1. Why is it important to join the national NP association, AANP, and how does it benefit the APN? Discuss items such as CEUs and protection of NP practice. The AANP advocates for advanced practice nurses at both the state and federal level. This organization works diligently to advance and protect the ability and right of all nurses to practice at the full scope of their educational background, while also working to prevent any loss of independence. Additionally, educational opportunities are provided through membership services, guidance on research projects, access to mentoring relationships, and a wealth of resources and support are available through networking with peers (Mason, 2013). Currently there are over 150 different CEU activities …show more content…
The AANP is actively involved in a multitude of federal and state level legislative action campaigns. A quick perusal of the AANP website reveals the following Federal issues of prominence (AANP, 2016) -
• S.2279/H.R. 4134, the Veterans Health Care Staffing Improvement Act (allowing NP’s full practice authority within the VHA system)
• S. 2259, the ACO Assignment Improvement Act of 2015 (would allow Medicare beneficiaries who receive primary care from NP’s to join Accountable Care Organizations)
• H.R. 1247/S.297, the Improving Veterans Access to Quality Care Act of 2015 (would allow NP’s full practice authority within the VHA system)
• Support of NP’s ability to prescribe medication-assisted therapies (MATs), such as buprenorphine for those in drug withdrawal
• Support of NP’s ability to certify Home Health orders for patients under their care
• Support of NP’s ability to order therapeutic shoes for diabetic
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The afore= mentioned issues being addressed through legal channels by the AANP are barriers to effective and efficient practice, the type of barriers that were to be eliminated by the expansion of the Affordable Care Act (ACA) (Dunphy, Winland-Brown, Porter, & Thomas, 2015). Only twenty-two states have allowed full practice authority, which is less than half of the nation. It is imperative that every advance practice nurse has a voice that is heard in their state and the nation, this is the message of the AANP (Hain & Fleck,
In addition, a DNP degree will help me better serve my community by advocating for quality and safety healthcare system. Once attained, I would seek employment at either a school or university with the mission of educating nursing students to practice the highest quality of patient care. One of the major issues facing the nursing profession today is the lack of advance nursing practices. The medical field is in crisis. Doctors are stretched to the limits, and patients are demanding more advanced care. To alleviate some of the concerns facing medicine in the 21st century, advance nursing practices is a vital area in the contribution of understanding and working within the bounds of a team structure, and the promotion of communication between the interdisciplinary health team. The mission of the advance nursing practice is to help individual patients, and their families, determine and achieve optimum physical, mental and social potential, and to do so within the challenging context of the environment in which they live and work Nurses are among the largest professional care group within the healthcare service industry. We are responsible for providing quality care and assisting patients towards independent and healthy living. Considering the changing working environment, health care practitioners like nurses are
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
This piece of legislation can affect the (APRN) in many ways. This will allow the APRN to delegate administration of drugs to a person who has met certain criteria’s such as a medical assistant. This will increase the quality of care to patients and decrease cost by having the ability of being seen by one provider such as the APRN. The APRN can more effectively to support the quality of patient care.
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).
In the article written by Ford, (2009), the doctorate of nursing practice (DNP) has an important role to play in the current health care system which is constantly changing. As healthcare around the world is transforming, the Institute of Medicine (IOM) 2011 report mentioned that in the United States, Advanced practice nurses play a vital role in the rapid complex changes based on the full extent of their education and training. This article describes some of the positive role of the advance practice Nurse as a facilitator in the regulatory and policy developments. The Advance practice nurse participates and provide cost-effective care models that will improve the access and quality of care of the population. Another positive area for the APN in this current healthcare system is health promotion, health maintenance, and prevention. In this evolving health care system, it gives the Advance practice nurse the opportunity to set up acute and primary care settings that will positively impact health care delivery as they meet the needs of an expanding, aging, and chronically ill population. All over the world, the NP’s role has developed and is beneficial to health care systems and health care consumers. As Advance practice nurses we must use this great opportunity to advance our role and work with others to improve and transform health care globally. DNP graduate 's role is include leadership, research, practice, education, and
The Veterans Health Administration is home to the United States’ largest integrated health care system consisting of 150 medical centers, nearly 1,400 community-based outpatient clinics, community living centers, Vet Centers and Domiciliary. Together these health care facilities and the more than 53,000 independent licensed health care practitioners who work within them provide comprehensive care to more than 8.3 million Veterans each year. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of the medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision
In 2008, the coalition of members from the Alliance for Advanced Practice Credentialing and the National Council of State Boards of Nursing (NCSBN) created the Consensus Model for Advanced Practicing Registered Nurses (APRN’s). This model creates a framework for APRN’s in licensing, accreditation, certification, and education in the United States (Alleman & Houle, 2013). The establishment of this Consensus Model has developed a bases for the ARNP’s comprehensive knowledge base, ability for clinical reasoning, cultural, and ethical competencies, establishing a model of practice for ARNPs in which to follow. These concepts will be further discussed in this paper.
In recent years, APRNs have been very vocal through many nursing coalitions and associations. The voices of all ARNPs seeking full practice authority has been heard with the proposed bills. The Florida Panhandle Nurse Practitioner Coalition (FRNPC), has given information to all ARNPs to keep ahead in legislative issues. A white paper published by the American College of Physicians have been shared to all Floridian ARNPs through the
Three issues or trends I see that are important with regard to credentialing are reimbursement, malpractice and education. Within each issue are opportunities for the advance practice nurse (APN) to grow in knowledge and participate in change. It is important to understand why each one effects credentialing for the APN.
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).
Nurse practitioners are known to provide excellent quality and clinical to our patients. we listen, take time and advocate for our patients. These patients choose Advance Nurse Practitioners because of these strengths. However, health care now is more than taking care of patient with this political realm that controls what Advance Nurse Practitioners can do and how we have to do it. In this Advance Nurse Practitioners practice, the promotion to the public will be by participating and get involved in our communities. According to The American Nurses Association (ANA), Advance Nurse Practitioners play an important and crucial role in the evolution of the healthcare system in the U.S. (American Nurses Association,
This includes advanced practice RN’s. Many states do not allow advanced practice RNs to practice to the extent of their abilities. Restrictive scope of practice regulations, physician opposition, a fragmented healthcare system, and outdated insurance policies are all obstacles this country must overcome in order for APRNs to practice to the extent of their abilities. The committee recognizes the importance of APRNs to provide the majority of primary care in the US. Increasing the number of providers would make primary care more accessible to the population. If the recommendations of the IOM are followed, nurses could be responsible for the majority of primary care for patients.
An Advanced Practice Registered Nurse (APRN) is a master’s, post-master or doctoral prepared nurse with a degree in a nursing specialty and can generally practice without the supervision of a physician. APRNs help meet the demand for primary and specialty healthcare practitioners, especially in rural and other areas underserved by physicians. Hamric (2014) describe advanced practice nursing as a concept, not a role, a set of skills, or a substitution for physicians. Such a conceptual definition provides a stable core understanding for all APN roles, it promotes consistency in practice that can aid others in understanding what this level of nursing entails, and it promotes the achievement of value-added patient
The role of the Advanced Practice Nurse (APN) is expanding internationally throughout the healthcare system. Since the initiation of the Patient Protection and Affordable Care Act in 2010, there has been an increased need for APNs due to the growing demand for primary care services and increased population that have gained healthcare coverage (Lanthrop & Hodnicki, 2014). The purpose of this paper is to explore the role of APN and develop a professional development plan for my future career.
In business there are strategies that need to be fulfilled. Starting a business or health care organization we need to use strategy planning. In the strategy planning of our business or health care organization we need to map out the mission, vision and goals that we want our business or health care organization to meet. My paper is going to be on the Veterans Health Administration strategy planning. This paper will review their internal and external assessments, competitive marketing analysis, identification of stakeholders, an overview and assessments of services provided, competencies and