frequently this discussion revolves around the use of Nurse Practitioners, or Physician Assistants versus Physicians. Well-discussed arguments for both are abundant.
Neither, however, have anything to do with the license one owns. As a licensed and board-certified MD, I have encountered matters better suited to others. My license is more about a regulatory issue and has less to do with the skill or experience. For example, as a Hypertension Specialist, based on my skills and training when my patients need dietary counseling and stress management, I am neither the most appropriate nor the best-qualified person.
Therefore, in treating a patient, let’s focus on who has the nonpareil skills and experience. This requires shifting the conversion to that of quality and outcomes rather than licensing. As professionals, it is incumbent upon us to ensure that those we serve are receiving what is needed by those adeptly qualified to deliver the care.
Currently, however, we do not view the situation through such a lens. Perhaps, the most important question is, how do we monitor providing qualified, skilled health care providers. For instance, has our focus switched from delivering value to those
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For instance, athletic teams have mastered this concept to a more preponderant degree than medical teams. Obviously, for them, the outcome is simple to measure, final scores indicating the better team. Therefore, while healthcare is not so straightforward, the ideal of using each of our skills and experiences to their greatest degree holds true. Conversely, just because I went through four years of medical school and countless years of post-graduate training does not guarantee I can deliver the most appropriate
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).
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.
Your motivation for pursuing a career in the MSN specialty for which you are applying
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.
Nurse practitioners are advanced registered nurses who have been obligated with providing professional care to patients within their jurisdiction. They are expected to perform comprehensive healthcare services from caring for acute illnesses, injuries, and immunization to the treatment of chronic conditions (Cusack, et al., 2015).
For the purpose of this essay, I will discuss the case of a five years old patient presenting to my place of work with the symptom of shortness of breath (SOB). To maintain confidentiality the pseudonym “Ryan” will be used to refer to the child and Ryan’s mother will be frequently referred to as “mum”.
A professional is characterized by or conforming to the technical or ethical standards of a profession (2) : exhibiting a courteous, conscientious, and generally businesslike manner in the workplace. Being professional should be a subconscious effort in the fact that it should always be applied. When employees are professional it helps the system run more efficiently and safely. A person must me a certain criteria when being evaluated on professionalism, a person is judged based on the clients; Attitude, Values, Communication techniques, and approachability. Clients who display a committed, dependable attitude will benefit more from work exerted, and overall be rewarded with incentives. Although professionalism may be in the eye of the
The medical field is one of the fastest occupations in the world. Medical Assistants and LPNs have different roles and responsibilities. You will get a better understanding about each occupation position in the medical field. Understand the difference between the two is not as difficult as it seems. The difference between the two is Medical Assistants handles basic clinical tasks. They are responsible for medical records, book-keeping, and answering call. Most Medical Assistants help Doctors examine and treat patients. They are responsible for drawing blood, and giving injections. Medical Assistants work in private offices and have clinical duties according to the state law. Medical Assistant can check temperature, height, and weight. They
This essay focuses on the impact of historical development of nursing on contemporary representations of the nursing profession. It examines the professional identity of nursing and further discusses the contribution of modern nursing, social, cultural and political factors that influences the professional identity of a nurse. The essay also looks into the professional regulations and the role of the nurse’s and midwifery Council (NMC) in the protection of the public. Finally, this essay will discuss nursing education, the media, stereotype, and their impacts on nurses as well as demonstrate my understanding as a student nurse to challenge the professional identity of nurses.
The role of a family nurse practitioner is a fundamental portion of the future of healthcare. The role is clearly not as understood by other healthcare professionals as needed which results in the disagreement if the role of a family nurse practitioner is even required for primary care. As people are getting older, the need for medical professionals that can provide patient care to our ever growing population increases. The need for the role of family nurse practitioners will grow too. The role of the family nurse practitioner, the ability of the FNP to be able to transition into their role.
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
It would be interesting to note if there were more studies that show correlation between nurses that encourage and have positive attitudes and more compliance from the patient.
Ive always wanted a rewarding career that revolved around helping people. I want to pursue a career as a nurse practitioner. I am not sure on what specialty I want. So given a assignment in my Introduction Health Sciences class where I have to shadow a nurse practitioner, it gives me the opportunity to explore a specialty and see what it really is like in their typical work day. An advanced practice registered nurse, by the name of Mary Carlson at Parkland Medical Center was willing to let me shadow her for a day. Carlson graduated with her BSN from Boston College. She then pursued a graduate degree from Boston University. Her official title is, Nurse Practitioner, Emergency Medicine.
Nursing is a profession that blends the rich traditions of the past with the ever changing realities of today's health care industry. Nursing is not simply an assortment of special skills and the nurse is not simply a person proficient in performing these specific tasks. Nursing is a profession. I believe this statement to be true because of several factors. The Title 19 Code for Nurses is titled "Standards for Professional Nursing Practice". The status of nursing as a profession reflects the values that society places on the work of nurses and how central nursing is to the good of society. "By being a professional we imply that the person is conscientious in actions, knowledgeable in the subject and