The Advanced Practice Nurse Is On The Front Lines Of Care

This paper explores the perception of clinical practitioners to the change in policy related to the advanced practice registered nurse (APRN) full practice authority. The author conducts a one-on-one, open-ended interview of 5 nurse practitioners and 5 physicians licensed to practice in Maryland on their perceptions of the recent passage of the Advanced Practice Registered Nurse Full Practice Authority. A literature review was conducted in a policy report by the professional nursing organization, and discussion within the peer-reviewed article supported an overview, regulatory differences among 50 states, including the District of Columbia. Their policy implication for enhancing APRNs role nationally. The author discusses a critical component

In the past few years there has been increasing discussion about how to provide adequate care for the increasing number of veterasn who are eligible for care through the Veterans’ healthcare administration (VHA). There are concerns is that the VHA is not providing the level of access, efficiency, and quality of care that veterans expect. Lee & Begley, (2016) suggest access to care for the veteran population may be resulting in poor health outcomes. In response to these concerns, the Veterans ' Access to Care through Choice, Accountability, and Transparency Act (VACAA) of 2014, also known as the Veterans Choice Act, was created to improve Veterans’ healthcare. The VACAA proposed to do this by expanding the number of options veterans have for receiving healthcare, by providing access for healthcare at non-VA care centers as well as providing for an increase in staffing at VA facilities (U. S. Department of Veterans Affairs, 2016).

According to the U.S. Department of Veteran Affairs, there are more than 1,500 locations to receive treatment and care across the country, which divides up to approximately 30 locations per state. The lack of locations may limit some veterans from receiving the care they desire. “Veterans who utilize VA services have worse health status that the general population” (Nelson, Taylor, Lurie, Escarce, McFarland, & Finn, 2011). This implies that the services offered are not sufficient enough to meet the needs of veterans. According to Jack Downing, President and CEO of Soldier On, “Seventy percent of veterans drive twenty-five miles or more to a VA facility.” These facts prove that we need more access for veterans so that they can get the

Current funding for veteran healthcare care is low and insufficient because of the large number of veterans, who are being discharged from the military as the country transitions to a democratic President. According to Dr. Rachel Nardin in her article about veteran healthcare, “Soldiers get excellent acute care when injured on active duty, but as revelations of poor conditions for soldiers receiving ongoing outpatient care at the Walter Reed Army Medical Center highlighted, service members often have trouble getting the care they need once active duty ends” (Nardin 1)

Merriam-Webster (2015) defines a nurse practitioner (NP) as ?a nurse who is qualified through advanced training to assume some of the duties and responsibilities formerly assumed only by a physician.? The NP is a direct care provider that provides a plethora of services ranging from primary prevention to disease management. For example, the NP has authority to monitor and alter drug therapies and order diagnostic tests.

Too many Veterans in the United States lack health insurance and are ineligible to receive care provided by the Veteran’s Health Administration. According to American Community Survey (ACS) conducted in 2010, one in 10 of the nation’s 12.5 million veterans under the age of 65 is uninsured. A veteran is defined by federal law as any person who served for any length of time in any military service branch. Contrary to the presumption of most, not all veterans qualify for free healthcare through the Department of Veteran Affairs. The Veterans Health

In the United States, Veteran’s health care at an economical rate is a continuous debate. It is warranted that the health care should improve at a constant rate to uphold the health needs of veterans, new and old. Government has the veterans association (VA) and with all the help it has available for veterans there are still times when that care is not enough. There are so many individuals that are without health care because of one reason for another and it leaves many injured and hurt veterans without the care they need and deserve. Better access to health for veterans, men and women is important since many new problems such as PTSD have become better understood and need more focus and to be better

Among older adults aged 65 years and older are found to have difficulty in reading and to comprehend discharge instructions. This has been found to be a concern regarding continuing care and re-admission concerns throughout urban and rural hospitals. Does the integration of Advanced Practice Nurse (APN) guiding discharge education, along with a follow-up contact with the patient after discharge effect compliance and readmission rates, more than not having an APN guiding discharge teaching to help decrease readmission rates?

Due to the massive popularity and use of the P value in scientific research studies Advanced Practice Registered Nurse (APRN) in primary care settings must administer care based on the best available scientific evidence. In healthcare where frequency and volume of scientific studies overwhelm APRN’s and health care professionals, they are having to implement and rely on many statistical metrics to make crucial decisions. APRN’s in their daily practice will have to think critically through the research process and review the statistical data in such a manner that they can determine and decide on the best available evidence.

Texas has a rapidly growing population with complex healthcare needs, but has limited resources in terms of healthcare provider workforce. There is an expanding need for healthcare in Texas even without taking federal reform into account. Currently, more than forty percent of states have adopted full practice authority licensure and practice laws for Advanced Practice Registered Nurses (APRN). Texas is not one of them. Currently, APRN’s are regulated by both the Texas Board of Nursing and the Texas Medical Board. Passage of Senate Bill 681 would grant full practice authority to APRN’s, and therefore be regulated exclusively by the state nursing board.

As the young and rapidly-aging population continues to increase, the demands of primary, acute and chronic disease management will also increase. As a result, more health care professionals who provide primary care will be needed to meet these demands. Thus, the emergence of Advanced Practice Registered Nurse (APRN) evolve. APRN is a nurse who has completed a graduate degree and has acquired advanced knowledge and skills. APRNs are grounded with theory, concepts and principles that enable them to assess, diagnose, treat and manage their patients. APRNs can work in conjunction with other health care professionals or independently. APRNs improve access to health care by providing care in the rural and underserved areas. APRNs also reduce the cost to health care (Joel, 2013).

Advanced practice nurses provide care in many areas in the healthcare arena. They provide care to patient and family for better patient outcome. According to Kleinpell et al. (2014), the global characteristics of the APRN roles include the “Right to diagnose, authority to prescribe medication, authority to prescribe treatment, authority to refer clients to other professionals, and the authority to admit patients to the hospital. There are four roles of the advanced practice nurse; Certified Nurse Practitioner, Certified Nurse Midwifery, Clinical Nurse Specialist, and Certified Registered Nurse Anesthetist

As an advanced practice registered nurse (APRN), one should utilize translational research and apply it to the medical field. Knowing the doctorate of nursing practice (DNP) role in translating evidence is a necessity when implementing solutions to problems identified in the clinical setting. This paper will describe translational research and will identify and evidence-based practice (EBP) model to discuss the role of the APRN.

Mental health is one fascinating specialty one can choose as an Advanced Practice Registered Nurse (APRN). Medication adherence and how far one can go to promote medication adherence can be quite an issue. Mental health patients often stop taking medications for a variety of reasons. Consequently to that decision is a decline in stability.

Role development in advanced practice nursing is described as a process that evolves over time (Hamric, Hanson, Tracy, O’Grady, 2014, p. 86).The role of an advanced practice nurse can be very diverse. Specifically, the role of a nurse practitioner is not only diverse but is becoming one of the leading key players in the health care team whether it is in primary care or in specialized areas such as oncology. This paper will summarize two research articles and one expert opinion article about the role of nurse practitioners in general and as it pertains to cancer patients.