The Presence Of Nurse Practitioners

Samantha stated that initially many people asked her if she chose to be a family nurse practitioner to be a “mini physician” (S. Hage De Reyes, personal communication, June 22, 2016). In her perspective, it has been an issue to show others in health care professions that nurses just want to expand their knowledge. She “fights battles every day” for her patients because of the holes in our health care system (S. Hage De Reyes, personal communication, June 22, 2016). In her experience, she has seen many individuals without insurance. She has learned that being a family nurse practitioner is being an advocate for the patient and helping them get the resources that they need. Family nurse practitioners help provide care in a more affordable way. In Samantha’s opinion, family nurse practitioners are the answer to creating access to care for the large uninsured population and those that are newly insured under the Affordable Care Act, and I could not agree

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.

As health care continues to evolve, these changes may facilitate or hinder the availability of health care resources for lower income populations. According to the American Association of Nurse Practitioners (2017), “By providing high-quality care and counseling, NPs can lower the cost of health care for patients” .Moreover, practicing at the primary care level, and focusing on prevention, counseling, and screening will help decrease the prevalence of inpatient hospitalizations due to people not understanding their health. As an FNP in primary health care setting, I will have the ability to see my patients for wellness visits, and reinforce the routine knowledge needed for them to make ideal life style choices, that will maintain their good health. The overall goal, which I want to obtain in this vital role is to change the mind set of individuals to disease

The Institute of Medicine’s 2010 report on The Future of Nursing: Leading Change, Advancing Health acknowledges the changing healthcare sector in the US and describes future vision of healthcare and the role of nurses to fulfill that vision. The United States always strives to provide affordable and quality healthcare to the entire population of the country. In order to achieve this goal an overall restructuring of the healthcare system was necessitated. Nurses are considered to be the central part of the healthcare system to provide high quality and safe patient care. Nursing in the US is the single largest segment of the healthcare workforce with almost 3 million nurses working in different areas across the county. The changing

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.

In a report posted in AARP titled “Leading Change, Advancing Health,” the Robert Wood Johnson Foundation and the Institute of Medicine outlined ways that nurses are solving many challenges in health care and hold a key role in accessing health care for many patients and play a significant role in transforming the future of health care (AARP, 2012). The Nurse Practitioner is a Registered Nurse who have received their master’s degree or PhD in nursing and completed a course to a specialized medical field and is capable of providing patient care and writing prescriptions (AARP, 2012). With the boom in the aging population the nurse practitioner has a key role for adults over 50, the need for medical care will increase and the wait to see a doctor will also increase. The Nurse Practitioners Role in patient care will help provide continuity of care with chronic patients. In an article post on AARP website entitled “The Doctor Can’t See You Now-But the Nurse Can” states the importance of nurses in field of advance practice. In poor and underserved rural and urban areas, nurse practitioners represent the only health care available. Nurse practitioners play a vital role in the health of adults over 50 not

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

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).

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

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

There are over three million nursing professional in United States and they make the largest segment of nation’s health care workforce. Nurses can play a vital role in helping to realize the objectives set forth in the 2010 affordable act, legislation that represents the broadest health care overhaul since the 1965 creation of Medicare and Medicaid program (IOM 2010). Due to the restricting barriers nurses were not able to respond effectively to the changing health care systems. In 2008, The

Since the passage of the Affordable Care Act in 2010, the role and responsibilities of the nurse practitioners at the Healthcare Clinic has broadened. The current clinical model now allows the nurse practitioner to evaluate and treat both chronic and acute conditions affecting the elderly and the disabled, a step up from the previous years’ clinical model. The added clinic scope of service resulted to an influx of many clients, a significant percentage are uninsured. The clinics are staffed with one medical assistant and one nurse practitioner, with an off-site collaborating physician available 7 days a

Clinical implications: Nurse practitioners deliver safe and effective high quality care to a large population of patients that is in most cases just as effective as physicians. Studies from randomized clinical trials reveal that patient outcomes in areas such as satisfaction, mortality, and physical and emotion functioning of patients being tended to by NPs were equivalent to those seeing MDs. It was also noted that in some cases there were better results among NPs when it came to patient follow-ups, assessment, satisfaction, and consultation time. These favorable outcomes from multiple studies reaffirm that nurse practitioners improve clinical outcomes in the fact that they provide equally as effective care as physicians in a more cost efficient manner and increase access within the demanding nature of primary care.